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  1. Article ; Online: Otitis media with effusion in children aged 2-12 years attending the paediatric clinic at Mulago National Referral Hospital, a Ugandan tertiary hospital: a cross-sectional study.

    Bamaraki, Kabagambe / Namwagala, Justine / Hidour, Rym / Bambi, Emma Nsalazi

    BMC pediatrics

    2022  Volume 22, Issue 1, Page(s) 357

    Abstract: Background: Otitis media with effusion (OME) is common in children aged between 6 months to 4 years, and it is one of the causes of hearing loss (HL) in children worldwide. OME is a type of inflammation of the middle ear in which there is a collection ... ...

    Abstract Background: Otitis media with effusion (OME) is common in children aged between 6 months to 4 years, and it is one of the causes of hearing loss (HL) in children worldwide. OME is a type of inflammation of the middle ear in which there is a collection of fluid. The latter causes HL which interferes with speech and language development, communication skills, school performance, psychosocial skills, and quality of life of children.
    Methods: This was a prospective cross-sectional study on 246 children aged 2 -12 years, attending the Mulago National Referral Hospital (MNRH). A consecutive sampling procedure was used to reach each participant under ethical considerations until the sample size was reached. All children aged 2-12 years who meet inclusion criteria were examined first by the Pediatrician and then by the Principal Investigator. Patients with tympanogram type B (flat curve) were diagnosed to have OME. The prevalence of OME was summarized as a proportion and multivariate analysis was used to determine the factors associated with OME. Data were analyzed using the STATA version 13.0.
    Results: A total of 246 children were recruited for the study. Of the 246 children, 60% were male. The median age of the participants was 4.8 ± 2.8 years. The prevalence of OME was found to be 11%. Upper respiratory tract infections (URTI), recurrent AOM (p = 0.005, OR:5.14, 95% CI: 1.66-15.96), and snoring (p = 0.000, OR: 6.32, 95% CI: 2.32-17.26) were found to be strongly associated with OME in children aged 2-12 years attending the Mulago National Referral Hospital.
    Conclusions: The prevalence of OME among children aged 2-12 years attending MNRH was found to be 11%. There is an association between OME and URTI, recurrent AOM, and snoring in children aged 2-12 years attending MNRH.
    MeSH term(s) Child ; Cross-Sectional Studies ; Female ; Hearing Loss/diagnosis ; Hearing Loss/epidemiology ; Hearing Loss/etiology ; Humans ; Infant ; Male ; Otitis Media/complications ; Otitis Media/diagnosis ; Otitis Media/epidemiology ; Otitis Media with Effusion/diagnosis ; Otitis Media with Effusion/epidemiology ; Prospective Studies ; Quality of Life ; Referral and Consultation ; Respiratory Tract Infections/complications ; Snoring ; Tertiary Care Centers ; Uganda/epidemiology
    Language English
    Publishing date 2022-06-22
    Publishing country England
    Document type Journal Article
    ZDB-ID 2041342-7
    ISSN 1471-2431 ; 1471-2431
    ISSN (online) 1471-2431
    ISSN 1471-2431
    DOI 10.1186/s12887-022-03408-w
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Chronic pain among children with cerebral palsy attending a Ugandan tertiary hospital: a cross-sectional study.

    Bambi, Emma Nsalazi / Mwesige, Angelina Kakooza / Lekuya, Hervé Monka / Kasirye, Philip / Idro, Richard

    BMC pediatrics

    2021  Volume 21, Issue 1, Page(s) 456

    Abstract: Background: Children with cerebral palsy (CP) frequently experience chronic pain. The burden and severity of such pain is often underestimated in relation to their other impairments. Recognition and awareness of this chronic pain among children with CP ... ...

    Abstract Background: Children with cerebral palsy (CP) frequently experience chronic pain. The burden and severity of such pain is often underestimated in relation to their other impairments. Recognition and awareness of this chronic pain among children with CP constitute the cornerstone for caretakers and clinicians to improve the quality of life of those children. This study aimed to determine the prevalence of chronic pain among children with CP, and the factors associated.
    Methods: A cross-sectional study of children with CP, aged 2-12 years, attending the CP rehabilitation clinic and Pediatric Neurology Clinic at Mulago Hospital, Uganda from November 2017 to May 2018. A detailed history and clinical examination were performed and the co-morbidities were determined. CP was classified using the Gross Motor Function Classification System (GMFCS), Manual Ability Classification System, Communication Function Classification System (CFCS), and the Eating and Drinking Ability Classification System (EDACS) and documented with the level of impairment in the different domains. Pain was assessed by using the revised Face, Legs, Activity, Consolability, Cry pain scale.
    Results: A total of 224 children with CP were enrolled. The prevalence of chronic pain was 64.3%. The majority had spastic bilateral CP (77.8%), moderate pain lasting over 6 months, and none of them was on long-term pain management. Epilepsy (60.9%), behavioral problem (63.2%), hearing impairment (66,7%), learning problem (67,6%), dental caries (75%), gastro-esophageal reflux (75%), sleep disorders (79.5%), vision impairment (80%), and malnutrition (90%) were co- morbid conditions of chronic pain in children with CP in this study. The factors independently associated with chronic pain among children with CP were the GMFCS level IV & V, CFCS level IV & V, EDACS level IV & V, female children, and caretaker aged more than 30 years.
    Conclusions: Two-thirds of children with CP attending rehabilitation in this hospital had chronic pain. None was receiving pain management. Chronic pain was associated with the presence of multiple co-morbidities and more severe disability. Rehabilitation and care programs for children with CP should include assessment of pain in routine care and provide interventions for pain relief in children with CP even at an early age.
    MeSH term(s) Cerebral Palsy/complications ; Cerebral Palsy/epidemiology ; Child ; Chronic Pain/epidemiology ; Chronic Pain/etiology ; Cross-Sectional Studies ; Dental Caries ; Female ; Humans ; Quality of Life ; Severity of Illness Index ; Tertiary Care Centers ; Uganda/epidemiology
    Language English
    Publishing date 2021-10-18
    Publishing country England
    Document type Journal Article
    ZDB-ID 2041342-7
    ISSN 1471-2431 ; 1471-2431
    ISSN (online) 1471-2431
    ISSN 1471-2431
    DOI 10.1186/s12887-021-02928-1
    Database MEDical Literature Analysis and Retrieval System OnLINE

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