Morbi-mortalite des nourrissons a la Pediatrie Tantigou de Dapaong en 2014

Objectifs: Analyser les facteurs de la morbi-mortalite des nourrissons a la pediatrie Tantigou de Dapaong. Patients et Methodes: Il s’agissait d’une etude retrospective portant sur les dossiers de nourrissons du 1 er janvier au 31 decembre 2014. Les caracteristiques sociodemographiques des nourrissons, les pathologies et la letalite au cours de l’hospitalisation ont ete analyses. Resultats. Sur 5820 enfants hospitalises a la pediatrie Tantigou au cours de l’annee 2014, 1346 soit 23,12% concernaient les nourrissons. L’âge des nourrissons variait de 30 jours a 30 mois avec un âge moyen de 15 mois. La sex-ratio etait de 1,14. Environ 3/5 des patients etaient referes. La fievre etait le principal motif de consultation. Les patients deshydrates representaient 26,66%. Les pathologies etaient survenues sur un terrain malnutri dans 50,80% des cas. Les affections morbides etaient dominees par le paludisme grave (42,08%), les diarrhees d’etiologie non documentees (23,64%) et les infections respiratoires aigues (20,74%). L’evolution etait favorable dans 73,78% des cas. Le taux de mortalite etait de 11,62%. La majorite des deces survenait dans les 24 heures qui suivaient l’admission. L’anemie etait la 1ere circonstance de deces, identifiee dans 19,82% des cas. Conclusion: La morbi-mortalite des nourrissons reste elevee et les deces sont lies a des causes partagees (personnel-parents-administratifs) d’ou la necessite d’une action conjuguee pour la reduction de la mortalite des nourrissons. Mots cles: morbidite-mortalite-nourrissons English Title:  Morbi-mortality of infants at the Tantigou Pediatric Department of Dapaong in 2014 English Abstract Objectives: To analyze the factors of the morbi-mortality of infants at the Tantigou Pediatric Department of Dapaong. Patients and methods: It concerns a retrospective about the files of infants from 1 st January to 31 st December 2014. The infants’ socio-demographic characteristics, the pathologies and the lethality during the admission to hospital have been analyzed. Results: Upon 5820 children admitted to hospital at the Tantigou Pediatric Department during the year 2014, 1346 that’s 23.12% concerned infants. The age of the infants varied from 30 days to 30 months with an average age of 15 months. The sex-ratio was 1.14. About 3/5 of the patients were referred. Fever was the main motive of consultation. The dehydrated patients represented 26.66%. The pathologies occurred upon an ill-nourished field in 50.80% of the cases. The morbid affections were dominated by the severe malaria (42.08%), the non-documented etiologic diarrheas (23.64%) and the severe respiratory infections (20.74%). The evolution was favorable in 73.78% of the cases. The mortality rate was 11.62%. The majority of death occurred in the 24 hours that followed the admission. Anemia was the 1 st circumstance of death, identified in 19.82% of the cases. Conclusion: The infants morbi-mortality remains high and the deaths are related to shared causes (Staff-Parents-Administrative) hence the necessity of a conjugated action in order to reduce infants mortality. Keywords: Morbidity, mortality, infants