Current Pediatric Research最新文献

{"title":"Children left unattended in parked school vehicles: Internet content analysis and systematic literature review of case series.","authors":"Sirada Puetpaiboon, T. Thongseiratch","doi":"10.35841/0971-9032.25.8.763-768","DOIUrl":"https://doi.org/10.35841/0971-9032.25.8.763-768","url":null,"abstract":"Purpose: Childhood injuries resulting from being left in vehicles are an important cause of pediatric mortality. However, no previous study has primarily focused on this occurrence in parked school vehicles. The aim of this study was to investigate the incidence and characteristics of children left unattended in parked school vehicles in Thailand, and systematically review the nature and causes of children being left unattended in parked school vehicles in the peer-reviewed published literature. Methods: We conducted a systematic literature review of three databases including PubMed, Scopus, and Web of Science using the specific search terms “parked vehicles” and “child”, and an online search of Thailand published news in websites for incidents that occurred over the 10 year period from January 2010 to December 2020. Results: We found five studies of 96 incidents of children left in parked vehicles; 10 cases occurred in school vehicles. From internet content analysis in Thailand, among 20 cases of children left unattended in parked vehicles, eight cases occurred in school vehicles. All cases were left more than 2 hours and resulted from being forgotten by the teacher or school driver. The median age of children was three. The majority of incidents occurred in the wet or summer season during the first school semester. Conclusion: Children left unattended in parked school vehicles occurred in children slightly older than those occurring in private vehicles, and they show a notable seasonal effect that is not driven by temperature alone but by occurring early in the academic calendar.","PeriodicalId":11183,"journal":{"name":"Current Pediatric Research","volume":"25 1","pages":"763-768"},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70028244","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Surgical treatment of pilonidal sinus in children: opportunities and perspectives.","authors":"Bodnar Oleh, iuk Roman, Khashchuk Vasyl, Vatamanesku Liviy, S. Oleks, Proniaiev Dmytro, Bocharov Andriy","doi":"10.35841/0971-9032.449-454","DOIUrl":"https://doi.org/10.35841/0971-9032.449-454","url":null,"abstract":"Introduction: Pilonidal Sinus (PS) in children is the severe disease with up to 38% of recurrences. For the treatment of which different surgical techniques are offered. Objectives: To define the optimal surgical methods of treatment of PS in children. Material and Methods: For the period from 2015 to 2021 in surgical department of clinical children`s hospital 95 children with diagnosis of PS, aged 13 to 18 years were operated on. In accordance to type of operation, children were divided into three groups: I group: Limberg flap plastic–35 children, II group: Sewing to the Fascia (SF)–32 children; III group: Primer Closure (PC)–28 children. Sex, age, previous operations of PS abscesses, specimen volume of PS were determined. Body Mass Index (BMI), Duration of Hospitalization (DoH), Duration of Pain (DoP), wound healing were calculated. Observation period was from 1 up to 6 years in all groups. Histological studies of PS specimen were performed in children of 13 and 18 years old. Result: The longest wound healing duration were observed in II group, the shortest in I group, which indicates the effectiveness of Limberg flap plastic in relation to this indicator in children. DoH and DoP (days) were almost the same in I and III group. DoP (days) was higher in II group in relation to I and III group. BMI and age were almost the same for all groups. In postoperative period were observed complications in 57 children of different groups: fluid collection, wound infection, flap edema, hematoma, partial wound dehiscence. When performing histological examinations, were observed some differences in histological structure of PS specimen of 13 years old child and 18 years old child, which indicates of progressing of disease course with age. In our research recurrences of PS were observed in 25% of cases of PC performing, in 18.75% of cases of SF performing and were not observed in cases of Limerg Flap plastic performing. Conclusion: Limberg flap plastic for surgical treatment of PS in children is an optimal method with the least count of complications, absence of recurrences and favorable course of postoperative period according to DoH (days), DoP (days), and wound healing duration (days).","PeriodicalId":11183,"journal":{"name":"Current Pediatric Research","volume":"25 1","pages":"449-454"},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70028493","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Microbiological study