Archive \ Volume.15 2024 Issue 2

Nursing Management of Dehydrated Children Under Five Years Due to Acute Diarrhea in Kinshasa, DR Congo

, , , ,
  1. Teaching and Administration Nursing Care, Nursing Sciences, Higher Institute of Medical Techniques, Kinshasa, The Democratic Republic of the Congo.
  2. Department of Biology, Faculty of Sciences, University of Kinshasa, Kinshasa, the Democratic Republic of the Congo.
  3. Service of Laboratory, Department of Medical Biology, Centre Hospitalier Mère et Enfant de Monkole, Kinshasa, Democratic Republic of the Congo.

Abstract

Diarrheal diseases remain the second leading cause of death among children under five years globally. The main purpose of the current is to describe the management level of children under five suffering from diarrhea with acute dehydration at the Akram Hospital in Kinshasa. This is an exploratory descriptive research, which was conducted at Akram Hospital, Kinshasa, DRC. The target population was nurses and we interviewed 12 nurses. A questionnaire was used as a tool for data collection. The actions taken by nurses with children under five and consequently promote the quality of care of those children were observed. Descriptive statistics was used in terms of frequency and percentage. An informed consent was taken from respondents and we assured the confidentiality of respondents. The findings showed a predominance of female nurses and most are married. As to care elements, 83% of respondents use rehydration with ORS and administer infusions under Plan C. 92% of respondents treated the cause of dehydration while 33% provided personal hygiene. For monitoring elements, 92% are under frequent monitoring of stools and vomiting, For the health education elements, 75% advised the mother to give the baby at least one liter of drinking water regularly, and 83% advised the mother to give sufficient ORS. While 50% of respondents advised the mother to maintain regular handwashing. Diarrheal diseases are a major public health problem in Kinshasa, affecting mostly young children. Malnutrition remains the condition most frequently associated with diarrhea, and its prognosis is poor.


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Vancouver
Tshiama C, Nsutier OK, Mbadiko CM, Matena MY, Bongo GN. Nursing Management of Dehydrated Children Under Five Years Due to Acute Diarrhea in Kinshasa, DR Congo. Arch Pharm Pract. 2024;15(2):75-81. https://doi.org/10.51847/j8gxnpzmqS
APA
Tshiama, C., Nsutier, O. K., Mbadiko, C. M., Matena, M. Y., & Bongo, G. N. (2024). Nursing Management of Dehydrated Children Under Five Years Due to Acute Diarrhea in Kinshasa, DR Congo. Archives of Pharmacy Practice, 15(2), 75-81. https://doi.org/10.51847/j8gxnpzmqS

