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Ngatchou W, Dreezen I, Kamdem F, Imandy G, Okalla C, Nkana A, Hacquebard JP, Origer P, Sango J, Lemogoum D, Mouliom S, Dzudie A, Ngote H, Hentchoya R, Metogo J, Germay O, Priso EB, Jansens JL, Luma H, Najdovski T. [Platelet collection in cardiac surgery: first experience with apheresis at the General Hospital in Douala]. Pan Afr Med J 2019; 31:41. [PMID: 30918567 PMCID: PMC6430850 DOI: 10.11604/pamj.2018.31.41.16571] [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: 07/16/2018] [Accepted: 09/15/2018] [Indexed: 11/11/2022] Open
Abstract
Cardiac surgery with extracorporeal circulation (ECC) is usually associated with the loss of a significant amount of blood. Adequate prophylaxis against blood loss and good perioperative hemostasis are known as processes limiting postoperative bleeding. Until now, the need for platelets in patients operated with extracorporeal circulation in our Department has been compensated for by total blood transfusion or platelet concentrates collected from several donors. We here report our first experience with platelet concentrate collection by apheresis at the General Hospital in Douala.
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Affiliation(s)
- William Ngatchou
- Département de Chirurgie, Faculté de Médecine et de Science Pharmaceutique de Douala, Cameroun
| | | | - Felicité Kamdem
- Service de Médecine et Spécialité Faculté de Médecine et Science Pharmaceutique de Douala, Cameroun.,Service de Médecine Hôpital Général de Douala, Cameroun
| | | | | | - Albert Nkana
- Service de Médecine et Spécialité Faculté de Médecine et Science Pharmaceutique de Douala, Cameroun
| | - Jean Pierre Hacquebard
- Service d'Anesthésie CHU St Pierre de Bruxelles, Université Libre de Bruxelles, Belgique
| | - Pierre Origer
- Service d'Anesthésie CHU St Pierre de Bruxelles, Université Libre de Bruxelles, Belgique
| | - Joseph Sango
- Département de Chirurgie, Faculté de Médecine et de Science Pharmaceutique de Douala, Cameroun
| | - Daniel Lemogoum
- Service de Médecine et Spécialité Faculté de Médecine et Science Pharmaceutique de Douala, Cameroun
| | | | | | - Henri Ngote
- Service de Médecine Hôpital Général de Douala, Cameroun
| | - Romuald Hentchoya
- Service d'Anesthésie Réanimation Hôpital Général de Douala, Cameroun
| | - Junette Metogo
- Département de Chirurgie, Faculté de Médecine et de Science Pharmaceutique de Douala, Cameroun.,Service d'Anesthésie Réanimation Hôpital Général de Douala, Cameroun
| | - Olivier Germay
- Service d'Anesthésie CHU St Pierre de Bruxelles, Université Libre de Bruxelles, Belgique
| | | | - Jean Luc Jansens
- Hôpital Erasme de Bruxelles, Université Libre de Bruxelles, Belgique
| | - Henry Luma
- Service de Médecine Hôpital Général de Douala, Cameroun.,Direction de Hôpital Général de Douala, Cameroun
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Kamdem F, Mapoure Y, Hamadou B, Souksouna F, Doualla MS, Jingi AM, Kenmegne C, Lekpa FK, Fenkeu JK, Imandy G, Mefo'o JPN, Luma H. Prevalence and risk factors of peripheral artery disease in black Africans with HIV infection: a cross-sectional hospital-based study. Vasc Health Risk Manag 2018; 14:401-408. [PMID: 30584314 PMCID: PMC6287665 DOI: 10.2147/vhrm.s165960] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.7] [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] [Indexed: 01/11/2023] Open
Abstract
Background The prevalence of peripheral artery disease (PAD) is not well known among HIV-infected patients in Africa. The aim of this study was to determine the prevalence and associated risk factors of PAD among HIV-infected patients at the Douala General Hospital (DGH). Methods This was a cross-sectional descriptive and analytic study between November 2015 and April 2016. We recruited patients aged ≥21 years, diagnosed with HIV infection, and who were receiving care at the DGH. We collected sociodemographic data and past medical history of patients. We measured their ankle-brachial index (ABI). We defined PAD as an ABI <0.9. We also measured their fasting blood glucose and lipid profile. Results We recruited 144 patients for this study. The mean age was 46±9 years, and 72.2% were females. Of which, 89% were on antiretroviral treatment (ARV). Their mean CD4+ T lymphocytes count was 451±306 cells/mm3. Their mean ABI was 1.12±0.17 and 1.07±0.11, respectively, on the left and right legs (P>0.05). The prevalence of PAD was 6.9% (95% CI: 3.4–12.4), and 60% of patients with PAD were symptomatic. After adjusting for age, sex and ARV, ARV treatment was protective (aOR: 0.18, [95% CI: 0.04–0.82], P=0.034), while WHO stages III or IV was associated with PAD (aOR: 11.1, [95% CI: 2.19–55.92], P=0.004). Conclusion The prevalence of PAD was not as high as expected in this group of patients with high cardiovascular risk infected with HIV. Advanced HIV disease was associated with PAD, while ARV was protective.
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Affiliation(s)
- Félicité Kamdem
- Internal Medicine Service, Douala General Hospital, Douala, Cameroon.,Faculty of Medicine and Pharmaceutical Sciences, University of Douala, Douala, Cameroon
| | - Yacouba Mapoure
- Internal Medicine Service, Douala General Hospital, Douala, Cameroon.,Faculty of Medicine and Pharmaceutical Sciences, University of Douala, Douala, Cameroon
| | - Ba Hamadou
- Department of Internal Medicine and Specialties, Faculty of Medicine and Biomedical Sciences, University of Yaounde 1, Yaounde, Cameroon,
| | - Fanny Souksouna
- Faculty of Medicine and Pharmaceutical Sciences, University of Douala, Douala, Cameroon
| | - Marie Solange Doualla
- Internal Medicine Service, Douala General Hospital, Douala, Cameroon.,Department of Internal Medicine and Specialties, Faculty of Medicine and Biomedical Sciences, University of Yaounde 1, Yaounde, Cameroon,
| | - Ahmadou Musa Jingi
- Department of Internal Medicine and Specialties, Faculty of Medicine and Biomedical Sciences, University of Yaounde 1, Yaounde, Cameroon,
| | - Caroline Kenmegne
- Internal Medicine Service, Douala General Hospital, Douala, Cameroon
| | - Fernando Kemta Lekpa
- Internal Medicine Service, Douala General Hospital, Douala, Cameroon.,Faculty of Health Sciences, University of Buea, Buea, Cameroon
| | | | - Gisèle Imandy
- Chemical Pathology Laboratory, Douala General Hospital, Douala, Cameroon
| | - Jean Pierre Nda Mefo'o
- Faculty of Medicine and Pharmaceutical Sciences, University of Douala, Douala, Cameroon.,Chemical Pathology Laboratory, Douala General Hospital, Douala, Cameroon
| | - Henry Luma
- Internal Medicine Service, Douala General Hospital, Douala, Cameroon.,Department of Internal Medicine and Specialties, Faculty of Medicine and Biomedical Sciences, University of Yaounde 1, Yaounde, Cameroon,
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