Background/Aim: Paediatric heart failure is a condition that continues to present challenges in management in our environment especially in its treatment and outcomes hence the aim of this study.Materials and Methods: A retrospective analysis of the case notes of all children who were diagnosed and managed for heart failure from January 2019 – October 2021 was undertaken. Data obtained included age, sex, presenting features, primary diagnosis, treatment modalities, duration ofhospital stay and outcomes.Results: A total of 2226 children were admitted over the study period with 67 children diagnosed with heart failure giving a prevalence rate of 3% although only 47 case notes could be retrieved giving a case retrieval rate of 70%. There were 26 (55.3%) males and 21 (44.7%) females (M:F ratio1.2: 1). Mean age of patients was 32.6 months (±52.23) with 28 (59.6%) of them being infants. Bronchopneumonia was the commonest cause of heart failure 31(65.9%) either singly or in combination with acyanotic congenital heart disease followed by severe anaemia in 14 (29.8%). Average duration of hospital stay was 6.9days (±5.08) and average cost of admission was N13,266. Twenty-three patients were discharged (48.9%), while 10 (21.3%) left against medical advice, 2 absconded (4.3%) while 12 (25.3%) died.Conclusion: Heart failure remains an important cause of morbidity and mortality in children in our environment arising from largely preventable causes. Urgent steps such as patient care giver education, immunization and screening for congenital heart disease are needed to reduce its effect on children in our environment.
{"title":"Paediatric heart failure in Uyo: A retrospective analysis","authors":"F. Okpokowuruk, K. Bassey, Osafugbe Oghenedoro","doi":"10.4314/njp.v49i3.3","DOIUrl":"https://doi.org/10.4314/njp.v49i3.3","url":null,"abstract":"Background/Aim: Paediatric heart failure is a condition that continues to present challenges in management in our environment especially in its treatment and outcomes hence the aim of this study.Materials and Methods: A retrospective analysis of the case notes of all children who were diagnosed and managed for heart failure from January 2019 – October 2021 was undertaken. Data obtained included age, sex, presenting features, primary diagnosis, treatment modalities, duration ofhospital stay and outcomes.Results: A total of 2226 children were admitted over the study period with 67 children diagnosed with heart failure giving a prevalence rate of 3% although only 47 case notes could be retrieved giving a case retrieval rate of 70%. There were 26 (55.3%) males and 21 (44.7%) females (M:F ratio1.2: 1). Mean age of patients was 32.6 months (±52.23) with 28 (59.6%) of them being infants. Bronchopneumonia was the commonest cause of heart failure 31(65.9%) either singly or in combination with acyanotic congenital heart disease followed by severe anaemia in 14 (29.8%). Average duration of hospital stay was 6.9days (±5.08) and average cost of admission was N13,266. Twenty-three patients were discharged (48.9%), while 10 (21.3%) left against medical advice, 2 absconded (4.3%) while 12 (25.3%) died.Conclusion: Heart failure remains an important cause of morbidity and mortality in children in our environment arising from largely preventable causes. Urgent steps such as patient care giver education, immunization and screening for congenital heart disease are needed to reduce its effect on children in our environment.","PeriodicalId":19199,"journal":{"name":"Nigerian journal of paediatrics","volume":"117 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-10-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80455311","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Tchagbele Ouro-Bagna, Douaguibé Baguilane, K. A. R. Segbedji, Bamoye Kamale, Kombieni Kedji, Talboussouma Sollim Myriam, Gbadoe Adama Dodji, Atakouma Yawo Dzayisse, Azoumah Komi Deladem
No Abstract
没有抽象的
{"title":"Maternal and neonatal complications of childbirth among adolescents at the Sylvanus Olympio University Hospital Centre (CHU-SO), Lomé","authors":"Tchagbele Ouro-Bagna, Douaguibé Baguilane, K. A. R. Segbedji, Bamoye Kamale, Kombieni Kedji, Talboussouma Sollim Myriam, Gbadoe Adama Dodji, Atakouma Yawo Dzayisse, Azoumah Komi Deladem","doi":"10.4314/njp.v49i3.5","DOIUrl":"https://doi.org/10.4314/njp.v49i3.5","url":null,"abstract":"No Abstract","PeriodicalId":19199,"journal":{"name":"Nigerian journal of paediatrics","volume":"63 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-10-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75384438","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Although congenital tuberculosis (TB) is rare, it is associated with a high mortality rate. The infection is mainly acquired transplacentally and less frequently from infective lesions on the maternal genital tract. Many cases are missed in clinical practice due to the non-specific presentation of the disease hence the tendency to either miss the diagnosis or make the diagnosis late. We report an infant of a 32-year-old mother who was treated for multi-drug resistant TB before the index pregnancy and probably had a relapse during pregnancy. The infant presented with features of sepsis at the age of ten days, but tuberculosis was only suspected when there was no clinical response to routine antibiotic therapy, and the medical history of the mother was reviewed. This report is to create awareness about the non-specific manifestations of the disease and highlight some helpful diagnostic methods in a resourcepoor setting.
