Identify the epidemiological characteristics, etiologies and evolutionary
aspects of dyspnea in infants.This was a retrospective study of infants hospitalized for dyspnea from
January 1 to December 31, 2020. The parameters studied were sex, age, origin,
vaccination status, existence of underlying pathology. Underlying, the
diagnosis and the evolutionary modalities. Data analysis and processing were
possible using Word, Excel and EPI info version 7 software. We retained 152
infants. The sex ratio was 1.34 and the median age was 4 months. Vaccines according to expanded immunization program (EPI) were
up to date in 76.32%. The main antecedents with risk identified were
malnutrition, hypotrophy at birth, interventricular communication. The
pathologies observed were low acute respiratory diseases in 90.79%, ENT
diseases in 04.60% and cardiac diseases in 03.95%. The median length of
hospitalization was 4 days. Infants who died accounted for 15.13%. The median
age of infants who died was 4 months. The median time to onset of death was
1.63 days. The risk factors for death were age < 6 months (p = 0.003; CI
[1.27; 9.33]), outdated vaccines (p = 0.012; CI [1.18; 5.17]), history with
risk (p = 0.031; CI [1.02; 4.54]). Dyspnea in infants remains a concern in our
service. Reducing mortality involves developing procedures for the management
of lower respiratory ailments, continuous staff training and strengthening the
technical platform.
References
[1]
De Delamare, J. and Garnier, M. (2011) Dictionnaire illustré des termes de médecine. 30th Edition, Maloine, Paris, 266.
[2]
Doumbia, A.K., Togo, P., Coulibaly, O., Dembélé, A., Sacko, K., Maiga, B., et al. (2018) La bronchiolite aiguë du nourrisson: à propos de 112 cas hospitalisés au département pédiatrie du CHU Gabriel Touré. Revue Malienne d’Infectiologie et de Microbiologie, 11, 42-47. https://doi.org/10.53597/remim.v0i1.985
[3]
Ly, F., Camara, B., Ly Ba, A., Sall Diouf, A., SaKho Kane, A., Sow, A., et al. (2019) Etude des caractéristiques épidémiologiques, cliniques, radiologiques et évolutives des infections respiratoires aiguës basses (IRAB) au service de Pédiatrie du CHN de Pikine (Dakar/Senegal). Revue Africaine et Malgache pour la Recherche Scientifique/Sciences de la Santé, 1, 108-118.
[4]
Benchekroun, I., Boubkraoui, M.E.M., Mekaoui, N., Karboubi, L., Mahraoui, C., Sououd, B., et al. (2017) Profil épidémiologique des pathologies respiratoires chez l’enfant à l’Hôpital d’Enfants de Rabat, Maroc. Pan African Medical Journal, 28, Article No. 288. https://doi.org/10.11604/pamj.2017.28.288.13405
[5]
Kinda, G., Millogo, G.R.C., Koueta, F., Dao, L., Talbousouma, S., Cissé, H., et al. (2015) Cardiopathies congénitales: Aspects épidémiologiques et échocardiographiques à propos de 109 cas au centre hospitalier universitaire pédiatrique Charles de Gaulle (CHUP-CDG) d’Ouagadougou, Burkina Faso. Pan African Medical Journal, 20, Article No. 81.
[6]
Fuger, M. and Cheron, G. (2020) Dyspnée aiguë du nourrisson. In: Bourrillon, A., Benoist, G., Chabrol, B., Chéron, G. and Grimprel, E., Eds., Pédiatrie pour le praticien, 7th Edition, Elsevier Masson, Paris, 715-718.
Nuytten, A. (2020) Prématurité: Généralités. EMC—Pédiatrie, 1-6.
[10]
Lopez, E. and Jarreau, P.-H. (2011) Prématurité et hypotrophie. In: Bourrillon, A., Brémond-Gignac, D., Brion, F., Chabrol, B., Chantepie, A., Chouraqui, J.-P., et al., Eds., Pédiatrie Pour le Praticien, 6th Edition, Elsevier Masson, Paris, 31-37.
