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Therapeutic and Evolutionary Profiles of Children Aged 0-59 Months: A Case Study of Severe Acute Malnourished Treated at Hôpital Notre Dame Des Apôtres, N'Djamena

Received: 26 February 2024     Accepted: 14 March 2024     Published: 2 April 2024
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Abstract

According to the World Health Organization, malnutrition is a pathological condition resulting from the relative or absolute insufficiency or excess of one or more essential nutrients, whether manifested clinically or detected only by biological, anthropometric or physiological analyses. It remains a major public health problem. The aim of this study was therefore to determine the therapeutic and evolutionary profiles of Severe Acute Malnutrition patients at Notre Dame des Apôtres Hospital in N'Djaména (Chad). This was a prospective, descriptive study carried out on 7 months, from January 1 to July 31, 2023. This included all severely acutely malnourished children with medical complications admitted to the hospital's therapeutic nutrition unit. The variables studied were therapeutic and evolutionary. Data were entered and analyzed using Excel 2016 spreadsheet and SSPS 18.0 software. Among the 1454 children admitted to the unit during our study, 41.82% were stabilized, 6.75% cured and 0.79% abandoned, with an average length of stay of 8.67 days. The mortality rate was 1.76%. Children on F75 accounted for 46%, 37% on plumpy nut and 10% on F100. Antibiotics and multivitamins are routinely used in the management of malnourished children. The results of this study show that parent education could be an asset in the management of severe acute malnutrition.

Published in International Journal of Nutrition and Food Sciences (Volume 13, Issue 2)
DOI 10.11648/j.ijnfs.20241302.12
Page(s) 20-23
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Children Aged 0-59 Months, Severe Acute Malnutrition, Therapeutic, Evolutionary, N'Djaména

