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Kalla GCM, Dongmo ULT, Assob JCN, Noubi NK, Mbopi-Keou FX, Monebenimp F. Determinants of the psychomotor development delay in children aged 12 to 59 months infected with HIV in Yaoundé, Cameroon. Pan Afr Med J 2022; 42:114. [PMID: 36034046 PMCID: PMC9392003 DOI: 10.11604/pamj.2022.42.114.33195] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/10/2022] [Accepted: 06/07/2022] [Indexed: 12/03/2022] Open
Abstract
Introduction children infected with HIV are at increased risk of impaired neurodevelopmental, due to several environmental factors. Methods we conducted a cross-sectional analytical study on HIV-infected children aged 12 to 59 months, followed up in five hospitals in Yaounde, Cameroon. Sociodemographic, clinical, and biological variables as well as the antecedents were collected. Data analysis was performed using Statistical Package for the Social Sciences (SPSS) version 25 software. The Denver test was used to assess the psychomotor development of these children. Global psychomotor delay, defined as a global development quotient of less than 70 with an alteration in at least two of the four domains of the test, was retained as the primary endpoint. The significance threshold was set at 5%. Results one hundred and eighty-one children were included in the study. The sex ratio was 0.6. The age range 48-59 months was the most represented. None of these children had a known chronic pathology other than HIV infection. The proportion of global psychomotor delay was 11.04%, with language (16%) and fine motor skills (16%) being the most affected domains of psychomotor development. The independent factors significantly associated with global psychomotor delay were birth weight below 2500 grams (OR= 17.61 [1.76-181.39], p= 0.022), growth retardation (OR= 17.64 [1.63-190.24], p= 0.018) and elevated viral load (OR= 22.75 [2.78-186.02], p= 0.004). Conclusion psychomotor delay affects about one out of ten children living with HIV. Its occurrence is linked to various factors that must be taken into account in the development of public health policies in connection with the management of HIV infection in children.
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Affiliation(s)
- Ginette Claude Mireille Kalla
- Faculty of Medicine and Biomedical Science, University of Yaounde I, Yaounde, Cameroon
- Corresponding author: Ginette Claude Mireille Kalla, Faculty of Medicine and Biomedical Science, University of Yaounde I, Yaounde, Cameroon.
| | | | | | - Nelly Kamgaing Noubi
- Faculty of Medicine and Biomedical Science, University of Yaounde I, Yaounde, Cameroon
| | - Francois-Xavier Mbopi-Keou
- Faculty of Medicine and Biomedical Science, University of Yaounde I, Yaounde, Cameroon
- The Institute for the Development of Africa (The-IDA), Yaounde, Cameroon
- Information Communication Technology University (ICT-U), Yaounde, Cameroon
| | - Francisca Monebenimp
- Faculty of Medicine and Biomedical Science, University of Yaounde I, Yaounde, Cameroon
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Kalla GCM, Mboumnyemb JF, Assob JCN, Ehouzou Mandeng MN, Kamgaing Noubi N, Okomo Assoumou MC, Mbopi-Keou FX, Monebenimp F. Cryptococcal antigen carriage among HIV infected children aged 6 months to 15 years at Laquintinie Hospital in Douala. PLoS One 2021; 16:e0253781. [PMID: 34242263 PMCID: PMC8270148 DOI: 10.1371/journal.pone.0253781] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/21/2020] [Accepted: 06/12/2021] [Indexed: 11/18/2022] Open
Abstract
Background Up to 15% of deaths of people living with HIV is attributable to meningeal cryptococcosis, with nearly 75% occuring in sub-Saharan Africa. Although rare in children, it is a major cause of morbidity and mortality in people living with HIV. A strong association between cryptococcal antigenemia and the development of meningeal cryptococcosis has been shown in adults. Thus, in 2018, the World Health Organization published an updated version of its guidelines for the diagnosis, prevention and management of cryptococcal infection in adults, adolescents and the HIV-infected child. Goal To determine the prevalence of cryptococcal antigenemia and to identify its determinants in children infected with HIV. Methods An analytical cross-sectional study was carried out at the approved treatment center of Laquintinie hospital in Douala over a period of 4 months. Children were recruited consecutively after informed parental consent. Cryptococcal antigenemia and CD4 assay were performed using a Cryptops® immunochromatographic rapid diagnostic test and flow cytometry, respectively. The data collected included the socio-demographic, clinical and paraclinical variables of the children, as well as their antecedents. Data analysis was performed using Epiinfo software version 3.1 and SPSS 21.0. The significance threshold was set at 5%. Results A total of 147 children were enrolled. The mean age was 9.8 ± 4.09 years. The majority were on antiretroviral therapy (142, 96.60%). Only 13 (8.80%) were in severe immunosuppression. No child showed signs of meningeal cryptococcosis. The prevalence of cryptococcal antigenemia was 6.12%. Severe immunosuppression [OR: 10.03 (1.52–65.91), p = 0.016] and contact with pigeons [OR: 9.76 (1.14–83.65), p = 0.037] were independent factors significantly associated with the carriage of the cryptococcal antigen. Conclusion We recommend screening for cryptococcal antigenemia and routine treatment with fluconazole of all HIV positive children with cryptococcal antigen whether symptomatic or not.
