Ethiopian Journal of Pediatrics and Child Health最新文献_第3页

Pattern of skin diseases in children attending the dermatology clinic in Alert referral hospital, Addis Ababa, Ethiopia: a retrospective study 埃塞俄比亚亚的斯亚贝巴Alert转诊医院皮肤科门诊儿童的皮肤病模式:一项回顾性研究

Ethiopian Journal of Pediatrics and Child Health Pub Date : 2022-10-02 DOI: 10.4314/ejpch.v17i1.5

Zehara Gashaw, D. Shibeshi, L. Muhe

{"title":"Pattern of skin diseases in children attending the dermatology clinic in Alert referral hospital, Addis Ababa, Ethiopia: a retrospective study","authors":"Zehara Gashaw, D. Shibeshi, L. Muhe","doi":"10.4314/ejpch.v17i1.5","DOIUrl":"https://doi.org/10.4314/ejpch.v17i1.5","url":null,"abstract":"Background: A Skin disease, which is estimated to affect between 21 and 87% of children, are the reason for up to a third of outpatient visits to pediatricians and dermatologists. It can possibly re-sult in considerable anxiety, parental worry, and embarrassment to the child and lead to loss of confidence, disruption of social relations, and feeling of stigmatization. This study aimed to assess the pattern of skin diseases in children attending at ALERT referral hospital.Methods: The study setting is ALERT referral hospital, Addis Ababa, Ethiopia. A hospital-based, retrospective, cross-sectional descriptive study was carried out between July and August 2020. All children younger than 12 years, who were diagnosed for skin diseases from May 2018 to May 2020, were included. Four hundred twenty-three children were sampled using a random sampling method. SPSS Version 20 software was used for data analysis.Results: The results showed that 385(91%) of patients had one skin disease and the remaining 38(9%) had two or more skin diseases. Fungal infections were present in30.1% of the cases fol-lowed by eczema, which accounted for 27.4%. Among fungal infections, Tinea Capitis (106/116), 91.4% followed by Tinea Corporis and Tinea Pedis were the most common in ALERT dermatology clinic. Among eczema cases, family atopic dermatitis (82/106), 77% was the most common. The result showed seasonal variation in some diseases.Conclusion: Skin fungal infections were the most common followed by eczema, pigmentary dis-order, infestation, viral infection, urticaria, bacterial infection, and others. There was some sea-sonal variation in some diseases.","PeriodicalId":291906,"journal":{"name":"Ethiopian Journal of Pediatrics and Child Health","volume":"136 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125240678","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}

引用次数: 0

Outcome of preterm twins compared to preterm singleton neonates, a multicenter prospective observational study in Ethiopia 在埃塞俄比亚进行的一项多中心前瞻性观察研究:早产双胞胎与早产单胎新生儿的比较结果

Ethiopian Journal of Pediatrics and Child Health Pub Date : 2022-10-02 DOI: 10.4314/ejpch.v17i1.2

A. G. Demisse, Z. Tigabu, Y. H. Matebe, G. Amaru, Z. Bonger, Sara Aynalem, Aseat Dimtse, Workneh Netsanet Gidi, McClure Elizabeth, A. Nigussie, A. Mekasha, B. Worku, R. Pfister, R. Goldenberg, L. Muhe

