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Practices of Maternity’s Care Providers in the Municipality of Kozah 1 Regarding the Administration of Vitamin K1, Eye Care, and Umbilical Cord Care in Immediate Postpartum Newborns

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Open Journal of Pediatrics 2023年第4期13卷 484-495页

作者： Ouro-Bagna Tchagbele Kokou Agbékogni Réné Segbedji Missoki Azanledji Boume Sollim Myriam Talboussouma Kadji Kombieni Fidèle Comlan Dossou Alouki Essossinam Constantine Adom Flore Djath Palabié Lare Pouhawè Zato Koffi Edem Djadou adama dodzi gbadoe Komi Deladem Azoumah Pediatrics Department University of Kara Kara Togo Surgical Department and Specialities University of Kara Kara Togo National School of Midwifery Kara Togo Pediatrics Department University of Lomé Lomé Togo

Background: Neonatal mortality is a real public health problem in the world and particularly in countries with limited resources. Essential care remains an effective means of reducing this mortality. Objective: To evaluate the practice of administering of vitamin K1, ocular and cord care in maternity wards in the Kozah 1 municipality. Method: This is a cross-sectional study conducted from March 1st to June 30th, 2022 in all maternity wards in the Kozah 1 municipality. Socioprofessional aspects of providers and those related to the administration of vitamin K1, ocular and cord care were studied. Results: Eighty-five (85) maternity providers were included in this study. The average age of the providers was 36.2 years with extremes of 21 and 55 years. Providers were midwives (51.8%), childbirth attendants (35.3%), and matrons (12.9%). The average length of practice was 9.5 years with extremes of 1 and 28 years. For three out of four providers (75.3%), the postpartum period was defined as a period of 02 hours following delivery. The importance of cord, ocular care, and administration of vitamin K1 in postpartum was known respectively by 84.7%, 98.8%, and 92.9% of the providers. Chlorhexidine gel was used by 81.2% of providers for umbilical cord care. For ocular disinfection, more than half of the providers (52.9%) reported using half-diluted povidone iodine. No center had displayed care protocol. Conclusion: This study highlighted the level of knowledge and practice of three essential postpartum care practices. The products used for the different care practices are consistent with recommendations but vary according to the care providers.

关键词： Essential Care Newborn Immediate Postpartum Maternity Togo

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Respiratory Distress in Neonates at the Teaching Hospitals of Lomé, Togo

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Open Journal of Pediatrics 2024年第3期14卷 657-668页

作者： Mawouto Fiawoo Manani Hemou Foli Agbéko Nouffou Faissale Galinaba Mensa Amblasso Manate Kamaga Koffi Edem Djadou adama Dodji gbadoe Nadiedjoa Kokou Douti Department of Pediatrics Faculty of Health Sciences University of Lom&#233 Lom&#233 Togo

Introduction: Respiratory distress in neonates is a neonatal emergency that can lead to serious complications if not treated appropriately. The aim of this study was to describe the epidemiology, the diagnostic, and the outcomes of neonatal respiratory distress. Methods: This was a cross-sectional study carried out in the pediatric wards of Lomé Teaching Hospitals (CHU Sylvanus Olympio and CHU Campus), including neonates treated for respiratory distress (dyspnea associated with the use of accessory muscles of respiration, noisy breathing and with or without cyanosis) from January 1, 2021 to December 31, 2021. Data were entered using Epi Data 3.1 and SPSS software version 12.0. Results: The total number of neonates hospitalized for respiratory distress was 353, with a frequency of 12.5% and a sex ratio of 1.5. The mean age was 0.82 ± 3.20 days;the 0 - 6-day age group accounted for 92.4% of cases. Neonates had been resuscitated at birth in 46.7% of cases. Dyspnea was tachypnea in 94% of cases and bradypnea in 6%. Dyspnea was associated with cyanosis in 21.5% of cases. The severity of the respiratory distress was moderate in 64.9% of cases. Perinatal asphyxia (49.1%), inhalation pneumonitis (17.1%) and neonatal bacterial infection (14.1%) were the main etiologies. The mortality rate was 20.4%. Age greater than or equal to seven days, no neonatal resuscitation were protective factors against death. Prematurity, no antenatal consultations follow up, neonatal resuscitation, severe respiratory distress were risk factors of death. Conclusion: Neonatal respiratory distress was common in the early neonatal period and its mortality was high.

