|LETTER TO EDITOR
|Year : 2018 | Volume
| Issue : 3 | Page : 250
Neonatal morbidity and mortality in a rural tertiary hospital in Nigeria
Mahmood Dhahir Al-Mendalawi
Department of Paediatrics, Al-Kindy College of Medicine, University of Baghdad, Baghdad, Iraq
|Date of Web Publication||17-Jul-2018|
Mahmood Dhahir Al-Mendalawi
Department of Paediatrics, Al-Kindy College of Medicine, University of Baghdad, Baghdad
Source of Support: None, Conflict of Interest: None
|How to cite this article:|
Al-Mendalawi MD. Neonatal morbidity and mortality in a rural tertiary hospital in Nigeria. CHRISMED J Health Res 2018;5:250
|How to cite this URL:|
Al-Mendalawi MD. Neonatal morbidity and mortality in a rural tertiary hospital in Nigeria. CHRISMED J Health Res [serial online] 2018 [cited 2020 Apr 5];5:250. Available from: http://www.cjhr.org/text.asp?2018/5/3/250/236894
I read with interest the case report by Abdullahi published in the January 2018 issue of CHRISMED J Health Res. The author mentioned that the major causes of morbidity were neonatal sepsis (32.2%), birth asphyxia (29.3%), prematurity (18.5%), neonatal jaundice (9.3%), and hemorrhagic disease of newborn (2.4%) while the major causes of mortality were birth asphyxia (40.6%), neonatal sepsis (25%), prematurity (18.8%), and neonatal jaundice (9.4%). Surprisingly, no proportion of human immunodeficiency virus (HIV)-related morbidity and mortality was reported among the studied population. I presume that its actual proportion was underestimated. My presumption is based on the following points. To my knowledge, HIV epidemic runs among Sub-Saharan countries, including Nigeria. Nigeria accounts for 9% of the global HIV burden and is a signatory to the Millennium Development Goals as well as the post-2015 Sustainable Development Goals. The available data pointed out to the substantial HIV prevalence (4.9%) among pregnant women in Nigeria. Vertical transmission of HIV is the most common cause of acquiring HIV infection in neonates and the available data reported 22% rate of mother-to-child transmission of HIV in Nigeria. As testing for HIV based on serology in neonates born to potentially HIV-infected mothers is not precise because of the presence of maternal antibodies, polymerase chain reaction (PCR) is pivotal for early HIV diagnosis in neonates in Nigeria. Because it is an expensive test, I presume that HIV-PCR technique was not included in the investigation panel among the studied population probably due to financial constraints. This might render the actual proportion of HIV-related morbidity and mortality underestimated by Abdullahi.
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Conflicts of interest
There are no conflicts of interest.
| References|| |
Abdullahi UI. Neonatal morbidity and mortality in a rural tertiary hospital in Nigeria. CHRISMED J Health Res 2018;5:8-10. [Full text]
Akinwande O, Bashorun A, Azeez A, Agbo F, Dakum P, Abimiku A, et al.
A decade of monitoring HIV epidemics in Nigeria: Positioning for post-2015 agenda. AIDS Behav 2017;21:62-71.
Opaleye OO, Igboama MC, Ojo JA, Odewale G. Seroprevalence of HIV, HBV, HCV, and HTLV among pregnant women in Southwestern Nigeria. J Immunoassay Immunochem 2016;37:29-42.
Audu RA, Salu OB, Musa AZ, Onyewuche J, Funso-Adebayo EO, Iroha EO, et al.
Estimation of the rate of mother to child transmission of HIV in Nigeria. Afr J Med Med Sci 2006;35:121-4.
Lukong CS, Tshimwanga ED, Mfuh AY. The role of polymerase chain reaction in early diagnosis of human immunodeficiency virus infection in infants. Ann Afr Med 2013;12:232-5. [Full text]