References
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[2] UNICEF, WHO, The World Bank, United Nations Population Division, (2015). The Inter-Agency Group for Child Mortality Estimation (UN IGME). Levels and Trends in Child Mortality. Report 2013. New York, USA.
[3] Organisation Mondiale de la Santé. Prise en charge communautaire de la malnutrition aiguë sévère [Community-based management of severe acute malnutrition].
[4] Institut National de la Statistique (INSTAT) (2016). Enquête nutritionnelle et de mortalité rétrospective [Retrospective Nutrition and Mortality Survey]. Mali, 75p.
[5] Mudekereza, (2017). Malnutrition chez l’enfant de moins de 5 ans à Lubumbashi et ses environs: Approche épidémio-clinique et biochimique dans un milieu minier [Malnutrition in children under 5 years of age in Lubumbashi and its surroundings: Epidemio-clinical and biochemical approach in a mining environment]. [République démocratique du Congo]: Université de Lubumbashi; p207.
[6] UNICEF, (2011). Rapport annuel de l’UNICEF sur la prise en charge de la malnutrition sévère [UNICEF Annual Report on the Management of Severe Malnutrition]. URL:
[7] DNTA, (2022). Rapport final de l’enquête nationale de nutrition et de mortalité rétrospective SMART 2021 [Final Report of the 2021 SMART National Retrospective Nutrition and Mortality Survey]. Ministère de la santé publique et de la prévention, Ndjamena, Tchad 51p.
[8] Nations Unie, (2018). Agenda des Nations Unies pour la nutrition au Tchad: Réduction de la malnutrition sous toutes ses formes [UN Nutrition Agenda in Chad: Reducing malnutrition in all its forms]. Tchad: UN; 27p.
[9] DNTA, (2019). Rapport final de l’enquête nationale de nutrition et de mortalité rétrospective SMART 2020 [Final Report of the 2020 SMART National Retrospective Nutrition and Mortality Survey]. Ministère de la santé publique et de la prévention, Ndjamena, Tchad.
[10] Adibord M. Y., (1998). Sites urbains, les problèmes des inondations à N’Djamena [Urban sites, the problems of flooding in N'Djamena]. Mémoire de fin d’étude en Géographie, Université de Provence Aix Marseille (France).
[11] Organisation Mondiale de la Santé, (2019). Les normes de croissance de l’enfant [The norms of the child's growth]. [En ligne]. [Consulté le 22 Septembre 2023].
[12] Malonga D A, Mouyokani E I, Baghamboula P, Ndoundi L, Ndoudi M, Ndoumba T, (2008). Prise en charge des enfants malnutris sévères à l’hôpital de base de Makélékélé Brazzaville-Congo [Care for severely malnourished children at the basic hospital in Makélékélé Brazzaville-Congo]. Méd. Afr. Noire; 55(6): 258-62.
[13] Diarrassouba G. et coll, (2010). « Causes d’hospitalisation des enfants infectés par le VIH en Côte d’Ivoire» [Causes of hospitalization of HIV-infected children in Ivory Coast]. Arch. Péd, 2010, 17(6): 168.
[14] Koné A., (2014). Causes d’hospitalisation des enfants infectés par le VIH dans le service de Pédiatrie du CHU-GT [Causes of hospitalization of HIV-infected children in the Pediatrics Department of the CHU-GT]. Thèse de médecine, Bamako; (230): 51-54.
[15] Yenan JP, Plo KJ, Asse KV, Kondji YS, Yeboua YKR, Ouattara KS, Yao KC, Aka KMAH, (2014). Prise en charge de la malnutrition aiguë sévère à l’unité de nutrition thérapeutique du CHU de Bouaké [Management of severe acute malnutrition at the therapeutic nu-trition unit of the Bouaké University Hospital]. Rev Int Sc Méd; 16(2): 94-99.
[16] Mbusa Kambale R, Bwija Kasengi J, Mutendela Kivukuto J, Murhula Cubaka L, Masumbuko Mungo B, Bisimwa Balaluka G, (2016). Profil infectieux et mortalité des enfants âgés de 0 à 5 ans admis pour malnutrition aiguë sévère: étude de cohorte rétrospective au Centre Nutritionnel et Thérapeutique de Bukavu, République Démocratique du Congo [Infectious profile and mortality of children aged 0-5 years admitted for severe acute malnutrition: a retrospective cohort study at the Nutritional and Therapeutic Centre of Bukavu, Democratic Republic of Congo]. Pan African Medical Journal.; 23: 139.
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  • APA Style

    Aristide, K., Doutoum, A. A., Nazal, A. M., Abakoura, B., Laurent, K., et al. (2024). Therapeutic and Evolutionary Profiles of Children Aged 0-59 Months: A Case Study of Severe Acute Malnourished Treated at Hôpital Notre Dame Des Apôtres, N'Djamena. International Journal of Nutrition and Food Sciences, 13(2), 20-23. https://doi.org/10.11648/j.ijnfs.20241302.12

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    ACS Style

    Aristide, K.; Doutoum, A. A.; Nazal, A. M.; Abakoura, B.; Laurent, K., et al. Therapeutic and Evolutionary Profiles of Children Aged 0-59 Months: A Case Study of Severe Acute Malnourished Treated at Hôpital Notre Dame Des Apôtres, N'Djamena. Int. J. Nutr. Food Sci. 2024, 13(2), 20-23. doi: 10.11648/j.ijnfs.20241302.12

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    AMA Style

    Aristide K, Doutoum AA, Nazal AM, Abakoura B, Laurent K, et al. Therapeutic and Evolutionary Profiles of Children Aged 0-59 Months: A Case Study of Severe Acute Malnourished Treated at Hôpital Notre Dame Des Apôtres, N'Djamena. Int J Nutr Food Sci. 2024;13(2):20-23. doi: 10.11648/j.ijnfs.20241302.12

