Profil des intoxications aiguës au CHU-SO de Lomé (Togo)

Diallo, Tiiane; Diallo, Aboudoulatif; Ouro-Gnagba, Amoudyat; Djagadou, K.A.; Diara, Abdourahamane

doi:10.1016/j.toxac.2020.08.001

Cited by 3 publications

(6 citation statements)

References 5 publications

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“…In our study, the majority of poisoning cases occurred accidentally, ie 93% of cases. This result is similar to many studies [6][7][8][9][10][11][12][13] which would explain that poisoning is mostly accidental.…”

Section: Discussionsupporting

confidence: 92%

“…Our results are close to those found in CHU SO of Togo, with a prevalence of 57.20% of male [6]. Diarra, in 2005 obtained 72% of cases in favour of males, which confirms the results previously obtained [10].…”

Section: Discussionsupporting

confidence: 92%

“…Industrial and household products were the most incriminated (34.33%), followed by drugs (22.29%) and psychoactive substances (17.91%). The prognosis was unfavorable in 2.49% [6]. A study carried out in three Abidjan university hospitals from 2005 to 2011 recorded 557 cases of poisoning in children, or 8.50% of admissions to emergency and pediatric intensive care units [7].…”

Section: Introductionmentioning

confidence: 99%

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Epidemiology of poisoning in Bamako, Mali

et al. 2021

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Introduction: In Mali, poisoning is a public health problem through its multiple circumstances. Its management is a pre-hospital concern given the lack of qualified personnel, adequate medical equipment and lack of knowledge of the substances involved in poisoning. The aim of this study was to describe the epidemiological profile of poisoning in Bamako. Methods: The study was conducted in six Reference Health Centers in the District of Bamako. This was a retrospective study of poisoning cases covering the period from January 2010 to December 2019. The data used was collected from registers and patient medical records. Results: During the study period, we collected 2,112 cases of poisoning. The sex-ratio (M/F) was 1.5 in favour of males. More than two-thirds of cases (66.7%) were due to foodborne diseases, followed by drug poisoning, with 18.7% of cases. The majority of patients were pupils and students (69.7%) and 5.5% were housewives. The circumstances were most often accidental, with 82% of cases. In addition, the clinical signs were dominated by gastrointestinal disorders: diarrhea (40%), vomiting (40%) and respiratory distress (9.4%). Conclusion: Reducing the risk of poisoning and improving their management requires education of the population and professional training of health workers.

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Section: Discussionsupporting

confidence: 92%

Section: Discussionsupporting

confidence: 92%

Section: Introductionmentioning

confidence: 99%

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Epidemiology of poisoning in Bamako, Mali

et al. 2021

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“…Over a period of 3 years, we were able to collect 80 patient files meeting our inclusion criteria out of 5437 hospitalizations during the same period, or a frequency of 1.47%. Our frequency is higher than those reported by Sylla M and coll [2] in 2006 in the same department (1.08%) and by Tidiane D and coll [9] at the SO-University Hospital in Lomé (0.25%), but similar to that of Kouéta F and coll [10] in 2009 in Burkina Faso (1.4%). Children aged 13-48 months represented 65% of our sample, as in the Kouéta F and coll study [10], where children aged one to four years (60%) were in the majority.…”

Section: Discussionsupporting

confidence: 69%

“…Boys, with 56.2%, were the most numerous in our study, or a sex ratio of 1.3. This male predominance was reported by Sylla M and coll [2] in 2006 (61.8%), Kouéta F and coll [10] in 2009 (54.5%), Tidiane D and coll [9] in 2020 (57.2%) and Ramzi K and coll [13] in 2020 (sex ratio: 1.32) without any of these studies providing a clear explanation for this finding. In 90% of cases, children were looked after by their own mothers, by the grandmother in 3.8% of cases or by the household help (3.8%).…”

Section: Discussionmentioning

confidence: 46%

Epidemiological and Clinical Aspects of Acute Intoxications in Children Between 1 Month and 15 Years in the Paediatric Emergency of the UHC Gabriel Toure

Dembelé¹,

Elmouloud²,

Karim³

et al. 2022

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Introduction: Defined by the WHO as all the pathological manifestations following ingestion of food or the administration of products or drugs behaving like a poison in the body, acute intoxication is a growing problem. serious in pediatrics, in developing countries because of their frequency and the difficulties of care. In Mali, poisoning in children is very poorly assessed, in part due to the lack of popularization of poison control and pharmacovigilance centers. The objective of our study is to study the epidemiological and clinical aspects of acute poisoning in children in the emergency department of the pediatric department of the Gabriel Touré University Hospital. Material and methods: We carried out a retrospective, cross-sectional and descriptive study from January 2016 to December 2018, or a period of 3 years. It concerned children from 1 month to 15 years old hospitalized in the pediatric emergency room of the Gabriel Touré University Hospital for proven acute poisoning. The data were collected by: a pre-established individual survey form, information contained in the medical files of patients after the approval of the Head of the Department. Results: During our study period, 80 children were hospitalized for acute poisoning out of a total of 5,437, a frequency of 1.47%. The sex ratio was 1.3. The 13-48-month age group accounted for 65% of cases. The patients themselves were responsible for their poisoning in 74.2% of cases. Poisoning by unspecified drugs accounted for 25% of cases. The oral route represented 92.4% of the poisoning routes. Ingestion of milk (29.9%) and oil (6.3%) were the most common actions for parents. Vomiting with 35% and respiratory distress with 35% were the most frequent manifestations. The mean hospital stay was 3.5 days (50%). In 50% of cases, death occurred within the first 24 hours. Conclusion: Poisoning remains a common occurrence in our department, mainly linked to several medicines and household products.

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