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Epidemio-Clinical Profile and Determinants of Paediatric ENT Pathologies in Rural Hospitals: Case of Kimpese Evangelical Medical Institute

Received: 12 February 2024    Accepted: 29 February 2024    Published: 13 March 2024
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Abstract

Ear-Nose-Throat disorders in children are one of the leading causes of consultations in paediatrics, with a variety of aetiologies. The study aimed to investigate the epidemiological-clinical profile, treatment and determinants of Ear-Nose-Throat disorders in children attending the paediatric department of the KIMPESE Evangelical Medical Institute (EMI) hospital. This was a prospective cross-sectional study with a descriptive and analytical approach, which took place between October 2022 and March 2023. The KIMPESE Evangelical Medical Institute (KIMPESE/EMI/) was the setting for this study. The study included all children aged 0-16 years who had been consulted or admitted for any sign of Ear-Nose-Throat disease, whose parents had given their consent. The data collected was encoded an Excel 2016 database. They were transferred to SPSS for Windows version 21 for processing and analysis. Out of a total of 205 children cared for at the EMI, 139 had presented with at least one ENT pathology, i.e. a frequency of 67.8%. The median age of the children was 5 (2-10) years, and more than half were under 5 years of age. They were predominantly male, with a sex ratio of 1,13. The ENT pathologies presented by these children were distributed as follows: 28.8% suffered from otological pathologies, 25.4% from rhinological pathologies and 17.1% from pharyngological pathologies. The most common otological pathologies were cerumen impaction and congestive AOM, while rhinitis was the most common rhinological pathology and rhinopharyngitis was the most common pharyngological pathology. The factors associated with ENT pathologies in children, in multivariate analysis, were determined by passive smoking, a history of rhinopharyngitis, household size ≥6 people, and living in a polluted environment. This study has shown that oral diseases in children are also common in rural areas, the case of KIMPESE Evangelical Medical Institute, especially in our African countries where the population is very young. The results obtained provide ample evidence of the existence of certain factors determining the genesis of certain oral diseases in children in the town of Kimpese.

Published in International Journal of Otorhinolaryngology (Volume 10, Issue 1)
DOI 10.11648/j.ijo.20241001.12
Page(s) 6-12
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