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Affiliation(s)
- Ginette Claude Mireille Kalla
- Department of Pediatrics, Faculty of Medicine and Biomedical Sciences, University of Yaoundé I, Yaoundé, Cameroon
- Yaoundé University Teaching Hospital, Yaoundé, Cameroon
| | - Josette Farida Mboumnyemb
- Department of Pediatrics, Faculty of Medicine and Biomedical Sciences, University of Yaoundé I, Yaoundé, Cameroon
| | - Jules Clément Nguedia Assob
- Department of Laboratory Medicine, Faculty of Medicine and Pharmaceutical Sciences, University of Douala, Douala, Cameroon
| | - Marcelle Nina Ehouzou Mandeng
- Department of Pediatrics, Faculty of Medicine and Biomedical Sciences, University of Yaoundé I, Yaoundé, Cameroon
- Yaoundé University Teaching Hospital, Yaoundé, Cameroon
| | - Nelly Kamgaing Noubi
- Department of Pediatrics, Faculty of Medicine and Biomedical Sciences, University of Yaoundé I, Yaoundé, Cameroon
- Yaoundé University Teaching Hospital, Yaoundé, Cameroon
| | - Marie Claire Okomo Assoumou
- Department of Microbiology, Parasitology, Heamatology and Infectious Diseases, Faculty of Medicine and Biomedical Sciences, University of Yaoundé I, Yaoundé, Cameroon
| | - Francois-Xavier Mbopi-Keou
- Department of Microbiology, Parasitology, Heamatology and Infectious Diseases, Faculty of Medicine and Biomedical Sciences, University of Yaoundé I, Yaoundé, Cameroon
- * E-mail:
| | - Francisca Monebenimp
- Department of Pediatrics, Faculty of Medicine and Biomedical Sciences, University of Yaoundé I, Yaoundé, Cameroon
- Yaoundé University Teaching Hospital, Yaoundé, Cameroon
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Kalla GCM, Mve VGM, Noubi NK, Mandeng MNE, Assoumou MCO, Mbopi-Keou FX, Monebenimp F. [Determinants of survival of HIV-infected children aged 6 months to 15 years on follow-up in the town of Ebolowa, Cameroon from 2008 to 2018]. Pan Afr Med J 2020; 37:308. [PMID: 33654527 PMCID: PMC7896529 DOI: 10.11604/pamj.2020.37.308.25829] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/30/2020] [Accepted: 10/19/2020] [Indexed: 11/28/2022] Open
Abstract
Introduction la survie des enfants infectés par le VIH demeure un défi dans les pays en voie de développement. Au Cameroun, la mortalité liée au VIH chez les enfants de moins de 15 ans en 2018 était de 20%. Paradoxalement, la région du Sud Cameroun, malgré une séroprévalence élevée chez les enfants de 4,1% et une couverture en traitement antirétroviral faible de l´ordre de 64%, ne fait pas partie des régions du Cameroun les plus touchées par la mortalité pédiatrique liée au VIH/SIDA. L´objectif de ce travail était de déterminer le taux de survie et identifier ses déterminants chez les enfants âgés de 6 mois à 15 ans, infectés par le VIH. Méthodes une étude de cohorte à collecte de données rétrospective et prospective a été menée de janvier 2008 à décembre 2018 dans trois formations sanitaires prenant en charge les enfants VIH positifs, à Ebolowa dans la région du Sud Cameroun. L´étude s´est faite en deux temps, une phase de collecte rétrospective pour la sélection des dossiers médicaux des enfants VIH positifs répondant aux critères d´inclusion dans les registres de consultation, et une phase de collecte prospective qui nous a permis d´avoir auprès des parents, les informations sur le devenir des enfants. Un consentement éclairé parental a été obtenu au cours de cette deuxième phase. Les données sociodémographiques, cliniques, paracliniques, thérapeutiques, ainsi que le devenir des enfants ont été collectées. Les temps moyens de survie, ainsi que les facteurs associés à la survie ont été déterminés à l´aide du modèle de Kaplan Meier. La régression à risque proportionnel de Cox, nous a permis d´identifier les déterminants de la survie. Notre critère de jugement était le décès. Le niveau de significativité a été fixé à 5%. Résultats au total, 186 enfants ont été enrôlés. La durée médiane de suivi était de 18,5 mois. Le taux de survie était de 66,7%. La majorité des décès (67%) est survenue avant le sixième mois de suivi. Après analyse multivariée, l´âge inférieur à 2 ans [aHR: 18,6 (6,48-53,59); p=0,001], l´anémie sévère [aHR: 7,69 (1,02-57,9); p=0,04], et la présence d´infections opportunistes [aHR: 4,52 (2,51-8,14); p=0,05] étaient indépendamment et significativement associés à la survie. Conclusion en plus du traitement antirétroviral précoce, un bon suivi clinique et paraclinique est nécessaire pour améliorer la survie des enfants infectés par le VIH.
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Affiliation(s)
- Ginette Claude Mireille Kalla
- Faculté de Médecine et des Sciences Biomédicales, Université de Yaoundé I, Yaoundé, Cameroun.,Service de Pédiatrie, Centre Hospitalier et Universitaire de Yaoundé, Yaoundé, Cameroun
| | - Valery-Gustave Mve Mve
- Faculté de Médecine et des Sciences Biomédicales, Université de Yaoundé I, Yaoundé, Cameroun
| | - Nelly Kamgaing Noubi
- Faculté de Médecine et des Sciences Biomédicales, Université de Yaoundé I, Yaoundé, Cameroun.,Service de Pédiatrie, Centre Hospitalier et Universitaire de Yaoundé, Yaoundé, Cameroun
| | - Marcelle Nina Ehouzou Mandeng
- Faculté de Médecine et des Sciences Biomédicales, Université de Yaoundé I, Yaoundé, Cameroun.,Service de Pédiatrie, Centre Hospitalier et Universitaire de Yaoundé, Yaoundé, Cameroun
| | | | | | - Francisca Monebenimp
- Faculté de Médecine et des Sciences Biomédicales, Université de Yaoundé I, Yaoundé, Cameroun.,Service de Pédiatrie, Centre Hospitalier et Universitaire de Yaoundé, Yaoundé, Cameroun
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Oppong G, Monebenimp F, Dapi Nzefa L. 'You just have to grin and bear' - emotional suppression among women in polygyny in Cameroon. Cult Health Sex 2019; 21:946-956. [PMID: 30488784 DOI: 10.1080/13691058.2018.1527944] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/13/2018] [Revised: 08/14/2018] [Accepted: 09/20/2018] [Indexed: 06/09/2023]
Abstract
Polygyny is a matrimonial union in which a single man is simultaneously married to multiple wives. On a daily basis, women in polygynous unions suffer from financial, emotional and physical burdens. This study explores women's perceptions of this matrimonial regime and the factors influencing their sexual health decision-making in Cameroon. Drawing on interviews with twenty-three women aged 23 to 80 years living in polygynous unions, we explore women's daily life and perceptions on polygyny. Using content analysis, meaning units relating to respondents' experiences and perceptions were identified and condensed into codes and categories that were later grouped into themes. Five themes emerged - refusal and tolerance; heavy workload and responsibility; lack of power in sexual health decision-making; discrimination and unequal treatment of spouses; and emotional suppression. Women reported emotional suppression, limited rights, discrimination and poor living conditions as being the most significant problems that they encountered. Addressing the discrimination faced by women in polygynous unions will entail adopting and implementing laws to protect women's rights and promote their empowerment.
