Infective endocarditis in children-pattern, diagnosis, management and short term outcome in Sudan

Osama Hafiz Elshazali, Zahia Elnaeem Mohammed
{"title":"Infective endocarditis in children-pattern, diagnosis, management and short term outcome in Sudan","authors":"Osama Hafiz Elshazali, Zahia Elnaeem Mohammed","doi":"10.15406/jpnc.2020.10.00430","DOIUrl":null,"url":null,"abstract":"Introduction: Infective Endocarditis (IE) in children is relatively rare but causes significant morbidity and mortality when it occurs. The incidence of IE in children is increasing worldwide. Objective: To identify pattern, management and short outcome of IE in Sudanese children. Methods: Retrospective notes review of all the children from birth to 16 years old, diagnosed with IE at Ahmed Gasim Children’s hospital, Khartoum North, Sudan. During the 12 month period starting from January 2017. All children who fulfilled Dukes criteria for Definite or Possible IE were included in the study. Results: During the study period 6260 children were admitted to Ahmed Gasim Children’s hospital, 47 patients fulfilled Dukes criteria for IE; Three patients were labelled as Definite and 44 as Possible, The majority of the patients were overfive years old. Of the 47 patients enrolled in the study,34% had normal hearts and 66.0% were known to have structural cardiac disease; out of them, 17 patients (54.8%) were known to have Rheumatic heart disease (RHD) and 14 patients (45.2%) were known to have Congenital Heart Disease (CHD).The hospital mortality was 21.3%. Conclusion and Recommendation: IE in Sudanese children is not rare and is associated with high hospital mortality,the health professionals should have a high index of suspicion to diagnose IE echocardiography and blood culture should be done whenever the possibility of endocarditis is entertained. The children, parents and caregivers of children with structural heart disease should be educated about IE’spresentation and prevention.","PeriodicalId":388959,"journal":{"name":"Journal of Pediatrics & Neonatal Care","volume":"16 1","pages":"0"},"PeriodicalIF":0.0000,"publicationDate":"2020-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Pediatrics & Neonatal Care","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.15406/jpnc.2020.10.00430","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 0

Abstract

Introduction: Infective Endocarditis (IE) in children is relatively rare but causes significant morbidity and mortality when it occurs. The incidence of IE in children is increasing worldwide. Objective: To identify pattern, management and short outcome of IE in Sudanese children. Methods: Retrospective notes review of all the children from birth to 16 years old, diagnosed with IE at Ahmed Gasim Children’s hospital, Khartoum North, Sudan. During the 12 month period starting from January 2017. All children who fulfilled Dukes criteria for Definite or Possible IE were included in the study. Results: During the study period 6260 children were admitted to Ahmed Gasim Children’s hospital, 47 patients fulfilled Dukes criteria for IE; Three patients were labelled as Definite and 44 as Possible, The majority of the patients were overfive years old. Of the 47 patients enrolled in the study,34% had normal hearts and 66.0% were known to have structural cardiac disease; out of them, 17 patients (54.8%) were known to have Rheumatic heart disease (RHD) and 14 patients (45.2%) were known to have Congenital Heart Disease (CHD).The hospital mortality was 21.3%. Conclusion and Recommendation: IE in Sudanese children is not rare and is associated with high hospital mortality,the health professionals should have a high index of suspicion to diagnose IE echocardiography and blood culture should be done whenever the possibility of endocarditis is entertained. The children, parents and caregivers of children with structural heart disease should be educated about IE’spresentation and prevention.
查看原文
分享 分享
微信好友 朋友圈 QQ好友 复制链接
本刊更多论文
苏丹儿童感染性心内膜炎的模式、诊断、管理和短期结果
感染性心内膜炎(IE)在儿童中相对罕见,但当它发生时可引起显著的发病率和死亡率。在世界范围内,IE在儿童中的发病率正在上升。目的:探讨苏丹儿童IE的模式、管理和短期预后。方法:回顾性分析在苏丹喀土穆北部Ahmed Gasim儿童医院诊断为IE的所有出生至16岁儿童的资料。自2017年1月起的12个月内。所有符合Dukes明确或可能IE标准的儿童都被纳入研究。结果:在研究期间,6260名儿童入住Ahmed Gasim儿童医院,47名患者符合Dukes标准;确诊3例,可能44例,以5岁以上患者居多。在参与研究的47名患者中,34%的人心脏正常,66.0%的人已知患有结构性心脏病;其中17例(54.8%)已知患有风湿性心脏病(RHD), 14例(45.2%)已知患有先天性心脏病(CHD)。住院死亡率为21.3%。结论和建议:苏丹儿童IE并不罕见,且与医院死亡率高有关,超声心动图诊断IE时应高度怀疑,一旦考虑心内膜炎的可能性,应进行血培养。对患有结构性心脏病的儿童、家长和照顾者应进行有关IE表现和预防的教育。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
求助全文
约1分钟内获得全文 去求助
来源期刊
自引率
0.00%
发文量
0
期刊最新文献
The primary nutritional approach in pediatric celiac disease: a mini-review Prevalence and associated factor of neonatal mortality among neonates admitted to Asella referral and teaching hospital, Asella, Ethiopia, 2024 Efficacy and safety of Pranabb® syrup to reduce cough and improve sleep quality in children compared to usual recommended hydration measures Neonatal acidity and pyloric stenosis of infancy (PS) - the beginning and the end two stories PATAU SYNDROME- An Unusual Case of Congenital Abnormality
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
现在去查看 取消
×
提示
确定
0
微信
客服QQ
Book学术公众号 扫码关注我们
反馈
×
意见反馈
请填写您的意见或建议
请填写您的手机或邮箱
已复制链接
已复制链接
快去分享给好友吧!
我知道了
×
扫码分享
扫码分享
Book学术官方微信
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术
文献互助 智能选刊 最新文献 互助须知 联系我们:info@booksci.cn
Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。
Copyright © 2023 Book学术 All rights reserved.
ghs 京公网安备 11010802042870号 京ICP备2023020795号-1