{"title":"Congenital tuberculosis in an infant of a mother with relapsed multi-drug resistant tuberculosis: A Case report","authors":"Ogunlesi Tinuade Adetutu, Adenuga Adebunkola Modupe, Kuopniyi Opeyemi Temilola, Ogunlesi Kehinde Adedoyinsola, Akodu Samuel Olufemi","doi":"10.4314/njp.v49i3.8","DOIUrl":"https://doi.org/10.4314/njp.v49i3.8","url":null,"abstract":"Although congenital tuberculosis (TB) is rare, it is associated with a high mortality rate. The infection is mainly acquired transplacentally and less frequently from infective lesions on the maternal genital tract. Many cases are missed in clinical practice due to the non-specific presentation of the disease hence the tendency to either miss the diagnosis or make the diagnosis late. We report an infant of a 32-year-old mother who was treated for multi-drug resistant TB before the index pregnancy and probably had a relapse during pregnancy. The infant presented with features of sepsis at the age of ten days, but tuberculosis was only suspected when there was no clinical response to routine antibiotic therapy, and the medical history of the mother was reviewed. This report is to create awareness about the non-specific manifestations of the disease and highlight some helpful diagnostic methods in a resourcepoor setting.","PeriodicalId":19199,"journal":{"name":"Nigerian journal of paediatrics","volume":"34 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-10-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81931575","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Arodiwe Ijeoma Ogugua, C. Maduabuchi, Ujunwa Fortune Amauche
No Abstract
没有抽象的
{"title":"Non cardiac central cyanosis in the newborn: A case report of persistent pulmonary hypertension of newborn (PPHN) and review of literature","authors":"Arodiwe Ijeoma Ogugua, C. Maduabuchi, Ujunwa Fortune Amauche","doi":"10.4314/njp.v49i3.9","DOIUrl":"https://doi.org/10.4314/njp.v49i3.9","url":null,"abstract":"No Abstract","PeriodicalId":19199,"journal":{"name":"Nigerian journal of paediatrics","volume":"8 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-10-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74376226","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Background: The Children Emergency Room (CHER) is a high-volume, fast-paced environment where children present with acute illnesses. With the paradigm shift in educational models towards outcome-based education, teaching and assessment of students must be structured to attain intended learning outcome in every rotation. Objective: This study assessed the relationship between teaching methods and learners’ satisfaction. We also identified challenges to CHER posting and likely solutions. Methods: This is a descriptive cross-sectional study, using a semi-structured anonymous feedback form to elicit perception of learning objectives and adequacy of teaching methods in CHER. Adequacy of participation in emergency care was assessed on a 4-point Likert scale. Bivariate analysis for possible determinants of adequate CHER posting satisfaction on a visual analogue scale (VAS) was done. P-value < 0.05 was considered significant. Results: A total 112 medical students participated in this study; 51.8% of them knew their specific learning objectives on the first day in the unit. The participants’ grand mean score for learning satisfaction in CHER was adequate (2.65±0.24). Their preferred teaching method was Bedside Teaching/ Clerkship (3.01±0.78) but they were dissatisfied with simulations (2.29±0.91) and participation in emergency care (2.19±0.10). Participants in junior posting were more satisfied than those in senior posting (OR =3.45, 95% CI: 1.46- 8.15; p=0.005). A high workload was identified as a challenge. Conclusion: The overall clinical experience of medical student in CHER is satisfactory. Our study however, shows that there is inadequate simulation-based teaching, case presentation and participation in case management by the medical students. Curriculum reforms may be necessary to address these identified gaps and improve clinical experience of medical students in CHER.