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  • @article{10.11648/j.ijnfs.20241302.12,
      author = {Kemoral Aristide and Abdelsalam Adoum Doutoum and Alhadj Markhous Nazal and Barka Abakoura and Kodji Laurent and Gondimo Gabdibe Elysée and Tog-Yangue Allanidjimte and Abdelsalam Tidjani},
      title = {Therapeutic and Evolutionary Profiles of Children Aged 0-59 Months: A Case Study of Severe Acute Malnourished Treated at Hôpital Notre Dame Des Apôtres, N'Djamena},
      journal = {International Journal of Nutrition and Food Sciences},
      volume = {13},
      number = {2},
      pages = {20-23},
      doi = {10.11648/j.ijnfs.20241302.12},
      url = {https://doi.org/10.11648/j.ijnfs.20241302.12},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijnfs.20241302.12},
      abstract = {According to the World Health Organization, malnutrition is a pathological condition resulting from the relative or absolute insufficiency or excess of one or more essential nutrients, whether manifested clinically or detected only by biological, anthropometric or physiological analyses. It remains a major public health problem. The aim of this study was therefore to determine the therapeutic and evolutionary profiles of Severe Acute Malnutrition patients at Notre Dame des Apôtres Hospital in N'Djaména (Chad). This was a prospective, descriptive study carried out on 7 months, from January 1 to July 31, 2023. This included all severely acutely malnourished children with medical complications admitted to the hospital's therapeutic nutrition unit. The variables studied were therapeutic and evolutionary. Data were entered and analyzed using Excel 2016 spreadsheet and SSPS 18.0 software. Among the 1454 children admitted to the unit during our study, 41.82% were stabilized, 6.75% cured and 0.79% abandoned, with an average length of stay of 8.67 days. The mortality rate was 1.76%. Children on F75 accounted for 46%, 37% on plumpy nut and 10% on F100. Antibiotics and multivitamins are routinely used in the management of malnourished children. The results of this study show that parent education could be an asset in the management of severe acute malnutrition.},
     year = {2024}
    }
    

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    AB  - According to the World Health Organization, malnutrition is a pathological condition resulting from the relative or absolute insufficiency or excess of one or more essential nutrients, whether manifested clinically or detected only by biological, anthropometric or physiological analyses. It remains a major public health problem. The aim of this study was therefore to determine the therapeutic and evolutionary profiles of Severe Acute Malnutrition patients at Notre Dame des Apôtres Hospital in N'Djaména (Chad). This was a prospective, descriptive study carried out on 7 months, from January 1 to July 31, 2023. This included all severely acutely malnourished children with medical complications admitted to the hospital's therapeutic nutrition unit. The variables studied were therapeutic and evolutionary. Data were entered and analyzed using Excel 2016 spreadsheet and SSPS 18.0 software. Among the 1454 children admitted to the unit during our study, 41.82% were stabilized, 6.75% cured and 0.79% abandoned, with an average length of stay of 8.67 days. The mortality rate was 1.76%. Children on F75 accounted for 46%, 37% on plumpy nut and 10% on F100. Antibiotics and multivitamins are routinely used in the management of malnourished children. The results of this study show that parent education could be an asset in the management of severe acute malnutrition.
    VL  - 13
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Author Information
  • Department of Biology and Human Health, University of N’Djamena, N’Djamena, Republic of Chad

  • Department of Biomedical and Pharmaceutical Sciences, Adam Barka University of Abéché, Abéché, Republic of Chad

  • Department of the Environment Sciences, University of Sarh, Sarh, Republic of Chad

  • Department of Engineering Sciences, Polytechnic University of Mongo, Mongo, Republic of Chad

  • Department of Microbiology, Food Quality Control Center (CECOQDA), N'Djamena, Republic of Chad

  • Department of Biology and Human Health, University of N’Djamena, N’Djamena, Republic of Chad

  • Department of Nutrition, Notre Dame des Apôtres Hospital, N’Djamena, Republic of Chad

  • Department of Biology and Human Health, University of N’Djamena, N’Djamena, Republic of Chad

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