{"title":"Outcome of preterm twins compared to preterm singleton neonates, a multicenter prospective observational study in Ethiopia","authors":"A. G. Demisse, Z. Tigabu, Y. H. Matebe, G. Amaru, Z. Bonger, Sara Aynalem, Aseat Dimtse, Workneh Netsanet Gidi, McClure Elizabeth, A. Nigussie, A. Mekasha, B. Worku, R. Pfister, R. Goldenberg, L. Muhe","doi":"10.4314/ejpch.v17i1.2","DOIUrl":"https://doi.org/10.4314/ejpch.v17i1.2","url":null,"abstract":"Background: In recent decades there has been a major increase in multiple birth rates, and the rate of twining vary from 6-9 per thousand life births to 20 per thousand live births across differ-ent areas of the world. Many studies have demonstrated higher neonatal and perinatal mortality and morbidity rates in twin deliveries compared to singleton births. This study was aimed to com-pare the outcomes of preterm twins and preterm singletons.Methods: A prospective, observational multicenter study was conducted from July 2016 to May 2018 in five tertiary hospitals in Ethiopia. All preterm, liveborn infants born at or transferred at less than 7 days of life to one of the study hospitals with an estimated gestational age below 37 weeks were included.Results: A total of 3,703 preterm neonates admitted to participating neonatal intensive care units were included in the study, of which 1171(31.6%) were twins. After adjusting for birth weight and gestational age, the mortality rate for preterm singletons of 31.0% was higher than the mortality rate for preterm twins of 24.8%, which was statistically significant (p-value = 0.001), OR of 1.37 (95% CI: 1.15 to 1.64). The study also identified an inverse relationship between birth weight and gestational age, and mortality. Male singletons were more likely to die than male twins (440 (32.4%) vs. 141 (23.4%); AOR 1.56 (95% CI: 1.22, 1.99); p=0.001)Conclusion: Our study showed that the mortality of a singleton preterm infant was significantly higher than the mortality of a preterm twin infant","PeriodicalId":291906,"journal":{"name":"Ethiopian Journal of Pediatrics and Child Health","volume":"54 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129096830","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}

引用次数: 1

Editorial: Child protection in the era of multiple emergencies 社论:多重紧急情况时代的儿童保护

Ethiopian Journal of Pediatrics and Child Health Pub Date : 2022-10-02 DOI: 10.4314/ejpch.v17i1.1

S. Lulseged

引用次数: 0

A-5-year analysis of pediatric brain tumors in a tertiary care center, in a sub-saharan African country. 撒哈拉以南非洲国家三级保健中心儿童脑肿瘤的5年分析

Ethiopian Journal of Pediatrics and Child Health Pub Date : 2022-10-02 DOI: 10.4314/ejpch.v17i1.4

Chalew Alemayehu Balcha, D. S. Awoke, Daniel Hailu Kefene

{"title":"A-5-year analysis of pediatric brain tumors in a tertiary care center, in a sub-saharan African country.","authors":"Chalew Alemayehu Balcha, D. S. Awoke, Daniel Hailu Kefene","doi":"10.4314/ejpch.v17i1.4","DOIUrl":"https://doi.org/10.4314/ejpch.v17i1.4","url":null,"abstract":"Background: Tumors of the central nervous system (CNS) are the second most common group of cancers in childhood, exceeded by the leukemias. It is the most common pediatric solid tumor accounting for 20% of all childhood malignancies. The pattern and outcome of these tumors in children has not been studied in Ethiopia. This study aimed to assess the epidemiology and out-come of pediatric brain tumors in a tertiary care center in Addis Ababa, Ethiopia.Methods: A retrospective review of medical records of children less than 15 years of age diag-nosed with primary brain tumor in Tikur Anbessa Specialized Hospital Department of pediatrics from January 1, 2014 to January 1, 2019 was done. Treatment outcome was assessed clinically based on resolution of symptoms and absence of neurologic disabilityResults: There were 86 children with the diagnosis of brain tumor in the study period and 49/86 (57%) were males and the male to female ratio was 1.5:1. The age at presentation ranges from 2.4-14 years (mean 7.1 years). Headache was the commonest presentation among 65/86 (75.5%) children while early morning vomiting accounted for 57/86 (66.2%). Ataxia and gait abnormality contributed to 42/86 (48.8%). Among the 41 children whose pathologic result was available, the commonest tumor was medulloblastoma 13/41 (31.7%), followed by astrocytoma 8/41 (19.5 %) and craniopharyngioma 5/41 (12.1%). Six months and 5 years survival was 40% (35/86) and 2.3% (2/86) respectively.Conclusion: Medulloblastoma and astrocytoma were common brain tumors in children, we had the longest PSI and as a result, very low survival which calls for early diagnosis and treatment.","PeriodicalId":291906,"journal":{"name":"Ethiopian Journal of Pediatrics and Child Health","volume":"33 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"117057452","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}

