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Erreurs d’administration médicamenteuse chez l’enfant à l’hôpital de Tsévié (Togo)


KE Djadou
OB Tchagbele
A Diallo
A Gbadoe
K Tatagan-Agbi
DY Atakouma
AD Agbere
K Gnamey
B Balaka
B Bakonde

Abstract

Aim: Identify hospitalized child errors in medicine administration and the reasons of these errors.
Material and methods: Transversal prospective study begun from 1st August to 31 November 2009. The sample consisted of hospitalized children aged from 0 to 15 years old for different illnesses in pediatric office. Were included all the children non in coma having parenteral or oral routes treatment.
Results: 136 hospitalizations in which 88 (64.70%) boys and 48 (35.30%) girls at means an odd ratio of 1.83. The children mean weight was 13.68 ± 9.10 kg, the mean age was 3.54 years old (0 à 15). The hospitalizations’ peak was observed in 1 to 5 years stage with 65/136 cases (47.79%). The inject medicines represented 65/136 cases (47.79%), the syrups 48/136 (35.30%) while tablets and bulbs were the all two only 23/136 (16.91%). The dilution and administration route were respected in the whole cases. On the other hand, the quantity taken and the dosage were always wrong in particularly for antibiotics, this quantity was low in 10/136 cases (7.35%) and over in 6/136 (4.41%) and for quinine the anomalies (low and over quantities) were respectively 7/136 (5.14%) and 19/136 (14.70%). The timetables were not respected only in 122/136 (89.7%) cases. This is explained by the nurses excessive work who often uniformed spontaneously without no instructions injection hours in 47/136 (34055%), and because sometimes parents did not have financial means in 86/136 (63.23%) to buy medicine in the time.
Conclusion: Medicine administration to the hospitalized child is an act which we must tune a lot of attention as nurses or as parents to reduce administrations’ errors which will be put in danger child life.

Keywords: Errors; Medicine, Child, Togo

J. Rech. Sci. Univ. Lomé (Togo), 2012, Série D, 14(1) : 71-77

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eISSN: 2413-354X
print ISSN: 1727-8651