Etiology of Pediatric Jaundice: Observation in the Pediatric Ward of the Gabriel Toure University Hospital
2020
Objective: Pediatric jaundice is caused by various conditions. Although
some data is available on this issue, data from Mali is insufficient. The
present retrospective observational study was an attempt to determine the
etiology of pediatric jaundice in the pediatric department of Gabriel Toure
teaching hospital in Bamako, Mali. Methods: We reviewed all pediatric patients
with jaundice who were hospitalized and treated in this department during January 1 to December 31, 2016 (n =
168). Result: Pediatric jaundice patients accounted for 1.88% of the
hospitalized patients, with median age of
6 years and male/female ratio being 1.6.
Infectious, cholestatic, and hemolytic jaundice accounted for 75%, 11% and 10%, respectively. Malaria and sickle cell
disease accounted for 67% and 9%, respectively. Hepatomegaly and splenomegaly
were observed in 49 (29%) and 23 (13.7%) patients, respectively. Of 168, 9
patients died. Conclusion: Infectious jaundice, especially jaundice due to
malaria, was the most frequent. However, variety of etiologies was observed, of which the
practitioners should be aware. The
observation presented here may become fundamental data in health-policy making
in this area.
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