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Profile of Peanut Sensitization in Children Attending a Pneumo-Allergology Consultation at the Teaching Hospital Campus of Lomé, Togo

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Open Journal of Pediatrics 2024年第5期14卷 889-897页

作者： Mawouto Fiawoo manani hemou Foli Agbéko Salimtoa Moussoma Mazama Pakoudjare Nadiedja Kokou Douti Department of Pediatrics Faculty of Health Sciences University of Lom Lom Togo

Introduction: Food allergies are on the constant increase worldwide. Among them is peanut allergy, which also affects children. The aim of this study was to determine the profile of peanut sensitization in children attending a pneumo-allergology consultation. Methods: This was a cross-sectional study, which ran from January 1, 2018, to December 31, 2022, on children sensitized to peanuts seen in pneumo-allergology consultations at the Teaching Hospital Campus of Lomé. Results: The sample included 137 children aged 3 months to 18 years. The frequency of peanut sensitization was 25.3%. The mean age of patients was 6.3 ± 4.3 years (minimum 6 months and maximum 18 years). The 6 months to 5 years age group was the most represented (43.1%). The sex ratio was 1.3. The main reasons for consultation were rhinorrhea (67.9%), sneezing (36.5%) and cough (35.8%). Allergic rhinitis was identified as a personal history in 75.2% of patients. Peanut allergy was manifested as rhinorrhea (62.5%), asthma (26.8%) and eczema (8.9%). The risk of onset of symptoms within 15 - 30 minutes was 1.87 times (p = 0.001, CI = [1.2 - 2.1]) for peanuts consumed in roasted form with shell. Severe clinical signs such as Quincke’s Edema and anaphylactic shock were found in 1.4% of cases. Conclusion: Peanut allergy was common in children. Severe clinical signs were rare.

关键词： Peanut Sensitization Allergy Child 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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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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