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Profile of paediatric emergency cases in Yemen: the need for evidence-based guidelines
A A Ishak1, N H Al-Jayefy, Y A Raja'a
1Department of Paediatrics, Faculty of Medicine and Health Sciences, Sana'a University, Sana'a, Yemen.
Insights
Yemen
Area of Science:
- Pediatric Emergency Medicine
- Public Health
- Infectious Diseases
Background:
- Limited data exists on pediatric emergency care in Yemen.
- Developing evidence-based guidelines is crucial for improving child health outcomes.
Observation:
- 3454 children under 2 years old presented to emergency services across 7 hospitals and 2 health centers in Yemen.
- Most common conditions included respiratory (28.6%) and gastrointestinal (25.5%) issues.
- 36.4% of cases had symptoms for over 4 days.
Findings:
- Respiratory and gastrointestinal issues were the primary reasons for emergency visits.
- Antibiotic treatment, particularly third-generation cephalosporins, was common (33.2%).
- The overall mortality rate was 1.9%, with cardiac and respiratory failure being leading causes.
Implications:
- Findings highlight the need for targeted interventions for common pediatric emergencies in Yemen.
- Data can inform the development of national guidelines for pediatric emergency services.
- Understanding treatment patterns and outcomes is vital for resource allocation and training.
Abstract:
This study describes the status and characteristics of children presenting to emergency services in hospitals and health centres in Yemen in order to inform the development of guidelines for paediatric emergency services. Information was collected from 7 hospitals and 2 health centres in 5 governorates about 3454 cases, mostly aged < 2 years old. The majority of paediatric emergency cases were due to respiratory system problems (28.6%) and gastrointestinal problems (25.5%); 36.4% of children presented with a duration of complaint exceeding 4 days. One-third of cases (33.2%) were treated with 3rd generation cephalosporins alone or in combination with other antibiotics. The mortality rate was 1.9%. The most important causes of death were cardiac and respiratory failure.
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