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Affiliation(s)
- Grace Oppong
- a Department of Global Health , Maastricht University , Maastricht , The Netherlands
| | - Francisca Monebenimp
- b Department of Public Health , Faculty of Medicine and Biomedical Sciences University of Yaoundé , Yaoundé , Cameroon
| | - Léonie Dapi Nzefa
- b Department of Public Health , Faculty of Medicine and Biomedical Sciences University of Yaoundé , Yaoundé , Cameroon
- c Department of Social work , Linnaeus University , Växjö , Sweden
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Dapi Nzefa L, Monebenimp F, Äng C. Undernutrition among children under five in the Bandja village of Cameroon, Africa. South African Journal of Clinical Nutrition 2018. [DOI: 10.1080/16070658.2018.1448503] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/17/2022]
Affiliation(s)
- Léonie Dapi Nzefa
- Department of Public Health, University of Yaoundé , Yaoundé, Cameroon
- Department of Social Work, Linnaeus University , Växjö, Sweden
| | | | - Christofer Äng
- Department of Clinical Medicine, Umeå University , Umeå, Sweden
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Monebenimp F, Kuepouo G, Chelo D, Anatole PC, Kany Bissek ACZ, Gottesfeld P. Blood Lead Levels among Children in Yaoundé Cameroon. Front Public Health 2017; 5:163. [PMID: 28736727 PMCID: PMC5500612 DOI: 10.3389/fpubh.2017.00163] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/16/2017] [Accepted: 06/21/2017] [Indexed: 11/13/2022] Open
Abstract
Blood lead levels (BLLs) are a useful indication of a population exposure to lead from environmental sources. No previous published study had reported BLLs in Cameroon. Our objective is to characterize exposure levels in children to inform policymakers of potential lead exposure sources. We tested the BLLs of 147 children aged 12 months to 6 years residing in Yaoundé, Cameroon, and conducted an extensive questionnaire with their parents or guardians to characterize potential exposure sources. The geometric mean BLL among this population was 8.0 μg/dl and arithmetic mean level was 8.7 μg/dl. These levels are more than sixfold higher than the geometric mean BLL reported in the U.S. and more than fivefold higher than those reported in France. In addition, 88% of the children tested had lead levels greater than 5 μg/dl. One limitation of the study is that the selection of the children sampled was not a random survey. The analysis of the responses to the questionnaire failed to uncover any specific exposure patterns. A statistically significant association was noted between the age of the child’s home and the duration of exclusive breastfeeding with BLLs. The study points to a need for greater efforts to control sources of lead exposure in Cameroon.
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Affiliation(s)
- Francisca Monebenimp
- Faculty of Medicine and Biomédical Sciences (FMBS), Department of Public Health, Service of Pediatrics, University Teaching Hospital of Yaoundé, Yaoundé, Cameroon
| | - Gilbert Kuepouo
- Centre de Recherche et d'Education pour le Développement (CREPD), Yaoundé, Cameroon
| | - David Chelo
- Faculty of Medicine and Biomédical Sciences (FMBS), Department of Public Health, Service of Pediatrics, University Teaching Hospital of Yaoundé, Yaoundé, Cameroon
| | - Pieme Constant Anatole
- Faculty of Medicine and Biomédical Sciences (FMBS), Department of Public Health, Service of Pediatrics, University Teaching Hospital of Yaoundé, Yaoundé, Cameroon
| | - Anne-Cécile Zoung Kany Bissek
- Faculty of Medicine and Biomédical Sciences (FMBS), Department of Public Health, Service of Pediatrics, University Teaching Hospital of Yaoundé, Yaoundé, Cameroon
| | - Perry Gottesfeld
- Occupational Knowledge International, San Francisco, CA, United States
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Billong SC, Dee J, Fokam J, Nguefack-Tsague G, Ekali GL, Fodjo R, Temgoua ES, Billong EJ, Sosso SM, Mosoko JJ, Monebenimp F, Ndjolo A, Bissek ACZK, Bolu O, Elat JBN. Feasibility Study of HIV Sentinel Surveillance using PMTCT data in Cameroon: from Scientific Success to Programmatic Failure. BMC Infect Dis 2017; 17:3. [PMID: 28049451 PMCID: PMC5209823 DOI: 10.1186/s12879-016-2119-5] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/19/2016] [Accepted: 12/14/2016] [Indexed: 11/13/2022] Open
Abstract
Background In low-income countries (LICs), HIV sentinel surveillance surveys (HIV-SSS) are recommended in between two demographic and health surveys, due to low-cost than the latter. Using the classical unlinked anonymous testing (UAT), HIV-SSS among pregnant women raised certain ethical and financial challenges. We therefore aimed at evaluating how to use prevention of mother-to-child transmission of HIV (PMTCT) routine data as an alternative approach for HIV-SSS in LICs. Methods A survey conducted through 2012 among first antenatal-care attendees (ANC1) in the ten regions of Cameroon. HIV testing was performed at PMTCT clinics as-per the national serial algorithm (rapid test), and PMTCT site laboratory (PMTCT-SL) performances were evaluated by comparison with results of the national reference laboratory (NRL), determined as the reference standard. Results Acceptance rate for HIV testing was 99%, for a total of 6521 ANC1 (49 · 3% aged 15–24) enrolled nationwide. Among 6103 eligible ANC1, sensitivity (using NRL testing as the reference standard) was 81 · 2%, ranging from 58 · 8% (South region) to 100% (West region); thus implying that 18 · 8% HIV-infected ANC1 declared HIV-negative at the PMTCT-SL were positive from NRL-results. Specificity was 99 · 3%, without significant disparity across sites. At population-level, this implies that every year in Cameroon, ~2,500 HIV-infected women are wrongly declared seronegative, while ~1,000 are wrongly declared seropositive. Only 44 · 4% (16/36) of evaluated laboratories reached the quality target of 80%. Conclusions The study identified weaknesses in routine PMTCT HIV testing. As Cameroon transitions to using routine PMTCT data for HIV-SSS among pregnant women, there is need in optimizing quality system to ensure robust routine HIV testing for programmatic and surveillance purposes. Electronic supplementary material The online version of this article (doi:10.1186/s12879-016-2119-5) contains supplementary material, which is available to authorized users.
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Affiliation(s)
- Serge C Billong
- National HIV drug resistance surveillance and prevention Working Group (HIVDR-WG), National AIDS Control Committee, Yaoundé, Cameroon. .,Faculty of Medicine and Biomedical Sciences (FMBS), University of Yaoundé1, Yaoundé, Cameroon. .,Central Technical Group, National AIDS Control Committee, Ministry of Public Health, Yaoundé, Cameroon.
| | - Jacob Dee
- Centers for Disease Control and Prevention, Division of Global HIV/AIDS, Atlanta, USA
| | - Joseph Fokam
- National HIV drug resistance surveillance and prevention Working Group (HIVDR-WG), National AIDS Control Committee, Yaoundé, Cameroon. .,Faculty of Medicine and Biomedical Sciences (FMBS), University of Yaoundé1, Yaoundé, Cameroon. .,Chantal BIYA International Reference Centre (CIRCB) for research on HIV/AIDS prevention andmanagement, Yaoundé, Cameroon. .,Chair of Virology, Department of Experimental Medicine and Surgery, Faculty of Medicine and Surgery, University of Rome Tor Vergata, Rome, Italy.