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References
  1. Mbadiko CM, Bongo GN, Mbuyi GK, Kemfine LL, Claudine TR, Nsutier OK, et al. Epidemiological and clinical profiles of children aged 0-71 months suffering from acute diarrhea at Kalembe-lembe pediatric hospital in Kinshasa city, Democratic Republic of the Congo. Asian J Adv Res Rep. 2019;4(2):1-1.
  2. Manetu WM, M’masi S, Recha CW. Diarrhea disease among children under 5 years of age: A global systematic review. Open J Epidemiol. 2021;11(3):207-21. doi:10.4236/ojepi.2021.113018
  3. Tareke AA, Enyew EB, Takele BA. Pooled prevalence and associated factors of diarrhea among under-five years children in East Africa: A multilevel logistic regression analysis. PLoS One. 2022;17(4):e0264559. doi:10.1371/journal.pone.0264559
  4. Mbadiko CM, Mutambel’Hity SN, Mbuyi GK, Bukaka E, Tshiama RC, Bongo GN. Epidemiological and clinical profiles of acute diarrhea due rotavirus or associated Rota-virus and other pathogens in children aged 0-71 months hospitalized at Kalembe-lembe pediatric hospital in Kinshasa, democratic republic of the Congo. Glob J Epidemiol Infect Dis. 2021;1(1):66-80.
  5. Hailu B, Ji-Guo W, Hailu T. Water, sanitation, and hygiene risk factors on the prevalence of diarrhea among under-five children in the rural community of dangila district, northwest Ethiopia. J Trop Med. 2021;2021:2688500. doi:10.1155/2021/2688500
  6. Nwokoro UU, Ugwa O, Onwuliri CD, Obi IF, Ngozi MO, Agunwa C. Water, sanitation and hygiene risk factors associated with diarrhoea morbidity in a rural community of Enugu, South East Nigeria. Pan Afr Med J. 2020;37(1):115. doi:10.11604/pamj.2020.37.115.17735
  7. Kanika JM, Nsutier OK, Schepers JG, Nsobani DL, Nsopa KE, Mboni AFML, et al. Drivers of acute diarrhea in mothers of children between 6 and 59 months old in Kinshasa households, democratic republic of the Congo. World J Med Microbiol. 2022;1(1):1-12. doi:10.31586/wjmm.2022.264
  8. Kambale RM, Ngaboyeka GA, Ntagaribwa JN, Bisimwa MHI, Kasole LY, Habiyambere V, et al. Severe acute malnutrition in children admitted in an intensive therapeutic and feeding Centre of south Kivu, eastern democratic republic of Congo: Why do our patients die? PLoS One. 2020;15(7):e0236022. doi:10.1371/journal.pone.0236022
  9. Mosisa D, Aboma M, Girma T, Shibru A. Determinants of diarrheal diseases among under five children in Jimma Geneti District, Oromia region, Ethiopia, 2020: A case-control study. BMC Pediatr. 2021;21(1):532. doi:10.1186/s12887-021-03022-2
  10. Rohr JR, Barrett CB, Civitello DJ, Craft ME, Delius B, DeLeo GA, et al. Emerging human infectious diseases and the links to global food production. Nat Sustain. 2019;2(6):445-56. doi:10.1038/s41893-019-0293-3
  11. Black R, Fontaine O, Lamberti L, Bhan M, Huicho L, El Arifeen S, et al. Drivers of the reduction in childhood diarrhea mortality 1980-2015 and interventions to eliminate preventable diarrhea deaths by 2030. J Glob Health. 2019;9(2):020801. doi:10.7189/jogh.09.020801
  12. Ugboko HU, Nwinyi OC, Oranusi SU, Oyewale JO. Childhood diarrhoeal diseases in developing countries. Heliyon. 2020,6(4):e03690. doi:10.1016/j.heliyon.2020.e03690
  13. Mebrahtom S, Worku A, Gage DJ. The risk of water, sanitation and hygiene on diarrhea-related infant mortality in eastern Ethiopia: A population-based nested case-control. BMC Public Health. 2022;22(1):343. doi:10.1186/s12889-022-12735-7
  14. Jumani RS, Spector JM, Izadnegahdar R, Kelly P, Diagana TT, Manjunatha UH. Innovations in addressing pediatric diarrhea in low resource settings. ACS Infect Dis. 2020;6(1):14-24. doi:10.1021/acsinfecdis.9b00315
  15. Arinaminpathy N, Sinha A, Anvikar AR, Joseph AK, Kang G, Frost I, et al. Infectious diseases in the south-east Asia region. Center for Disease Dynamics, Economics & Policy (CDDEP), 2021:53-77.
