Time filter

Source Type

Diagne-Guye N.R.,Center hospitalier national denfants Albert Royer | Diack-Mbaye A.,Center hospitalier national denfants Albert Royer | Drame M.,University of Reims Champagne Ardenne | Drame M.,Center Hospitalier University Of Reims | And 8 more authors.
Journal de Pediatrie et de Puericulture | Year: 2011

Breastfeeding practice is very common in Senegal. Indeed, it is the way nearly 100% of women feed their child. However, in 42% of cases, this practice is accompanied by early water administration (before sixth months). This is very often because of socio-cultural representations. Our work aimed to describe and analyze knowledge and practices of a sample of women on children feeding, from birth to six months of age. Population and methods: It was a cross-sectional prospective study carried out from May 1st to June 30th, 2009. Qualitative data were recoded by face-to-face interviews with the mothers of six to 12 months old infants who frequented the two sites of the Institute of social and preventive paediatrics of the Cheikh Anta Diop university of Dakar (Senegal): the one being in the suburbs of Dakar (Pikine) and the other in a rural area (Khombole). Several topics were addressed: general knowledge on infants feeding, exclusive breastfeeding and the difficulties encountered in its practice, food introduced during exclusive breastfeeding and factors associated with their use. Results: The study dealt with 44 mothers. The average time of first breastfeeding after birth was 6 ± 12 h (range: 1 to 72 h). The first food received by the newborn was the mother's milk for 64% of the mothers (n = 28). The 16 other mothers (36%) administered the "Tokental" (traditional drink for the newborn) before the first breastfeeding. Thirty-eight mothers held information about exclusive breastfeeding. Early breastfeeding was carried out by 22 mothers (50%). Exclusive breastfeeding up to six months was done by 29 mothers (66%). The reasons put forward by the 15 other mothers to choose another food are various. Among the factors influencing the practice of exclusive breastfeeding, the educational level of the mothers appeared, even if the difference were not statistically significant. Conclusion: The practice of exclusive breastfeeding and early breastfeeding do not seem to be limited by knowledge but by sociocultural representations. Among the factors limiting the early breastfeeding, the most important seems to be the "Tokental". To improve the practices on infants feeding, it would be important to reinforce information by healthcare professionals about newborn babies. © 2010 Elsevier Masson SAS. All rights reserved. Source

Faye P.M.,Center hospitalier national denfants Albert Royer | Diagne-Gueye N.R.,Hopital Pour Enfants | Paraiso I.L.,Center hospitalier national denfants Albert Royer | Ba A.,Center hospitalier national denfants Albert Royer | And 9 more authors.
Journal de Pediatrie et de Puericulture | Year: 2016

Introduction.-Low birth weight (LBW) newborns (< 2500 g) need optimal caloric and nutritionalintakes to avoid extra-uterine growth retardation (EUGR), which have bad consequences fortheir future. This study aimed to evaluate frequency and factors associated with EUGR, at 40weeks post-conceptional (WPC) age (SPC) at the neonatal unit of Albert Royer National ChildrenHospital Center (ARNCHC) of Dakar.Materials and methods.-It was a retrospective study, from January 2011 to 31 December2012, including LBW newborn admitted in the unit. The data collected were: sociodemographic,obstetrical and perinatal, feeding and nutrition, immediate postnatal growth compared withthe reference growth curves. Data were analyzed with Epi Info version 3.5.1.Results.-We studied 98 LBW newborns, 78 preterm (79.6%) and 20 term (20.4%). Mean gesta-tional age at birth was 34.08 weeks of amenorrhea (WA) (28 to 39 WA) and mean birth weight was1643.7 g (700 to 2480 g). Enteral feeding was begun at mean age of 2.5 days (0 to 13 days). Atdays 3 and 7 of life, caloric intakes (respectively 53 ± 23 kcal/kg/day and 86 ± 37 g/kg/day) andprotidic intakes (respectively 0.9 ± 1.1 g/kg/day and 2.3 ± 1.6 g/kg/day) were low. Birth weightwas reached on average at 13.1 days (0 to 41). Mean weight gain was 7.85 g/kg/day duringadmission. EUGR at 40 WPC was present in 85.7% of newborn, weight insufficiency frequencyat 3 and 6 months corrected ages was respectively 60.5% and 41.2%. Variables associated withrisk of EUGR were: birth weight < 1643 g (P = 0.04), intra-uterine growth retardation (P = 0.003),beginning enteral feeding after day 2 of life (P = 0.004), neonatal infection (P = 0.027); lowcaloric intakes at day 3 < 53 kcal/kg/day (P = 0.0001), low lipidic and protidic intakes at day 3(P = 0.004).Conclusion.-EUGR is frequent in LBW newborns admitted in our unit. Low caloric and nutri-tional intakes in the first days of life are the main factors identified. We must urgently correctnutrition of seven first days by using parenteral nutrition and early enteral fortified nutrition. © 2015 Elsevier Masson SAS. Source

Diagne I.,Center hospitalier national denfants Albert Royer | Diagne-Gueye N.R.,Center hospitalier national denfants Albert Royer | Fall A.L.,Center hospitalier national denfants Albert Royer | Deme I.,Center hospitalier national denfants Albert Royer | And 4 more authors.
Archives de Pediatrie | Year: 2010

