Bacteriological Profile of Acute Respiratory Infections in Children: About a Prospective Study at the Albert Royer Hospital in Dakar
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Date
2021-03-08
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Scientific Research Publishing
Abstract
Introduction: Acute Respiratory Infections (ARI) is a global public health
priority. It is the leading cause of childhood morbidity and mortality, espe cially in developing countries. The main objective of this work was to look
mainly at the bacteriological aspects of ARI in children in Senegalese hospit als. Methodology: We have been conducted a prospective descriptive mono centric study over a period of one year (from July 1, 2017 to June 30, 2018) at
the Albert Royer National child hospital in Dakar. A multiplex PCR (protein
chain reaction) has been performed on nasopharyngeal swabs taken from all
patients. This technique (viral RNA transcribed into DNA, then the DNA of
the different pathogens is simultaneously amplified in the same tube by PCR
Fast-tract®, multiplex). Results: During the study period, 109 patients were
included. The hospital prevalence of acute respiratory infections was 3.7%.
The mean age was 23.7 months with extremes between 1 month and 144
months. Peaks of consultations were found in the months of August, March
and April with 22%, 15.6% and 12.8% respectively. Fever, respiratory distress
and pulmonary condensation syndrome were the main signs found in our pa tients. Bacteriology was positive in 82.6% of samples and the most frequently
found bacteria were Streptococcus pneumoniae in 38.5%, Haemophilus in fluenza b in 32.1% and Moraxella catarrhalis in 25.7%. Pneumonia was the
main diagnosis, found in 61 cases, a prevalence of 59.9%. The average length
of hospitalization was 10 days. Lethality was 1.8% or 2 cases. Conclusion:
Acute Respiratory Infections in children still remains a public health problem
in developing countries; children under 5 years of age are the most affected
hence the need to strengthen ARI control programs. The identification of germs
is indispensable in treatment and epidemiological surveillance in our regions.
Description
Keywords
Acute Respiratory Infection, Child, Bacteria, Dakar, A. M. Coundoul, S. Sow, K. Bop, Université Cheikh Anta Diop, CEA-SAMEF
Citation
Diagne, G., Kane, A., Mbaye, A., Coundoul, A.M., Sow, S., Bop, K., Sow, A., Ba, I.D. and Ndiaye, O. (2021) Bacteriological Profile of Acute Res piratory Infections in Children: About a Prospective Study at the Albert Royer Hos pital in Dakar. Open Journal of Pediatrics, 11, 71-77. https://doi.org/10.4236/ojped.2021.111007