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British Journal of Medicine and Medical Research, ISSN: 2231-0614,Vol.: 22, Issue.: 2

Original-research-article

Pattern and Trends of Respiratory Disease Admissions at the Emergency Paediatrics Unit of Jos University Teaching Hospital – A Four Year Review

 

Esther S. Yiltok1*, Helen O. Akhiwu1, Christopher S. Yilgwan1, Emeka U. Ejeliogu1, Collins John1, Augustine O. Ebonyi1 and Stephen Oguche1

1Department of Paediatrics, Jos University Teaching Hospital, Jos, Nigeria.

Article Information
Editor(s):
(1) Angelo Giardino, Texas Children’s Hospital, Houston, Texas and Pediatrics, Baylor College of Medicine, Houston, TX, USA.
Reviewers:
(1) Charbell Miguel Haddad Kury, University of Rio de Janeiro, Brazil.
(2) Ezeonu, Chinonyelum Thecla, Ebonyi State University Teaching Hospital, Abakaliki, Nigeria.
(3) Mujibul Hoque, Sylhet MAG Osmani Medical College, Sylhet, Bangladesh.
Complete Peer review History: http://www.sciencedomain.org/review-history/19462

Abstracts

Aims: Respiratory diseases contributes substantially to the number of Paediatric admissions and deaths especially in low income countries. Understanding the trends will help in health planning and resource distribution. This study is to describe the pattern and trend of respiratory diseases in children in a tertiary healthcare facility in north-central Nigeria.

Study Design:  This study was a retrospective study including all patients admitted and managed with respiratory diseases. The relevant clinical information was extracted from the hospital records.

Place and Duration of Study: The Emergency Paediatric Unit (EPU) of the Jos University Teaching Hospital (JUTH), Jos Nigeria, between January 2012 and December 2015.

Methodology: A total of 2277 children aged 6 weeks-18 years were admitted into the unit within the study period. Out of these, 498 (21.9%) were diagnosed with respiratory disease. Clinical records were retrieved and reviewed. Those with inconclusive diagnosis as well as those with associated co-morbidities such as cardiac anomalies were excluded. The data collected were entered and analyzed using Epi Info version 7.2. Student t-test and chi-square test were used to analyze categorical and continuous variables respectively.

Results: Pneumonia accounted for 54.4% of total respiratory diseases. Cases of Pneumonia were mostly seen at the peak of the rainy and the harmattan seasons. (March, June/July and October/November). The highest number of cases of respiratory diseases were in the under-fives.  The commonest complication was congestive cardiac failure and it was commoner in the younger age group.

Conclusion: The prevalence of respiratory diseases remains high and contributes significantly to hospital admissions especially in the under five children. There is need to introduce new vaccines and re-enforce existing immunization against common organisms that cause pneumonia in children. There is also need to introduce policies that would ensure appropriate treatment for children to reduce the burden of these diseases.

Keywords :

Respiratory diseases; pneumonia; prevalence; children.

Full Article - PDF    Page 1-6

DOI : 10.9734/BJMMR/2017/34099

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