ENT Disorders, Paediatrics, DR Congo

References
[1] Sacko HB. L’essentiel en oto-rhino-laryngologie et pathologie de la face et du cou. Bamako Mars 2002.
[2] ALICE du Laboratoire Pediact: Pediact.com: https//www.pediact.com:/connaissez-vous-les-troubles-orl-de-l’enfant/9Mars2015
[3] Sacko HB. Dembélé. RK, Diallo AO. Panorama des affections ORL de l’enfant âgé de 0 à 5 ans en commune IV du district de Bamako. In 2émes journées de la polyclinique Lac Télé, Bamako, Mali, 2007.
[4] Sacko HB. Etudes de particularités pathogéniques de la surdité neurosensorielle (études expérimentale et clinique), PhD en ORL, 2éme Institut de médecine Piragov, Moscou Septembre 1989.
[5] B. Barry. Données récentes en pathologies infectieuses ORL sur le traitement de première intention des infections ORL courantes. La lettre d’oto-rhino-laryngologie et de chirurgie cervico-faciale –n°258 – décembre 2000.
[6] Tall H, Bah F, Nasser T et al. Ear, nose and throat disorders in pediatric patients at a rural hospital in Senegal. Int J Pediatr Otorhinolaryngol. 2017, 96: 1-3.
[7] Raobijaona H. Infections respiratoires aiguës hautes (IRAH) en milieu pédiatrique à Antananarivo. Méd Afr Noire. 2000, 47: 143-4.
[8] Société de Pathologie Infectieuse de Langue Française d’ORL et de Chirurgie Cervico-Faciale. Société Française de Pédiatrie. Groupe de Pathologie Infectieuse Pédiatrique. Les Infections ORL. Méd. Mal Infect. 1996; 5 supp: 1-8.10è conférence de consensus en thérapeutique anti- infectieuse.
[9] Randrianandraina MP et al. Epidemio clinical profile of ear, nose and throat infections in children. Revue Malgache Pédiatrie 2020, 3(1): 90-97.
[10] Signorelli L, Mendes E. Prevalence of otorhinologic diagnoses in the pediatric emergency room. Int Arch Otorhinolaryngol. 2013, 17: 10-3.
[11] Bijay K, Dipendra G. et al. Spctrum of ear, nose and throat disorders among chidren reporting to the out- patient department of tertiary care center, Nepal. International Journal of otorhinolaryngology and Head and Neck Surgery. 2018, 4(5): 1125-1129.
[12] Suman Yeli. Prevalence of ENT disorders among children in UAE: A tertiary medical care study. Int. J. Curr. Microbiol. App. Sci. 2015, 4(7): 682-687.
[13] Cherian T, Bhattacharji S, et al. Persistant Rhinnoreha in rural Indian children: Prevalance and consequences. J Tropical Pediatr. 2000, 46(6): 365-367.
[14] Otouana Dzon HB, Diembi S. et al. Prévalence des infections ORL et statut vaccinal chez l’enfant de moins de 5 ans à Brazzaville. Health Sci. Dis. 2020, vol 21(8).
[15] Do Santos Zounon A. Njifou Njimah A. et al. Panorama des pathologies ORL en situation d’activité médicale gratuite à Dan (Benin). Health. Sci. Dis. 2020, Vol: 21(5), p26-29.
[16] Kebebew T. Tesfaye A. Parttern of ear, nose and throat diseases in Addis Abeba. Ethiop. J. Health Dev. 2021, 35(3).
[17] Fansula J, Samdi M. et al. An audit of ear, nose and throat diseases in a tertiary health institution in South-western Nigeria. Pan Afr Med J. 2013, 14: 1.
[18] Rijal AS, Joshi RR, et al. ear diseases in children presenting at Nepal Medical College Teaching Hospital. Nepal Med Coll J. 2011, 13(3): 164-8.
[19] Acharya A, Singh MM et al. Ear, nose Throat disoders in government schools of far-western Nepal. L M Coll J. 2013, 1(2): 86-8.
[20] Couloigner V, Graber M. L’angine et ses complications. EMC – Oto- rhino- laryngologie. Paris: Elsevier Mason SAS 2014: 20-500-A-10.
[21] Teissier N, Van Den Abbeele T. Mastoïdite aiguë de l’enfant. EMC- Oto- rhino- laryngologie. Paris: Elsevier Mason SAS 2015: 20-086-A-12.
[22] Farinetti A, Nicollas R, Triglia J. Diagnostic des dyspnées laryngées de l’enfant EMC- Oto- rhino- laryngologie. Paris: Elsevier Mason SAS 2015: 20-645-E-10.
[23] Couloigner V, Van Den Abbeele T. Rhinopharyngite de l’enfant. EMC- Oto-Rhino-laryngologie. Paris: Elsevier Masson SAS; 2004. 20-510-A-10.
[24] Al- Mendalawi M, Mohsen H. Ear, Nose and Throat Diseases in Children: Pattern and Risk Factors. The Iraqui postgraduate medical journal. 2008, 7: 106-12.
[25] Guerrier Y. Anatomie à l’usage des oto-rhno-laryngologistes et des chirurgiens cervico-faciaux. Tome 1. Anatomie chirurgicale de l’os temporal, de l’oreille et de la base du crâne. Joué-Lès-Tours: La Simarre; 1988: 210.
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    Mpengani, T., Ngale, M., Nkodila, A., Lema, G., Lumbu, D., et al. (2024). Epidemio-Clinical Profile and Determinants of Paediatric ENT Pathologies in Rural Hospitals: Case of Kimpese Evangelical Medical Institute. International Journal of Otorhinolaryngology, 10(1), 6-12. https://doi.org/10.11648/j.ijo.20241001.12

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    ACS Style

    Mpengani, T.; Ngale, M.; Nkodila, A.; Lema, G.; Lumbu, D., et al. Epidemio-Clinical Profile and Determinants of Paediatric ENT Pathologies in Rural Hospitals: Case of Kimpese Evangelical Medical Institute. Int. J. Otorhinolaryngol. 2024, 10(1), 6-12. doi: 10.11648/j.ijo.20241001.12

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    AMA Style

    Mpengani T, Ngale M, Nkodila A, Lema G, Lumbu D, et al. Epidemio-Clinical Profile and Determinants of Paediatric ENT Pathologies in Rural Hospitals: Case of Kimpese Evangelical Medical Institute. Int J Otorhinolaryngol. 2024;10(1):6-12. doi: 10.11648/j.ijo.20241001.12

