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Rodier-Bonifas C, Rochet E, