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Profil Épidémiologique, Clinique, Biologique et Évolutif de l’Anémie Néonatale à l’Hôpital de District de Bonassama/ Douala, Cameroun
| Content Provider | Semantic Scholar |
|---|---|
| Author | Koum, Danièle Kedy Essomba, Noel Emmanuel Epane, Marcel Grâce Ngame Mangamba, Laurent Mireille Endale Ndombo, Paul Olivier Koki |
| Copyright Year | 2018 |
| Abstract | RESUME Introduction. L’anemie est l’un des problemes de sante publique les plus frequents au monde et concerne tous les âges. Notre objectif etait d’etudier le profil epidemiologique, clinique, biologique et evolutif de l’anemie neonatale dans un Hopital de District urbain a Douala au Cameroun. Methodes. Il s’agit d’une etude retrospective menee dans l’unite de neonatologie de l’Hopital de District de Bonassama de janvier 2014 a mai 2014.Tous les dossiers medicaux de nouveau-nes d’âge compris entre 0 et 28 jours suivis ou hospitalises durant la periode allant de Janvier 2012 a Decembre 2013 (02 ans) et possedant au moins une numeration formule sanguine ont ete inclus. Les donnees cliniques, biologiques, et l’evolution des patients ont ete analysees. Les logiciels R et Graphpad Prism ont ete utilises. Le seuil de signification statistique a ete place a p<0,05. Resultats. Parmi les 626 nouveau-nes hospitalises, 381(60,86%) ont ete inclus. La prevalence hospitaliere de l’anemie neonatale etait de 57,2% ; elle etait significativement plus elevee en periode neonatale tardive (p = 0,0023). Le motif de consultation le plus frequent chez ces nouveau-nes etait la fievre. Les pathologies dominantes etaient l’infection [77%] et l’ictere [57%]. Le taux de mortalite neonatale global et le taux de letalite neonatale de l’anemie etaient respectivement de 9,2% et 5,8%. Cette difference n’etait pas significative (p =0,6). Conclusion. L’anemie est frequente chez le nouveau-ne malade a l’hopital de District de Bonassama. La presence d’une banque de sang au sein de l’hopital limite probablement la mortalite due a l’anemie mal toleree. ABSTRACT Introduction. Anemia is one of the most common public health problems in the world and affects all ages. Our objective was to report the epidemiological, clinical, biological and evolutionary profile of neonatal anemia in the urban District Hospital in Douala, Cameroon. Methods. This was a retrospective study conducted in the neonatal unit of the Bonassama District Hospital from January 2014 to May 2014. All medical records of newborns aged 0 to 28 days followed or hospitalized from January 2012 to December 2013 (02 years old) and having done at least one full blood count test were included. Clinical, biological, and patient outcomes were analyzed. The R and Graphpad Prism software were used for statistical analysis. P value <0.05 was considered significant. Results. Among the 626 hospitalized newborns, 381 (60.86%) were recruited. The hospital prevalence of neonatal anemia was 57.2%; this value was significantly higher in the late neonatal period (p = 0.0023). The most common reason for consultation was fever. The most common associated diseases were infection [77%] and jaundice [57%]. The overall neonatal mortality rate and the neonatal mortality due to anemia were 9.2% and 5.8%, respectively. This difference was not significant (p = 0.6). Conclusion. Anemia is common in the sick newborn at the Bonassama District Hospital. The presence of a blood bank in the hospital probably limits mortality due to poorly tolerated anemia. |
| File Format | PDF HTM / HTML |
| Volume Number | 19 |
| Alternate Webpage(s) | https://www.hsd-fmsb.org/index.php/hsd/article/download/1091/pdf_590 |
| Language | English |
| Access Restriction | Open |
| Content Type | Text |
| Resource Type | Article |
