[ Aspects épidémiologiques, cliniques et thérapeutiques du sepsis post raclage de la gorge chez les enfants de moins de 5 ans dans la zone de santé de Kailo: Du 1er Janvier 2019 au 31 Décembre 2021 ]
Volume 36, Issue 4, July 2022, Pages 1049–1054
Jean-Bosco Ramazani Mubwana1
1 Assistant de deuxième mandant, ISTM Kindu, RD Congo
Original language: French
Copyright © 2022 ISSR Journals. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Our study focused on the epidemiological, clinical and therapeutic aspect of post throat clearing sepsis in children aged 0 to 5 years in the Kailo Health Zone within the General Referral Hospital. Thus we set ourselves the three objectives namely: To determine the incidence of cases of sepsis post clearing of the throat; Identify the risks that children run after this practice; and Offer advice to our population. The target population of our study consists of all children under 5 years of age who have developed sepsis after throat clearing at home. Our sample consists of 787 children who underwent the practice of scraping at home and who came to the hospital in a table of complication of sepsis. For data collection, taking into account our objectives, we used the documentary analysis technique; this allowed us to search for the data that are related to our subject of study. These include: Entry register of patients hospitalized in the pediatric ward; Exit register of cured or improved patients which allowed us to know the outcome of our patients and; SNIS reports from the General Reference Hospital. To process the data, we used tables to calculate the different proportions of our desired indicators. At the end of our study we found the following results: - Compared to the incidence of cases: 787 children were victims of sepsis due to throat clearing at home out of a total of 4174 children admitted during the period of our study, i.e. a proportion of 18.8%. - Compared to the epidemiological aspect: The most affected age group is 4 to 5 years with a proportion of 64%, the sex most affected is female with a proportion of 62% and in the end most of children come from the outskirts of Kailo with a proportion of 65%; 95% of children had fever, 99.7% complained of throat pain; 87% had conjunctival pallor; 57.5% were vomiting. - Compared to biological elements: The sedimentation rate was greatly increased to 94.7%; Culture was 95% positive; A hyperleukocytosis of 94.7%; and We report here that the CRP was not done for lack of reagent. - Compared to the therapeutic aspects and evolution: 100% of children underwent scraping before arriving at the hospital and all these children received antibiotics and antipyretics, and 72% received anti-inflammatories not steroids. - Compared to the evolution of the patients: 23.1% died, and 76.9% were cured.
Author Keywords: Aspect, epidemiological, clinical, therapeutic, sepsis, scraping, throat, Kailo.
Volume 36, Issue 4, July 2022, Pages 1049–1054
Jean-Bosco Ramazani Mubwana1
1 Assistant de deuxième mandant, ISTM Kindu, RD Congo
Original language: French
Copyright © 2022 ISSR Journals. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Abstract
Our study focused on the epidemiological, clinical and therapeutic aspect of post throat clearing sepsis in children aged 0 to 5 years in the Kailo Health Zone within the General Referral Hospital. Thus we set ourselves the three objectives namely: To determine the incidence of cases of sepsis post clearing of the throat; Identify the risks that children run after this practice; and Offer advice to our population. The target population of our study consists of all children under 5 years of age who have developed sepsis after throat clearing at home. Our sample consists of 787 children who underwent the practice of scraping at home and who came to the hospital in a table of complication of sepsis. For data collection, taking into account our objectives, we used the documentary analysis technique; this allowed us to search for the data that are related to our subject of study. These include: Entry register of patients hospitalized in the pediatric ward; Exit register of cured or improved patients which allowed us to know the outcome of our patients and; SNIS reports from the General Reference Hospital. To process the data, we used tables to calculate the different proportions of our desired indicators. At the end of our study we found the following results: - Compared to the incidence of cases: 787 children were victims of sepsis due to throat clearing at home out of a total of 4174 children admitted during the period of our study, i.e. a proportion of 18.8%. - Compared to the epidemiological aspect: The most affected age group is 4 to 5 years with a proportion of 64%, the sex most affected is female with a proportion of 62% and in the end most of children come from the outskirts of Kailo with a proportion of 65%; 95% of children had fever, 99.7% complained of throat pain; 87% had conjunctival pallor; 57.5% were vomiting. - Compared to biological elements: The sedimentation rate was greatly increased to 94.7%; Culture was 95% positive; A hyperleukocytosis of 94.7%; and We report here that the CRP was not done for lack of reagent. - Compared to the therapeutic aspects and evolution: 100% of children underwent scraping before arriving at the hospital and all these children received antibiotics and antipyretics, and 72% received anti-inflammatories not steroids. - Compared to the evolution of the patients: 23.1% died, and 76.9% were cured.
