TitleClinico-Epidemiological Profile and Predictors of Severe Illness in Young Infants (0-59 Days) in Ghana
AuthorsYeboah-Antwi K., Addo-Yobo E., Adu-Sarkodie Y., Carlin J. B., Plange-Rhule G., Osei Akoto A., Weber M. W., Hamer D. H.
PublicationAnn Trop Paediatr. 2008 Mar; 28(1):35-43.
AbstractBACKGROUND: Young infant mortality has remained high and relatively unchanged compared with deaths of older infants. Strategies to reduce infant mortality, however, are mostly targeted at the older child. OBJECTIVES: To describe the clinical profile of sick young infants presenting to a hospital and to define important signs and symptoms that will enable health workers to detect young infants with severe illness requiring hospital admission. METHODS: Young infants aged 0-59 days presenting to a paediatric out-patient clinic were evaluated by a nurse using a standardised list of signs and symptoms. A paediatrician independently evaluated these children and decided whether they needed hospitalisation. RESULTS: A total of 685 young infants were enrolled, 22% of whom were 37.5 degrees C) and respiratory (respiratory rate > or =60/min, severe chest in-drawing). CONCLUSION: General and respiratory signs are important predictors for severe illness in young infants. Training peripheral health workers to recognise these signs and to refer to hospital for further assessment and management might have a significant impact on young infant mortality.
Related ProjectsApplied Research on Child Health (ARCH) Project
Child and Family Applied Research Project (CFAR)
Young Infants Clinical Signs Study: Developing Tools for Community Health Workers to Save Infant Lives