| | - Georges Nguefack-Tsague
- National HIV drug resistance surveillance and prevention Working Group (HIVDR-WG), National AIDS Control Committee, Yaoundé, Cameroon.,Faculty of Medicine and Biomedical Sciences (FMBS), University of Yaoundé1, Yaoundé, Cameroon
| | - Gabriel L Ekali
- Central Technical Group, National AIDS Control Committee, Ministry of Public Health, Yaoundé, Cameroon
| | - Raoul Fodjo
- Central Technical Group, National AIDS Control Committee, Ministry of Public Health, Yaoundé, Cameroon
| | - Edith S Temgoua
- Chantal BIYA International Reference Centre (CIRCB) for research on HIV/AIDS prevention andmanagement, Yaoundé, Cameroon
| | | | - Samuel M Sosso
- Chantal BIYA International Reference Centre (CIRCB) for research on HIV/AIDS prevention andmanagement, Yaoundé, Cameroon
| | - Jembia J Mosoko
- Centers for Disease Control and Prevention, Division of Global HIV/AIDS, Cameroon Country Office, Yaoundé, Cameroon
| | - Francisca Monebenimp
- Faculty of Medicine and Biomedical Sciences (FMBS), University of Yaoundé1, Yaoundé, Cameroon
| | - Alexis Ndjolo
- Faculty of Medicine and Biomedical Sciences (FMBS), University of Yaoundé1, Yaoundé, Cameroon.,Chantal BIYA International Reference Centre (CIRCB) for research on HIV/AIDS prevention andmanagement, Yaoundé, Cameroon
| | - Anne-Cecile Z-K Bissek
- National HIV drug resistance surveillance and prevention Working Group (HIVDR-WG), National AIDS Control Committee, Yaoundé, Cameroon.,Faculty of Medicine and Biomedical Sciences (FMBS), University of Yaoundé1, Yaoundé, Cameroon.,Division of Operational Health Research, Ministry of Public Health, Yaoundé, Cameroon
| | - Omotayo Bolu
- Centers for Disease Control and Prevention, Division of Global HIV/AIDS, Cameroon Country Office, Yaoundé, Cameroon
| | - Jean-Bosco N Elat
- National HIV drug resistance surveillance and prevention Working Group (HIVDR-WG), National AIDS Control Committee, Yaoundé, Cameroon.,Central Technical Group, National AIDS Control Committee, Ministry of Public Health, Yaoundé, Cameroon
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Tochie JN, Tchokam LT, Aminde LN, Monebenimp F. Kawasaki disease in an infant: Diagnostic and therapeutic challenges at the University Teaching Hospital of Yaoundé, Cameroon. J Med Res 2016. [DOI: 10.31254/jmr.2016.2502] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2022]
Abstract
Introduction: Kawasaki disease (KD) is an acute multi-systemic vasculitis which represents the leading etiology of acquired heart disease in children in high-income countries. Its rarity in black Africans may lead to misdiagnosis, delayed management with resultant fatal coronary artery lesions. We discuss a case of KD diagnosed in an infant in Yaoundé, Cameroon. Case presentation: A 10-month-old male Cameroonian presented with irritability, a generalised cutaneous eruption, and a prolonged high-grade fever. Although initial diagnosis of meningitis was made, the emerging laboratory and typical clinical features suggestive of KD prompted a quick diagnostic review. His clinical condition improved on Aspirin and corticosteroids. Conclusion: Due to the risk of potential complications from KD and the management challenges akin to resource-limited settings, we highlight the need for a high index of suspicion by healthcare providers when faced with febrile children with mucocutaneous lesions.
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Kalla GCM, Assoumou MCO, Kamgaing N, Monebenimp F, Mbopi-Keou FX. [Impact of antiretroviral therapy on the biological profile of HIV positive children followed-up at Yaounde University Hospital in Cameroon]. Pan Afr Med J 2015; 20:159. [PMID: 26113902 PMCID: PMC4469432 DOI: 10.11604/pamj.2015.20.159.4677] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/25/2014] [Accepted: 01/28/2015] [Indexed: 11/17/2022] Open
Abstract
Introduction L'objectif de ce travail était d’évaluer l'impact du traitement antirétroviral sur le profil biologique des enfants VIH positifs suivis au Centre Hospitalier et Universitaire de Yaoundé au Cameroun. Méthodes Il s'agissait d'une étude rétrospective réalisée de Mai 2003 à Décembre 2012 au CHU de Yaoundé au Cameroun. Pour cette étude, nous avons obtenu une clairance éthique. Résultats L’âge moyen était de 54.02±46.34 mois. The sexe ratio était de 0.96 en faveur des garçons. Le diagnostic s’était fait tardivement (74.2%) ainsi que la mise sous traitement (83.3%). Seuls 36 des 116 enfants (31%) avait pu avoir un bilan biologique à l'initiation du traitement antirétroviral et six mois après l'initiation du traitement antirétroviral. Après six mois de traitement, nous avons enregistrés une augmentation significative des paramètres biologiques suivants: taux de glycémie de 0.09g/L (0.75-0.84; p= 0.007), pourcentage de CD4 chez les enfants de moins de 5 ans de 4.62% (20.12-24.75; p = 0.022), valeur absolue de CD4 chez les enfants de plus de 5 ans de 294 cellules/mm3 (151.18-445.18; p = 0.011), le rapport CD4/CD8 de 0.35 (0.55-0.90; p = 0.000). Enfin, après six mois de traitement, on enregistrait une baisse significative de la charge virale du VIH de 3.90 log (5.85-1.95; p = 0.006). Conclusion Il ressort de cette étude que la restauration immunitaire et la suppression virologique peuvent être obtenus après six mois de traitement antirétroviral. Cependant, des efforts doivent encore être faits en ce qui concerne la prise en charge du suivi biologique, gage d'un bon suivi thérapeutique au Cameroun.
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Affiliation(s)
- Ginette Claude Mireille Kalla
- Faculté de Médecine et des Sciences Biomédicales, Université de Yaoundé I, Yaoundé, Cameroun ; Centre Hospitalier Universitaire, Service de Pédiatrie, Yaoundé, Cameroun
| | | | - Nelly Kamgaing
- Faculté de Médecine et des Sciences Biomédicales, Université de Yaoundé I, Yaoundé, Cameroun ; Centre Hospitalier Universitaire, Service de Pédiatrie, Yaoundé, Cameroun
| | - Francisca Monebenimp
- Faculté de Médecine et des Sciences Biomédicales, Université de Yaoundé I, Yaoundé, Cameroun ; Centre Hospitalier Universitaire, Service de Pédiatrie, Yaoundé, Cameroun
| | - Francois-Xavier Mbopi-Keou
- Faculté de Médecine et des Sciences Biomédicales, Université de Yaoundé I, Yaoundé, Cameroun ; Ministère de la Santé Publique, Yaoundé, Cameroun
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Billong SC, Fokam J, Billong EJ, Nguefack-Tsague G, Essi MJ, Fodjo R, Sosso SM, Gomba A, Mosoko-Jembia J, Loni-Ekali G, Colizzi V, Bissek ACZK, Monebenimp F, Nfetam JBE. [Epidemiological distribution of HIV infection among pregnant women in the ten regions of Cameroon and strategic implications for prevention programs]. Pan Afr Med J 2015; 20:79. [PMID: 26090037 PMCID: PMC4450023 DOI: 10.11604/pamj.2015.20.79.4216] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/19/2014] [Accepted: 09/27/2014] [Indexed: 11/11/2022] Open
Abstract
Introduction Le Cameroun se situe dans un contexte d’épidémie généralisée du VIH. La sous-population des femmes enceintes, facilement accessible au sein de la population générale, représente une cible probante pour mener la surveillance du VIH et estimer l’évolution épidémiologique. L'objectif de notre étude était d’évaluer la distribution épidémiologique du VIH chez les femmes enceintes. Méthodes Étude transversale menée en 2012 chez 6521 femmes enceintes (49,3% âgées de 15-24 ans) en première consultation prénatale (CPN1) dans 60 sites des 10 régions Camerounaises. L'algorithme en série a été utilisé pour le sérodiagnostic du VIH. Résultats La prévalence du VIH était de 7,8% (508/6521), avec une différence non significative (p = 0,297) entre milieu rural (7,4%) et milieu urbain (8,1%). En zone rurale, cette prévalence variait de 0,7% à l'Extrême-Nord à 11,8% au Sud. Cependant, en zone urbaine elle variait de 4% à l'Ouest à 11,1% au Sud-Ouest. Suivant l’âge, la prévalence était plus élevée (11,3%) chez les femmes de 35-39 ans. Suivant le niveau de scolarisation, la prévalence du VIH était plus faible (4,4%) chez celles non-scolarisées, et plus élevée (9,3%) chez celles ayant un niveau primaire. Selon la profession, l'infection était plus élevée chez les coiffeuses (15,5%), secrétaires (14,8%), commerçantes (12,9%) et institutrices/enseignantes (10,8%). Conclusion La prévalence du VIH reste élevée chez les femmes enceintes au Cameroun, sans distinction entre milieux rural et urbain. Les stratégies de prévention devraient s'orienter préférentiellement chez les femmes enceintes âgées, celles du niveau d'instruction primaire, et celles du secteur des petites et moyennes entreprises.