and antibiotic susceptibility pattern among lethargic neonates in Najaf city, Iraq.","authors":"A. AlAasam, Sultan Mohsin Ghanim, Beahan Nasir Mebid, Majid Abdul Hameed Al Kufy, A. Nasrawi","doi":"10.35841/0971-9032.25.8.733-737","DOIUrl":"https://doi.org/10.35841/0971-9032.25.8.733-737","url":null,"abstract":"The antibiotic susceptibility pattern differs from regions and countries, and physicians must be aware of their specific regions' pattern. Therefore, the recent study aimed to evaluate the microbiological features and the antibiotic susceptibility pattern among neonates admitted into Al-Zahraa teaching hospital, Najaf, Iraq. Materials and Methods: This cross-sectional descriptive study was conducted in the pediatric emergency department and the Neonatal Intensive Care Units (NICUs) of Al-Zahraa teaching hospital in Najaf city, Iraq, for ten months from February 1 to November 1, 2016. Sampling was performed on all lethargic neonates brought to the emergency department and NICUs before they were given any empirical antibiotic therapy. Urine samples were collected using urine bags or suprapubic aspiration in aseptic condition. Positive urine cultures were defined as more than 100,000 CFU/mL bacterial colonies by bag specimen collection and the presence of any colonies regarding suprapubic aspiration. Antimicrobial sensitivity was assessed using the disk diffusion (Kirby-Bauer) method. Results: The most common isolated pathogens were E. coli (45%), followed by Klebsiella spp (25%), Proteus spp (15%). The only gram-positive uropathogen was S. aureus affecting four (10%) neonates. Our study showed the highest overall drug sensitivity to imipenem (97.2%), amikacin (88.89%), and gentamicin (88.89%) and the highest resistance to amoxicillin (91.67%), ampicillin (77.78%), nalidixic acid (77.78%), and nitrofurantoin (77.78%) among gram-negative pathogens. Only one gram-positive pathogen (S. aureus) was detected, affecting four neonates. They were completely sensitive to vancomycin (100%) and linezolid (100%) but resistant to penicillin G (100%). Most E. coli pathogens were resistant to tetracycline (94.44%) and amoxicillin (94.44%), followed by ampicillin and cotrimoxazole (both 88.89%). All the E. coli were sensitive to colistin, imipenem, and meropenem. Discussion: In our study, the most frequent causative organism was E. coli isolates (45%), followed by Klebsiella spp (25%) and Proteus spp (15%). This is in agreement with almost all previous studies with different age groups worldwide. However, in another study conducted by Aljanaby et al. in Najaf governorate, the most frequent causative organism in outpatient adult cases was Klebsiella pneumonia (41.53%). Taheri et al. in Iran showed that most isolates were resistant to ampicillin (95.9%) and gentamicin (52.6%). Although 77.78% of our isolates were resistant to ampicillin, gentamicin accounted for one of the most potent antimicrobial agents (88.89%) against gram-negative organisms, reflecting regional differences. Our finding was consistent with another study conducted in Duhok city, Iraqi Kurdistan, which showed high susceptibility of gram-negative bacteria to aminoglycoside agents and carbapenem.","PeriodicalId":11183,"journal":{"name":"Current Pediatric Research","volume":"25 1","pages":"733-737"},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70028642","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A comparative study for the efficacy of lactoferrin-100 versus lactoferrin-100 and ferrous gluconate versus ferric hydroxide on irondeficiency anemia.","authors":"M. Kamal, Rezk Mm, Hafez Mh","doi":"10.35841/0971-9032.25.3.444-449","DOIUrl":"https://doi.org/10.35841/0971-9032.25.3.444-449","url":null,"abstract":"Objective: To estimate the effect of therapeutic doses of Lactoferrin 100, Lactoferrin 100 and ferrous gluconate compound, and Ferric Hydroxide polymaltose on the outcome of Iron Deficiency Anemia (IDA) in pediatric age group. Methods: 150 children aged above 2 years suffering from IDA were recruited from the Outpatient Clinic of Alexandria University Children's Hospital. Children with confirmed IDA randomly allocated into three subgroups, (50 children each), Group A were treated by Lactoferrin 100, one packet for 2 times daily, Group B were treated by Lactoferrin 100 and ferrous gluconate compound, one packet for 2 times daily, Group C treated by Ferric hydroxide polymaltose 6 mg/kg/day 3 times daily, all for 3 months after diagnosis. Results: There was no significant difference in the baseline levels of Hemoglobin (Hb), serum ferritin, serum iron (Fe), and total iron binding capacity among the three groups. In each group, all the biochemical indices were significantly improved when compared with baseline levels after 1.5 and 3 months of treatment (p=0.0001), but not for the mean of Fe in group A (Lactoferrin 100). There was no significant difference throughout the 3 month of