Evaluation of The Nutritional and hematological status of sickle cell children monitored in the pediatric department of the University Hospital Center Of Yalgado Ouedraogo.,
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Auteur(s): Kalmogho Angèle, Barro Makoura, Paré Boyo Constant, Ouédraogo Ibrahima, Bambara Habibata, Zoungrana Chantal, Kaboré Rolande, Ouédraogo Flore, Sawadogo Oumarou, Yonaba Caroline, Dahourou Lucien Desiré , Kouéta Fla
Résumé

Abstract: Objective: To assess the nutritional and hematological status of sickle cell children followed in the department
of pediatrics of the Yalgado Ouédraogo University Hospital Centre (CHU-YO).
Methodology: This was a cross-sectional study conducted from September 1, 2017, to February 28, 2018. All children
with major sickle cell syndrome followed in the department of pediatrics at the CHU-YO and following their follow-up
appointments were included in the study.
Results: We included 230 children aged 11 months to 16 years with an average age of 8.5 years. The sex M/F ratio was
1.09. The SC heterozygotes were the most represented with 56.52%. The average hemoglobin level was 9.39 g/dl. The
prevalences of wasting, stunting and underweight were respectively 23.04%, 15.65%, and 13.89%. In univariate
analysis, the factors associated with emaciation was hyperleukocytosis (p=0.002).The factors associated with stunting
were leukocytosis (p=0.01), severe anemia (p=0.01), SS phenotype (p=0.002), age range of 5-10 years (p=0.007),
Secondary (P=0.007) and higher level (p=0.001) of father’s education, secondary (p=0.027) and higher level (p=0.034)of
mothers’education , farmer(p=0.003) trader (p=0.042), and informal occupation of father (p = 0.002),and breastfeeding
duration after 24 months (p=0.006). For underweight associated factors in univariate analysis were SS phenotype
(p=0.003) and severe anemia (p=0.01).
Conclusion: The prevalence of different types of malnutrition deficiency of sickle cell children followed at CHU-YO was
high. It is important to strengthen the nutritional monitoring of children with sickle cell disease for better management of
the disease.

Mots-clés

Nutrition Children Sickle Cell Disease Hematology

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