Pub Date : 2023-11-20DOI: 10.15406/jpnc.2023.13.00523
Bruna Nogueira Rechia, Christiane Kawano, Maria Elizabeth Pereira Freire Machado, Ana Caroline Dantas Marques, Maria Aparecida Carlos Bonfim, Rosana Tumas, Ary Lopes Cardoso
Accidental sodium hydroxide ingestion is eventually found in Pediatrics and poses a great risk of serious and often irreversible lesions in the gastrointestinal tract. The extension and severity of the injuries vary with each patient. Esophageal stenosis is one of the most feared complications with great morbidity. For these patients, feeding is difficult and proper nutritional therapy is a challenge. Currently, no consensus exists regarding the best nutritional approach. We report a case of accidental caustic soda injury in a toddler who developed severe malnutrition due to prolonged critical illness and esophageal stenosis. We aim to stimulate debate around this concerning issue and hopefully shed some light on therapeutic possibilities.
{"title":"Nutritional challenges in accidental caustic soda ingestion: a case report","authors":"Bruna Nogueira Rechia, Christiane Kawano, Maria Elizabeth Pereira Freire Machado, Ana Caroline Dantas Marques, Maria Aparecida Carlos Bonfim, Rosana Tumas, Ary Lopes Cardoso","doi":"10.15406/jpnc.2023.13.00523","DOIUrl":"https://doi.org/10.15406/jpnc.2023.13.00523","url":null,"abstract":"Accidental sodium hydroxide ingestion is eventually found in Pediatrics and poses a great risk of serious and often irreversible lesions in the gastrointestinal tract. The extension and severity of the injuries vary with each patient. Esophageal stenosis is one of the most feared complications with great morbidity. For these patients, feeding is difficult and proper nutritional therapy is a challenge. Currently, no consensus exists regarding the best nutritional approach. We report a case of accidental caustic soda injury in a toddler who developed severe malnutrition due to prolonged critical illness and esophageal stenosis. We aim to stimulate debate around this concerning issue and hopefully shed some light on therapeutic possibilities.","PeriodicalId":388959,"journal":{"name":"Journal of Pediatrics & Neonatal Care","volume":"23 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-11-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139258197","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}
Pub Date : 2023-11-13DOI: 10.15406/jpnc.2023.13.00522
Laura Barreiro Carballo, Pilar Fernandez Eire, Jorge Juan Mañas Uxó, Eva García Fontan, Ana Concheiro Guisan
Inflammatory myofibroblastic tumor of the lung is a very rare tumor in childhood. We present the clinical case of an 11-year-old boy who came to the emergency room due to very mild hemoptysis that lasted a few hours, without other symptoms or signs associated. The rapid onset of hypovolemic shock forced us to perform an urgent thoracotomy. A large tumor with uncontrollable bleeding was found and a right pneumonectomy was performed.
{"title":"Is it necessary to monitor any degree of hemoptysis in childhood?","authors":"Laura Barreiro Carballo, Pilar Fernandez Eire, Jorge Juan Mañas Uxó, Eva García Fontan, Ana Concheiro Guisan","doi":"10.15406/jpnc.2023.13.00522","DOIUrl":"https://doi.org/10.15406/jpnc.2023.13.00522","url":null,"abstract":"Inflammatory myofibroblastic tumor of the lung is a very rare tumor in childhood. We present the clinical case of an 11-year-old boy who came to the emergency room due to very mild hemoptysis that lasted a few hours, without other symptoms or signs associated. The rapid onset of hypovolemic shock forced us to perform an urgent thoracotomy. A large tumor with uncontrollable bleeding was found and a right pneumonectomy was performed.","PeriodicalId":388959,"journal":{"name":"Journal of Pediatrics & Neonatal Care","volume":"46 9","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-11-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139278389","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}
Pub Date : 2023-11-07DOI: 10.15406/jpnc.2023.13.00519
Maria Elizabeth Pereira Freire Machado, Taís Navarro Paiva, Isaias Soares De Paiva
Introduction: For many years it was thought that newborn babies could not feel pain due to their incomplete nervous system. Since 1980, there has been a revolution in the understanding of neonatal pain and more concern about this issue. Newborns (NBs) hospitalized in the Intensive Care Unit are commonly exposed to numerous stressful and painful events capable of causing physiological and behavioral disorganization. The reduction and prevention of these stimuli through non-pharmacological measures are essential to avoid harmful effects in the short and long term. Many studies address non-pharmacological management in the neonatal ICU; however, there is still doubt about the effectiveness of these methods. The objective of this study is evaluating the effectiveness of non-pharmacological methods used in the NICU to manage newborns.