treatment (p=0.700). There was a significant difference among the three groups as regards levels of Hb, iron and ferritin at 1.5 and 3 months of treatment, being the highest in the Lactoferrin 100 and ferrous gluconate compound group(B) (p=0.0001) followed by Ferric hydroxide polymaltose group(C). Conclusion: Lactoferrin with iron may be considered as a more effective alternative treatment than traditional iron salt preparations for treatment of IDA.","PeriodicalId":11183,"journal":{"name":"Current Pediatric Research","volume":"25 1","pages":"444-449"},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70027281","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Etiology COVID-19 mortality in Jakarta hospital in the first COVID-19 outbreak in Indonesia","authors":"Cicilia Windiyaningsih, Nurul Ulfah Hayatunnisa, Yenny Sulistowati, Tiwi Nurhastuti, Ign. Erik Sapta Yanuar, T. Rahardjo","doi":"10.35841/0971-9032.25.3.393-397","DOIUrl":"https://doi.org/10.35841/0971-9032.25.3.393-397","url":null,"abstract":"The cause of death for Covid-19 patients is still controversial, some say that the age of children under five and the elderly has a high risk of death, some report a high risk of co-morbid mortality, such as hypertension, diabetes mellitus, asthma, pneumonia Until now, there is no definite cure for the corona virus disease 19, while transmission from person to person through droplets makes it very easily transmitted The morbidity rate is high, and also the mortality rate is around 7% The aim of the study was to prove the etiology of the death of Covid-19 patients at Jakarta Hospital Research Method: Applied research method with case control design Samples of 41 patients died and control of 41 live Covid-19 patients Sampling for patients who died from March to June 2020 a total of 41 people and 41 living Covid-19 patients were taken by random sampling, data collection was using the Eijkman Institute standard questionnaire Frequency distribution analysis, chi square and multiple logistic regression Result: The descriptive results of male gender are 56 1%, minimum age 0 5 years, maximum 92 years, and average 54 years Young people 0 5-59 years, 63 4%, and 60-92 years 36 6% Religion of Islam 68 3%, Non-Muslim 31 7% Clinical symptoms of fever 22%, no fever 78%;shortness of breath 64 6%, pain 8 5%, cough 43 9%, lethargy 20 7%, headache 13 4%, diarrhea 12 2%, nausea 24 4%, pneumonia 74 4%, sore throat 2 4%, cold 1 2%, large stomach 1 2%, swollen legs 1 2%, oxygen saturation was up normal 38 46% Co morbidity: Hypertension 35 4%, Diabetes Mellitus 23 2%, HD/CKD 12 2% X-ray almost of them pneumonia (98 8%) PCR laboratory positive 34 1%, Rapid Anti Body reactive test 25 6 Whole blood test: Hb 4 9% up normal, up normal erythrocytes 42 7% , Hematocrit up normal 42 7%, up normal thrombocytes 28%, up normal leukocytes 54 9%, up normal lymphocytes 74 4%, up normal CRP 35 4%, GDS up normal 7 3%, up normal SGOT 45 1%, up normal SGPT 45 1% Urea up normal 43 9%, creatinine up normal 56 5%, sodium up normal 59 8%, potassium up normal 58 5%, calcium up normal 63 4%, chloride up normal 53 7% Medical Care: ICU 18 2%;ventilator 23 2%, IVFD 52 4%, Oxygen 32 9%, Diet 4 9% TB drugs 6 1%, Azithromycin 3 7% Asering 2 4%, OMZ 11%, Menden 11%, Cefrocidine 41 5%, Lasix 11%, Aspilet 3 7%, Milos 46 3%, Coagulant 3 7%, Dopamine 3 7%, Alloclamide 1 2%, Hazania 1 2%, Tamiflu 1 2%, Lefloxine 2 4%, Oseltamivir 26 8% Hedonic 4 9%, Paracetamol 2 4%, Kalmix 18 3% Amlodipine 14 6% Carnefit 8 5% Renovit 2 4%, Vit C 25 6% Vit E 18 3%, Vit D 1 2%, Vit A 1 2%, Vit B Complex 1 2%, Zinc 7 3%, Vit K 7 3%, Curcuma 8 5% Significant factors associated with death: pneumonia, cough, hypertension, O2 saturation Hb, erythrocyte, Vit A, milos and IVFD The end of the multiple logistic regression model only pneumonia and IVFD were significant Detail final research for pneumonia p value 0 001, Odd Ratio 33 904, 95% CI 3,965-299,906;IVFD p value 0 001 with OR 6 654, 95% CI 2 151-20 580 were contributed 50 5% ","PeriodicalId":11183,"journal":{"name":"Current Pediatric Research","volume":"25 1","pages":"393-397"},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70027362","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Zinc supplementation in neonatal bronchopulmonary dysplasia: Is it beneficial?","authors":"M. Elfarargy, D. Ali, G. Al-Ashmawy, Haidy Khattab","doi":"10.35841/0971-9032.25.7.652-656","DOIUrl":"https://doi.org/10.35841/0971-9032.25.7.652-656","url":null,"abstract":"Background: Neonatal Broncho Pulmonary Dysplasia (BPD) is a chronic chest disease that is caused by prolonged ventilation and oxygenation, leading to sever neonatal disability. Patients and methods: Prospective Randomized Clinical Trial (RCT) study which was done at Tanta University Hospital (TUH) from July 2016 to March 2018 on 100 preterm neonates who had Respiratory Distress (RD) and were put on Mechanical Ventilation (MV). The studied neonates were divided into 2 groups: group 1, which received Zn supplementation, and group 2, which received placebo. Urinary β2-microglobulin (B2M) and serum Krebs van den Lungen-6 (KL-6) levels were estimated on the 3rd day and the10th day of presence in the hospital. Results: Significant decline in urinary B2M and serum KL-6 levels occurred in neonates of group 1 who were given Zn compared with those in group 2 neonates, who received placebo (P<0.05). There was a significant decline in the time of incubator stay in group 1 neonates, compared with that of group 2 neonates (P<0.05). Group 1 neonates showed a significant decline in the development of established cases of BPD if compared with group 2 (P<0.05). Conclusion: Zn supplementation is beneficial in the prevention of neonatal BPD.","PeriodicalId":11183,"journal":{"name":"Current Pediatric Research","volume":"25 1","pages":"652-656"},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70027828","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Risk factors for type 1 diabetes mellitus in children live in Karbala province-Iraq.","authors":"Haider Nadhim Abdaljabbar, A. M. Al-Rubae, S. Faraj, H. Alsaffar, T. Taher","doi":"10.35841/0971-9032.25.7.663-668","DOIUrl":"https://doi.org/10.35841/0971-9032.25.7.663-668","url":null,"abstract":"Background: The most important autoimmune disease which affects children is Type 1 Diabetes Mellitus (T1DM). The main risk factor for this chronic condition is genetic that contributed to loci within the HLA complex. Even, the environmental issues triggering the disease are still unclear so this study aimed to identify the most important risk factors related to type 1 diabetes mellitus among children and adolescents. Methods: This is a descriptive cross-sectional study conducted among 50 confirmed diabetic children and adolescents visiting AL-Hussainy hospital in Karbala. Time of data collection continuous for two month i.e. July and August 2019. After consenting for voluntary participation in the study, parents were answering a special questionnaire containing demographic and risk factors data. Results: The age range of participate diabetic children was (18 months-17 years), around 70% of patients have never had a family history of diabetes and only 32% mentioned having thyroid diseases among their relatives. Analysis of the related maternal risk factors was showing the majority (84%) was drinking tea during pregnancy; no one had a smoking history. Only 6% diagnosed with gestational diabetes and 3% were treated with insulin. Regarding factors associated with the neonatal period, all children were delivered in the hospitals and 68% of these deliveries were normal and more than half 54% had no disease during their neonatal life. Most of the participant children (80%) continued their breastfeeding for more than 6 months. Conclusion: there are a lot of environmental risk factors related to pregnancy, neonatal period, and early childhood widely distributed among patients with type 1 DM and may have their role in causing diabetes among those patients.","PeriodicalId":11183,"journal":{"name":"Current Pediatric Research","volume":"25 1","pages":"663-668"},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70027870","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Diabetes and diabetic retinopathy in kazakhstan from 2013-2018.","authors":"Nurzhibek Beisembinova, L. Kosherbayeva, Aigul Balmukhanova, D. Hailey, K. Tolganbayeva, L. Seyduanova","doi":"10.35841/0971-9032.25.7.685-690","DOIUrl":"https://doi.org/10.35841/0971-9032.25.7.685-690","url":null,"abstract":"Background: Trends in the prevalence, incidence and distribution of diabetes and diabetic retinopathy in Kazakhstan were analyzed using national statistical data from 2013-2018. The purpose of this work was to contribute to future policy and health program decisions on management of these conditions. Methods: Trends in the prevalence, incidence and distribution of diabetes and diabetic retinopathy in Kazakhstan were analyzed using national statistical data from 2013-2018. Results: In adults, prevalence of Type 1 diabetes increased by 54% over this period. Prevalence for Diabetes Mellitus, Type 2 increased by 32% and incidence by 34%. Rates for women were 1.5 times higher than those for men. In children, prevalence of Diabetes Mellitus, Type 1 increased by 93% and incidence by 43%. Prevalence of diabetic retinopathy increased by 27% between 2015 and 2018. There was higher prevalence and incidence of diabetes in urban than in rural populations. Conclusions: Areas to consider for the health system include appropriate management of Diabetes Mellitus, Type 1 in children, electronic tracking of the diabetes chain following diagnosis, and support for treatment of diabetic retinopathy. This paper contributes to knowledge about the current status of diabetes and diabetic retinopathy in Kazakhstan