Etiology of Pediatric Jaundice: Observation in the Pediatric Ward of the Gabriel Toure University Hospital  

作　　者：K. Sacko A. A. Diakité F. Traoré B. Maiga P. Togo O. Coulibaly G. Guindo D. Konaté A. K. Doumbia H. Konaré S. Sagara A. Dembélé A. Touré F. L. Diakité L. N. Sidibé H. Diall M. Traoré Y. A. Coulibaly M. E. Cissé A. Sangaré A. Ibrahim F. T. Dicko M. Sylla B. Togo K. Sacko;A. A. Diakité;F. Traoré;B. Maiga;P. Togo;O. Coulibaly;G. Guindo;D. Konaté;A. K. Doumbia;H. Konaré;S. Sagara;A. Dembélé;A. Touré;F. L. Diakité;L. N. Sidibé;H. Diall;M. Traoré;Y. A. Coulibaly;M. E. Cissé;A. Sangaré;A. Ibrahim;F. T. Dicko;M. Sylla;B. Togo(Pediatric Department of Gabriel Toure University Hospital, Bamako, Mali;Pediatric Service of the Reference Health Center of Municipality 5, Bamako, Mali;Pediatric Service of the Mali Hospital, Bamako, Mali)

机构地区：[1]Pediatric Department of Gabriel Toure University Hospital, Bamako, Mali [2]Pediatric Service of the Reference Health Center of Municipality 5, Bamako, Mali [3]Pediatric Service of the Mali Hospital, Bamako, Mali

出　　处：《Open Journal of Pediatrics》2020年第4期759-768,共10页儿科学期刊（英文）

摘　　要：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 Touré teaching hospital in Bamako, Mali. Methods: We reviewed all pediatric patients with jaundice who were hospitalized and treated in this department </span><span style="font-family:Verdana;">during</span><span style="font-family:Verdana;"> January 1 to December 31, 2016 (n = 168). Result: Pediatric jaundice patients accounted for 1.88% of the hospitalized patients, with </span><span style="font-family:Verdana;">median</span><span style="font-family:Verdana;"> age of 6 years and </span><span style="font-family:Verdana;">male</span><span style="font-family:Verdana;">/female ratio being 1.6. Infectious, cholestatic, and hemolytic jaundice accounted for 75%, 11% </span><span style="font-family:Verdana;">and</span><span style="font-family:Verdana;"> 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, </span><span style="font-family:Verdana;">variety</span><span style="font-family:Verdana;"> of etiologies was observed, </span><span style="font-family:Verdana;">of</span><span style="font-family:Verdana;"> which the practitioners should be </span><span style="font-family:Verdana;">aware</span><span style="font-family:Verdana;">. The observation presented here may become fundamental data in health-policy making in this area.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 Touré teaching hospital in Bamako, Mali. Methods: We reviewed all pediatric patients with jaundice who were hospitalized and treated in this department </span><span style="font-family:Verdana;">during</span><span style="font-family:Verdana;"> January 1 to December 31, 2016 (n = 168). Result: Pediatric jaundice patients accounted for 1.88% of the hospitalized patients, with </span><span style="font-family:Verdana;">median</span><span style="font-family:Verdana;"> age of 6 years and </span><span style="font-family:Verdana;">male</span><span style="font-family:Verdana;">/female ratio being 1.6. Infectious, cholestatic, and hemolytic jaundice accounted for 75%, 11% </span><span style="font-family:Verdana;">and</span><span style="font-family:Verdana;"> 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, </span><span style="font-family:Verdana;">variety</span><span style="font-family:Verdana;"> of etiologies was observed, </span><span style="font-family:Verdana;">of</span><span style="font-family:Verdana;"> which the practitioners should be </span><span style="font-family:Verdana;">aware</span><span style="font-family:Verdana;">. The observation presented here may become fundamental data in health-policy making in this area.

关 键 词：JAUNDICE ETIOLOGY PAEDIATRICS MALI 

分 类 号：R72[医药卫生—儿科]