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Affiliation(s)
- Serge-Clotaire Billong
- Groupe de Travail National pour la Surveillance et la Prévention de la Pharmacorésistance du VIH (HIVDR-WG), Ministère de la Santé Publique, Yaoundé, Cameroun ; Faculté de Médecine et des Sciences Biomédicales (FMSB), Université de Yaoundé 1, Yaoundé, Cameroun ; Groupe Technique Central (GTC), Comité National de Lutte contre le SIDA (CNLS), Ministère de la Santé Publique, Yaoundé, Cameroun
| | - Joseph Fokam
- Groupe de Travail National pour la Surveillance et la Prévention de la Pharmacorésistance du VIH (HIVDR-WG), Ministère de la Santé Publique, Yaoundé, Cameroun ; Faculté de Médecine et des Sciences Biomédicales (FMSB), Université de Yaoundé 1, Yaoundé, Cameroun ; Centre International de Référence Chantal BIYA (CIRCB) pour la Recherche sur la Prévention et la Prise en Charge du VIH/SIDA, Yaoundé, Cameroun
| | - Edson-Joan Billong
- Faculté de Médecine, Université Faculté d'Antanarivo, Antanarivo, Madagascar
| | - Georges Nguefack-Tsague
- Faculté de Médecine et des Sciences Biomédicales (FMSB), Université de Yaoundé 1, Yaoundé, Cameroun
| | - Marie-Josée Essi
- Faculté de Médecine et des Sciences Biomédicales (FMSB), Université de Yaoundé 1, Yaoundé, Cameroun
| | - Raoul Fodjo
- Groupe Technique Central (GTC), Comité National de Lutte contre le SIDA (CNLS), Ministère de la Santé Publique, Yaoundé, Cameroun
| | - Samuel-Martin Sosso
- Centre International de Référence Chantal BIYA (CIRCB) pour la Recherche sur la Prévention et la Prise en Charge du VIH/SIDA, Yaoundé, Cameroun
| | - Armelle Gomba
- Faculté de Médecine et des Sciences Biomédicales (FMSB), Université de Yaoundé 1, Yaoundé, Cameroun
| | - Joseph Mosoko-Jembia
- Centers for Disease Control and Prevention (CDC), Division of Global HIV/AIDS, Bureau-Cameroun
| | - Gabriel Loni-Ekali
- Groupe Technique Central (GTC), Comité National de Lutte contre le SIDA (CNLS), Ministère de la Santé Publique, Yaoundé, Cameroun
| | - Vittorio Colizzi
- Centre International de Référence Chantal BIYA (CIRCB) pour la Recherche sur la Prévention et la Prise en Charge du VIH/SIDA, Yaoundé, Cameroun ; Université de Rome Tor Vergata, et UNESCO Multidisciplinary Biotechnology Board, Rome, Italie
| | - Anne-Cécile Zoung-Kani Bissek
- Faculté de Médecine et des Sciences Biomédicales (FMSB), Université de Yaoundé 1, Yaoundé, Cameroun ; Division de la Recherche Opérationnelle en Santé, Ministère de la Santé Publique, Yaoundé, Cameroun
| | - Francisca Monebenimp
- Faculté de Médecine et des Sciences Biomédicales (FMSB), Université de Yaoundé 1, Yaoundé, Cameroun
| | - Jean-Bosco Elat Nfetam
- Groupe de Travail National pour la Surveillance et la Prévention de la Pharmacorésistance du VIH (HIVDR-WG), Ministère de la Santé Publique, Yaoundé, Cameroun ; Groupe Technique Central (GTC), Comité National de Lutte contre le SIDA (CNLS), Ministère de la Santé Publique, Yaoundé, Cameroun
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Bernadette NN, Kamgaing N, Monebenimp F, Simeu C. Human immunodeficiency virus infection in a child revealed by a massive purulent pericarditis mistaken for a liver abscess due to Staphylococcus aureus. Afr J Paediatr Surg 2015; 12:71-3. [PMID: 25659555 PMCID: PMC4955492 DOI: 10.4103/0189-6725.150988] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/30/2022] Open
Abstract
Massive purulent andacute pericarditis in children is a life-threatening disease associated with high mortality. It has been described tocomplicate usuallya bronchopulmonary infectionbut is currently uncommon in the era of antibiotics. Acute and massive purulent pericarditis has been rarely reported in children in association with human immunodeficiency virus (HIV) infection. This is a case of a10-year-old boy who presented with signs of sepsis and cardiac tamponade due to a massive staphylococcal purulent pericarditis complicating an unknown HIV infection.The child underwent pericardiectomy, intensive treatment, and survived this life-threatening disease.