Author Keywords: Aspect, epidemiological, clinical, therapeutic, sepsis, scraping, throat, Kailo.
Abstract: (french)
Notre étude a porté sur l’aspect épidémiologique, clinique et thérapeutique, du sepsis post raclage de la gorge chez les enfants de 0 à 5 ans dans la zone de santé de Kailo au sein de l’hôpital général de référence. Ainsi nous nous sommes fixés les trois objectifs à savoir: Déterminer l’incidence des cas de sepsis post raclage de la gorge; Identifier les risques que courent les enfants après cette pratique; et Proposer des conseils auprès de notre population. La population cible de notre étude est constitué des tous les enfants de moins de 5 ans qui ont développé le sepsis post raclage de la gorge à domicile. Notre échantillon est constitué de 787 enfants qui ont subi la pratique de raclage à domicile et qui sont venus à l’hôpital dans un tableau de complication de sepsis. Pour la récolte des données, tenant compte de nos objectifs, nous avons recouru à la technique d’analyse documentaire; celle-ci nous a permis de rechercher les données qui sont en rapport avec notre sujet d’étude. Il s’agit notamment: De registre d’entrée des malades hospitalisés au service de pédiatrie; De registre de sortie des malades guéris ou amélioré qui nous ont permis de savoir l’issu de nos patients et; Les rapports SNIS de l’hôpital Général de référence. Pour traiter les données nous nous sommes servis des tableaux en calculant les différentes proportions de nos indicateurs recherchés. Au terme de notre étude nous avons trouvé les résultants ci-après: - Par rapport à l’incidence de cas: 787 enfants ont été victimes des sepsis à cause de raclage de la gorge à domicile sur un total de 4174 enfants admis durant la période de notre étude soit une proportion de 18,8%. - Par rapport à l’aspect épidémiologique: La tranche d’âge la plus concernée est de 4 à 5 ans avec une proportion de 64%, le sexe le plus touché est le féminin avec une proportion de 62% et en fin la plupart d’enfants proviennent dans les périphéries de Kailo avec une proportion de 65%; 95% d’enfants présentaient la fièvre, 99,7% se plaignaient des douleurs à la gorge; 87% présentaient des pâleurs conjonctivales; 57,5% faisaient de vomissement. - Par rapport aux éléments biologiques: La vitesse de sédimentation étaient très augmentait à 94,7%; La culture était positive à 95%; Une hyperleucocytose de 94,7%; et Nous signalons ici que le CRP n’a pas été fait faute de réactif. - Par rapport à l’aspects thérapeutiques et évolution: 100% d’enfants ont subi le raclage avant d’arriver à l’hôpital et tous ces enfants ont reçus des antibiotiques et des antipyrétiques, et 72% ont reçus des anti-inflammatoires non stéroïdiens. - Par rapport à l’évolution des malades: 23,1% sont décédés, et 76,9% sont sortis guéris.
Author Keywords: Aspect, épidémiologique, clinique, thérapeutique, sepsis, raclage, gorge, Kailo.
How to Cite this Article
Jean-Bosco Ramazani Mubwana, “Epidemiological, clinical and therapeutic aspects of post-clearing throat sepsis in children under 5 years of age in Kailo Health Zone: From January 1st, 2019 to December 31, 2021,” International Journal of Innovation and Applied Studies, vol. 36, no. 4, pp. 1049–1054, July 2022.