引用次数: 0

Admission and outcome patterns among neonates admitted to the Federal Police referral hospital's neonatal intensive care unit in Addis Ababa, Ethiopia 埃塞俄比亚亚的斯亚贝巴联邦警察转诊医院新生儿重症监护室新生儿的入院情况和结果模式

Ethiopian Journal of Pediatrics and Child Health Pub Date : 2022-10-02 DOI: 10.4314/ejpch.v17i1.3

Wondwossen Desta Atlaw, Etsehiwot Shiferaw

{"title":"Admission and outcome patterns among neonates admitted to the Federal Police referral hospital's neonatal intensive care unit in Addis Ababa, Ethiopia","authors":"Wondwossen Desta Atlaw, Etsehiwot Shiferaw","doi":"10.4314/ejpch.v17i1.3","DOIUrl":"https://doi.org/10.4314/ejpch.v17i1.3","url":null,"abstract":"Background: The rate of morbidity and mortality in the neonatal period remains high in Ethio-pia. Assessing the Neonatal intensive care unit cases regularly is vital as the disease pattern and mortality are not known in the police population.Objective: The aim of this study was to identify the number, types, clinical features of sick neo-nates admitted and their discharge outcome at the neonatal intensive care unit of Federal police hospital, Ethiopia since the time of its establishment two years ago.Methods: A hospital-based cross-sectional retrospective review of medical records of sick neo-nates 0-1 month of age admitted to the neonatal unit at the Federal police Hospital, Addis Ababa Ethiopia from September 01, 2019 to October 30, 2021.Results: The medical records of all 155 sick neonates during the study period were included in this study. Among the estimated 3600 deliveries at federal police hospitals during the study peri-od, the neonatal admission rate was 155/3600 (4.3 %). The majority of neonates, 130 (83.9%), were admitted with the age less than 48 hours. Ninety-one (58.7 %) were male and 64(41.3 %) were female neonates making the male to female ratio 1.4:1. Prematurity accounts for 54 (34.8%) of admissions. Sepsis was the main reason for admissions 58 (37.4%), followed by birth asphyxia 12 (7.7%), and neonatal jaundice 10(6.4 %). On discharge, 133 (85.8%) were improved and dis-charged, 2(1.29%) left against medical advice, and 3(1.9%) were referred while 17(10.9%) of the admitted patients died.Conclusion: Prematurity related causes, neonatal infection and birth asphyxia were the main rea-sons for neonatal admissions and neonatal mortality was high in the first 24 hours of age. Neonatal admissions at Federal Police Hospital NICU mirror the national profile of Ethiopian Neonatal In-tensive Care Units. Due attention should be given to address these issues and to reduce mortality.","PeriodicalId":291906,"journal":{"name":"Ethiopian Journal of Pediatrics and Child Health","volume":"83 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114782824","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}

引用次数: 0

Neonatal Tetanus: case series from Dilla univeristy referal hospital, Ethiopia 新生儿破伤风:来自埃塞俄比亚迪拉大学转诊医院的病例系列

Ethiopian Journal of Pediatrics and Child Health Pub Date : 2022-10-02 DOI: 10.4314/ejpch.v17i1.6

