scholarly journals Trend in Childhood Mortality in a Private Pediatric Hospital of Kisangani: A Descriptive Study

Author(s):  
B. G. Mande ◽  
K. V. Muyobela ◽  
N. J. Mopepe ◽  
E. Maturu ◽  
K. E. Tebandite ◽  
...  

Aims: To determine patterns of childhood mortality and its trends over a 4 years’ period in a private pediatric hospital.  Study Design: A cross-sectional descriptive study. Place and Duration of Study: Study conducted in the Nouveau Village de Pédiatrie (NVDP), in Kisangani town, Democratic Republic of Congo, between June 2014 and June 2018. Methodology: Socio-demographic, clinical and biological data of children of 0-16 years were retrospectively recorded. Descriptive statistics were used to analyse patterns of childhood mortality and its trends during the four years’ period. Results: From June 2014 to June 2018, 3789 children of 0 to 16 years were hospitalised in the Nouveau Village de Pédiatrie. The global mortality was 16.1% in 2014 and 2.4% in 2018. Mortality within 24 hours of admission was 58%. Neonatal mortality decreased from 22.4% in 2014 to 7.4% in 2018. The leading diagnosis was neonatal causes: sepsis, prematurity, neonatal asphyxia, severe, congenital abnormalities. Most of older children died from severe pneumonia, meningitis, severe anaemia and severe malaria. Severe pneumonia was the most frequent and common cause of children death in all ages. Conclusion: Microbiological data, point of care exams, high quality antimicrobials and antibiotic stewardship in antimicrobial prescribing had a great impact in the significant reduction of childhood mortality in the Nouveau Village de Pédiatrie. Efforts must be focused on the reduction of neonatal mortality.

2013 ◽  
Vol 31 (3) ◽  
pp. 366-370 ◽  
Author(s):  
Vitor de Almeida Fernandes ◽  
Ana Cláudia B. Scucuglia ◽  
Ricardo Alessandro T.Gonsaga ◽  
Terezinha Soares Biscegli

OBJECTIVE To describe the fifth-year medical students' self-evaluation based on the reflexive discourse of the Activities Diaries (portfolio) from the Pediatric Internship I and Child Care Rotations. METHODS Cross sectional, qualitative and descriptive study using the collective subject discourse of the diaries used during the internship of the Medical School, in Catanduva, São Paulo, from January to November, 2011. The registered students' testimonials in the portfolio sections called self-assessment and students' impression were assessed according to their central ideas (discipline organization, breastfeeding outpatient clinic, number of admissions in the pediatric hospital ward and satisfaction with the Child Health training ), related to the teaching of Pediatrics and Child Care. The portfolios with incomplete registers were excluded. RESULTS The testimonials of 47 interns (75% of the students) were analyzed, and 21.3% of them expressed satisfaction with the discipline organization and 27.7% praised the inclusion of the breastfeeding outpatient clinics in the course. For 25.5% of the academics, the number of admissions in the pediatric wards was insufficient for an ideal learning; however, 70.2% were satisfied with the Child Health training. CONCLUSIONS This critical analysis allowed a summary of the reflections, suggestions and critics registered by the interns and can be used as a tool for improvement of the professional cycle.


OALib ◽  
2017 ◽  
Vol 04 (07) ◽  
pp. 1-14 ◽  
Author(s):  
Ndayi Kabamba Julie ◽  
Ilunga Kandolo Simon ◽  
Kabange Umba Irène ◽  
Matungulu Matungulu Charles ◽  
Abdulu Mahuridi ◽  
...  

OALib ◽  
2017 ◽  
Vol 04 (11) ◽  
pp. 1-9 ◽  
Author(s):  
Ndayi Kabamba Julie ◽  
Ilunga Kandolo Simon ◽  
Matungulu Matungulu Charles ◽  
Kabange Umba Irène ◽  
Abdulu Mahuridi ◽  
...  

2019 ◽  
Vol 6 ◽  
pp. 2333794X1986246
Author(s):  
Haimanti Saha ◽  
Lubaba Shahrin ◽  
Monira Sarmin ◽  
Tahmeed Ahmed ◽  
Mohammod Jobayer Chisti

Objectives. Diarrhea and pneumonia are the leading causes of under-5 childhood mortality. However, there is limited information on bacterial etiology of severe pneumonia in children with diarrhea. We analyzed bacterial pathogens from the blood of children under the age of 5 years. Methods. In this retrospective cross-sectional study, we studied all children having severe pneumonia with or without diarrhea admitted to the icddr,b (International Centre for Diarrheal Disease Research, Bangladesh) who had their blood culture done during January 2014 to December 2014. Results. Among a total of 159 study children, 118 had diarrhea. There were 13 bacterial isolates, and predominant organisms were gram-negative bacteria (11/13, 85%). Children with diarrhea coexisting with severe pneumonia proportionately had higher bacteremia (12/141 [10.16%] vs 1/41 [2.43%]), but the difference was not statistically insignificant ( P = .186). Conclusion. We recognized that the coexistence of diarrhea and severe pneumonia had proportionately higher bacteremia, especially gram-negative bacteria compared with those without diarrhea. The results emphasize the trend of bacterial etiology of pneumonia in children with diarrhea and may warrant revised antibiotics guideline for their management.


2017 ◽  
pp. 100-106
Author(s):  
Thuan Huynh ◽  
Minh Tam Nguyen

Introduction: Child injury is a significant burden for community health care in Vietnam. Besides the fatal injuries, millions of children need hospital care for non-fatal injuries. Investigation on treatment cost and economic burden of the most common non-fatal injuries such as falls, burns, and traffic injuries is very necessary. Objectives: (1) Describe the patterns of falls, burns, and traffic injuries among children admitted with injuries to the Quang Nam Pediatric Hospital; (2) Analyze the treatment cost for falls, burns, and traffic injuries of these patients. Methods: A cross-sectional study on 424 pediatric patients under 16 year old admitted with falls, burns, and traffic injuries to the Quang Nam Pediatric Hospital from 01/6/2014 to 31/3/2015. Results: Most of participants admitted to the hospital for falls (66%), traffic injuries (22,4%). Mild injuries was dominated, burns and traffic injuries were more serious in almost cases and the average of PTS index was 9.4 points. Average total treatment cost was 1,259,200 VN dong, direct cost accounted for 68.4% of total treatment cost. Treatment costs of burns and traffic injuries were higher than that of falls. Key words: burden of disease, treatment cost, injury, children


2019 ◽  
Vol 1 (2) ◽  
pp. 8-15
Author(s):  
Zaim Ashari

During menstruation blood vessels in the uterus are very easily infected because germs easily enter and cause diseases of the reproductive tract. Some of the most common disorders are vaginal discharge and pruritus vulvae (vaginal itching). However, this complaint can be prevented by maintaining the cleanliness of the female organs early on, namely with good menstrual personal hygiene. This study aims to describe the level of personal hygiene knowledge about menstruation. This research is a descriptive study with a cross-sectional approach, with a total sample of 90 people taken by total sampling technique. The results showed that the majority of respondents had enough personal hygiene behavior as many as 82 people (91.1%), while good menstrual personal hygiene behavior was 3 people (3.3%), and respondents who had behaviors classified as less than 5 people ( 5.6%). Based on complaints on reproductive organs, respondents who experienced vaginal discharge were 85 people (94.4%) and itching around the genitals was around 83 people (92.2%).


Sign in / Sign up

Export Citation Format

Share Document