Author(s)

Florent Tshibwid A. Zeng^1*, Papa Alassane Mbaye¹, Doudou Gueye¹, Papa Mamadou Ndoye¹, Ibrahima Bocar Wellé¹, Ndeye Fatou Seck¹, Mbaye Fall², Ndeye Aby Ndoye¹, Aloïse Sagna¹, Oumar Ndour², Gabriel Ngom¹

¹Department of Pediatric Surgery, Albert Royer National Children’s Hospital Centre, Université Cheikh Anta Diop, Dakar, Senegal.
²Department of Pediatric Surgery, Aristide Le Dantec University Teaching Hospital, Université Cheikh Anta Diop, Dakar, Senegal.

Introduction: Domestic accidents are a public health problem, and under-fives are particularly affected. We report these accidents’ epidemiology, diagnosis, management, and outcomes through this study. Patients and Methods: We conducted a prospective descriptive study for four months in the Albert Royer National Children’s Hospital Center pediatric surgery department in Dakar, Senegal. Of the 149 cases of domestic accidents, 109 were included in this study. Results: Infants (59.6%) were the most affected, with a slight male predominance (50.5%). Accidents occurred on Tuesday in 22.9% of cases and the afternoon in 38.5% of cases. Playing (59.6%) was the main activity, and falling (44%) was the most found mechanism. 78.9% of accidents occurred in the house, with the bedroom (27.5%) being the most represented place. In most cases (67.9%), the consultation was done within the first 24 hours. The upper limbs (48.6%) were the most affected, and fractures (31.2%) were the most frequent injuries. The outcomes were unremarkable in 94.5% of cases, as complications occurred in five patients with three who had an infection, one a persistent limping, and the last, a dental avulsion. No mortality was recorded. Conclusion: Domestic accidents among under-fives are frequent in our environment. Compared to those in older children, they occur similarly in both sexes, more often in the bedroom, and have a better prognosis.

Domestic Accidents, Under-Fives, Infants, Preschool Children, Senegal

Zeng, F. , Mbaye, P. , Gueye, D. , Ndoye, P. , Wellé, I. , Seck, N. , Fall, M. , Ndoye, N. , Sagna, A. , Ndour, O. and Ngom, G. (2022) Domestic Accidents in Under-Fives: Epidemiology, Diagnosis, Management, and Outcomes. Open Journal of Pediatrics, 12, 726-736. doi: 10.4236/ojped.2022.125074.