Keywords
infant
risk factors
Niamey
How to Cite
Abstract
Introduction :
Severe acute malnutrition contributes significantly to infant and child mortality. In Niger, the overall prevalence of malnutrition was 12.7%. The objective of this study was to study the predictive factors of the occurrence of acute malnutrition in infants aged 6 to 24 months.
Material and methods :
This was a descriptive cross-sectional study with prospective data collection. The study population consisted of infants aged 6 to 24 months as the primary target. The data had been collected by questioning the parents of these children and by clinical examination of the patients, then supplemented through the exploitation of the hospitalization files of the patients. The proportions were compared using the Pearson Chisquare statistical test at the 5% significance level and a 95% CI.
Results :
The prevalence was 51.96%. The male gender was in the majority with 54.09%. The age group 12 to 24 months was the most represented with 53.38%, the average age was 13.45 months. Parents were of low socioeconomic level in 53.38% of patients. The conduct of food diversification was bad in 56.59%. The low socioeconomic level of the parents, poor dietary diversification, fever, diarrhea and vomiting were significant risk factors for the occurrence of severe acute malnutrition in children (OR> 1, p-value <0 .05 with 95% CI).
Conclusion :
Severe acute malnutrition remains a public health problem in our hospitals/Niger. It is associated with several risk factors including malaria, diarrhea, fever or poor dietary diversification.
References
1. Organisation Mondiale de la Santé (OMS). La prise en charge de la malnutrition aiguë sévère : manuel à usage des médecins et autres personnels de santé à des postes d’encadrement. OMS 2000 ; 8 : 80-142
2. Zhang X, Zhang L, Pu Y, Sun M, Zhao Y, Zhang D et al. Global, Regional, and National Burden of Protein-Energy Malnutrition: A Systematic Analysis for the Global Burden of Disease Study. Nutrients. 2022 Jun 22;14(13):2592. doi: 10.3390/nu14132592.
3. United Nations Children’s Fund, World Health Organization, World Bank Group. Levels and trends in child malnutrition Joint child malnutrition estimates. Key findings of the 2015 edition. Geneva: WHO; 2015.
4. Organisation Mondiale de la Santé (OMS). Plan Stratégique pour réduire le double fardeau de la malnutrition dans la region Africaine de l’OMS 2019-2025. [Internet] 2019 [Consulté le 13 Juillet 2023]. Disponible sur : https://apps.who.int/iris/handle/10665/3315
5. Institut National de la Statistique (INS), Niger. Rapport enquête nationale de nutrition selon la méthodologie smart. [Internet] 2020 [Consulté le 19 Novembre 2022]. Disponible sur : https://www.statniger.org/wpcontent/uploads/nutrition/RAPPORT_SM ART_Niger_2020_VF.pdf
6. Médecins Sans Frontières (MSF). Malnutrition Aigüe Sévère. [Internet] 2022 [Consulté le 13 Juillet 2023]. Disponible sur : https://medicalguidelines.msf.org/fr/viewp ort/CG/francais/malnutrition-aigue-severe16689430.html
7. Camara E, Diop M, Barry I, Conde I, Barry A, Bah M. et al. Malnutrition Aigüe Sévère avec Complications chez les Enfants de 0 à 59 Mois: Aspects Épidémiologiques, Cliniques et Thérapeutiques au Service de Pédiatrie de Labé (Conakry). Health Sci Dis 2021; 22 (7) : 6-10.
8. Traoré F, Maiga B, Diall H, Sissoko S, Sacko K, Konaté D, et al. Prise en charge de la malnutrition aiguë chez l’enfant dans un hôpital secondaire sahélien. Mali Méd 2020 ; 35(35) : 32-37
9. Mwangome M, Ngari M, Fegan G, Mturi N, Shebe M, Bauni E et al. Diagnostic criteria for severe acute malnutrition among infants aged under 6 mo. Am J Clin Nutr. 2017 Jun;105(6):1415-23.
10. Munirul IM, Arafat Y, Connell N, Mothabbir G, McGrath M, Berkley JA et al Severe malnutrition in infants aged <6 months-Outcomes and risk factors in Bangladesh: A prospective cohort study. Matern Child Nutr. 2019 Jan;15(1):e12642. doi: 10.1111/mcn.12642.
11. Kaboré A., Ido R., Ouédraogo SP. Malnutrition aiguë chez les enfants de moins de 6 moins: prévalence intra hospitalière. Revue du CAMES 2019 ; 1(2) : 23-26
12. Azoumah KD., Guedehoussou T., Tsolenyanu E., Douti K., Yarbondjo Y., Bakondé B. et al. Aspects épidémiologiques et diagnostiques de la dénutrution aiguë sévère chez les enfants de moins de cinq ans dans la commune de Kara. Journal de la Recherche Scientifique de l’Université de Lomé 2012 ; 14(1) : 11-15
13. Chowdhury R, Nitika, Choudhary TS, Taneja S, Martines J, Bhandari N et al. Diagnostic measures for severe acute malnutrition in Indian infants under 6 months of age: a secondary data analysis. BMC Pediatr. 2021 Apr 1;21(1):158. doi: 10.1186/s12887-021-02629-9.
14. Bonkano D, Garba M, Maman MS, Naneito MN, Kamaye M. Evaluation de la prise en charge de malnutrition aiguë sévère dans le service de CRENI du Centre Hospitalier Régional (CHR) de Niamey. European Scientific Journal 2020 ; 16(24) : 27-30
15. Van I., Camara MD., Demé LI. Traitement hospitalier et ambulatoire de la malnutrition aiguë sévère chez les nourrissons de moins de 6 moins, une étude qualitative du Sénégal. Heath Serv Res 2019 ; 19(1) : 32-35
16. White L. Auditing the identification and inpatient management of acute malnutrition in infants under six months in Malawi. Field Exchange 52. 2016 May 15:32.
17. Vygen SB, Roberfroid D, Captier V, Kolsteren P. Treatment of severe acute malnutrition in infants aged <6 months in Niger. J Pediatr. 2013 Mar;162(3):515-521.
18. Maguy KS, Olivier M, Augustin MM, Paul MM, Edouard KS, Benjamin KK et al. Etude épidémio-clinique des diarrhées aiguës à rotavirus chez les nourrissons à l’hôpital Jason Sendwe de Lubumbashi, République Démocratique du Congo. Pan African Medical Journal. 2015; 21:113 doi:10.11604/pamj.2015.21.113.5737.
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