  16. Posovszky C, Buderus S, Classen M, Lawrenz B, Keller KM, Koletzko S. Acute infectious gastroenteritis in infancy and childhood. Dtsch Arztebl Int. 2020;117(37):615-24. 
  17. Arena C, Amoros JP, Vaillant V, Ambert-Balay K, Chikhi-Brachet R, Jourdan-Da Silva N, et al. Acute diarrhea in adults consulting a general practitioner in France during winter: Incidence, clinical characteristics, management and risk factors. BMC Infect Dis. 2014;14(1):574. doi:10.1186/s12879-014-0574-4
  18. Ahmed Ismail M, Abdilahi MM, Abdeeq BA, Jama M. Prevalence and associated factors of acute diarrhea among under-five children living in Hargeisa internally displaced persons, Somaliland: A community-based cross-sectional study. Pan Afr Med J. 2024;47:10. doi:10.11604/pamj.2024.47.10.35958
  19. Mokomane M, Kasvosve I, de Melo E, Pernica JM, Goldfarb DM. The global problem of childhood diarrhoeal diseases: Emerging strategies in prevention and management. Ther Adv Infect Dis. 2018;5(1):29-43. doi:10.1177/2049936117744429
  20. Sangalang SO, Prado NO, Lemence ALG, Cayetano MG, Lu JLDP, Valencia JC, et al. Diarrhoea, malnutrition, and dehydration associated with school water, sanitation, and hygiene in Metro Manila, Philippines: A cross-sectional study. Sci Total Environ. 2022;838(Pt 2):155882. doi:10.1016/j.scitotenv.2022.155882
  21. Alia RA, Sadia N, Shammy NP, Tithy FA, Shelim R, Parvin R. Diarrhoeal disease in relation to childhood malnutrition and its impact on socio-economic condition in emerging countries like Bangladesh. J Pediatr Perinatol Child Health. 2022;6(3):370-9.
  22. Momoh FE, Olufela OE, Adejimi AA, Roberts AA, Oluwole EO, Ayankogbe OO, et al. Mothers' knowledge, attitude and home management of diarrhoea among children under five years old in Lagos, Nigeria. Afr J Prim Health Care Fam Med. 2022;14(1):e1-10. doi:10.4102/phcfm.v14i1.3119
  23. Nalin D. Issues and controversies in the evolution of oral rehydration therapy (ORT). Trop Med Infect Dis. 2022;7(6):103.
  24. Ezomike UO, Ekenze SO, Amah CC, Nwankwo EP, Obianyo NE. Infantile hypertrophic pyloric stenosis - Our experience and challenges in a developing country. Afr J Paediatr Surg. 2018;15(1):26-30. doi:10.4103/ajps.AJPS_51_16
  25. Aghsaeifard Z, Heidari G, Alizadeh R. Understanding the use of oral rehydration therapy: A narrative review from clinical practice to main recommendations. Health Sci Rep. 2022;5(5):e827. doi:10.1002/hsr2.827
  26. Del Castillo-Hegyi C, Achilles J, Segrave-Daly BJ, Hafken L. Fatal hypernatremic dehydration in a term exclusively breastfed newborn. Children (Basel). 2022;9(9):1379. doi:10.3390/children9091379
  27. Freedman SB, Johnson DW, Nettel-Aguirre A, Mikrogianakis A, Williamson-Urquhart S, Monfries N, et al. Assessing dehydration employing end-tidal carbon dioxide in children with vomiting and diarrhea. Pediatr Emerg Care. 2018;34(8):564-9. doi:10.1097/PEC.0000000000001177
  28. Akdeniz O, Çelik M, Samancı S. Evaluation of term newborn patients with hypernatremic dehydration. Turk Arch Pediatr. 2021;56(4):344-9. doi:10.5152/TurkArchPediatr.2021.20153
  29. Hartman S, Brown E, Loomis E, Russell HA. Gastroenteritis in children. Am Fam Phys. 2019;99(7):159-65.
  30. Vega RM, Avva U. Pediatric dehydration. In: StatPearls. Treasure Island (FL): StatPearls Publishing; 2022. Available from: https://www.ncbi.nlm.nih.gov/books/NBK436022/
  31. Merid MW, Alem AZ, Chilot D, Belay DG, Kibret AA, Asratie MH, et al. Impact of access to improved water and sanitation on diarrhea reduction among rural under-five children in low and middle-income countries: A propensity score matched analysis. Trop Med Health. 2023;51(1):36. doi:10.1186/s41182-023-00525-9
  32. Sambo J, Cassocera M, Chissaque A, Bauhofer AFL, Roucher C, Chilaúle J, et al. Characterizing undernourished children under-five years old with diarrhoea in Mozambique: A hospital based cross-sectional study, 2015-2019. Nutrients. 2022;14(6):1164. doi:10.3390/nu14061164