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  • @article{10.11648/j.ijo.20241001.12,
      author = {Thierry Mpengani and Mireille Ngale and Aliocha Nkodila and Gabriel Lema and Damien Lumbu and Moïse Mvitu and Pepe Ekulu and Richard Matanda and Jérôme Sokolo},
      title = {Epidemio-Clinical Profile and Determinants of Paediatric ENT Pathologies in Rural Hospitals: Case of Kimpese Evangelical Medical Institute},
      journal = {International Journal of Otorhinolaryngology},
      volume = {10},
      number = {1},
      pages = {6-12},
      doi = {10.11648/j.ijo.20241001.12},
      url = {https://doi.org/10.11648/j.ijo.20241001.12},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijo.20241001.12},
      abstract = {Ear-Nose-Throat disorders in children are one of the leading causes of consultations in paediatrics, with a variety of aetiologies. The study aimed to investigate the epidemiological-clinical profile, treatment and determinants of Ear-Nose-Throat disorders in children attending the paediatric department of the KIMPESE Evangelical Medical Institute (EMI) hospital. This was a prospective cross-sectional study with a descriptive and analytical approach, which took place between October 2022 and March 2023. The KIMPESE Evangelical Medical Institute (KIMPESE/EMI/) was the setting for this study. The study included all children aged 0-16 years who had been consulted or admitted for any sign of Ear-Nose-Throat disease, whose parents had given their consent. The data collected was encoded an Excel 2016 database. They were transferred to SPSS for Windows version 21 for processing and analysis. Out of a total of 205 children cared for at the EMI, 139 had presented with at least one ENT pathology, i.e. a frequency of 67.8%. The median age of the children was 5 (2-10) years, and more than half were under 5 years of age. They were predominantly male, with a sex ratio of 1,13. The ENT pathologies presented by these children were distributed as follows: 28.8% suffered from otological pathologies, 25.4% from rhinological pathologies and 17.1% from pharyngological pathologies. The most common otological pathologies were cerumen impaction and congestive AOM, while rhinitis was the most common rhinological pathology and rhinopharyngitis was the most common pharyngological pathology. The factors associated with ENT pathologies in children, in multivariate analysis, were determined by passive smoking, a history of rhinopharyngitis, household size ≥6 people, and living in a polluted environment. This study has shown that oral diseases in children are also common in rural areas, the case of KIMPESE Evangelical Medical Institute, especially in our African countries where the population is very young. The results obtained provide ample evidence of the existence of certain factors determining the genesis of certain oral diseases in children in the town of Kimpese.
    },
     year = {2024}
    }
    

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    AU  - Thierry Mpengani
    AU  - Mireille Ngale
    AU  - Aliocha Nkodila
    AU  - Gabriel Lema
    AU  - Damien Lumbu
    AU  - Moïse Mvitu
    AU  - Pepe Ekulu
    AU  - Richard Matanda
    AU  - Jérôme Sokolo
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    PY  - 2024
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    DO  - 10.11648/j.ijo.20241001.12
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    JF  - International Journal of Otorhinolaryngology
    JO  - International Journal of Otorhinolaryngology
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    PB  - Science Publishing Group
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    AB  - Ear-Nose-Throat disorders in children are one of the leading causes of consultations in paediatrics, with a variety of aetiologies. The study aimed to investigate the epidemiological-clinical profile, treatment and determinants of Ear-Nose-Throat disorders in children attending the paediatric department of the KIMPESE Evangelical Medical Institute (EMI) hospital. This was a prospective cross-sectional study with a descriptive and analytical approach, which took place between October 2022 and March 2023. The KIMPESE Evangelical Medical Institute (KIMPESE/EMI/) was the setting for this study. The study included all children aged 0-16 years who had been consulted or admitted for any sign of Ear-Nose-Throat disease, whose parents had given their consent. The data collected was encoded an Excel 2016 database. They were transferred to SPSS for Windows version 21 for processing and analysis. Out of a total of 205 children cared for at the EMI, 139 had presented with at least one ENT pathology, i.e. a frequency of 67.8%. The median age of the children was 5 (2-10) years, and more than half were under 5 years of age. They were predominantly male, with a sex ratio of 1,13. The ENT pathologies presented by these children were distributed as follows: 28.8% suffered from otological pathologies, 25.4% from rhinological pathologies and 17.1% from pharyngological pathologies. The most common otological pathologies were cerumen impaction and congestive AOM, while rhinitis was the most common rhinological pathology and rhinopharyngitis was the most common pharyngological pathology. The factors associated with ENT pathologies in children, in multivariate analysis, were determined by passive smoking, a history of rhinopharyngitis, household size ≥6 people, and living in a polluted environment. This study has shown that oral diseases in children are also common in rural areas, the case of KIMPESE Evangelical Medical Institute, especially in our African countries where the population is very young. The results obtained provide ample evidence of the existence of certain factors determining the genesis of certain oral diseases in children in the town of Kimpese.
    
    VL  - 10
    IS  - 1
    ER  - 

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Author Information
  • Department of Specialities, Otorhinolaryngology Service, University of Kinshasa, Kinshasa, DR Congo; Medical Evangelic Institute, The Church of Christ of Congo, Kimpese, DR Congo

  • Pharmacovigilance Unit, University of Kinshasa, Kinshasa, Democratic Republic of the Congo; Kimpese Health Reseach Center, Evangelic Medical Institute, Kimpese, DR Congo

  • Department of Family Medicine and Primary Health Care, Protestant University in Congo, Kinshasa, DR Congo

  • Department of Specialities, Otorhinolaryngology Service, University of Kinshasa, Kinshasa, DR Congo

  • Saint Joseph Hospital, Kinshasa, DR Congo

  • Department of Specialities, Ophtalmology Service, University of Kinshasa, Kinshasa, DR Congo

  • Department of Pediatric, University of Kinshasa, Kinshasa, DR Congo

  • Department of Specialities, Otorhinolaryngology Service, University of Kinshasa, Kinshasa, DR Congo

  • Department of Specialities, Otorhinolaryngology Service, University of Kinshasa, Kinshasa, DR Congo

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