{"title":"Non-pharmacological management in a neonatal intensive care unit- a systematic review","authors":"Maria Elizabeth Pereira Freire Machado, Taís Navarro Paiva, Isaias Soares De Paiva","doi":"10.15406/jpnc.2023.13.00519","DOIUrl":"https://doi.org/10.15406/jpnc.2023.13.00519","url":null,"abstract":"Introduction: For many years it was thought that newborn babies could not feel pain due to their incomplete nervous system. Since 1980, there has been a revolution in the understanding of neonatal pain and more concern about this issue. Newborns (NBs) hospitalized in the Intensive Care Unit are commonly exposed to numerous stressful and painful events capable of causing physiological and behavioral disorganization. The reduction and prevention of these stimuli through non-pharmacological measures are essential to avoid harmful effects in the short and long term. Many studies address non-pharmacological management in the neonatal ICU; however, there is still doubt about the effectiveness of these methods. The objective of this study is evaluating the effectiveness of non-pharmacological methods used in the NICU to manage newborns.","PeriodicalId":388959,"journal":{"name":"Journal of Pediatrics & Neonatal Care","volume":"48 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-11-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139286781","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}
Pub Date : 2023-11-03DOI: 10.15406/jpnc.2023.13.00518
Aysha Raza, Tabassum K
In Unani System of Medicine Threatened abortion is called Isqat Ehtemali and Ajhaze manzar are the Arabic vernacular of Threatened abortion. It is defined as vaginal bleeding before 20 weeks gestational age in the setting of a positive urine and/or blood pregnancy test with a closed cervical os, without passage of products of conception and without evidence of a fetal or embryonic demise. In unani system of medicine Plants have been used extensively in unani system of medicine to maintain the health of female reproductive system. These have been used mostly in combination or monotherapy. Much of the scientific interest has been directed towards prevention of abortion. The herbs often used in the prevention of threatened abortion are Ashok chal, Mazu, Mayan etc. This review paper highlighted on unani concept of Threatened abortion, its prevention and management with unani medicine.
{"title":"Prospective Management of Isqate Ehtemali (Threatened Abortion) - A Systematic Review Analysis","authors":"Aysha Raza, Tabassum K","doi":"10.15406/jpnc.2023.13.00518","DOIUrl":"https://doi.org/10.15406/jpnc.2023.13.00518","url":null,"abstract":"In Unani System of Medicine Threatened abortion is called Isqat Ehtemali and Ajhaze manzar are the Arabic vernacular of Threatened abortion. It is defined as vaginal bleeding before 20 weeks gestational age in the setting of a positive urine and/or blood pregnancy test with a closed cervical os, without passage of products of conception and without evidence of a fetal or embryonic demise. In unani system of medicine Plants have been used extensively in unani system of medicine to maintain the health of female reproductive system. These have been used mostly in combination or monotherapy. Much of the scientific interest has been directed towards prevention of abortion. The herbs often used in the prevention of threatened abortion are Ashok chal, Mazu, Mayan etc. This review paper highlighted on unani concept of Threatened abortion, its prevention and management with unani medicine.","PeriodicalId":388959,"journal":{"name":"Journal of Pediatrics & Neonatal Care","volume":"61 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-11-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139289939","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}
Pub Date : 2023-11-01DOI: 10.15406/jpnc.2023.13.00517
Noudamadjo A, Agbeille Mohamed F, Kpanidja Mg, Affo M, Adedemy Jd, Agossou J
Introduction: Malnutrition remains a public health problem affecting especially children. The objective of this study was to describe the nutritional profile of hospitalized children aged 1 to 59 months in the pediatric department of the teaching hospital (CHU) of Parakou in Benin from 2018 to 2020.
