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Morbidity and Mortality in Adolescents at the University Hospital of Brazzaville

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Open Journal of Pediatrics 2021年第2期11卷 243-253页

作者： Engoba Moyen Vérinal Ouemeyi-Enani annie rachelle okoko Ben Borgea Nianga Verlem Bomelefa-Bomel Georges Marius Moyen Faculty of Health Sciences University Marien Ngouabi Brazzaville Congo Department of Intensive Care Pediatrics University Hospital of Brazzaville Brazzaville Congo Program and Project Coordination Unit Ministry of Health and Population Brazzaville Congo

Introduction: Adolescent morbidity and mortality is a health concern. Objective: To determine morbidity, identify the causes of morbi-mortality and the factors associated with adolescent mortality in Brazzaville. Patients and Methods: A retrospective, descriptive and analytical study was carried out at the Brazzaville Hospital and University Center between January 2015 and December 2016. Adolescents hospitalized in clinical services whose records were workable were included. The Epidemiological, clinical and evolutionary variables were analyzed. The statistical test used was the khi-two, the significance level set at 0.05. Results: In total, Out of 67,488 hospitalized patients, 2062 were adolescents: 3% including 891 (43.2%) boys and 1171 (56.8%) girls mean age 14.8 ± 2.92 years, seen in average 9.38 days after the onset of symptoms. Childbirth 415 (20.1%), malaria 309 cases (14.9%), major sickle cell crisis 223 (10.8%) and traumatic injuries 166 cases (8.05%) are the main causes of morbidity. One death was recorded in n = 193 (9.4%), of which n = 104 (5.0%) in the first 48. Tumors, malaria and status epilepticus are the lead

关键词： Adolescents Morbidity Mortality Brazzaville University Hospital

Impact of the Covid-19 Pandemic on Severe Childhood Malaria at the University Hospital of Brazzaville

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Open Journal of Pediatrics 2021年第2期11卷 301-312页

作者： Moyen Engoba Arquevia Nature Ofamalekou Gnakingue Ben Borgea Nianga Carel Ervane Goma Armel Landry Batchi-Bouyou annie rachelle okoko Georges Marius Moyen Faculty of Health Sciences Marien Ngouabi University Brazzaville Congo Pediatric Intensive Care Service University Hospital of Brazzaville Brazzaville Congo Program and Project Coordination Unit Ministry of Health and Population Brazzaville Congo

Introduction: Malaria management has been a source of concern for health systems since the advent of the Covid-19 pandemic. Objective: To assess the impact of the Covid-19 pandemic on severe childhood malaria in Brazzaville. Material and Method: A quasi-experimental intervention/non-intervention study was carried out between March and October 2020 in the pediatric departments of the Brazzaville University Hospital. Children aged three months to 15 years hospitalized were the target population. Two groups were formed: the “intervention” group, that of children hospitalized between March and October 2020 and the “control” group that of those hospitalized between January and August 2015. The study variables were epidemiological, clinical, biological and therapeutic. Chi-square and T-Student tests were used. The impact of the intervention was assessed by the absolute risk difference. Results: Of 1392 children hospitalized, 199 (14.6%) had severe malaria with an average age of 6.94 years. These were children under 5 years old n = 95 (47.7%) of low socioeconomic level n = 145 (72.9%) seen on average after 4.6 +/? 2.4 days. Repeated convuls

关键词： Impact Covid-19 Severe Malaria Children Brazzaville

Child Acute Lower Respiratory Tract Infection in Pediatrics Intensive Care Unit at University Hospital of Brazzaville (Congo)

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Open Journal of Pediatrics 2018年第1期8卷 32-41页

作者： Engoba Moyen Judicael Kambourou annie rachelle okoko Lori Bertrand Nguelongo Verlem Bomelefa-Bomel Kadidja Grace Nkounkou Georges Moyen Jean-Louis Nkoua Faculty of Health Sciences Marien Ngouabi University of BrazzavilleBrazzavilleCongo Pediatric Intensive Cares Unit University Hospital of BrazzavilleBrazzavilleCongo

