Recours therapeutique en pediatrie: place de l'automedication chez les enfants re~us au Centre Hospitalier Universitaire Charles de Gaulle de Ouagadougou (Burkina Faso)

Abstract

L'itineraire therapeutique fait reference aux parcours utilises par les individus pour !'obtention de soins en developpant des strategies les mettant en relation avec divers lieux de traitements. L' objectif de notre travail etait d'etudier les itineraires therapeutiques des enfants rei(US au CHUP CDG. 11 s'est agi d'une etude descriptive transversale qui s'est deroulee en trois mois. Un guide d'entretien oral a permis de recueillir les donnees aupres des parents consentants. Les parents ou  accompagnants de 300 enfants hospitalises ont participe a I' etude. La residence de la famille etait surtout la zone urbaine dans 74% des cas. Le delai de consultation etait de 1 a 2 jours dans 69,7% des cas. Le nombre moyen de recours therapeutiques etait de 3 avec des extremes de 1 et 7. Parmi les symptomes presentes par les enfants, la fievre (56,3 %), la diarrhee (9 %) et la toux (6 %) etaient les plus frequents. Devant la fievre 60,9% des parents ont eu recours a l'automedication. Cette automedication occasionne un retard de consultation qui pourrait etre prejudiciable aux enfants.

Mots-cles : itineraires therapeutiques, enfants, automedication, Burkina Faso.

Care seeking in pediatric wards : place of self-medication among the children received at teaching hospitals center Charles de Gaulle (Burkina Faso)

The course of therapy refers to procedures used by individuals to obtain care by developing strategies that put them in relation with various treatment centers. The objective of our study was to investigate the course of therapy used by children received at the University Child Hospital Center (CHUP-CDG). This is a descriptive cross-cutting study conducted over three months. Data collection was done through an oral discussion guide with consenting parents. Parents or home nurses of 300 children hospitalized participated in the study. Most of children's families were living in urban area in 74% of cases. Consultation time at CHUP-CDG was 1 to 2 days in 69.7% of cases. The average number of therapeutic use for this disease was 3 with extremes between 1 and 7. Most common symptoms found in children included fever (56.3% ), diarrhea (9%) and cough (6% ). In case of fever, 64% of parents first practice self-medication. This self-medication is source of delays in consultations, notably in case of fever.

Keywords: therapeutic itinerary, children, self-medication, Burkina Faso.