{"title":"Clinical experience of medical students in Children Emergency Room: A cross-sectional study at a University hospital in Nigeria","authors":"M. Abiodun, P. Ikhurionan","doi":"10.4314/njp.v49i2.3","DOIUrl":"https://doi.org/10.4314/njp.v49i2.3","url":null,"abstract":"Background: The Children Emergency Room (CHER) is a high-volume, fast-paced environment where children present with acute illnesses. With the paradigm shift in educational models towards outcome-based education, teaching and assessment of students must be structured to attain intended learning outcome in every rotation. \u0000Objective: This study assessed the relationship between teaching methods and learners’ satisfaction. We also identified challenges to CHER posting and likely solutions. \u0000Methods: This is a descriptive cross-sectional study, using a semi-structured anonymous feedback form to elicit perception of learning objectives and adequacy of teaching methods in CHER. Adequacy of participation in emergency care was assessed on a 4-point Likert scale. Bivariate analysis for possible determinants of adequate CHER posting satisfaction on a visual analogue scale (VAS) was done. P-value < 0.05 was considered significant. \u0000Results: A total 112 medical students participated in this study; 51.8% of them knew their specific learning objectives on the first day in the unit. The participants’ grand mean score for learning satisfaction in CHER was adequate (2.65±0.24). Their preferred teaching method was Bedside Teaching/ Clerkship (3.01±0.78) but they were dissatisfied with simulations (2.29±0.91) and participation in emergency care (2.19±0.10). Participants in junior posting were more satisfied than those in senior posting (OR =3.45, 95% CI: 1.46- 8.15; p=0.005). A high workload was identified as a challenge. \u0000Conclusion: The overall clinical experience of medical student in CHER is satisfactory. Our study however, shows that there is inadequate simulation-based teaching, case presentation and participation in case management by the medical students. Curriculum reforms may be necessary to address these identified gaps and improve clinical experience of medical students in CHER.","PeriodicalId":19199,"journal":{"name":"Nigerian journal of paediatrics","volume":"51 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-08-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75830782","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
O. Oyinwola, P. Ahmed, O. Odusanya, Adewumi B Oyasakin
Background: Malnutrition is pervasive among displaced populations worldwide. Adequate nutrition is essential to the growth and development of all children, particularly in the preschool age. Methodology: This cross-sectional study was conducted in four internally displaced person (IDP) settlements and their host communities within the Abuja municipal area council between April and May 2019. Using a multistage sampling method, subjects were recruited after parents’ informed consent, from the IDP settlements and equal numbers were drawn from their host communities. The proportion of acute malnutrition using weight for height, MUAC, BMI-for-age Z scores were compared to the 2006 WHO standards. Predictors were determined by logistic regression and statistical significance was set at p less than 0.05. Results: There were 1,179 children aged six to 59 months recruited in each group. The prevalence of wasting was 7.7% (91), moderate acute malnutrition was 7.2% (85), and severe acute malnutrition was 3.1% (37) among the IDPs while they were 7.1% (84), 6.5% (77) and 2.9% (34) respectively in the host communities. The predictors for wasting in both groups were age below 24months (Adj OR, 95% CI - 3.88, 2.38 - 6.32), low birth weight (Adj OR, 95% CI – 2.70, 1.55 – 4.71) and diarrheal disease (Adj OR, 95% CI - 5.45, 2.38 - 12.44). Location was predictive only in the host communities (Adj OR, 95% CI – 2.69, 1.37 – 5.28). Conclusion and recommendation: Acute malnutrition was high among the pre-school children in this study. The nutritional needs of displaced children in the FCT should be met and their families educated on prompt recognition and treatment of diarrhoea.
