Acute intestinal intussusception among children under five years of age admitted in an Ouagadougou hospital, Burkina Faso, 2008-2013: epidemiological, clinical and therapeutic aspects

Tapsoba Wendlamita Toussaint, Albert Wandaogo, Idrissa Clétus Yaméogo W, Isso Ouédraogo, Somkièta Modeste Francis Ouédraogo, Olivier Zampou, Bernadette Béré, Negar Aliabadi, Eyal Leshem, Moumouni Nikièma, Ma Ouattara, Jason M. Mwenda, Isidore Bonkoungou, Emile Bandré, Umesh D. Parashar, Jacqueline E. Tate

Research output: Contribution to journalArticlepeer-review

Abstract

Introduction: acute intestinal intussusception is a life-threatening surgical condition. In some settings, rotavirus vaccines have been associated with a low-level increased risk of intussusception. We describe the epidemiology, clinical manifestations and management of intussusception in a tertiary referral hospital in Burkina Faso prior to the introduction of rotavirus vaccine in October 2013. Methods: we retrospectively reviewed medical records of all children under 5 years of age treated at the Charles de Gaulle Pediatric Hospital for intussusception meeting the Brighton level 1 diagnostic criteria, from October 31st, 2008 to October 30th, 2013. We report the incidence of intussusception as well as descriptive characteristics of these cases. Results: a total of 107 Brighton level 1 intussusception cases were identified, representing a hospital incidence of 21.4 cases / year. There were 69 males and 38 females (sex ratio of 1.8), with a median age of 8 months (range 2 months to 4 years). Sixty-two percent of intussusception cases occurred among infants (n = 67 cases). The average time from symptom onset to seeking medical consultation was 3.8 days +/- 2.7 (range 0 to 14 days). Treatment was mainly surgical (105 patients, 98.1%) with 35 patients (32.7%) undergoing intestinal resection. Thirty-seven patients (35.5%) experienced post-operative complications. The mortality rate was 9.3%. Intestinal resection was a risk factor for death from intussusception. Conclusion: in this review of intussusception hospitalizations prior to rotavirus vaccine introduction in Burkina Faso, delays in seeking care were common and were associated with mortality.

Original languageEnglish
Pages (from-to)5
Number of pages1
JournalPan African Medical Journal
Volume39
DOIs
StatePublished - 2021
Externally publishedYes

Keywords

  • Burkina Faso
  • child
  • incidence
  • Intestinal intussusception
  • mortality

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