{"title":"Nutritional profile of hospitalized children aged 1 to 59 months in the pediatric department of the CHU of Parakou from 2018 to 2020","authors":"Noudamadjo A, Agbeille Mohamed F, Kpanidja Mg, Affo M, Adedemy Jd, Agossou J","doi":"10.15406/jpnc.2023.13.00517","DOIUrl":"https://doi.org/10.15406/jpnc.2023.13.00517","url":null,"abstract":"Introduction: Malnutrition remains a public health problem affecting especially children. The objective of this study was to describe the nutritional profile of hospitalized children aged 1 to 59 months in the pediatric department of the teaching hospital (CHU) of Parakou in Benin from 2018 to 2020.","PeriodicalId":388959,"journal":{"name":"Journal of Pediatrics & Neonatal Care","volume":"49 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139303600","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}
Pub Date : 2023-10-20DOI: 10.15406/jpnc.2023.13.00516
Noudamadjo A, Kpanidja Mg, Agbeille Mohamed F, Affo M, Adedemy Jd, Agossou J
Introduction: Malnutrition is directly or indirectly associated with the death of children under 5 years of age in half of the cases. The objective of this study was to establish the relationship between pathological nutritional status and mortality in hospitalized children aged 1 to 59 months in the pediatric department of the CHU-P in Benin from 2018 to 2020.
{"title":"Relationship between nutritional status and mortality in hospitalized children aged 1-59 months in the pediatric department of the CHU of Parakou (CHU-P) from 2018 to 2020","authors":"Noudamadjo A, Kpanidja Mg, Agbeille Mohamed F, Affo M, Adedemy Jd, Agossou J","doi":"10.15406/jpnc.2023.13.00516","DOIUrl":"https://doi.org/10.15406/jpnc.2023.13.00516","url":null,"abstract":"Introduction: Malnutrition is directly or indirectly associated with the death of children under 5 years of age in half of the cases. The objective of this study was to establish the relationship between pathological nutritional status and mortality in hospitalized children aged 1 to 59 months in the pediatric department of the CHU-P in Benin from 2018 to 2020.","PeriodicalId":388959,"journal":{"name":"Journal of Pediatrics & Neonatal Care","volume":"55 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-10-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139316077","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}
Pub Date : 2023-08-11DOI: 10.15406/jpnc.2023.13.00509
Hippolite O Amadi, Chinwe D Obu, Emeka Onwe-Ogah
Background information: High cost of commercial-grade bubble continuous positive airway pressure (CPAP) machine has led to its limited availability for respiratory support of neonates in resource poor facilities. Most Nigeria facilities resorted to an improvised setup which supplies oxygen at 100% concentration exposing neonates to hyperoxia with possible ROP. PoliteO2blend® is a cheaper device that mixes supplied oxygen with atmospheric air, delivering variable fractions of inspired oxygen (FiO2) to neonates via tracheal tube or nasal prongs extended into a disposable PEEP water bottle as used in the improvised setup. The system microfilters and humidifies the blended gas unlike conventional improvised application. This study evaluated the PoliteO2blend as a standalone device as well as an upgraded version of improvised-CPAP. Methods: Four units of the politeO2blend were installed at the University Teaching Hospital Abakaliki for trialling and were operated by four designated staff after prior training on the modes of application of the device. Forty-five neonates, birthweight ≥1500g were treated following parental consents. The systems were operated as improved improvised-CPAP in 16 neonates of which 18.8% (3/16) were delivered preterm. All patients initially experienced respiratory distress with 75% (12/16) having pre-treatment respiratory rate >60c/m and SPO2 as low as 43% in some. The neonatal impact analyses of continuing usage of the devices at the hospital was evaluated based on the fraction of the total number of needy neonates at the centre who necessarily got treated using the device. Results: The target SPO2 of 90-95% was achieved in all neonates using FiO2 that ranged from 0.21 to 0.6. Duration of improvised setup with PoliteO2blend before successful discharge ranged from 5hrs to 7days. Conclusion: Our target SPO2 was rapidly achieved at a safer FiO2 in most neonates that received respiratory support. Improvised-CPAP application via PoliteO2blend may reduce the incidence of oxygen toxicity owing to conventional use of improvised setup. PoliteO2blend is recommended as safer alternative for facilities lacking sufficient funds.
{"title":"A low-cost oxygen-air mixer device extends accessibility of safer neonatal respiratory support in a resource-poor setting","authors":"Hippolite O Amadi, Chinwe D Obu, Emeka Onwe-Ogah","doi":"10.15406/jpnc.2023.13.00509","DOIUrl":"https://doi.org/10.15406/jpnc.2023.13.00509","url":null,"abstract":"Background information: High cost of commercial-grade bubble continuous positive airway pressure (CPAP) machine has led to its limited availability for respiratory support of neonates in resource poor facilities. Most Nigeria facilities resorted to an improvised setup which supplies oxygen at 100% concentration exposing neonates to hyperoxia with possible ROP. PoliteO2blend® is a cheaper device that mixes supplied oxygen with atmospheric air, delivering variable fractions of inspired oxygen (FiO2) to neonates via tracheal tube or nasal prongs extended into a disposable PEEP water bottle as used in the improvised setup. The system microfilters and humidifies the blended gas unlike conventional improvised application. This study evaluated the PoliteO2blend as a standalone device as well as an upgraded version of improvised-CPAP. Methods: Four units of the politeO2blend were installed at the University Teaching Hospital Abakaliki for trialling and were operated by four designated staff after prior training on the modes of application of the device. Forty-five neonates, birthweight ≥1500g were treated following parental consents. The systems were operated as improved improvised-CPAP in 16 neonates of which 18.8% (3/16) were delivered preterm. All patients initially experienced respiratory distress with 75% (12/16) having pre-treatment respiratory rate >60c/m and SPO2 as low as 43% in some. The neonatal impact analyses of continuing usage of the devices at the hospital was evaluated based on the fraction of the total number of needy neonates at the centre who necessarily got treated using the device. Results: The target SPO2 of 90-95% was achieved in all neonates using FiO2 that ranged from 0.21 to 0.6. Duration of improvised setup with PoliteO2blend before successful discharge ranged from 5hrs to 7days. Conclusion: Our target SPO2 was rapidly achieved at a safer FiO2 in most neonates that received respiratory support. Improvised-CPAP application via PoliteO2blend may reduce the incidence of oxygen toxicity owing to conventional use of improvised setup. PoliteO2blend is recommended as safer alternative for facilities lacking sufficient funds.","PeriodicalId":388959,"journal":{"name":"Journal of Pediatrics & Neonatal Care","volume":"359 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-08-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131481553","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}
Pub Date : 2023-08-09DOI: 10.15406/jpnc.2023.13.00508
Umme Salma Mukta
Introduction: Diabetes mellitus is an increasing threat to the world, which is also considered a “disease of prosperity”. The manifests of demographic changes, cultural transition, modernization, and population aging, etc. make it a “developing countries problem”. The incidence of type 2 diabetes mellitus is increasing so rapidly and it is estimated by 2030 this number will almost double. Around 387 million people have diabetes which is equal to 8.3% people. It is projected that there will be a 42% increase in the number of individuals with diabetes, from 51 to 72 million in the developed countries and 170% increase, from 84 to 228 million, in the developing countries. Diabetes mellitus is a chronic disease once thought to be uncommon in Bangladesh, but now it has emerged as an important public health problem. About 3.6 million people are affected throughout the country. In Bangladesh around 4% adults aged 25 years or more had type 2 diabetes mellitus, and 80 lakh people in Bangladesh suffer from diabetes. It causes 6.4 percent of total deaths in the country. Awareness of diabetes is not up to the mark due to health education about diabetic, announcement, and overall lack of awareness of the disease and its effectiveness make it more complicated to management. Objectives: This study aimed to assess the knowledge and awareness status on health care management of type 2 diabetes mellitus in Bangladesh. Methods: This is a cross sectional study followed mixed method in design among Dhaka and Manikgonj districts. A close ended questioner was followed for quantitative data collection among 800 participants. For qualitative data collection in-depth informant interview conducted with 25 patients and 8 informal interviews was conducted with the physicians. Results: Findings reveal that very significant relation exist with compliances and complication. That compliances influence by various factors like sex, education, occupation, treatment facilitates etc. But who follow the proper compliances faced fewer complications. Also in addition to anti diabetic’s medication and other method of compliances to herbal method which were familiar to diabetic patients. Most compliance the respondents preferred are: diet, exercise, weight control than the medication. Conclusion: Overall a positive outcome blowing that the patients of type 2 diabetics who maintained proper compliances faced less complication than who didn’t follow them properly.
{"title":"Does the people in Bangladesh aware of “Diabetes Mellitus: the Disease of Prosperity” health care management","authors":"Umme Salma Mukta","doi":"10.15406/jpnc.2023.13.00508","DOIUrl":"https://doi.org/10.15406/jpnc.2023.13.00508","url":null,"abstract":"Introduction: Diabetes mellitus is an increasing threat to the world, which is also considered a “disease of prosperity”. The manifests of demographic changes, cultural transition, modernization, and population aging, etc. make it a “developing countries problem”. The incidence of type 2 diabetes mellitus is increasing so rapidly and it is estimated by 2030 this number will almost double. Around 387 million people have diabetes which is equal to 8.3% people. It is projected that there will be a 42% increase in the number of individuals with diabetes, from 51 to 72 million in the developed countries and 170% increase, from 84 to 228 million, in the developing countries. Diabetes mellitus is a chronic disease once thought to be uncommon in Bangladesh, but now it has emerged as an important public health problem. About 3.6 million people are affected throughout the country. In Bangladesh around 4% adults aged 25 years or more had type 2 diabetes mellitus, and 80 lakh people in Bangladesh suffer from diabetes. It causes 6.4 percent of total deaths in the country. Awareness of diabetes is not up to the mark due to health education about diabetic, announcement, and overall lack of awareness of the disease and its effectiveness make it more complicated to management. Objectives: This study aimed to assess the knowledge and awareness status on health care management of type 2 diabetes mellitus in Bangladesh. Methods: This is a cross sectional study followed mixed method in design among Dhaka and Manikgonj districts. A close ended questioner was followed for quantitative data collection among 800 participants. For qualitative data collection in-depth informant interview conducted with 25 patients and 8 informal interviews was conducted with the physicians. Results: Findings reveal that very significant relation exist with compliances and complication. That compliances influence by various factors like sex, education, occupation, treatment facilitates etc. But who follow the proper compliances faced fewer complications. Also in addition to anti diabetic’s medication and other method of compliances to herbal method which were familiar to diabetic patients. Most compliance the respondents preferred are: diet, exercise, weight control than the medication. Conclusion: Overall a positive outcome blowing that the patients of type 2 diabetics who maintained proper compliances faced less complication than who didn’t follow them properly.","PeriodicalId":388959,"journal":{"name":"Journal of Pediatrics & Neonatal Care","volume":"17 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-08-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131789109","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}
Pub Date : 2023-07-24DOI: 10.15406/jpnc.2023.13.00507
Agbeille Mf, Noudamadjo A, Kpanidja G, Falola B, Ewassadja E, Adedemy Jd, Agossou J
Background: Acute malnutrition in infants under six months is a scourge that is little studied in relation to the global problem of child malnutrition. This paper aims to describe the sociodemographic, clinical, therapeutic, and outcome features of this phenomenon in the Teaching Hospital of Borgou /Alibori based in Parakou in northern Benin. Patients and methods: This was a two years case-control retrospective and descriptive study carried out in the pediatric care unit of the said hospital from January 1, 2016, to December 31, 2018. It included infants aged 1 to 6 months presenting with severe acute malnutrition defined according to the WHO criteria. Variables investigated were sociodemographic, clinical, therapeutic, and outcome-related. Results: Total of 78 out of 508 infants less than 6 