背景:营养不良在全世界流离失所人口中普遍存在。充足的营养对所有儿童，特别是学龄前儿童的成长和发育至关重要。方法:本横断面研究于2019年4月至5月期间在阿布贾市辖区议会内的四个国内流离失所者定居点及其收容社区进行。采用多阶段抽样方法，在父母知情同意的情况下，从国内流离失所者定居点招募受试者，并从收容社区抽取相同数量的受试者。急性营养不良的比例使用身高体重、MUAC、年龄bmi Z评分与2006年世卫组织标准进行比较。采用logistic回归确定预测因子，p < 0.05为统计学显著性。结果:每组共招募6 ~ 59月龄儿童1179例。国内流离失所者的消瘦患病率为7.7%(91人)，中度急性营养不良患病率为7.2%(85人)，重度急性营养不良患病率为3.1%(37人)，而东道社区的患病率分别为7.1%(84人)，6.5%(77人)和2.9%(34人)。两组消瘦的预测因子均为24月龄以下(Adj OR, 95% CI - 3.88, 2.38 - 6.32)、低出生体重(Adj OR, 95% CI - 2.70, 1.55 - 4.71)和腹泻(Adj OR, 95% CI - 5.45, 2.38 - 12.44)。地点仅在宿主社区具有预测性(Adj OR, 95% CI - 2.69, 1.37 - 5.28)。结论与建议:本研究中学龄前儿童急性营养不良发生率较高。应满足难民专员办事处流离失所儿童的营养需要，并教育他们的家人如何迅速识别和治疗腹泻。
{"title":"Prevalence and risk factors of acute malnutrition among pre-school children in internally displaced person settlements within Abuja Municipal Area Council","authors":"O. Oyinwola, P. Ahmed, O. Odusanya, Adewumi B Oyasakin","doi":"10.4314/njp.v49i2.5","DOIUrl":"https://doi.org/10.4314/njp.v49i2.5","url":null,"abstract":"Background: Malnutrition is pervasive among displaced populations worldwide. Adequate nutrition is essential to the growth and development of all children, particularly in the preschool age. \u0000Methodology: This cross-sectional study was conducted in four internally displaced person (IDP) settlements and their host communities within the Abuja municipal area council between April and May 2019. Using a multistage sampling method, subjects were recruited after parents’ informed consent, from the IDP settlements and equal numbers were drawn from their host communities. The proportion of acute malnutrition using weight for height, MUAC, BMI-for-age Z scores were compared to the 2006 WHO standards. Predictors were determined by logistic regression and statistical significance was set at p less than 0.05. \u0000Results: There were 1,179 children aged six to 59 months recruited in each group. The prevalence of wasting was 7.7% (91), moderate acute malnutrition was 7.2% (85), and severe acute malnutrition was 3.1% (37) among the IDPs while they were 7.1% (84), 6.5% (77) and 2.9% (34) respectively in the host communities. The predictors for wasting in both groups were age below 24months (Adj OR, 95% CI - 3.88, 2.38 - 6.32), low birth weight (Adj OR, 95% CI – 2.70, 1.55 – 4.71) and diarrheal disease (Adj OR, 95% CI - 5.45, 2.38 - 12.44). Location was predictive only in the host communities (Adj OR, 95% CI – 2.69, 1.37 – 5.28). \u0000Conclusion and recommendation: Acute malnutrition was high among the pre-school children in this study. The nutritional needs of displaced children in the FCT should be met and their families educated on prompt recognition and treatment of diarrhoea.","PeriodicalId":19199,"journal":{"name":"Nigerian journal of paediatrics","volume":"67 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-08-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79007604","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Background: Attention Deficit Hyperactivity Disorder (ADHD) is a disorder involving persistent and impaired levels of hyperactivity, impulsiveness and lack of attention associated with impairment in executive functioning of affected children. Diagnosis of ADHD in the background of sickle cell anaemia (SCA), a haemoglobinopathy associated with neurological complications may result in significant impairment of the child into adulthood, if not detected early. In view of the fact that ADHD can be managed if diagnosed early prompted the undertaking of this study. Subjects and Methods: Study was conducted at the Paediatric Haematology Clinic of the University of Benin Teaching Hospital, Benin City. Parents of children with SCA were informed of the study and consent obtained. Demographic characteristics were recorded. Data collection instrument was the Parent Version of the National Institute for Children’s Health Quality (NICHQ) Vanderbilt ADHD Diagnostic Rating Scale (VADRS). Scoring was done for each participant using the scoring instructions for NICHQ VADRS following the DSM-IV criteria. Results: A total of 103 children with SCA participated in this study. Sixty-two (60.2%) were males while 41 (39.8%) were females. Prevalence of ADHD was 15 (14.6%) with predominantly inattentive sub-type being the commonest. Children with stroke are two times more likely to develop ADHD than those without stroke (Fisher’s exact test = 0.269, 95% CI= 0.589 to 7.558, Odds Ratio=2.55). Age, sex and socioeconomic status did not significantly affect the diagnosis of ADHD. Conclusion: Prevalence of parentreported ADHD in children with SCA is high, especially in SCA children with stroke than those without stroke.