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Kalla G, Assoumou MO, Kamgaing N, Monebenimp F, Mbopi-Keou FX. Impact of antiretroviral therapy on the biological profile of HIV infected children in Cameroon. Int J Infect Dis 2014. [DOI: 10.1016/j.ijid.2014.03.684] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022] Open
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Foumane P, Dohbit JS, Monebenimp F, Natolga B, Meka ENU, Mboudou ET. Clinical Study of Rape against Females at the Yaoundé Gyneco-Obstetric and Pediatric Hospital, Cameroun. ACTA ACUST UNITED AC 2014. [DOI: 10.4236/asm.2014.42003] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
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Foumane P, Chiabi A, Kamdem C, Monebenimp F, Dohbit JS, Mbu RE. Sexual activity of adolescent school girls in an urban secondary school in cameroon. J Reprod Infertil 2013; 14:85-9. [PMID: 23926570 PMCID: PMC3719318] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/01/2012] [Accepted: 11/26/2012] [Indexed: 11/30/2022] Open
Abstract
BACKGROUND The objective of this study was to describe the extent of sexual activity in adolescent school girls. METHODS This was a cross-sectional study with prolective collection of data carried out at Lycée General Leclerc, Yaounde (Cameroon), from October 1 to November 30, 2011. Heterosexual coitus was considered as sexual activity. A pretested self-administered questionnaire was proposed to all consenting girl students aged 10 to 19 years. The data were analyzed using Epi Info 3.2.1 and Microsoft Excel 2007 software. RESULTS Of the 2660 students who responded to the questionnaire, 21.3% (566) admitted being sexually active. Out of these, 64.3% (364) were aged between 10 and 16 years at their first heterosexual contact. The mean age at the first sexual intercourse was 15.3 years. Although 56.4% (319) of the sexually active respondents had only one sexual partner, 43.6% (247) of them had at least two partners. Sexual activity was occasional in 71.4% of those being sexually active. Meanwhile, 52.1% (295) of the sexually active adolescent girls used condoms during sexual intercourse, 41.5% (235) did so occasionally, and 6.4% (36) had regular unprotected sex. CONCLUSION More than one-fifth of adolescent girls were sexually active in this study. Sexual intercourse started mostly at the age of 16 or less, and it was mostly occasional. Half of the cases had multiple sexual partners, and half were not using condoms during sexual intercourse. We, thus, recommend the implementation of interventions aimed at delaying the age of the first sexual intercourse and accessibility of condoms to students in this setting.
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Affiliation(s)
- Pascal Foumane
- Department of Gynecology and Obstetric, Faculty of Medicine and Biomedical Sciences, University of Yaoundé 1, Yaoundé Gynaeco-Obstetric and Pediatric Hospital, Yaoundé, Cameroon,Corresponding Author: Foumane Pascal, Yaoundé Gynaeco-Obstetric and Pediatric Hospital Hospital, P.O. Box 4362 Yaoundé, Cameroon. E-mail:
| | - Andreas Chiabi
- Department of Gynecology and Obstetric, Faculty of Medicine and Biomedical Sciences, University of Yaoundé 1, Yaoundé Gynaeco-Obstetric and Pediatric Hospital, Yaoundé, Cameroon
| | - Christelle Kamdem
- Department of Gynecology and Obstetric, Faculty of Medicine and Biomedical Sciences, University of Yaoundé 1, Yaoundé Military Hospital, Yaoundé, Cameroon
| | - Francisca Monebenimp
- Department of Pediatrics, Faculty of Medicine and Biomedical Sciences, University of Yaoundé 1, University Teaching Hospital, Yaoundé, Cameroon
| | - Julius Sama Dohbit
- Department of Gynecology and Obstetric, Faculty of Medicine and Biomedical Sciences, University of Yaoundé 1, Yaoundé Gynaeco-Obstetric and Pediatric Hospital, Yaoundé, Cameroon
| | - Robinson Enow Mbu
- Department of Gynecology and Obstetric, Faculty of Medicine and Biomedical Sciences, University of Yaoundé 1, Central Maternity, Yaoundé, Cameroon
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Chelo D, Monebenimp F, Npanguepko FRT, Tietche F. [Early neonatal mortality and its determinants in a Level 1 maternity in Yaounde, Cameroon]. Pan Afr Med J 2012; 13:67. [PMID: 23346281 PMCID: PMC3549444] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/15/2012] [Accepted: 08/13/2012] [Indexed: 10/25/2022] Open
Abstract
Introduction Méthodes Résultats Conclusion
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Affiliation(s)
- David Chelo
- Centre Mère et Enfant de la Fondation Chantal BIYA, Yaoundé, Cameroun,Département de Pédiatrie, Faculté de Médecine et des Sciences Biomédicales de l'Université de Yaoundé 1, Cameroun,Corresponding author: Chelo David, Centre Mère et Enfant de la Fondation Chantal BIYA, BP 1936 Yaoundé Cameroun
| | - Francisca Monebenimp
- Département de Pédiatrie, Faculté de Médecine et des Sciences Biomédicales de l'Université de Yaoundé 1, Cameroun,Centre Hospitalier et Universitaire de Yaoundé, Cameroun
| | | | - Félix Tietche
- Centre Mère et Enfant de la Fondation Chantal BIYA, Yaoundé, Cameroun,Département de Pédiatrie, Faculté de Médecine et des Sciences Biomédicales de l'Université de Yaoundé 1, Cameroun,Décédé le 16 Mai 2009
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Mbopi-Kéou FX, Djomassi LD, Monebenimp F. [Descriptive aspects of HIV/AIDS in patients aged 50 years and over followed at the Treatment Center of Bafoussam - Cameroon]. Pan Afr Med J 2012; 12:107. [PMID: 23133707 PMCID: PMC3489390] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/16/2012] [Accepted: 06/23/2012] [Indexed: 11/13/2022] Open
Abstract
Introduction La littérature scientifique dispose de très peu de données relatives à l’épidémiologie du VIH chez les sujets âgés en Afrique subsaharienne. Au Cameroun, les caractéristiques épidémiologiques de l'infection par le VIH chez les sujets âgés de 50 ans et plus ne sont pas documentées. Méthodes Dans une étude de cohorte rétrospective et une enquête transversale, nous avons comparé les caractéristiques clinico-biologiques et la survie post thérapeutique des patients âgés de 50 ans et plus, sous traitement antirétroviral au Centre de Traitement Agrée de Bafoussam - Cameroun, aux adultes plus jeunes. Résultats L’âge moyen était de 39 ans, les extrêmes étant 17 et 88 ans. Les sujets âgés de 50 ans et plus représentaient 14,1% des cas. Les plus âgés étaient moins bien informés sur les modes de transmission du virus (p = 0,04). Leur séropositivité au VIH était le plus souvent découverte au décours d'une infection opportuniste (p = 0,02). La fréquence de comorbidité était significativement plus élevée chez les personnes âgées de 50 ans et plus (p < 10-5). Nous n'avons pas retrouvé une association statistiquement significative entre l'observance thérapeutique et l’âge (p = 0,83). La survie post-thérapeutique n’était pas significativement liée à l’âge (p = 0,81). Conclusion Les sujets âgés ne sont pas à l'abri du VIH. La promotion du dépistage et les programmes d’éducation sanitaire relatifs au VIH/SIDA devraient être renforcés au sein de cette communauté déjà affaiblie par le poids de l’âge, afin de réduire l'incidence du SIDA et de leur assurer prise en charge précoce.
