Diarrhoea prevalence, characteristics and outcome among children admitted into the emergency ward of a tertiary hospital in Southern Nigeria

Submitted: 5 June 2022
Accepted: 28 July 2022
Published: 6 September 2022
Abstract Views: 937
PDF: 381
Publisher's note
All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.

Authors

Diarrhoea is a leading cause of morbidity and mortality in children, particularly in developing nations. The majority of cases can be successfully managed at home, but a few cases may necessitate admission to the emergency ward. The purpose of this research is to determine the prevalence, characteristics, outcome, and associated factors among those admitted. After obtaining consent, all children who presented with diarrhoea within a year were recruited for the study. A semi-structured interviewer-administered questionnaire was used to collect biodata, diarrhoea treatment, and outcome information from caregivers. The Statistical Package for Social Sciences (SPSS) version 21 was used to analyze the data. A total of 164 of the 5,087 children seen were admitted for diarrhoea, resulting in a 3.2% prevalence. A higher proportion of the participants were males, aged 0-24 months, and were not exclusively breastfed. A third of the participants had diarrhoea in the previous year, with a higher proportion having 1-2 episodes. The case fatality rate was 2.4%. The prevalence of diarrhoeal admissions is low, as is the case fatality rate. Stool frequency, hydration status, and socioeconomic class were all significant predictors of fatal diarrhoea outcomes. Recurrent episodes of diarrhoea were significantly associated with maternal education and attendance at day care centers.

Dimensions

Altmetric

PlumX Metrics

Downloads

Download data is not yet available.