months of age were severely malnourished (5.35%). Their mean age was 4.65 months±1.28. Contributory factors were early dietary diversification (69.2%), and maternal death (14.1%). Marasmus and kwashiorkor were their clinical expressions. Associated complications were gastrointestinal infections (38.5%), septicemia (17.9%), and HIV infection (5.1%). Diluted F-100 was the most used therapeutic food (46.1%) with a recovery rate estimated at 41% and mortality at 19.3%. Conclusion: Severe acute malnutrition in infants under six months of age is real and it involves three out of twenty infants admitted to the hospital. In-hospital mortality is significant. It is urgent to review the policies related to exclusive breast feeding promotion.
{"title":"Severe acute malnutrition among infants under 6 months of age in the teaching hospital of Borgou / Alibori in Northen Benin","authors":"Agbeille Mf, Noudamadjo A, Kpanidja G, Falola B, Ewassadja E, Adedemy Jd, Agossou J","doi":"10.15406/jpnc.2023.13.00507","DOIUrl":"https://doi.org/10.15406/jpnc.2023.13.00507","url":null,"abstract":"Background: Acute malnutrition in infants under six months is a scourge that is little studied in relation to the global problem of child malnutrition. This paper aims to describe the sociodemographic, clinical, therapeutic, and outcome features of this phenomenon in the Teaching Hospital of Borgou /Alibori based in Parakou in northern Benin. Patients and methods: This was a two years case-control retrospective and descriptive study carried out in the pediatric care unit of the said hospital from January 1, 2016, to December 31, 2018. It included infants aged 1 to 6 months presenting with severe acute malnutrition defined according to the WHO criteria. Variables investigated were sociodemographic, clinical, therapeutic, and outcome-related. Results: Total of 78 out of 508 infants less than 6 months of age were severely malnourished (5.35%). Their mean age was 4.65 months±1.28. Contributory factors were early dietary diversification (69.2%), and maternal death (14.1%). Marasmus and kwashiorkor were their clinical expressions. Associated complications were gastrointestinal infections (38.5%), septicemia (17.9%), and HIV infection (5.1%). Diluted F-100 was the most used therapeutic food (46.1%) with a recovery rate estimated at 41% and mortality at 19.3%. Conclusion: Severe acute malnutrition in infants under six months of age is real and it involves three out of twenty infants admitted to the hospital. In-hospital mortality is significant. It is urgent to review the policies related to exclusive breast feeding promotion.","PeriodicalId":388959,"journal":{"name":"Journal of Pediatrics & Neonatal Care","volume":"9 45 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-07-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115941533","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}
Pub Date : 2023-07-07DOI: 10.15406/jpnc.2023.13.00505
Hussam Widatella, Ahmed Abdulmanan, Ibraheem Abdelraheem, Fadi Atwan, S. Paran
Aim: The aim of this study is to compare Conservative treatment followed by Interval Appendicectomy, versus Emergency Appendicectomy for the management of appendicular masses in children. Methods: Retrospective review of all appendicectomy performed in Tallaght university hospital, in Paediatric Surgery Department between January 2013 and June 2016. We included 397 procedures of Appendicectomy, among those, 16% (n=64) were diagnosed as appendicular masses. Cases were classified into two groups. Group I included those who were managed conservatively and then underwent Interval Appendicectomy after 6 to 8 weeks, (n=20) 31.3%. Group II included those who were managed with Emergency Appendicectomy, (n=44) 68.8%. The outcomes in the two groups were compared based on three parameters; the duration of hospital stay, the duration of Intravenous Antibiotics and post-operative morbidities. Results: We found that the median duration of hospitalization in group I was significantly longer than in group II (10 days vs 5 days, P<0.0001). The mean duration of antibiotic therapy in group I was also significantly longer than in group II (10.4±3.17 days) vs (5.19±2.53 days), P<0.0001). Nevertheless, the overall complication rate in Group I was similar to that of group II (38.1% vs 25.6%, P=0.304). Conclusion: No major difference in outcomes between the conservative and emergency operative approaches in managing appendicular mass in children. However, operative management is more cost-effective with less duration of hospital stay, as compared to the conservative approach.