  33. Agegnehu MD, Zeleke LB, Goshu YA, Ortibo YL, Adinew YM. Diarrhea prevention practice and associated factors among caregivers of under-five children in enemay district, northwest Ethiopia. J Environ Public Health. 2019;54(9):07-16. doi:10.1155/2019/5490716
  34. Nguyen TYC, Fagbayigbo BO, Cissé G, Redi N, Fuhrimann S, Okedi J, et al. Diarrhoea among children aged under five years and risk factors in informal settlements: A cross-sectional study in cape town, south Africa. Int J Environ Res Public Health. 2021;18(11):6043. doi:10.3390/ijerph18116043
  35. Acácio S, Mandomando I, Nhampossa T, Quinto L, Vubil D, Sacoor C, et al. Risk factors for death among children 0–59 months of age with moderate-to-severe diarrhea in Manhiça district, southern Mozambique. BMC Infect Dis. 2019;19(1):322. doi:10.1186/s12879-019-3948-9
  36. Viegelmann GC, Dorji J, Guo X, Lim HY. Approach to diarrhoeal disorders in children. Singapore Med J. 2021;62(12):623-9. doi:10.11622/smedj.2021234
  37. Shrestha SK, Shrestha J, Mason CJ, Sornsakrin S, Dhakhwa JR, Shrestha BR, et al. Etiology of acute diarrheal disease and antimicrobial susceptibility pattern in children younger than 5 years old in Nepal. Am J Trop Med Hyg. 2022;108(1):174-80. doi:10.4269/ajtmh.21-1219
  38. Zambrana JV, Carrillo FAB, Ojeda S, Mercado BL, Latta K, Schiller A, et al. Epidemiologic features of acute pediatric diarrhea in Managua, Nicaragua, from 2011 to 2019. Am J Trop Med Hyg, 2022;106(6):1757-64. doi:10.4269/ajtmh.21-0793
  39. Mulu BM, Belete MA, Demlie TB, Tassew H, Tessema TS. Characteristics of pathogenic Escherichia coli associated with diarrhea in children under five years in northwestern Ethiopia. Trop Med Infect Dis. 2024;9(3):65. doi:10.3390/tropicalmed9030065 
  40. Ojobor CD, Olovo CV, Onah LO, Ike AC. Prevalence and associated factors to rotavirus infection in children less than 5 years in Enugu State, Nigeria. Virus Dis. 2020;31(3):316-22. doi:10.1007/s13337-020-00614-x
  41. Hind BSMN. Assessment of Nursing management of diarrhea and dehydration for children under five years at Wad Medani Pediatric Teaching Hospital, Sudan (March 2012 – December 2012). Unpublished MSc dissertation, Pediatric Nursing, Department of Nursing, Faculty of Applied Medical Sciences, University of Gezira, 2013:91.
  42. Ntonku JK. Nursing care for children aged 0 to 5 suffering from diarrhea with moderate dehydration. Unpublished BSc dissertation, Nursing Sciences, ISTM, Kinshasa, Democratic Republic of the Congo, 2013.
  43. Tayou BHF. Management of acute diarrhea in children under 5 years of age in the Pediatrics Department of the Commune V Reference Health Center in the Bamako district, Facukté de Médecine, de Pharmacie et d'Odontostomatologie., Bamako, Mali, 2010:97.
  44. Djadou K, Atakouma D, Agbobli-Apetsiani E. Cholera epidemic in Dapaong (Togo) from July to October 1998: The case of the children's hospital. Med. d’Afrique Noire. 2001;48:187-90.
  45. Dupont C. Acute diarrhea in children. J Pediatr Pueric. 2010;23(2):84-95. doi:10.1016/j.jpp.2010.03.008
  46. Vierin YN, M’Ella MM, Ngoubeyou P, Moussavou A. Pre-hospital management of diarrhea in children under five in Libreville. Health Sci Dis. 2015;16(4):1-4.
  47. Tickell KD, Pavlinac PB, John-Stewart GC, Denno DM, Richardson BA, Naulikha JM, et al. Impact of childhood nutritional status on pathogen prevalence and severity of acute diarrhea. Am J Trop Med Hyg. 2017;97(5):1337-44. doi:10.4269/ajtmh.17-0139
  48. Meyers RS. Pediatric fluid and electrolyte therapy. J Pediatr Pharmacol Ther. 2009;14(4):204-11. doi:10.5863/1551-6776-14.4.204
  49. Gerba CP. Environmentally transmitted pathogens. In Environmental microbiology 2009 Jan 1 (pp. 445-484). Academic Press. doi:10.1016/B978-0-12-370519-8.00022-5
  50. Jain R. Providing safe drinking water: A challenge for humanity. Clean Technol Environ Policy. 2012;14:1-4. doi:10.1007/s10098-011-0446-1

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