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Affiliation(s)
- François-Xavier Mbopi-Kéou
- Laboratoire National de Santé Hygiène Mobile, Ministère de Santé Publique, Yaoundé, Cameroon et Faculté de Médecine et des Sciences Biomédicales, Université de Yaoundé I, Yaoundé, Cameroun
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Mbopi-Kéou FX, Dempouo Djomassi L, Monebenimp F. [Study of factors related to adherence to antiretroviral therapy among patients followed at HIV/AIDS Unit in the District Hospital of Dschang, Cameroon]. Pan Afr Med J 2012; 12:55. [PMID: 22937195 PMCID: PMC3428175] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/18/2012] [Accepted: 05/24/2012] [Indexed: 11/29/2022] Open
Abstract
Introduction Etudier les facteurs liés à l'observance au traitement antirétroviral chez les patients adultes suivis à l'Unité de Prise en Charge du VIH/SIDA (UPEC) de l'hôpital de District de Dschang. Méthodes Dans une étude descriptive transversale conduite à l'hôpital de District de Dschang, l'observance a été évaluée sur la base des déclarations des patients et sur la régularité du renouvellement de leurs ordonnances (observance calculée). Résultats Parmi les 389 patients répondant à nos critères d'inclusion, 356 ont été interrogés. La durée moyenne du suivi était de 27 mois. La moyenne d’âge était égale à 41 ans et le sexe ratio 2,46 en faveur du sexe féminin. Le statut sérologique était découvert pour 60,56% des patients à l'occasion d'un épisode maladif. Le niveau d'observance déclarée était significativement plus élevé que le niveau global de l'observance calculée (80,2% vs 51,5%, p<10−5). Les deux principales barrières à l'observance étaient l'oubli et le travail. Les patients référés dans cette UPEC étaient moins bien observants (p<10−4). L'observance au traitement antirétroviral était d'autant meilleure quand le taux de CD4 en début de traitement était élevé (p= 0,01) et que la durée du traitement était prolongée (p=0,00). Conclusion La discordance observée entre les résultats des deux méthodes utilisées pour estimer l'observance, tout en soulévant les contraintes liées à l’évaluation de l'observance thérapeutique, souligne l'importance des méthodes biologiques. Les facteurs individuels se sont avérés être les principales raisons de non-observance. Enfin, un accent devrait être mis sur les consultations d’éducation thérapeutique et le suivi psycho-social des patients sous traitement antirétroviral dans cette UPEC.
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Affiliation(s)
- François-Xavier Mbopi-Kéou
- Laboratoire National de Santé Hygiène Mobile, Ministère de la Santé Publique, Yaoundé, Cameroun et Faculté de Médecine et des Sciences Biomédicales, Université de Yaoundé I, Yaoundé, Cameroun,Corresponding author: Prof. François-Xavier Mbopi-Kéou, Laboratoire National de Santé Hygiène Mobile, Ministère de la Santé Publique, et Faculté de Médecine et des Sciences Biomédicales, Université de Yaoundé I, BP: 3601 Yaoundé, Cameroun
| | | | - Francisca Monebenimp
- Centre Hospitalier Universitaire de Yaoundé et Faculté de Médecine et des Sciences Biomédicales, Université de Yaoundé I, Yaoundé, Cameroun
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Kalla G, Tietche F, Djoukoué F, Monebenimp F, Obama MA. Umbilical cord infection in neonates born at term and hospitalized at a mother and child reference center in Cameroon. Int J Infect Dis 2012. [DOI: 10.1016/j.ijid.2012.05.777] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022] Open
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Monebenimp F, Tenefopa M, Mve Koh V, Kago I. Competence of health care providers on care of newborns at birth in a level-1 health facility in Yaoundé, Cameroon. Pan Afr Med J 2012; 11:45. [PMID: 22593781 PMCID: PMC3343673] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/03/2011] [Accepted: 01/13/2012] [Indexed: 11/08/2022] Open
Abstract
INTRODUCTION This is an observational study which was carried out at a level one health facility in Yaoundé from June to July 2009. The aim was to evaluate the competence of health care providers towards newborns' care at birth METHODS Ten health care providers took care of three hundred and thirty-five pregnant women who were enrolled for the study after informed verbal consent in the delivery room. RESULTS Out of 340 offspring delivered and taken care of, 179 (52.6%) were male and 161 (47.4%) were female. Only two out of ten health workers had a WHO Essential Newborn Care (ENC) training. None of them had received any refresher course for the past two years. The mean gestational age of women was 39.5 ± 3.5 weeks. Resuscitation was carried out on 21 (6.2%) of the newborns including 7 (33.3%) who had birth asphyxia. Health care providers scored 100% in performing the following tasks: warming up the baby, applying eye drops, injecting vitamin K, identifying the neonate, searching for any apparent life threatening congenital malformations, preventing for infection after procedures and initiating breastfeeding. The score was 24% at neonatal resuscitation tasks. Low level of education was associated with poor competence on applying ENC tasks (p<0.001). Lack of WHO ENC training was associated with poor competence on ENC tasks (p<0.001) and poor skills on resuscitation (p=0.03). CONCLUSION There is a need to reinforce the capacity of health care providers by training in WHO ENC course with emphasis on providing skills on resuscitation in order to reduce the burden of neonatal intrapartum-related deaths.
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Affiliation(s)
- Francisca Monebenimp
- University Teaching Hospital of Yaoundé and Faculty of Medicine and Biomedical Sciences, University of Yaoundé I, Cameroon,Corresponding author: Dr. Francisca Monebenimp, CHU Yaoundé, P.O. Box 2666 Yaoundé, Cameroon
| | - Makudjou Tenefopa
- University Teaching Hospital of Yaoundé and Faculty of Medicine and Biomedical Sciences, University of Yaoundé I, Cameroon
| | - Valere Mve Koh
- University Teaching Hospital of Yaoundé and Faculty of Medicine and Pharmacy, University of Douala, Cameroon
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Monebenimp F, Kagmeni G, Chelo D, Bilong Y, Moukouri E. [Congenital bilateral eversion of the eyelids: management of a case according to the conservative approach at the University Hospital of Yaounde, Cameroon]. Pan Afr Med J 2012; 11:34. [PMID: 22514768 PMCID: PMC3325072] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/21/2011] [Accepted: 11/28/2011] [Indexed: 11/10/2022] Open
Abstract
L’éversion congénitale des paupières est une affection rare. Son traitement en première intention est généralement conservateur, constitué de lubrifiant, d’antibiotiques, de manœuvres d’inversion de la paupière éversée et d’une éducation des parents. Nous présentons le cas d’un nouveau-né de huit heures de vie ayant une éversion congénitale bilatérale des paupières avec surinfection bactérienne. La ponction à l’aiguille de la conjonctive œdémateuse associée au traitement topique avec du sérum salé isotonique et des antibiotiques ont accéléré le processus de guérison. Une récidive n’a pas été observée lors des pleurs après trois semaines d’inversion des paupières.
