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epidemiological, Clinical, and evolutionary Profile of Children Admitted to the Pediatric emergency Department of the Maroua Regional hospital, Cameroon

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Open Journal of Pediatrics 2024年第5期14卷 878-888页

作者： Soureya haman kamo se.angaï héléne.e.yama dominique.abouame.palma haoua Salihou Sadjo Mekone Nkwele Isabelle Nguefack Félicitée Faculty of Medicine and Biomedical Sciences University of Garoua Garoua Cameroon Garoua General hospital Garoua Cameroon Faculty of Medicine and Pharmaceutical Sciences University of Dschang Dschang Cameroon Faculty of Medicine and Biomedical Sciences University of Yaound Yaound Cameroon

Introduction: Pediatric emergencies in developing countries are associated with high morbidity and mortality. The Maroua Regional hospital (MRh) is one of the referral centers for pediatric emergencies in the Far north region of Cameroon. Pediatric emergencies are frequent in Maroua and are associated with significant mortality. The aim of our study is to determine the epidemiological, clinical, and evolutionary profile of children admitted to the pediatric emergency department of the hRM. Methods: We conducted an observational, descriptive, and retrospective study over a period from April 10, 2023 to April 10, 2024, focusing on the records of patients admitted to the pediatric emergency department of the MRh. The variables studied included epidemiological, clinical, and evolutionary characteristics. Data analysis was performed using CSPro version 8.01 and SPSS version 27.0. Results: We included 1027 patients;the sex ratio was 1.2 infants under 2 years represented 54.33%. The main reasons for consultation were fever (62.22%) and seizures (30.18%). The most frequently prescribed additional test was the Complete Blood Count (CBC), performed in 97.37% of cases. The most common pathologies were severe malaria (45.18%), broncho-pulmonary infections (15.48%), and bacterial meningitis (12.26%). At admission, 32.9% were transfused. There were 68 deaths, representing 6.67%, and 86% of the deaths occurred within 24 hours of admission. The leading cause of death was severe malaria, with 28 (41.17%) cases. Conclusion: Febrile illnesses were the main reason for consultation, and mortality was linked to severe malaria. Therefore, in addition to the other preventive methods already used against malaria, it is recommended to consider the use of the malaria vaccine.

关键词： Pediatric emergencies Malaria Cameroon

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Clinical and evolutive Aspects of severe Acute Malnutrition in Children Aged 0 - 59 Months at Maroua Regional hospital in Cameroon’s Far North Region

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Open Journal of Pediatrics 2024年第4期14卷 700-711页

作者： palma haoua abouame se.angai hélène kamo Sime Tchouamo Arielle Annick Fernando Kemta lepka Daniel nemsi Sadjo Salihou Aminou haman Soureya Yolande Feudjo Ulrich Dama Félicitée Nguefack Faculty of Medicine and Biomedical Sciences University of Garoua Garoua Cameroon Maroua Regional hospital Maroua Cameroon Garoua General hospital Garoua Cameroon Yaounde Gynaeco-Obstetrics hospital Yaounde Cameroon Faculty of Medicine and Pharmaceutical Sciences University of Dschang Dschang Cameroon Douala General hospital Douala Cameroon Department of health Sciences Catholic University of Central Africa Yaounde Cameroon University of lisala Lisala Democratic Republic of the Congo Faculty of Medicine and Biomedical Sciences University of Yaound I Yaounde Cameroon

Introduction: severe acute malnutrition remains one of the most important causes of under-five mortality. In Cameroon, the northern regions have the highest prevalence, with 1.4% in the Far North in 2021. These children are managed at the Internal therapeutic and Nutrional Centre, one of which is located at Maroua Regional hospital, the third level referral hospital. We therefore proposed to carry out a study on the clinical and evolutive aspects of these children. Materials and Methods: it was a descriptive, cross-sectional study from January 2020 to December 2022, at the ITNC (CNTI) of Maroua Regional hospital. The sample size was obtained from the lorentz formula. Patient records were used for data collection. We excluded all incomplete records and patients with less than 24 hours of admission. Results: Out of the 873 patients we recruited, the prevalence of severe malnutrition was estimated at 18 %. The average age was 14 months, with a male predominance. The main reasons for consultation were fever (42%) and diarrhoea (35%). Marasmus was the predominant clinical form. The major medical complications were sepsis (32.9%) and malaria (16.8%). hIV prevalence was 2.5% and tuberculosis was 4.9%. Most patients had haemoglobin levels between 7 and 10g/dl. 79.3% were cured and 6.5% died. The main causes of death were sepsis and malaria. Conclusion: severe acute malnutrition remains a major problem in the Far North region. several joint actions are needed to break this cycle.

关键词： severe Acute Malnutrition Children Far North Cameroon

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Anemia in Cameroon: A Social Approach

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Open Journal of Pediatrics 2020年第3期10卷 553-560页

作者： kamo Sélangaï Doka hélène Adamou Moïse Fadimatou Altine Babba Oumarou University of Ngaoundere Faculty of Medicine and Biomedical Sciences of Garoua Ngaoundere Cameroon Pediatric Unit of the Regional hospital of Ngaoundere Ngaoundere Cameroon

Viewed as hidden hunger, anemia is an indicator of poor nutrition and health status, especially for African pre-school children. several actions are being carried out to combat anemia in Africa, without success. The fundamental step to improve this situation is to determine 1) mothers’ knowledge regarding anemia (symptoms/signs and etiologies), and 2) their attitudes towards anemia. The present effort was to determine 1) and 2) on mothers (n = 152) with children (1 - le="font-family:Verdana;">5 years) through questionnaire. Data showed that the less educated the mother was, the more she gave the wrong definition of anemia. When these mothers have anemic children, 129 go to the hospital, 34 give grenadine (sweet soda), 14 go to the traditional healer, and 6 give the various decoctions. Our results showed that less-educated mothers had wrong anemia management, such as attachment to a visual logic that assimilates blood to food with red coloring. The actions must directly involve these mothers and the traditional healers to improve this situation.

关键词： Anemia Knowledge Attitude Child’s Mother Traditional healers

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