Splenomegaly is common in sickle cell disease (SCD) and can lead to complications. In order to evaluate its prevalence and progression in Senegalese children ad adolescents with SCD, we analyzed the records of all patients followed-up at Albert-Royer Children's Hospital in Dakar, Senegal, from January 1991 to December 2005. Age, clinical course specifying size of the spleen beyond the costal margin, and disease progression were the main data recorded. We included 698 patients (94.6% SS, 4.4% SC and 1% S-beta-thalassemia). The subjects' mean age when included in the cohort was 6 years and 11 months. Splenomegaly was observed in 122 patients (17.5 %), measuring 1-17. cm beyond the costal margin (mean, 4.7. cm). Splenomegaly was more frequent in SC patients (32.3 %) compared to SS patients (16.5 %, p=0.025). The frequency was greater in infants aged 0-12 months (25.6 %) and increased from the 1- to 5-year-old age group to the 6- to 10-year-old, before it decreased further. The course of splenomegaly was marked by subsequent reduction in 17.3 % of cases, total reversal in 43.4 %, and no size variation in 39.3 %. Acute splenic sequestration occurred in 3 SS cases aged 27, 29, and 32 months and was managed with blood transfusion. Seven patients (6 SS and 1 SC) aged 4-13 years presented hypersplenism. Splenectomy was performed in 4 of these cases, while the complication reversed after 2 to 3 blood transfusions in the 3 remaining cases. The prevalence of splenomegaly is relatively low in Senegalese children with SCD. The risk of complications requires monitoring the spleen and teaching parents palpation of the baby's abdomen for early management of splenic sequestration. © 2010 Elsevier Masson SAS. Source

Thiongane A.,Center hospitalier national denfants Albert Royer | Ndongo A.A.,Hopital dEnfants de Diamniadio | Ba I.D.,Center hospitalier national denfants Albert Royer | Boiro D.,Service de Pediatrie de lHopital Abass Ndao | And 13 more authors.
Pan African Medical Journal | Year: 2016

Hemolytic-uremic syndrome (HUS) is a common cause of organic acute renal failure (ARF) in children. It is a progressive complication of acute gastroenteritis (AGE), especially caused by Escherichia coli in children. This study aimed to describe the clinical, therapeutic and evolutionary aspects of this affection in four children. We collected four cases of HUS. The average age was 10,5 months (5-15mois), exclusively boys. Clinical examination revealed a hemolytic anemia (pallor and jaundice), oligoanuria and edematous syndrome (2 cases), arterial hypertension (1 patient), AGE associated with severe dehydration and hypovolemic shock (2 patients), consciousness disorders. ARF was found in all patients as well as thrombocytopenia and schizocytes smear. Direct Coombs test was negative. Hyperkalemia was found in 3 patients, of whom 1 with hyperkalemia level of more than 9.2 mmol/L, hyponatremia at 129 mmol/l (1 patient) and hypernatremia at 153 mmol/l (1 patient). HUS was secondary to pneumococcal pneumonia (1 patient) while AGE was secondary to E. coli (1 patient). The treatment was mainly symptomatic and included fluid restriction, transfusion of red cell concentrates, diuretics, peritoneal dialysis and hemodialysis. The evolution was marked by the onset of chronic renal failure (1 patient) after 6 months of follow-up and by recovery (1 case). Three patients died. HUS is the most common cause of organic acute renal failure in newborns. Diagnosis is essentially biological, treatment is mostly symptomatic. © Aliou Thiongane et al. Source

Ba I.D.,Center hospitalier national denfants Albert Royer | Ba A.,Center hospitalier national denfants Albert Royer | Thiongane A.,Center hospitalier national denfants Albert Royer | Ly Ba A.,Center hospitalier national denfants Albert Royer | And 5 more authors.
Archives de Pediatrie | Year: 2016

Malignant infantile osteopetrosis is a rare genetic disease characterized by increased bone density due to osteoclastic dysfunction. We report on the case of a 3-month-old girl who was referred to our hospital by the ENT department for severe anemia in the context of bilateral choanal atresia. Clinical examination showed failure to thrive, anemia, respiratory distress, bilateral choanal atresia, and chest deformation. The abdomen was soft with large hepatosplenomegaly. We noted a lack of eye tracking, no optical-visual reflexes, and left nerve facial paralysis. The blood count showed normocytic normochromic anemia with severe thrombocytopenia. The infectious work-up and blood smears were negative. The skeleton X-ray showed diffuse bone densification of the skull, long bones, pelvis, vertebrae, and ribs. The facial bone CT confirmed membranous choanal atresia. The molecular biology search for the TCIRG1 gene mutation was not available. The patient had supportive treatment (transfusion, oral steroid, vitamin D, oxygen, nutrition). Bone marrow transplantation was indicated but not available. She died at 6 months in a context of severe anemia and bleeding. Malignant infantile osteopetrosis is rare and symptoms are nonspecific. Diagnosis should be considered in young infants presenting refractory anemia, particularly in the context of choanal atresia. Bone marrow transplantation remains the only curative treatment. © 2016 Elsevier Masson SAS. Source

Discover hidden collaborations