关键词： Respiratory Distress Neonates Silverman and Andersen Score Togo

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Outpatient Management of Sickle Cell Disease: Assessment of 13 Years Follow-Up of Pediatric Patients at the Sylvanus Olympio University Hospital

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Open Journal of Pediatrics 2022年第2期12卷 413-423页

作者： Koffi Mawuse Guedenon Djatougbe Ayaovi Elie Akolly Essohana Padaro Ounoo Elom Takassi Etsè Akpako Balakibawi Esso Kokou Dzata adama Dodji gbadoe Department of Pediatrics CHU Sylvanus Olympio University of Lomé Lomé Togo Department of Hematology CHU Campus University of Lomé LoméTogo University of Maryland Medical Systems/Midtown Campus Baltimore MD USA

Objective: To evaluate thirteen years of ambulatory follow-up of patients with major forms of sickle cell disease. Methods: This was a study of 1055 records of sickle cell patients aged 6 months to 45 years followed between 2006 and 2018. Results: Six hundred and eighty-one (64.5%) homozygous SS, 283 (26.8%) SC, 86 (8.2%) SF, 4 (0.4%) S? thalassemia and 1 (0.1%) SD sickle cell patients were followed. The majority of the patients (97.9%) were living in the capital city of Lomé and its surrounding suburbs. Most children (67.3%) were less than 5-year-old when they were diagnosed with sickle cell disease, and only 21.3% of cases were discovered before the first year birthday of the patients. Osteo-articular vaso occlusive crisis (VOC) was the principal symptom at the onset of the diagnosis, approximately 28.9% of the cases, followed by severe anemia (19%), then hand-foot syndrome in 15.6%. The systematic screening was performed in 5.4%. Twenty-six percent were G6PD deficient, 4 were HIV immunocompromised, and 29.7% were transfused. Among the degenerative complications, 2.4% had retinopathy, 1.9% osteonecrosis of the femoral head, 1.4% leg ulcers, and 0.8% cardiomyopathy. Salmonella typhi was the main cause of infection, 51.4% of the cases. The mean baseline hemoglobin level (n = 27) was 7.67 ± 1.64 g/dl. Four (0.4%) patients had a splenectomy. The mortality rate was 2.4%. The primary cause of death was anemia (28%), followed by sepsis in 20% of the cases. One case of suicide was documented as the cause of death. Conclusion: Outpatient medical follow-up of sickle cell patients is essential in sub-Saharan African countries where neonatal screening does not exist, and diagnosis is often late. The improvement in quality of life observed should be studied.

关键词： Sickle Cell Disease Outpatient Follow-Up Lomé

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Kawasaki Disease in a Togolese Child

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Open Journal of Pediatrics 2022年第2期12卷 293-296页

作者： Koffi Mawuse Guedenon Doguénsaga Borgatia Attah Djatougbe Ayaovi Elie Akolly Mawouto Fiawoo Kokou Placide Agbo-Kpati adama Dodji gbadoe Department of Pediatrics CHU Sylvanus Olympio University of Lomé Lomé Togo Department of Cardiology CHR Sokodé University of Kara Kara Togo Department of Pediatrics GHEF Site de Marne La Vallée Jossigny France

Introduction: Kawasaki disease (KD) is a severe febrile vasculitis that affects children under 5 years of age. The severity of KD is related to coronary involvement. Few cases have been reported in sub-Saharan Africa. Objective: We present a clinical observation of a Togolese infant to illustrate the typical clinical picture that every pediatrician should know. Observation: The patient was a 20-month-old infant from Togo who presented with conjunctivitis, cheilitis, stomatitis, and pharyngitis in a febrile setting. There was a satellite sub-maxillary adenopathy. There was a persistent biological inflammatory syndrome with thrombocytosis and a doppler ultrasound confirmed the diagnosis of a coronary aneurysm. Treatment was based on corticosteroid therapy and acetylsalicylic acid with success. Conclusion: KD involves cardiac complications that require rigorous and sometimes long-term monitoring to prevent death.

关键词： Kawasaki Disease Lympho-Cutaneous-Mucosal Syndrome Vascularity Coronary Aneurysm

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Prevalence of Soil-Transmitted Helminths and Intestinal Protozoa among School Children in Lome, Togo

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Open Journal of Pediatrics 2021年第2期11卷 313-328页

作者： Monique A. Dorkenoo Foli Agbeko Harishu Dokoto Dave Plate Mawouto Fiawoo Kossi Yakpa Efoe Sossou Sevi K. Sognikin adama Dodji gbadoe Rachel Bronzan Département des Sciences Fondamentales et Biologiques Faculté des Sciences de la santé Université de Lomé Lomé Togo Division des Laboratoires Ministère de la Santé et de l’Hygiène Publique Lomé Togo Département de la Pédiatrie Centre Hospitalier Universitaire Campus Lomé Togo Département de la Pédiatrie Faculté des Sciences de la santé Université de Lomé Lomé Togo Hô pital d’Instruction des Armées Centre Universitaire de Cotonou Cotonou Benin Hope Education Foundation Pompano Florida USA Programme National de Lutte Intégrée contre les Maladies Tropicales Négligées Ministère de la Santé et de l’Hygiène Publique Lomé Togo Health and Development International Newburyport USA