{"title":"Attention deficit hyperactivity disorder among children with sickle cell anaemia seen at the University of Benin Teaching Hospital, Benin City, Nigeria","authors":"P. Okunola, I. O. Aina, Y. Israel-aina","doi":"10.4314/njp.v49i2.2","DOIUrl":"https://doi.org/10.4314/njp.v49i2.2","url":null,"abstract":"Background: Attention Deficit Hyperactivity Disorder (ADHD) is a disorder involving persistent and impaired levels of hyperactivity, impulsiveness and lack of attention associated with impairment in executive functioning of affected children. Diagnosis of ADHD in the background of sickle cell anaemia (SCA), a haemoglobinopathy associated with neurological complications may result in significant impairment of the child into adulthood, if not detected early. In view of the fact that ADHD can be managed if diagnosed early prompted the undertaking of this study. \u0000Subjects and Methods: Study was conducted at the Paediatric Haematology Clinic of the University of Benin Teaching Hospital, Benin City. Parents of children with SCA were informed of the study and consent obtained. Demographic characteristics were recorded. Data collection instrument was the Parent Version of the National Institute for Children’s Health Quality (NICHQ) Vanderbilt ADHD Diagnostic Rating Scale (VADRS). Scoring was done for each participant using the scoring instructions for NICHQ VADRS following the DSM-IV criteria. \u0000Results: A total of 103 children with SCA participated in this study. Sixty-two (60.2%) were males while 41 (39.8%) were females. Prevalence of ADHD was 15 (14.6%) with predominantly inattentive sub-type being the commonest. Children with stroke are two times more likely to develop ADHD than those without stroke (Fisher’s exact test = 0.269, 95% CI= 0.589 to 7.558, Odds Ratio=2.55). Age, sex and socioeconomic status did not significantly affect the diagnosis of ADHD. \u0000Conclusion: Prevalence of parentreported ADHD in children with SCA is high, especially in SCA children with stroke than those without stroke.","PeriodicalId":19199,"journal":{"name":"Nigerian journal of paediatrics","volume":"7 1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-08-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89937116","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
SM Abdullahi, A. Yakubu, S. Mado, H. Ibrahim, Hw Idris, M. Bugaje
Cushing Syndrome, a rare condition with increased glucocorticoid production can affect renal function directly by its effect on glomerular and tubular functions or indirectly through the cardiovascular system. The aim is to report a case of Cushing Syndrome complicated by End Stage Renal Failure. The authors present symptoms, clinical course and laboratory findings of a 16-year-old girl with a diagnosis of Cushing syndrome complicated by end stage renal failure. She presented with excessive weight gain of 7-years, recurrent abdominal pain of 1-year, vomiting of 3-weeks and headache of a day duration. She had moon face, striae, buffalo hump and hypertension.
{"title":"Cushing syndrome with chronic kidney disease: A case report","authors":"SM Abdullahi, A. Yakubu, S. Mado, H. Ibrahim, Hw Idris, M. Bugaje","doi":"10.4314/njp.v49i2.7","DOIUrl":"https://doi.org/10.4314/njp.v49i2.7","url":null,"abstract":"Cushing Syndrome, a rare condition with increased glucocorticoid production can affect renal function directly by its effect on glomerular and tubular functions or indirectly through the cardiovascular system. The aim is to report a case of Cushing Syndrome complicated by End Stage Renal Failure. The authors present symptoms, clinical course and laboratory findings of a 16-year-old girl with a diagnosis of Cushing syndrome complicated by end stage renal failure. She presented with excessive weight gain of 7-years, recurrent abdominal pain of 1-year, vomiting of 3-weeks and headache of a day duration. She had moon face, striae, buffalo hump and hypertension.","PeriodicalId":19199,"journal":{"name":"Nigerian journal of paediatrics","volume":"2011 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-08-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82608220","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Introduction: Following the adoption of home based, table salt treatment for Umbilical granuloma in our practice, we observed that there was a paucity of report on the use of table salt for the treatment of Umbilical granuloma in African children. We report the outcome of treatment of eight children treated with Table salt in our facility. Methods: We carried out a retrospective review of the medical records of infants who were diagnosed with umbilical granuloma and were managed using table salt in our hospital in 2019 and 2020. Additional data about diagnosis, treatment and outcome were extracted from records of electronic communications via emails and WhatsApp® between the Paediatrician and caregivers of these infants. Written informed consent of caregivers of the infants were obtained and the study received approval of the Research and Ethics Committee of our Hospital. Results: Nine infants were diagnosed with Umbilical granuloma during the study period but informed consent was obtained for eight of them. All eight children (100%) treated with table salt had resolution of umbilical granuloma confirmed at the end of the treatment period without any adverse event. Conclusion: Home based, Table salt treatment was found to be safe and effective treatment for umbilical granulomas among the children treated in our facility.
