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Sylla, M., Coulibaly, Y., Dickofi Kourouma, N., Togo, B. and Keita, M.M. (2006) Accidental Acute Poisoning in Pediatric Children at Gabriel TOURE Hospital. Mali Medical, 21, 53-3.

has been cited by the following article:

  • TITLE: Ingestion of Caustics by Children in Brazzaville (CONGO)

    AUTHORS: Lucie Charlotte Atipo-Ibara Ikobo Ollandzobo, Clausina Ahoui-Apendi, Jile Florient Mimiesse-Monamou, Jean Robert Mabiala Babela, Deby-Gassaye  , Blaise Irénée Atipo Ibara, Jean-Rosaire Ibara

    KEYWORDS: Caustic Lesions, Child, Brazzaville

    JOURNAL NAME: Open Journal of Pediatrics, Vol.8 No.3, September 30, 2018

    ABSTRACT: Ingestion of caustics by children is serious because of the increase in their frequency and the difficulties due to their management. Objective: To improve the management of caustic lesions in Pediatric Department at the University Hospital of Brazzaville. Patients and Methods: Prospective study was conducted from January 2014 to December 2015 in the Pediatric Departments of the UHB and centers of digestive endoscopy in Brazzaville. All children who ingested a caustic product and hospitalized were included after obtaining parental’s consent. The studied parameters were: Age, sex, nature and quantity of the caustic, the family’s attitude, clinical signs, endoscopic results according to Zagar’s classification, therapeutic modalities and evolution. Results: 8292 children were hospitalized and 68 because of the ingestion of caustic, a frequency of 0.8%. The average age was 23.6 months [2 months - 16 years]. The male sex was predominant (57.4%). Ingestion was accidental in 88.2% and voluntary in 11.8%. Factors favoring ingestion were storage methods (81.5%) and parental’s inattention or negligence (10.8%). Bleach was the most incriminated caustic (54.4%) followed by caustic soda (29.4%). The estimated quantity ingested was assumed to be minimal in 61.7%. Unsuitable acts were practiced by the family before the medical consultation in 66.1%. The dominant symptoms were digestive (47%) and neurological (25%). The average time to perform endoscopy was 48 hours in 88.2%. Endoscopy revealed lesions in 51.7%, the different stages were I (12 cases), II (16 cases) and III (3 cases). The mains factors of gravity were inappropriate gestures (85%) and the non-respect of the fasting (9%). Proton pump inhibitors were used in 50%. The evolution was favorable for in 73.5%. Conclusion: Ingestion of caustics by children is most often accidental favored by the inadequate packaging and storage. Prevention is about educating people in order to reduce their frequency.

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