Background: Significant morbidity in children is associated with infectious diseases especially soil-transmitted helminth (STH) infections which are prevalent in sub-Saharan African countries. The objective of this study is to estimate the prevalence of STH and intestinal protozoa among schoolchildren in Lomé, Togo. Patients and Methods: In November 2013, in each of the five districts of the Lomé-commune region, thirty pupils per level of the third, fourth, fifth and sixth grades of five primary schools were included. Each child submitted a single stool sample that was analyzed by the Kato-Katz method for STH. In addition, stool samples of school children selected in third and sixth grades were examined by direct visualization using saline and Lugol’s stain for intestinal protozoa. Results: A total of 2944 children were enrolled at 25 schools. The overall prevalence of STH at schools was 5.0% (range 1.5% to 8.6%), was higher in boys than girls, and increased with age and grade. Hookworm was the most prevalent species (3.4% of children surveyed). Intestinal protozoa were found in 52.2% (765/1465) of children tested and commensal amoebae represented 22.7% of these protozoa identified. Entamoeba histolytica/d

关键词： Soil Transmitted Helminth Intestinal Protozoa Prevalence Schoolchildren Togo

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Multifocal Tuberculosis Revealed by Facial Paralysis

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Open Journal of Pediatrics 2023年第5期13卷 613-618页

作者： Sollim Myriam Talboussouma Ouro-Bagna Tchagbele Léhleng Agba Kokou Agbékogni Réné Segbedji Missoki Azanlédji Boume Dodji adama gbadoe Komi Deladem Azoumah Pediatrics Department University of Kara Kara Togo Medicine Department and Specialities University of Kara Kara Togo Surgical Department and Specialities University of Kara Kara Togo Pediatrics Department University of Lomé Lomé Togo

Introduction: Tuberculosis is a chronic infectious disease that remains a global public health problem. Children, accounting for 10% of cases, are particularly vulnerable to this disease. Based on a case of multifocal tuberculosis in a 14-month-old infant, the authors conducted a literature review on this condition. Observation: The case involved a 14-month-old infant referred from a health center for persistent symptoms including anemia, fever, and lateral deviation of the mouth during crying. Clinical examination revealed an infectious and meningeal syndrome, as well as facial paralysis. The results of brain imaging, cerebrospinal fluid examination, fundus examination, and gastric lavage fluid examination led to the conclusion of multifocal tuberculosis in the infant without association with HIV. Improvement was observed one week after the start of antituberculosis treatment, with complete recovery without sequelae after 12 months. Conclusion: Although rare, multifocal tuberculosis does exists and its diagnosis remains challenging in infants. Early treatment generally leads to favorable outcomes, especially in the absence of HIV coinfection.

关键词： Multifocal Tuberculosis Choroidal Tubercles Child Cerebral Tuberculosis Togo

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Risk Factors for Birth Asphyxia in Togo: A Case-Control Study

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Open Journal of Pediatrics 2021年第4期11卷 816-831页

作者： Foli Agbeko Ayoko Améyo Kétévi Mawouto Fiawoo Bouwereou Bi-Labna Tata Kokouvi Evenyo Abalo Elom Ounoo Takassi Baguilane Douaguibe Djatougbé Ayaovi Elie Akolly Homba Daké Batalia Rollin Arnaud Djomaleu Rachel Bayahou Kérékou Manani Hemou Mazama Pakoudjare Magnoulelen Nzonou Essèboè Koffitsè Sewu Sollim Talboussouma Bayaki Saka Deladem Komi Azoumah Edem Koffi Djadou Kokou Nadiedjoa Douti adama Dodji gbadoe Yawo Dzayissé Atakouma Paediatric Department University of Lomé Lomé Togo Paediatric Ward CHU Campus Lomé Togo Gynécology-Obstétric Ward CHU Sylvanus Olympio Gynecology-Obstetric Department University of Lomé Lomé Togo Paediatric Ward CHU Sylvanus Olympio Lomé Togo Paediatric Ward Bè Hospital Lomé Togo African Center of Research in Epidemiology and in Public Health Lomé Togo Paediatric Ward CHU Kara Kara Togo Dermatology Ward CHU Sylvanus Olympio Université of Lomé Lomé Togo Paediatric Department University of Kara Kara Togo

Background: Birth Asphyxia (BA) is one of the leading causes of neonatal death in developing countries. In Togo, 30.55% of neonatal deaths were related to BA and caused by several risk factors. The purpose of this piece of work is to analyse the antepartum, intrapartum, and foetal risk factors of BA. Methods: This is a case control study, conducted from 1st December 2019 to 28th February 2020 in obstetrics wards and at neonatal intensive care of paediatric ward at the Sylvanus Olympio university teaching hospital (CHU-SO) in Lomé, Togo. Neonates diagnosed with BA (Apgar score th minute) were considered as “cases” (N = 200) while neonates born either with normal vaginal delivery or by cesarean section having no abnormality were considered as “control” (N = 200). Results: The prevalence rate of BA was 9.13%. Age (p = 0.0391), gravidity (p = 0.0040), type of facility for prenatal follow-up (p 0.0001), use of Long-lasting impregnated mosquito nets (LLIN) (p 0.0001), notion of maternal fever (p 0.0001) and chronic pathology (p 0.0001) were related to occurrence of BA. Significant antepartum risk factors observed were age <

关键词： Birth Asphyxia Neonate Risk Factor Togo

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