Do social circumstances dictate a change in the setup of an anorectal malformation clinic?
Anorectal malformation
Children
Colorectal
Hirschsprung
Low to middle income country
Social condition
Journal
Journal of pediatric surgery
ISSN: 1531-5037
Titre abrégé: J Pediatr Surg
Pays: United States
ID NLM: 0052631
Informations de publication
Date de publication:
Dec 2020
Dec 2020
Historique:
received:
21
01
2020
revised:
05
03
2020
accepted:
12
03
2020
pubmed:
11
4
2020
medline:
11
6
2021
entrez:
11
4
2020
Statut:
ppublish
Résumé
To assess the number of patients seen at the colorectal clinic of a low-to-middle income-country with emphasis on their social circumstances. Between January 2013 and December 2018 we recorded the number of visits to colorectal clinic. From February 2019 prospective data on patients with anorectal malformations (ARMs) focusing on their social conditions (type of housing and sanitation) and HIV-exposure were collected. At the clinic 452 visits were recorded in 2013, 608 in 2014, 904 in 2016, 1392 in 2017, and 1968 in 2018. The ARM cohort included 100 patients: at the time of delivery the HIV status of 74 mothers was negative, positive in 21, and unknown in 5. None of the HIV-exposed patients seroconverted to HIV positive (average follow-up:39 months). Seventy-four patients live in formal settlements, 23 in informal, and 3 in unknown type. Forty-six patients have inside toilets, 39 outside flushing toilets, 10 outside pit latrines, 2 community toilets, and 3 an unknown sanitation. The clinic work-load has increased during the past years. A significant proportion of our patients are HIV-exposed, do not live in formal houses and do not have inside toilets. Tailored strategies for a successful surgical plan and bowel management need to be implemented. II.
Sections du résumé
BACKGROUND/PURPOSE
OBJECTIVE
To assess the number of patients seen at the colorectal clinic of a low-to-middle income-country with emphasis on their social circumstances.
METHODS
METHODS
Between January 2013 and December 2018 we recorded the number of visits to colorectal clinic. From February 2019 prospective data on patients with anorectal malformations (ARMs) focusing on their social conditions (type of housing and sanitation) and HIV-exposure were collected.
RESULTS
RESULTS
At the clinic 452 visits were recorded in 2013, 608 in 2014, 904 in 2016, 1392 in 2017, and 1968 in 2018. The ARM cohort included 100 patients: at the time of delivery the HIV status of 74 mothers was negative, positive in 21, and unknown in 5. None of the HIV-exposed patients seroconverted to HIV positive (average follow-up:39 months). Seventy-four patients live in formal settlements, 23 in informal, and 3 in unknown type. Forty-six patients have inside toilets, 39 outside flushing toilets, 10 outside pit latrines, 2 community toilets, and 3 an unknown sanitation.
CONCLUSIONS
CONCLUSIONS
The clinic work-load has increased during the past years. A significant proportion of our patients are HIV-exposed, do not live in formal houses and do not have inside toilets. Tailored strategies for a successful surgical plan and bowel management need to be implemented.
LEVEL OF EVIDENCE
METHODS
II.
Identifiants
pubmed: 32273115
pii: S0022-3468(20)30208-6
doi: 10.1016/j.jpedsurg.2020.03.012
pii:
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
2820-2823Informations de copyright
Copyright © 2020 Elsevier Inc. All rights reserved.