[11]
Turc, D. (2020) Apports conseillés et alimentation du nourrisson. In: Bourrillon, A., Benoist, G., Chabrol, B., Chéron, G. and Grimprel, E., Eds., Pédiatrie Pour le Praticien, 7th Edition, Elsevier Masson, Paris, 113-119.
[12]
Fuger, M., Timsit, S. and Cheron, G. (2020) Bronchiolite aiguë du nourrisson. In: Bourrillon, A., Benoist, G., Chabrol, B., Chéron, G. and Grimprel, E., Eds., Pédiatrie Pour le Praticien, 7th Edition, Elsevier Masson, Paris, 718-720.
[13]
Bourrillon, A. (2017) Bronchiolite aiguë du nourrisson. In: Bourrillon, A., Benoist, G. and Delacourt, C., Eds., Pédiatrie: Réussir ses ECNi, 7th Edition, Elsevier Masson, Paris, 651-659.
[14]
Bourrillon, A. (2017) Pneumonies aiguës communautaires. In: Bourrillon, A., Benoist, G. and Delacourt, C., Eds., Pédiatrie: Réussir ses ECNi, 7th Edition, Elsevier Masson, Paris, 692-706.
[15]
Seck, N., Basse, I., Keïta, Y., Boiro, D., Thiam, L., Ndongo, A.A., et al. (2018) La bronchiolite aiguë du nourrisson en milieu tropical. Journal de Pédiatrie et de Puériculture, 31, 241-246. https://doi.org/10.1016/j.jpp.2018.09.007
Kané, B., Camara, M.A., Dembélé, G., Togo, S., Traoré, M.M. and Diallo, K.W. (2020) Aspect épidémiologique des Pneumopathies Aigues Communautaires de l’enfant dans le Service de Pédiatrie de l’Hôpital du Mali. Mali Sante Publique, 10, 64-70. https://doi.org/10.53318/msp.v10i1.1665
[18]
Brouard, J., Vabret, A., Nimal-Cuvillon, D., Bach, N., Bessière, A., Arion, A. and Freymuth, F. (2008) Bronchopneumopathies aiguës de l’enfant. EMC (Elsevier Masson SAS, Paris), Pédiatrie, 4-064-A-10, 16 p.
https://doi.org/10.1016/S1637-5017(08)72417-7
[19]
François, M. (2020) Infections ORL. In: Bourrillon, A., Benoist, G., Chabrol, B., Chéron, G. and Grimprel, E., Eds., Pédiatrie Pour le Praticien, 7th Edition, Elsevier Masson, Paris, 449-457.
[20]
Batisse, A. (2013) Etiologies des cardiopathies congénitales. In: Batisse, A., Fermont, L. and Lévy, M., Eds., Cardiologie Pédiatrique Pratique: Du fœtus à l’adulte, 4th Edition, Doin, Paris, 52-85
[21]
Iselin, M. (1999) Cardiopathies congénitales. EMC—Pédiatrie—Maladies Infectieuses, 1-6 [Article 4-070-A-05].
Gajdos, V. and Beydon, N. (2011) Bronchiolite aiguë du nourrisson. In: Beydon, N., Ed., Pneumologie Pédiatrique: Guide pratique, Elsevier Masson, Paris, 1-9.
https://doi.org/10.1016/B978-2-294-70932-6.00001-3
[24]
Fouad, M. (2020) Infections Pulmonaires. In: Bourrillon, A., Benoist, G., Chabrol, B., Chéron, G. and Grimprel, E., Eds., Pédiatrie Pour le Praticien, 7th Edition, Elsevier Masson, Paris, 457-463.
[25]
Sagbo, G.G., Padonou, C., Tohodjèdé, Y., Bognon, G., Bello, D. and Oké-Vê, F. (2017) Détresse respiratoire du nourrisson au CHUD-OP de Porto-Novo: épidémiologie, causes et évolution à propos de 320 cas. Journal Africain de Pédiatrie et de Génétique Médicale, 2, 40-46.