Seizures in Children under Five in a Pediatric Ward: Prevalence, Associated Factors and Outcomes

作     者：Abdoul Karim Doumbia Oumou Koné Guédiouma Dembélé Adama Dembelé Oumar Coulibaly Hawa Gouro Diall Karamoko Sacko Amadou Touré Pierre Togo Abdoul Aziz Diakité Mohamed Elmouloud Cissé Belco Maiga Djeneba Konaté Fatoumata Léonie Diakité Lala N’drainy Sidibe Fousseyni Traoré Adama Bah Djibril Kassogue Boubacar Togo Madou Traoré Abdoul Karim Doumbia;Oumou Koné;Guédiouma Dembélé;Adama Dembelé;Oumar Coulibaly;Hawa Gouro Diall;Karamoko Sacko;Amadou Touré;Pierre Togo;Abdoul Aziz Diakité;Mohamed Elmouloud Cissé;Belco Maiga;Djeneba Konaté;Fatoumata Léonie Diakité;Lala N’drainy Sidibe;Fousseyni Traoré;Adama Bah;Djibril Kassogue;Boubacar Togo;Madou Traoré

作者机构：Department of Pediatrics at CHU Gabriel Touré Bamako Mali National Institute of Public Health Bamako Mali Mohammed VI Perinatal Clinic Bamako Mali 

出 版 物：《Open Journal of Pediatrics》 (儿科学期刊（英文）)

年 卷 期：2021年第11卷第4期

页      面：627-635页

学科分类：1002[医学-临床医学] 100202[医学-儿科学] 10[医学] 

主　　题：Convulsions Child Infant Prognosis Sub-Saharan Africa 

摘      要：Introduction: convulsion is a frequent cause of neurological and cognitive sequelae and then of epilepsy. The objective of this work was to describe the socio-demographic, clinical, therapeutic, and evolutionary aspects. Methodology: This was a descriptive retrospective study carried out in the general pediatrics department of CHU-Gabriel Touré. It took place over a period of 02 years from January 2017 to December 2018. We included all children aged 1 to 59 months hospitalized in the ward for convulsion. Results: During the study period, 2653 children aged 2 months to 59 months were hospitalized in the general pediatric ward. We included 288 medical records of children who presented with a seizure on admission. Convulsions represented 11% of pediatric hospitalizations from 1 month to 59 months. The average age was 29 months. Fever was present in 86% of patients. The cerebrospinal fluid (CSF) test was positive in 38 patients. Hypoglycemia was present in 14 patients. Serum calcium was low in 3 patients. The most implicated etiologies were malaria 70%, meningitis 20%, and dehydration 13%. Management consisted of airway clearance, oxygen therapy as needed, and administration of diazepam (54%). Antibiotics were prescribed in 77% of cases and antimalarials in 70%. The average length of hospital stay was 8 days with extremes of 1 and 30 days. The outcome was favorable in 95% of cases. Sequelae were observed in 5% of cases and one case of death was observed. Conclusion: Acute convulsions are one of the most common causes of hospitalization in children under 5 years old. The causes were dominated by infectious diseases (mal