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Understanding the medical challenges for the diagnosis and treatment of bilateral pitting oedema in children: a qualitative study

dc.rights.licenseopenen_US
dc.contributor.authorSCARPA, Giulia
dc.contributor.authorSAGARA, Joseph
dc.contributor.authorMAMBULA, Christopher
dc.contributor.authorKOUDIKA, Marie-Hortense
dc.contributor.authorLODDO, Fabrizio
dc.contributor.authorYONALLY-PHILLIPS, Emelie
dc.contributor.authorSHAMSELDIN, Manal
dc.contributor.authorTIV, Metrey H
dc.contributor.authorLYNCH, Emily
dc.contributor.authorNIMBU, Nana
dc.contributor.authorLULEBO MAMPASI, Aime
dc.contributor.authorMVUAMA MAZANGAMA, Nono
dc.contributor.authorAG IKNANE, Akory
hal.structure.identifierBordeaux population health [BPH]
hal.structure.identifierGlobal Health in the Global South [GHiGS]
dc.contributor.authorBEN FARHAT, Jihane
dc.date.accessioned2025-04-22T12:47:47Z
dc.date.available2025-04-22T12:47:47Z
dc.date.issued2025-03-18
dc.identifier.issn2767-3375en_US
dc.identifier.urihttps://oskar-bordeaux.fr/handle/20.500.12278/206346
dc.description.abstractEnSeverely malnourished patients can present with bilateral pitting oedema, which is a common sign of Kwashiorkor. However, bilateral pitting oedema can also be an expression of other pathologies. In Mali and DRC, the number of children presenting with bilateral pitting oedema at MSF (Médecins Sans Frontiers/Doctors Without Borders) hospitals are up to 30% (Mali) and 49% (DRC) higher than in other countries, however, the reasons underlying this trend are unknown. Through this qualitative study, we aimed to explore the perspectives and lived experiences of health professionals on the diagnosis and management of children with bilateral pitting oedema. Using a participatory approach, we conducted 21 in-depth interviews, and 2 focus groups with health professionals at MSF health facilities who had worked in the settings of Koutiala (Mali) and Rutshuru (DRC) for at least 6 months. The understanding of the bilateral pitting oedema phenomenon is complex. Health workers described clinical obstacles to reducing mortality, including: i) difficulties making the diagnosis due to a lack of specialized staff and insufficient resources, ii) challenges treating complications that may arise due to the complexity of the diseases associated with bilateral pitting oedema, and iii) lack of scientific evidence in the literature explaining the physiopathology of bilateral pitting oedema. Study participants shared several key recommendations for reducing mortality among children presenting with bilateral pitting oedema, including prevention of bilateral pitting oedema at the community level, standardization of the diagnostic process, strengthening of medical training, and better collaboration both within the medical teams and between teams and the children’s families. © 2025 Scarpa et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
dc.language.isoENen_US
dc.rightsAttribution 3.0 United States*
dc.rights.urihttp://creativecommons.org/licenses/by/3.0/us/*
dc.title.enUnderstanding the medical challenges for the diagnosis and treatment of bilateral pitting oedema in children: a qualitative study
dc.title.alternativePLOS Glob Public Healthen_US
dc.typeArticle de revueen_US
dc.identifier.doi10.1371/journal.pgph.0004125en_US
dc.subject.halSciences du Vivant [q-bio]/Santé publique et épidémiologieen_US
dc.identifier.pubmed40100821en_US
bordeaux.journalPLOS Global Public Healthen_US
bordeaux.pagee0004125en_US
bordeaux.volume5en_US
bordeaux.hal.laboratoriesBordeaux Population Health Research Center (BPH) - UMR 1219en_US
bordeaux.issue3en_US
bordeaux.institutionUniversité de Bordeauxen_US
bordeaux.institutionINSERMen_US
bordeaux.teamGHIGS_BPHen_US
bordeaux.peerReviewedouien_US
bordeaux.inpressnonen_US
bordeaux.identifier.funderIDInstitut de Recherche pour le Développementen_US
bordeaux.identifier.funderIDEconomic and Social Research Councilen_US
hal.identifierhal-05042554
hal.version1
hal.date.transferred2025-04-22T12:47:51Z
hal.popularnonen_US
hal.audienceInternationaleen_US
hal.exporttrue
dc.rights.ccPas de Licence CCen_US
bordeaux.COinSctx_ver=Z39.88-2004&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.jtitle=PLOS%20Global%20Public%20Health&rft.date=2025-03-18&rft.volume=5&rft.issue=3&rft.spage=e0004125&rft.epage=e0004125&rft.eissn=2767-3375&rft.issn=2767-3375&rft.au=SCARPA,%20Giulia&SAGARA,%20Joseph&MAMBULA,%20Christopher&KOUDIKA,%20Marie-Hortense&LODDO,%20Fabrizio&rft.genre=article


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