{"title":"Effective home treatment of umbilical granuloma using table salt in African children","authors":"Tioluwanimi O Ojeola, B. Oyeyemi","doi":"10.4314/njp.v49i2.1","DOIUrl":"https://doi.org/10.4314/njp.v49i2.1","url":null,"abstract":"Introduction: Following the adoption of home based, table salt treatment for Umbilical granuloma in our practice, we observed that there was a paucity of report on the use of table salt for the treatment of Umbilical granuloma in African children. We report the outcome of treatment of eight children treated with Table salt in our facility. \u0000Methods: We carried out a retrospective review of the medical records of infants who were diagnosed with umbilical granuloma and were managed using table salt in our hospital in 2019 and 2020. Additional data about diagnosis, treatment and outcome were extracted from records of electronic communications via emails and WhatsApp® between the Paediatrician and caregivers of these infants. Written informed consent of caregivers of the infants were obtained and the study received approval of the Research and Ethics Committee of our Hospital. \u0000Results: Nine infants were diagnosed with Umbilical granuloma during the study period but informed consent was obtained for eight of them. All eight children (100%) treated with table salt had resolution of umbilical granuloma confirmed at the end of the treatment period without any adverse event. \u0000Conclusion: Home based, Table salt treatment was found to be safe and effective treatment for umbilical granulomas among the children treated in our facility.","PeriodicalId":19199,"journal":{"name":"Nigerian journal of paediatrics","volume":"47 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-08-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85217864","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Background: Following the outbreak of the new coronavirus (COVID 19) worldwide, many governments across the world including the Nigerian government had to implement measures to curtail the spread of this virus. Such measures included social distancing and personal hygiene which could have also helped to reduce the transmission of pneumonia among other infectious diseases. Objective: To assess the effect of COVID-19 on the incidence of pneumonia in children seen at the Department of Pediatrics, of a Nigerian private University Teaching Hospital. Method: We retrospectively analyzed the data of the patients seen with pneumonia in all the Pediatric units of the Teaching Hospital from April 2019 to March 2020 (pre-pandemic period) and compared it with that of those seen during the COVID-19 pandemic from April 2020 to March 2021. Result: There was a 28% decrease in the total number of children seen in the department from 5,657 in pre-pandemic period to 4,079 in the pandemic period. There was a 17% decrease in the mean number of children seen with pneumonia monthly from 4.92 to 4.08 in the pandemic period. This is despite the relative increase in the incidence rate of pneumonia in children seen from 1.04% in the prepandemic period to 1.2% in the pandemic period. We noted more complications of pneumonia including heart failure and anaemia in the pandemic period (24.5% of cases) than in the pre-pandemic period (15.3% of cases). Conclusion: The incidence of pneumonia in children seems to have increased in the wake of the COVID 19 pandemic.
{"title":"Comparing the incidence of pneumonia in children seen at a Nigerian Teaching Hospital before and during the COVID -19 pandemic","authors":"M. Shehu, M. Ihekaike, H. Shehu","doi":"10.4314/njp.v49i2.6","DOIUrl":"https://doi.org/10.4314/njp.v49i2.6","url":null,"abstract":"Background: Following the outbreak of the new coronavirus (COVID 19) worldwide, many governments across the world including the Nigerian government had to implement measures to curtail the spread of this virus. Such measures included social distancing and personal hygiene which could have also helped to reduce the transmission of pneumonia among other infectious diseases. \u0000Objective: To assess the effect of COVID-19 on the incidence of pneumonia in children seen at the Department of Pediatrics, of a Nigerian private University Teaching Hospital. \u0000Method: We retrospectively analyzed the data of the patients seen with pneumonia in all the Pediatric units of the Teaching Hospital from April 2019 to March 2020 (pre-pandemic period) and compared it with that of those seen during the COVID-19 pandemic from April 2020 to March 2021. \u0000Result: There was a 28% decrease in the total number of children seen in the department from 5,657 in pre-pandemic period to 4,079 in the pandemic period. There was a 17% decrease in the mean number of children seen with pneumonia monthly from 4.92 to 4.08 in the pandemic period. This is despite the relative increase in the incidence rate of pneumonia in children seen from 1.04% in the prepandemic period to 1.2% in the pandemic period. We noted more complications of pneumonia including heart failure and anaemia in the pandemic period (24.5% of cases) than in the pre-pandemic period (15.3% of cases). \u0000Conclusion: The incidence of pneumonia in children seems to have increased in the wake of the COVID 19 pandemic.","PeriodicalId":19199,"journal":{"name":"Nigerian journal of paediatrics","volume":"38 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-08-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91047466","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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