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Newborn Umbilical Cord Care in Parakou in 2013: Practices and Risks

Open Journal of Pediatrics 2016年第1期6卷 124-135页

作者： Joseph Agossou marcelline hounnou-d’almeïda Julien didier Adédémy Alphonse Noudamadjo doué Yasmine Gounou N’gobi Blaise Ayivi department of Mother and Child Faculty of Medicine University of Parakou Parakou Benin department of Mother and Child Faculty of Health Sciences University of Aboomey-Calavi Cotonou Benin

Objective: The objective was to study umbilical care practices and risks in Parakou (North Benin). Patients and method: It was a cross-sectional and descriptive study carried out within a community from June 1 to August 31, 2013. It focused on all the infants born at the maternity of Parakou Health Center and their mothers. Results: Two hundred and ten newborns were included i.e. 101 boys and 109 girls. In 80.9% of cases, inappropriate substances had been applied to umbilical cord. Umbilical cord care quality was adjudged as poor, acceptable and good in 58.6%, 31.9% and 9.5% of cases respectively. A bacterial umbilical infection had been noted in 59.5% of newborns. Only 4.8% had sterile umbilical wound. The commonest bacteria were: Staphylococcus aureus (58.1%), Staphylococcus saprophiticus (53.3%), Escherichia coli (44.8%) and Pseudomonas aeruginosa (14.3%). The factors associated with umbilical infection were: low educational status of mother (p = 0.026), low-income occupation of mother (p = 0.021), customary practices to accelerate umbilical cord fall off (p = 0.007), short time to cord falling off lower than 6 days (p = 0.015). Conclusion: Umbilical cord care involves high risk for bacterial infection in our context. Strong actions must be taken within the community in order to reduce that risk.

关键词： Umbilical Care Practices Risks Newborn Parakou Benin

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Neonatal Bacterial Infections in Parakou in 2013

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Open Journal of Pediatrics 2016年第1期6卷 100-108页

作者： Joseph Agossou marcelline hounnou-d’almeida Alphonse Noudamadjo Julien didier Adédémy Wèrè Sylvestre Nékoua Blaise Ayivi Mother & Child department Faculty of Medicine University of Parakou and Borgou Regional University Teaching Hospital in Parakou Parakou Benin Mother & Child department Faculty of Health Sciences (University of Abomey-Calavi) and National University Teaching Hospital (CNHU-HKM) Cotonou Benin

Objective: Neonatal bacterial infections are a leading cause of mortality in developing countries, including Benin. This study aimed to investigate the epidemiological, clinical and bacteriological aspects of neonatal bacterial infections and their outcomes in the neonatal care unit of the Borgou Regional University Teaching Hospital (CHUd-Borgou). Study design: This manuscript described a cross-sectional study with prospective data collection and an analytical purpose that was performed over the course of 3 months. It was conducted in the neonatal care unit of CHUd-Borgou and focused on 203 newborns who were admitted for suspected bacterial infection. Results: Neonatal bacterial infections accounted for 63.75% of admissions. The sex ratio was 1:1. Prematurity was the main reason for admission (25.1%), and respiratory distress was the most common physical symptom (22.2%). From a bacteriological point of view, 14.7% of blood cultures were positive, and the main isolated pathogens were Escherichia coli (35.8%), Staphylococcus aureus (21.5%) and Klebsiella pneumoniae (14.3%). These pathogens were more sensitive to aminoglycosides than to other antibiotics. Lethality was 21.6%. Place of birth (p -3), age of the newborn at admission (p = 0.003) and maternal history of infectious diseases during pregnancy (p = 0.02) were factors associated with neonatal bacterial infections. Conclusion: This study identified the main pathogens responsible for neonatal bacterial infections and their level of sensitivity to antibiotics. It also determined the different factors associated with neonatal bacterial infections that should be considered in newborn care.

关键词： Infectious diseases Neonatology Parakou Benin

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