The mortality of ill infants with false tooth extraction in a rural Ugandan emergency department
False tooth extraction (FTE), a cultural practice in East Africa used to treat fever and diarrhea in infants, has been thought to increase infant mortality. The mortality of clinically similar infants with and without false tooth extraction has not previously been examined. The objective of our retr...
Main Authors: | , , , |
---|---|
Format: | Article |
Language: | English |
Published: |
PAGEPress Publications
2017-08-01
|
Series: | Journal of Public Health in Africa |
Subjects: | |
Online Access: | http://www.publichealthinafrica.org/index.php/jphia/article/view/582 |
id |
doaj-e0be258afb59451282b9fdecce526374 |
---|---|
record_format |
Article |
spelling |
doaj-e0be258afb59451282b9fdecce5263742020-11-25T03:26:28ZengPAGEPress PublicationsJournal of Public Health in Africa2038-99222038-99302017-08-018110.4081/jphia.2017.582157The mortality of ill infants with false tooth extraction in a rural Ugandan emergency departmentAmyna Husain0M. Douglas Baker1Mark C. Bisanzo2Martha W. Stevens3Johns Hopkins Children’s Center, Johns Hopkins University, Baltimore, MDJohns Hopkins Children’s Center, Johns Hopkins University, Baltimore, MDUniversity of Vermont Medical Center, University of Vermont, Burlington, VTJohns Hopkins Children’s Center, Johns Hopkins University, Baltimore, MDFalse tooth extraction (FTE), a cultural practice in East Africa used to treat fever and diarrhea in infants, has been thought to increase infant mortality. The mortality of clinically similar infants with and without false tooth extraction has not previously been examined. The objective of our retrospective cohort study was to examine the mortality, clinical presentation, and treatment of infants with and without false tooth extraction. We conducted a retrospective chart review of records of infants with diarrhea, sepsis, dehydration, and fever in a rural Ugandan emergency department. Univariate analysis was used to test statistical significance. We found the mortality of infants with false tooth extraction (FTE+) was 18% and without false tooth extraction (FTE−) was 14% (P=0.22). The FTE+ study group, and FTE− comparison group, had similar proportions of infants with abnormal heart rate and with hypoxia. There was a significant difference in the portion of infants that received antibiotics (P=0.001), and fluid bolus (P=0.002). Although FTE+ infants had clinically similar ED presentations to FTE− infants, the FTE+ infants were significantly more likely to receive emergency department interventions, and had a higher mortality than FTE− infants.http://www.publichealthinafrica.org/index.php/jphia/article/view/582false toothoral mutilationinfantsepsis |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Amyna Husain M. Douglas Baker Mark C. Bisanzo Martha W. Stevens |
spellingShingle |
Amyna Husain M. Douglas Baker Mark C. Bisanzo Martha W. Stevens The mortality of ill infants with false tooth extraction in a rural Ugandan emergency department Journal of Public Health in Africa false tooth oral mutilation infant sepsis |
author_facet |
Amyna Husain M. Douglas Baker Mark C. Bisanzo Martha W. Stevens |
author_sort |
Amyna Husain |
title |
The mortality of ill infants with false tooth extraction in a rural Ugandan emergency department |
title_short |
The mortality of ill infants with false tooth extraction in a rural Ugandan emergency department |
title_full |
The mortality of ill infants with false tooth extraction in a rural Ugandan emergency department |
title_fullStr |
The mortality of ill infants with false tooth extraction in a rural Ugandan emergency department |
title_full_unstemmed |
The mortality of ill infants with false tooth extraction in a rural Ugandan emergency department |
title_sort |
mortality of ill infants with false tooth extraction in a rural ugandan emergency department |
publisher |
PAGEPress Publications |
series |
Journal of Public Health in Africa |
issn |
2038-9922 2038-9930 |
publishDate |
2017-08-01 |
description |
False tooth extraction (FTE), a cultural practice in East Africa used to treat fever and diarrhea in infants, has been thought to increase infant mortality. The mortality of clinically similar infants with and without false tooth extraction has not previously been examined. The objective of our retrospective cohort study was to examine the mortality, clinical presentation, and treatment of infants with and without false tooth extraction. We conducted a retrospective chart review of records of infants with diarrhea, sepsis, dehydration, and fever in a rural Ugandan emergency department. Univariate analysis was used to test statistical significance. We found the mortality of infants with false tooth extraction (FTE+) was 18% and without false tooth extraction (FTE−) was 14% (P=0.22). The FTE+ study group, and FTE− comparison group, had similar proportions of infants with abnormal heart rate and with hypoxia. There was a significant difference in the portion of infants that received antibiotics (P=0.001), and fluid bolus (P=0.002). Although FTE+ infants had clinically similar ED presentations to FTE− infants, the FTE+ infants were significantly more likely to receive emergency department interventions, and had a higher mortality than FTE− infants. |
topic |
false tooth oral mutilation infant sepsis |
url |
http://www.publichealthinafrica.org/index.php/jphia/article/view/582 |
work_keys_str_mv |
AT amynahusain themortalityofillinfantswithfalsetoothextractioninaruralugandanemergencydepartment AT mdouglasbaker themortalityofillinfantswithfalsetoothextractioninaruralugandanemergencydepartment AT markcbisanzo themortalityofillinfantswithfalsetoothextractioninaruralugandanemergencydepartment AT marthawstevens themortalityofillinfantswithfalsetoothextractioninaruralugandanemergencydepartment AT amynahusain mortalityofillinfantswithfalsetoothextractioninaruralugandanemergencydepartment AT mdouglasbaker mortalityofillinfantswithfalsetoothextractioninaruralugandanemergencydepartment AT markcbisanzo mortalityofillinfantswithfalsetoothextractioninaruralugandanemergencydepartment AT marthawstevens mortalityofillinfantswithfalsetoothextractioninaruralugandanemergencydepartment |
_version_ |
1724592626649268224 |