TITLE

Trends in Neonatal Intestinal Obstruction in a Developing Country, 1996–2005

AUTHOR(S)
Ekenze, S. O.; Ibeziako, S. N.; Ezomike, U. O.
PUB. DATE
December 2007
SOURCE
World Journal of Surgery;Dec2007, Vol. 31 Issue 12, p2405
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
Despite the advances in neonatal surgery, the outcome of neonatal intestinal obstruction (NIO) in many developing countries has been reported to be poor. This study describes the trends in NIO, including the contributory factors in southeast Nigeria. We performed a comparative analysis of 128 consecutive NIO managed from January 1996 to December 2005 at the University of Nigeria Teaching Hospital, Enugu, in southeast Nigeria. Fifty-five (43.0%) neonates were managed in the first 5 years (group A) and 73 (57.0%) in the last 5 years (group B). Etiology of obstruction did not vary significantly in the two groups. Average duration of symptoms before presentation fell from 5.9 days (group A) to 4.7 days (group B). With exception of Hirschsprung’s disease (HD), all other cases required operative treatment. In HD, colostomy rate declined from 44.4% (group A) to 26.7% (group B). More neonates in group B were managed with general anesthesia and perioperative third-generation cephalosporin antibiotics ( p < 0.01). While complication rate did not vary significantly in the two groups (group A, 42%; group B, 40.3%), survival improved (group A, 61.8%; group B, 72.6%). Earlier presentation, improved manpower, and use of potent antibiotics may have contributed to the improved outcome. Challenges in the form of lack of neonatal intensive care facilities and dearth of qualified personnel persist. There is a trend toward earlier presentation and increased survival of babies with NIO in our setting. Improving the existing facilities and trained manpower, and establishing collaboration with centers that have excellent results may further encourage the trend.
ACCESSION #
27734068

 

Related Articles

  • Pediatric anesthesia. Saini, Suman // Anaesthesia, Pain & Intensive Care;Jan-Mar2014, Vol. 18 Issue 1, p126 

    A quiz concerning pediatric anesthesia, pain management, and intensive care in a 4-week old preterm infant requiring emergency services is presented.

  • Intestinal atresia: management problems in a developing country. Chirdan, L. B.; Uba, A. F.; Pam, S. D. // Pediatric Surgery International;Dec2004, Vol. 20 Issue 11/12, p834 

    Over a 13-year period, 24 children with intestinal atresia were managed at the Jos University Teaching Hospital, Jos, Nigeria. Intestinal atresia ranks as the second most common cause of neonatal intestinal obstruction (after anorectal malformation) in our hospital. Five children had duodenal...

  • OUTBREAK OF MULTIDRUG-RESISTANT KLEBSIELLA PNEUMONIAE SEPSIS IN NEONATAL INTENSIVE CARE UNIT. Ali, Shamshad; Abbasi, Shahid Ahmad; Mirza, Irfan Ali; Khan, Inam Ullah; Fayyaz, Muhammad; Hussain, Aamir; Satti, Luqman // Gomal Journal of Medical Sciences;Jul-Dec2012, Vol. 10 Issue 2, p154 

    Klebsiella pneumoniae has played an important role as a cause of infection in the neonatal high risk units around the globe. The widespread use of broad-spectrum antibacterial agents has led to an increase in the emergence of resistance to broad-spectrum cephalosporins and carbapenems. We report...

  • Anaesthesia management in foetus-ex-fetu. Gosavi, Kundan Sandugir; Prashantha, M. B.; Kondwilkar, Bharati D.; Dhende, Nitinkumar P. // Indian Journal of Anaesthesia;Mar/Apr2013, Vol. 57 Issue 2, p195 

    The article presents a case study of one-day-old neonate was admitted to Neonatal Intensive Care Unit (NICU) with a foetus like mass attached to his face. The patient underwent examinations and revealed no other congenital anomalies except the mass. The patient underwent surgery because...

  • Anesthetic management of intestinal obstruction: A postgraduate educational review. Parthasarathy, S.; Sripriya, R.; Krishnaveni, N. // Anesthesia: Essays & Researches;Sep-Dec2016, Vol. 10 Issue 3, p397 

    Intestinal obstruction is associated with significant morbidity and mortality. Scientific assessment of the cause, site of obstruction, appropriate correction of the fluid deficit and electrolyte imbalance with preoperative stabilization of blood gases is ideal as a preoperative workup....

  • Neonatal Sepsis: Bacterial Isolates and Resistance Pattern. Ali, Habiba Sharaf; Agha, Farah; Lakhani, Mumtaz // Infectious Disease Journal of Pakistan;Oct2011, Vol. 20 Issue 4, p369 

    The article presents a cross-sectional retrospective study which evaluates the magnitude of neonatal infection in neonatal nursery of Neonatal Intensive Care Unit of Ziauddin Hospital and the pattern of antibiotics use. It mentions that cephalosporins, aminoglycosides, and imipenem were the most...

  • Klebsiella pneumoniae Producing CTX-M-15 Genes from Neonatal Intensive Care Unit in Saudi Arabia. Al-Agamy, M. H. M.; Shibl, A. M.; Tawfik, A. F.; Elbannai, A. R. // Research Journal of Microbiology;2009, Vol. 4 Issue 7, p278 

    Reports on outbreak of extended-spectrum β-lactamases (ESβLs) by Enterobacteraiceae and especially Klebsiella pneumoniae, are few in Saudi Arabia. This study was therefore devoted to describe the outbreak which occurred by ESβL-producing K. pneumoniae. Sixteen K. pneumoniae isolates...

  • Selective fluconazole prophylaxis in high-risk babies to reduce invasive fungal infection. McCrossan, Brian A.; McHenry, Elaine; O'Neill, Fiona; Ong, Grace; Sweet, David G. // Archives of Disease in Childhood -- Fetal & Neonatal Edition;Nov2007, Vol. 92 Issue 6, pF454 

    Objectives: To evaluate the impact of selective fluconazole prophylaxis on incidence of invasive fungal infection and emergence of fluconazole resistance in neonatal intensive care. Design: Retrospective study of very low birthweight (VLBW) babies (<1500 g birth weight) admitted to a neonatal...

  • ONE: General Considerations: Part 2: Surgical Considerations. Puder, Mark // Manual of Neonatal Surgical Intensive Care;Mar2009, p13 

    Part 2 of chapter 1 of the book "Manual of Neonatal Surgical Intensive Care," Second Edition, is presented. This chapter offers information on surgical intensive care for newborn infants. The factors to consider when transferring newborn infants requiring surgery from one medical center to...

Share

Read the Article

Courtesy of THE LIBRARY OF VIRGINIA

Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics