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Pan Afr Med J ; 39(Suppl 1): 5, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34548897

RESUMO

INTRODUCTION: acute intestinal intussusception is a life-threatening surgical condition. In some settings, rotavirus vaccines have been associated with a low-level increased risk of intussusception. We describe the epidemiology, clinical manifestations and management of intussusception in a tertiary referral hospital in Burkina Faso prior to the introduction of rotavirus vaccine in October 2013. METHODS: we retrospectively reviewed medical records of all children under 5 years of age treated at the Charles de Gaulle Pediatric Hospital for intussusception meeting the Brighton level 1 diagnostic criteria, from October 31st, 2008 to October 30th, 2013. We report the incidence of intussusception as well as descriptive characteristics of these cases. RESULTS: a total of 107 Brighton level 1 intussusception cases were identified, representing a hospital incidence of 21.4 cases / year. There were 69 males and 38 females (sex ratio of 1.8), with a median age of 8 months (range 2 months to 4 years). Sixty-two percent of intussusception cases occurred among infants (n = 67 cases). The average time from symptom onset to seeking medical consultation was 3.8 days +/- 2.7 (range 0 to 14 days). Treatment was mainly surgical (105 patients, 98.1%) with 35 patients (32.7%) undergoing intestinal resection. Thirty-seven patients (35.5%) experienced post-operative complications. The mortality rate was 9.3%. Intestinal resection was a risk factor for death from intussusception. CONCLUSION: in this review of intussusception hospitalizations prior to rotavirus vaccine introduction in Burkina Faso, delays in seeking care were common and were associated with mortality.


Assuntos
Hospitalização/estatística & dados numéricos , Intussuscepção/epidemiologia , Complicações Pós-Operatórias/epidemiologia , Doença Aguda , Burkina Faso/epidemiologia , Pré-Escolar , Feminino , Humanos , Incidência , Lactente , Intussuscepção/mortalidade , Intussuscepção/terapia , Masculino , Estudos Retrospectivos , Fatores de Risco , Centros de Atenção Terciária , Tempo para o Tratamento
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