Mbusa Kambale R, Balibuno Y, Isia Francisca N, Bwija Kasengi J, Fatuma Mayele G, Mungo Masumbuko B
Université catholique de Bukavu (UCB), avenue de la mission, Bugabo no 2, Commune de Kadutu, Bukavu, République démocratique du Congo., Hôpital provincial général de référence de Bukavu (HPGRB), avenue Michombero no 2, Commune de Kadutu, Bukavu, République démocratique du Congo.
Université catholique de Bukavu (UCB), avenue de la mission, Bugabo no 2, Commune de Kadutu, Bukavu, République démocratique du Congo.
Med Sante Trop. 2018 May 1;28(2):176-181. doi: 10.1684/mst.2018.0779.
Traditional uvulectomy in children, a very common and dangerous practice, remains poorly documented in the Democratic Republic of Congo (DRC). The aim of this study was to establish the epidemiological and clinical profile of children after a traditional uvulectomy and to determine their outcome of the children after this practice in 2 pediatric emergency unities in South Kivu province, DRC.
This was a cross-sectional study took place conducted in 2 pediatric emergency unities in Bukavu town, in South Kivu province, throughout from January to December 2016. It included all children from 0 to 15 years of age. The usual statistical measures (frequenciesy, percentages, means, and medians) were used. Differences in group proportions and categorical variables were assessed withusing the chi-square test. These different tests were considered statistically significant at P < 0.05.
In all, A total of 1078 children were admitted to these pediatric emergency departments during the study period, including 202 cases of traditional uvulectomy, forgiving a prevalence of 18.7% among admissions. The median age of the children was 11 (1-168) months. Of the mothers who resorted to this practice, 153 One hundred fifty-three (75.7%) mothers who resorted to this practice had a low level of education. The main reasons for this practice were fever (50%), vomiting (15.8%), and refusal to suckle (12.4%). The mortality rate after uvulectomy was 11.9%. Risk factors associated with mortality following traditional uvulectomy were HIV infection ([OR (95 % CI) 3.16, 95% CI (1.28-7.79); P = 0.040] and acute malnutrition ([OR (95% CI) 2.87, 95% CI (1.28 - 6.43); P = 0.024)].
The prevalence of traditional uvulectomy and the mortality rate after traditional uvulectomy both remain high. Information, education, and communication campaigns on this practice must be developed in order to reduce this scourge.
在刚果民主共和国，儿童传统悬雍垂切除术是一种非常常见且危险的做法，但相关记录仍然很少。本研究的目的是确定南基伍省两家儿科急诊科传统悬雍垂切除术后儿童的流行病学和临床特征，并确定这种做法后儿童的预后情况。
这是一项横断面研究，于2016年1月至12月在南基伍省布卡武镇的两家儿科急诊科进行。研究对象包括所有0至15岁的儿童。采用了常用的统计方法（频率、百分比、均值和中位数）。使用卡方检验评估组间比例和分类变量的差异。这些不同的检验在P<0.05时被认为具有统计学意义。
在研究期间，共有1078名儿童入住这些儿科急诊科，其中202例为传统悬雍垂切除术，在入院患者中的患病率为18.7%。儿童的中位年龄为11（1-168）个月。采用这种做法的母亲中，153名（75.7%）母亲受教育程度低。这种做法的主要原因是发热（50%）、呕吐（15.8%）和拒乳（12.4%）。悬雍垂切除术后的死亡率为11.9%。传统悬雍垂切除术后与死亡相关的危险因素是艾滋病毒感染（[比值比（95%置信区间）3.16，95%置信区间（1.28-7.79）；P=0.040]）和急性营养不良（[比值比（95%置信区间）2.87，95%置信区间（1.28-6.43）；P=0.024]）。
传统悬雍垂切除术的患病率和术后死亡率仍然很高。必须开展关于这种做法的信息、教育和宣传活动，以减少这一祸害。