and factors for consideration in their management. It also provides an indication of progress in the evolution of the health care system in a post-Soviet country.","PeriodicalId":11183,"journal":{"name":"Current Pediatric Research","volume":"22 1","pages":"685-690"},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70028105","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Features of the course of pregnancy and the outcomes of childbirth in women of different ages.","authors":"Begimbekova Lazzat, Aliyeva Elnara, Zhapar Maira, Demeuov Alibek, Kulzhabayeva Zhazira, Zholymbekova Lyailya","doi":"10.35841/0971-9032.25.7.691-696","DOIUrl":"https://doi.org/10.35841/0971-9032.25.7.691-696","url":null,"abstract":"This article presents the features of pregnancy in adolescence and old age associated with a high risk of adverse outcomes both during pregnancy and childbirth, and in the later period. The purpose of our study was to identify the features of pregnancy and childbirth, the postpartum period in young and elderly mothers. Materials and Methods: The history of pregnancy, childbirth and individual charts of newborns (n=330) were retrospectively analyzed, of which group I (n=150) young pregnant women aged 13-18 years, group II (n=80) pregnant women of favorable reproductive age (20-25 years) and group III (n=100) women of late reproductive period (40 years and older). Results: It was found that young primiparous women are somatically healthier, but sexually transmitted infections are significantly more common in the group of underage pregnant women (pIIII= 0.043) than in the group of late reproductive period. Pregnancy in adolescents often occurs against the background of anemia, placental insufficiency, moderate preeclampsia; childbirth is complicated by a large percentage of injuries. In the group of women of late reproductive age, diseases of the cardiovascular system, mainly arterial hypertension, obesity, and liver diseases predominate. Conclusion: Pregnancy in adolescent girls, as well as in age-related primiparous women, is a serious medical and social problem. Pregnant women in these groups are at high risk for miscarriage and require an individual approach to the management of pregnancy and childbirth.","PeriodicalId":11183,"journal":{"name":"Current Pediatric Research","volume":"25 1","pages":"691-696"},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70028112","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Spectrum of structural heart disease among adolescents in a tertiary health facility in Enugu, South East Nigeria.","authors":"O. OnukwuliVivian, M. ChinawaJosephat, A. UjunwaFortune, F. ChukwuBatholomew, O. ArodiweIjeoma, K. AdieleDabere, T. ChinawaAwoere, O. ObidikeEgbuna","doi":"10.35841/0971-9032.366-371","DOIUrl":"https://doi.org/10.35841/0971-9032.366-371","url":null,"abstract":"Background: Structural cardiac anomalies are neglected area of research among adolescents. Objectives: The objective of this study was to determine the pattern of presentation and clinical manifestations of structural cardiac diseases among adolescents attending UNTH, Enugu, Nigeria. Methods: An analysis of structural heart defects (congenital and acquired) seen among adolescents attending both the children outpatient clinic and cardiology clinic of the University of Nigeria Teaching Hospital (UNTH), Enugu was undertaken over a five-year period. Results: A total of 778 echocardiography was done among children from day 1 to 24 years. Of these, 51 adolescents had echo confirmed structural heart disease. Forty-two (42/51) 82.4% had congenital heart disease. Their age ranged between 120 and 242 months with a mean age of presentation as 168 (36.5) months. The overall prevalence rates of structural heart diseases among these adolescents was (51/14,849) 0.34%; while that for congenital was (42/14849) 0.28% and that for acquired was (9/14849) 0.06%. The commonest congenital heart disease observed in these adolescents was ventricular septal defect (16/51) 31.4%, and Tetralogy of Fallot (TOF) (12/51) 23.5%, followed by AV canal defect (6/51) 11.8%. The commonest acquired heart disease is Rheumatic Heart Disease (RHD), and observed in 9.8% followed by cardiomyopathy seen in 7.8% of cases. Among those with congenital heart disease, surgery was performed in 31.8% of the subjects. However, following surgery, 78.6% (11/14) still has residual heart defect. Conclusions: The results of this study show that 0.34% per cent of adolescents who attended UNTH in Enugu State had cardiac abnormalities. The prevalence of congenital and acquired heart diseases was 0.28% and 0.06% respectively. The commonest forms seen were those with VSD and RHD.","PeriodicalId":11183,"journal":{"name":"Current Pediatric Research","volume":"1 1","pages":"366-371"},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70028324","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}