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Affiliation(s)
- Francisca Monebenimp
- Département de Pédiatrie, Faculté de Médecine et des Sciences Biomédicales, Université de Yaoundé I, Cameroun,Centre Hospitalier et Universitaire de Yaoundé, Cameroun,Corresponding author: Francisca Monebenimp, Centre Hospitalier et Universitaire de Yaoundé, BP 2666 Yaoundé, Cameroun
| | - Gilles Kagmeni
- Centre Hospitalier et Universitaire de Yaoundé, Cameroun,Département d’Ophtalmologie et ORL, Faculté de Médecine et des Sciences Biomédicales, Université de Yaoundé I, Cameroun
| | - David Chelo
- Département de Pédiatrie, Faculté de Médecine et des Sciences Biomédicales, Université de Yaoundé I, Cameroun,Centre Mère et Enfant de la Fondation Chantal Biya, Yaoundé, Cameroun
| | - Yannick Bilong
- Centre Hospitalier et Universitaire de Yaoundé, Cameroun,Département d’Ophtalmologie et ORL, Faculté de Médecine et des Sciences Biomédicales, Université de Yaoundé I, Cameroun
| | - Ernest Moukouri
- Centre Hospitalier et Universitaire de Yaoundé, Cameroun,Département d’Ophtalmologie et ORL, Faculté de Médecine et des Sciences Biomédicales, Université de Yaoundé I, Cameroun
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Mbopi-Kéou FX, Djomassi LD, Monebenimp F. Etude des facteurs liés à l’observance au traitement antirétroviral chez les patients suivis à l’Unité de Prise En Charge du VIH/SIDA de l’Hôpital de District de Dschang, Cameroun. Pan Afr Med J 2012. [DOI: 10.11604/pamj.2012.12.55.1521] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022] Open
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Monebenimp F, Nga-Essono DE, Zoung-Kany Bissek AC, Chelo D, Tetanye E. HIV exposure and related newborn morbidity and mortality in the University Teaching Hospital of Yaoundé, Cameroon. Pan Afr Med J 2011; 8:43. [PMID: 22121451 PMCID: PMC3201607 DOI: 10.4314/pamj.v8i1.71160] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/17/2011] [Accepted: 03/22/2011] [Indexed: 11/17/2022] Open
Abstract
Introduction Few studies have established the role of maternal HIV infection on neonatal disease and death. In order to determine whether neonatal morbidity and mortality were associated to maternal HIV infection, a case-control study was conducted in the neonatal unit of the University Teaching Hospital of Yaoundé from July 2006 to December 2007. Methods Babies born from HIV positive mothers were recruited as cases. For each case, two babies born from HIV negative mothers were selected as controls. Informed verbal consent was obtained from the mother before inclusion of the newborn in the study. Information on demographics, history of pregnancy, diseases and outcome of the newborns were extracted from patients’ files. The distribution of these parameters between cases and control was analyzed using chi-square. Association of demographics, clinical and paraclinical parameters with mortality was explored using univariate analysis and logistic regression. Data were analyzed using Epi Info version 3.5.1 Windows. Results Out of 240 newborns enrolled, 80 were cases and were 160 controls. The mean age of cases was 1.69±2.73 days compared to 1.46±2.36 days for controls (p=0.26). Cases significantly differed from controls on mother’s marital status (p=0.02), level of education (p<0.001), number of prenatal consultations (p<0.001), anemia chemoprophylaxis (p=0.01) and drug abuse (p<0.001). Cases and controls were similar for prematurity, respiratory distress, sepsis, meningitis and urinary tract infection. The death rate was identical in both groups (p=0.52). Using Univariate analysis, risk factors associated to mortality in both groups were prematurity (p<0.001) and low birth weight (p<0.001). Conclusion This study showed no statistical difference in morbidity and mortality between newborns from HIV positive and HIV negative mothers.
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Affiliation(s)
- Francisca Monebenimp
- Department of Pediatrics, Faculty of Medicine and Biomedical Sciences, University of Yaounde I, and Neonatology Unit, University Teaching hospital of Yaounde, Yaounde, Cameroon
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Taguebue J, Monebenimp F, Zingg W, Mve Koh V, Atchoumi AH, Gervaix A, Tetanye E. Risk Factors for Prematurity among Neonates from HIV Positive Mothers in Cameroon. ACTA ACUST UNITED AC 2011. [DOI: 10.4236/wja.2011.11001] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
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Chelo D, Njiki Kinkela M, Monebenimp F, Nguefack S, Ngaha A, Tietche F. [Anhidrotic ectodermal dysplasia: report of one case at Mother and Child Center of Chantal Biya Foundation, Yaounde, Cameroon]. Pan Afr Med J 2010; 4:9. [PMID: 21119994 PMCID: PMC2984310 DOI: 10.4314/pamj.v4i1.53601] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/19/2010] [Accepted: 03/05/2010] [Indexed: 11/17/2022] Open
Abstract
Ectodermal dysplasia are rare genetic diseases characterized by the absence or dysplasia of some tissues of ectodermal origin. We present a case of a young boy seen at the age of seven and a half years for late eruption of teeth, morphologic abnormalities of the teeth and a feeling of exaggerated heat. The diagnosis of anhidrotic ectodermal dysplasia was discussed. The absence of sweat glands on the skin biopsy slides was in favor of the diagnosis. Dental prostheses were put in place which the aim of permitting the child to eat normally and have a better self image.
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Affiliation(s)
- David Chelo
- Centre Mère et Enfant de la Fondation Chantal BIYA, Yaoundé, Cameroun
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Monebenimp F, Kagbo J, Lantum D. Menarche and sexuality in female school adolescents in Yaounde, Cameroon. J Clin Epidemiol 1999. [DOI: 10.1016/s0895-4356(99)80049-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
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Titanji VP, Monebenimp F, Ngu JL. Serum immunoglobulin E levels in onchocerciasis: the development of a radioallergosorbent test for Onchocerca volvulus infection. Trop Med Parasitol 1985; 36:12-6. [PMID: 4001765] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/08/2023]
Abstract
The effects of Onchocerca volvulus infection on immunoglobulin levels have been studied in subjects from three localities with different onchocerciasis prevalence rates. Infestation by O. volvulus provoked a 200-500% rise in total serum IgE levels. Immunoglobulins G, M. and A were increased less dramatically. To study further the IgE response, radioallergosorbent test (RAST) systems were developed using total extract of O. volvulus and Onchocerca supernatant (excretory-secretory) antigens. Both antigen preparations reacted with more than 80% of the onchocerciasis sera from the hyperendemic village, but the reactions were not proportionate to skin microfilarial density. There were also positive reactions with sera of some individuals whose skin biopsies showed no microfilariae, indicating prior exposure to the parasite. European control sera tested under similar conditions reacted only slightly in the RAST system. The developed RAST systems may thus be used for determining prior exposure to O. volvulus.
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