In order to contribute to reduction of morbidity and mortality due to low acute respiratory infections in pediatrics, the objective of this study was to determine the epidemiological profile and to identify the factors favoring and those associated with the risk of deceased. We reviewed the cases of children aged between 1 and 59 months hospitalized between January and December 2015 in the pediatric intensive care unit of the CHU of Brazzaville and retained those whose diagnosis of discharge was an ALRI. The study variables were: epidemiological, clinical, paraclinic, diagnostic, therapeutic and evolutionary. For 2012 hospitalized children, 400 (19.8%) were hospitalized for an ALRI. There were 235 boys (58.8%) and 165 girls (41.2%) of average age. Infants aged 1 to 11 months were the most affected n = 260 (65%). They were insufficiently immunized with haemophilus influenza B and pneumococcus n = 378 (94.5%);Fully immunized n = 20 (5%), the average delay for consultation after the first symptom was 5.03 ± 3.86 days;Denutrition was rated n = 180 (45%), positive retroviral serology n = 19 cases (4.8%). The main nosological varieties were: bronchiolitis n = 223 (55.7%), pneumonia n = 145 (36.2%). One death was rated n = 65 (16.3%). The mortality determinants were: prematurity, vaccination status and HIV/AIDS infection. The frequency and severity of ALRIs necessitates a strengthened program of integrated management of childhood illnesses, and public health actions targeting the factors that promote and contribute to the risk of death.

关键词： Acute Respiratory Infections Child Brazzaville Bronchiolitis

Asthma in Children at the Pediatric Intensive Care Unit of University Hospital of Brazzaville (Congo)

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Open Journal of Pediatrics 2017年第3期7卷 140-148页

作者： Engoba Moyen Esthel Lee Presley Bemba Judicael Kambourou Gaston Ekouya-Bowassa Evrard Romaric Nika Grace Nkounkou Verlem Bomelefa-Bomel annie rachelle okoko Georges Moyen Jean-Louis Nkoua Faculty of Health Sciences Marien Ngouabi University of Brazzaville Brazzaville Congo Pediatric Intensive Cares Unit University Hospital of Brazzaville Brazzaville Congo Department of Pneumology University Hospital of Brazzaville Brazzaville Congo Department of Neonatology University Hospital of Brazzaville Brazzaville Congo

Objectives: To describe the epidemiological, clinical and therapeutic aspects of asthma in children at the Pediatric Intensive Care Unit of University Hospital of Brazzaville. Patients and methods: We reviewed the records of children hospitalized in the Pediatric Intensive Care Unit of University Hospital of Brazzaville from January 1 to December 31, 2015, and retained those from two months to 17 years hospitalized for asthma. The study variables were: age, sex, influence of seasons, history of atopy;the factors triggering the crisis, the type of follow-up, the degree of severity of asthma exacerbation, the type of treatment instituted and the course of the disease. In total, out of 2012 hospitalized children, 65 children met the inclusion criteria. Results: The hospital prevalence of asthma was 3.5%. Among 65 children of study, 42 (59.2%) were male and 29 (40.8%) female. The mean age was 3.9 ± 2.9 years (range from 2 months to 14 years). Children aged 30 months to 5 years were the most represented (40%). They were known as asthmatics, n = 18 (27.7%). Family atopy was found, n = 11 (16.9%). Acute Otorhinolaryngologic infections were in all cases the factors triggering the crisis. The peak frequency of hospitalizations for asthma occurred during the short rainy season. The crisis was moderate n = 46 (70%) and severe n = 19 (29%). Beta 2 mimetics were administered in all cases, by subcutaneous in 18 cases (27.7%) and inhaled in 47 cases (72.3%). The outcome was favorable in all cases with a mean hospital stay of 1.46 ± 0.92 days. Conclusion: Childhood asthma remains a public health challenge and severe asthma is the paradigm of uncontrolled and costly asthma. This first work suggests that a large-scale study be carried out for a better knowledge of it.

关键词： Asthma Children Pediatric Intensive Care CHU Brazzaville