Shimelis Bonsa, Robel Hussen Kabythmer, Afomia Tadesse Tefera

{"title":"Neonatal Tetanus: case series from Dilla univeristy referal hospital, Ethiopia","authors":"Shimelis Bonsa, Robel Hussen Kabythmer, Afomia Tadesse Tefera","doi":"10.4314/ejpch.v17i1.6","DOIUrl":"https://doi.org/10.4314/ejpch.v17i1.6","url":null,"abstract":"Background: Neonatal tetanus is a deadly infection leading to 7-8% of neonatal mortality in de-veloping countries. WHO defines Neonatal tetanus as an illness in a child who has the normal ability to suck in the first 2 days of life, presented with failure to suck between 3rd and 28th days of life and has rigidity and spasms? Though Ethiopia declared maternal and neonatal tetanus elimination in 2017, there has been significant number of neonates presenting with this problem in Neonatal ICU’sMethods: This review characterized clinical profile, demography and outcome of seven neona-tal tetanus cases admitted at Dilla University hospital, neonatal ICU from September 11, 2018 to September11, 2020.Results: All mothers gave birth at home with unskilled birth attendant, local blade or knife was used to cut the cord. Median age for mothers was 26 years and two out of seven had antenatal care (ANC) follow up and took Two doses of tetanus toxoid (TT) vaccine. Fever, failure to suck, spasm and convulsions were the common presenting symptoms. The overall mortality was 70%.Conclusion: Continuous emphasis on antenatal tetanus immunization and safe delivery practic-es should be maintained. Clinicians caring for neonates should be aware of the presentations of neonatal tetanus to allow them to diagnose these patients early and initiate appropriate lifesaving management.","PeriodicalId":291906,"journal":{"name":"Ethiopian Journal of Pediatrics and Child Health","volume":"2012 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130619840","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}

引用次数: 0

Comparison of Common Adverse Neonatal Outcomes Among Preterm and Term Infants at the National Referral Hospital in Tanzania: A Case-Control Study 坦桑尼亚国家转诊医院早产儿和足月婴儿常见不良新生儿结局的比较:一项病例对照研究

Ethiopian Journal of Pediatrics and Child Health Pub Date : 2021-06-25 DOI: 10.21203/RS.3.RS-613224/V1

Bernadether T. Rugumisa, Raphael Zozimus Sangeda, E. Bongcam-Rudloff, S. Lyantagaye, S. Massawe

{"title":"Comparison of Common Adverse Neonatal Outcomes Among Preterm and Term Infants at the National Referral Hospital in Tanzania: A Case-Control Study","authors":"Bernadether T. Rugumisa, Raphael Zozimus Sangeda, E. Bongcam-Rudloff, S. Lyantagaye, S. Massawe","doi":"10.21203/RS.3.RS-613224/V1","DOIUrl":"https://doi.org/10.21203/RS.3.RS-613224/V1","url":null,"abstract":"\u0000 BackgroundThe first month of life is the most critical in a child’s heath because it is associated with the highest risk of adverse health outcomes. In Tanzania the risk of adverse health outcomes in preterm infants is five times higher compared to term infants.The objective of this study was to assess common adverse health outcomes and compare the risk of such outcomes between preterm and term infants, in Tanzania, within the first 28 days of life.MethodsThis was a case-control study involving preterm (cases) and term (controls) infants delivered at the Muhimbili National Hospital between August and October 2019 . About 222 pairs of cases and controls were reviewed for their medical records. Logistic regression was used to compare the risk of neonatal outcomes between the study groups. Statistical significance was achieved at P-value < 0.05 and 95% confidence interval.ResultsPreterm infants have an increased risk of mortality (OR = 7.2, 95% CI: 3.4-15.1), apnea (OR = 4.7, 95% CI: 3.4-15.1), respiratory distress syndrome (OR = 4.8, 95% CI: 3.2-7.3), necrotizing enterocolitis (OR = 5.5, 95% CI: 1.2-25.3), anemia (OR = 4.3 , 95% CI: 2.8-6.6), pneumonia (OR = 2.7, 95% CI: 1.6-4.6) and sepsis (OR = 2.6, 95% CI: 1.7-3.9) in the first month of life compared to term infants. No differences in the risk of intraventricular hemorrhage, bronchopulmonary dysplasia, patent ductus arteriosus and jaundice were observed between preterm and term infants. ConclusionThe findings of this study informs the Tanzanian health sector about the most common and high risk neonatal outcomes in preterm infants. Additionaly, for promoting neonates' health, the health sector needs to consider preventing and treating the most common and high risk adverse neonatal outcomes in preterm infants.","PeriodicalId":291906,"journal":{"name":"Ethiopian Journal of Pediatrics and Child Health","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-06-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128681989","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}

引用次数: 0