目的:本研究的目的是比较保守治疗后间隔阑尾切除术与紧急阑尾切除术对儿童阑尾肿块的治疗效果。方法:回顾性分析2013年1月至2016年6月在Tallaght大学医院儿科外科进行的所有阑尾切除术。我们纳入了397例阑尾切除术，其中16% (n=64)被诊断为阑尾肿块。病例分为两组。第一组包括保守治疗，6 ~ 8周后行间歇阑尾切除术的患者，占31.3% (n=20)。II组包括急诊阑尾切除术患者，(n=44) 68.8%。根据三个参数比较两组的结果;住院时间、静脉注射抗生素时间和术后发病率。结果:我们发现I组的中位住院时间明显长于II组(10天vs 5天，P<0.0001)。I组的平均抗生素治疗时间(10.4±3.17天)也明显长于II组(5.19±2.53天)，P<0.0001)。然而，I组的总并发症发生率与II组相似(38.1% vs 25.6%， P=0.304)。结论:保守手术与急诊手术治疗小儿阑尾肿块的疗效无显著差异。然而，与保守方法相比，手术治疗更具成本效益，住院时间更短。
{"title":"Upfront appendectomy vs interval appendectomy in acute appendicitis with mass formation in pediatric age group: Little difference in major outcome","authors":"Hussam Widatella, Ahmed Abdulmanan, Ibraheem Abdelraheem, Fadi Atwan, S. Paran","doi":"10.15406/jpnc.2023.13.00505","DOIUrl":"https://doi.org/10.15406/jpnc.2023.13.00505","url":null,"abstract":"Aim: The aim of this study is to compare Conservative treatment followed by Interval Appendicectomy, versus Emergency Appendicectomy for the management of appendicular masses in children. Methods: Retrospective review of all appendicectomy performed in Tallaght university hospital, in Paediatric Surgery Department between January 2013 and June 2016. We included 397 procedures of Appendicectomy, among those, 16% (n=64) were diagnosed as appendicular masses. Cases were classified into two groups. Group I included those who were managed conservatively and then underwent Interval Appendicectomy after 6 to 8 weeks, (n=20) 31.3%. Group II included those who were managed with Emergency Appendicectomy, (n=44) 68.8%. The outcomes in the two groups were compared based on three parameters; the duration of hospital stay, the duration of Intravenous Antibiotics and post-operative morbidities. Results: We found that the median duration of hospitalization in group I was significantly longer than in group II (10 days vs 5 days, P<0.0001). The mean duration of antibiotic therapy in group I was also significantly longer than in group II (10.4±3.17 days) vs (5.19±2.53 days), P<0.0001). Nevertheless, the overall complication rate in Group I was similar to that of group II (38.1% vs 25.6%, P=0.304). Conclusion: No major difference in outcomes between the conservative and emergency operative approaches in managing appendicular mass in children. However, operative management is more cost-effective with less duration of hospital stay, as compared to the conservative approach.","PeriodicalId":388959,"journal":{"name":"Journal of Pediatrics & Neonatal Care","volume":"152 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-07-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116181286","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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