Citations

World Health Organization. Diarrhoeal diseases; 2017. Accessed on August 2021. Available from https://www.who.int/news-room/fact-sheets/detail/diarrhoeal-disease
World Health Organization. Why children are still dying and what can be done. Geneva. Switzerland: World Health Organization/ United Nations Children’s Fund; 2009. Accessed September, 2021. Available from: http://whqlibdoc.who.int/publications/2009/9789241598415_eng.pdf
National Population Commission (NPC) [Nigeria] and ICF International. Nigeria Demographic Survey, vol. 538; 2019. Accessed September, 2021. Available from: https://www.dhsprogram.com/pubs/pdf/FR359/FR359.pdf
Ugboko HU, Nwinyi OC, Oranusi SU, Oyewale JO. Childhood diarrhoeal diseases in developing countries. Heliyon 2020;6:e03690. Erratum in: Heliyon. 2020 Jun 10;6(6):e04040. DOI: https://doi.org/10.1016/j.heliyon.2020.e04040
Nemeth V, Pfleghaar N. Diarrhea. [Updated 2021 Nov 29]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2022 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK448082/
Patwari AK. Diarrhoea and malnutrition interaction. Indian J Pediatr 1999;66:S124-34.
Soboksa NE, Gari SR, Hailu AB, Mengistie Alemu B. Childhood Malnutrition and the Association with Diarrhea, Water supply, Sanitation, and Hygiene Practices in Kersa and Omo Nada Districts of Jimma Zone, Ethiopia. Environ Health Insights 2021;15:1178630221999635. DOI: https://doi.org/10.1177/1178630221999635
Wasihun AG, Dijene TA, Teferi M, et al. Risk factors for diarrhoea and malnutrition among children under the age of 5years in Tigray Region of Northern Ethiopia. Plos One 2018;26:e0207743. DOI: https://doi.org/10.1371/journal.pone.0207743
Onyearugha CN, Okoronkwo NC, Onyemachi PE. Prevalence of diarrhea and its associated risk factors in children aged 1–60 months at Aba, South East Nigeria. Eastern J Med Sci 2020;5:40-43. DOI: https://doi.org/10.32677/EJMS.2020.v05.i02.004
Yaguo Ide LE, Alex-Hart BA. Diarrhoea and co-morbidities seen at University of Port Harcourt Teaching Hospital, Nigeria. JAMPS 2019;21:1-9 DOI: https://doi.org/10.9734/jamps/2019/v21i330135
Yilgwan CS, Okolo SN. Prevalence of diarrhea disease and risk factors in Jos University Teaching Hospital, Nigeria. Ann Afr Med 2012;11:217-21. DOI: https://doi.org/10.4103/1596-3519.102852
Oyedeji GA. Socio-economic and cultural background of hospitalised children in Ilesha. Niger J Paediatr 1985;12:111-117.
Nakawesi JS, Wobudeya E, Ndeezi G, et al. Prevalence and factors associated with rotavirus infection among children admitted with acute diarrhea in Uganda. BMC Paediatrics 2010;10:69. DOI: https://doi.org/10.1186/1471-2431-10-69
Jiwok JC, Adebowale AS, Wilson I, et al. Patterns of diarrhoeal disease among under-five children in Plateau State, Nigeria, 2013–2017. BMC Public Health 2021;21:2086. DOI: https://doi.org/10.1186/s12889-021-12110-y
Gupta A, Sarker G, Rout AJ, et al. Risk correlates of diarrhea in Children under 5 years of age in slums of Bankura, West Bengal. J Glob Infect Dis 2015;7:23–29. DOI: https://doi.org/10.4103/0974-777X.150887
Mulatya DM, Ochieng C. Disease burden and risk factors of diarrhoea in children under five years: Evidence from Kenya’s demographic health survey 2014. Int J Infect Dis 2020;93:359–66 DOI: https://doi.org/10.1016/j.ijid.2020.02.003
Ogbo FA, Agho K, Ogeleka P, et al. Infant feeding practices and diarrhoea in sub-Saharan African countries with high diarrhoea mortality. PLoS One 2017;12:e0171792. DOI: https://doi.org/10.1371/journal.pone.0171792
Shati AA, Khalil SN, Asiri KA, et al. Occurrence of diarrhea and feeding practices among children below two years of age in southwestern Saudi Arabia. Int J Environ Res Public Health 2020;17:722. DOI: https://doi.org/10.3390/ijerph17030722
Rohmah H, Hafsah T, Rakhmilla LU. Role of exclusive breastfeeding in preventing diarrhea. Althea Med J 2015;2:463. DOI: https://doi.org/10.15850/amj.v2n1.436
Dairo MD, Ibrahim TF, Salawu AT. Prevalence and determinants of diarrhoea among infants in selected primary health centres in Kaduna north local government area, Nigeria. Pan Afr Med J 2017;28:109. DOI: https://doi.org/10.11604/pamj.2017.28.109.8152
Lamberti LM, Fischer Walker CL, Noiman A, et al. Breastfeeding and the risk for diarrhoea morbidity and mortality. BMC Public Health 2011;11:S15. DOI: https://doi.org/10.1186/1471-2458-11-S3-S15
Omole VN, Wamyil-Mshelia TM, Aliyu-Zubair R, et al. Knowledge and prevalence of diarrhoeal disease in a suburban community in North Western Nigeria. Sahel Med J 2019;22:114-20. DOI: https://doi.org/10.4103/smj.smj_50_18
Checkley W, Buckley G, Gilman RH, et al. Multi-country analysis of the effects of diarrhoea on childhood stunting. Int J Epidemiol 2008;37:816–30. DOI: https://doi.org/10.1093/ije/dyn099
Levine MM, Nasrin D, Acacio S, et al. Diarrhoeal disease and subsequent risk of death in infants and children residing in low-income and middle-income countries: analysis of the GEMS case-control study and 12-month GEMS-1A follow-on study. Lancet Glob Health 2020;8:e204-14. DOI: https://doi.org/10.1016/S2214-109X(19)30541-8
Ahmed MLCB, Weddih A, Benhafid M, et al. Hospitalizations and deaths associated with diarrhoea and respiratory diseases among children aged 0 – 5 years in a Referral hospital of Mauritania. Trop Med Infect Dis 2018;3:103. DOI: https://doi.org/10.3390/tropicalmed3030103
Lwin KS, Nomura S, Yoneoka D, et al. Associations between parental socioeconomic position and health-seeking behaviour for diarrhoea and acute respiratory infection among under-5 children in Myanmar: A cross-sectional study. BMJ Open 2020;10:e032039. DOI: https://doi.org/10.1136/bmjopen-2019-032039
Aluisio AR, Maroof Z, Chandramohan D, et al. Risk Factors associated with recurrent diarrheal illnesses among children in Kabul, Afghanistan: A prospective cohort study. PLoS One 2015;10:e0116342. DOI: https://doi.org/10.1371/journal.pone.0116342
Taddese AA, Dagnew B, Dagne H, Andualem Z. Mother’s handwashing practices and health outcomes of under-five children in northwest Ethiopia. Pediatric Health Med Ther 2020;11:101–8. DOI: https://doi.org/10.2147/PHMT.S238392
Barros H, Lunet N. Association between child-care and acute diarrhoea: a study in Portuguese children. Rev Saude Publica 2003;37:603-8 DOI: https://doi.org/10.1590/S0034-89102003000500009

How to Cite

Atimati, A. O., & Eki-Udoko, F. E. (2022). Diarrhoea prevalence, characteristics and outcome among children admitted into the emergency ward of a tertiary hospital in Southern Nigeria. Annals of Clinical and Biomedical Research, 3(2). https://doi.org/10.4081/acbr.2022.218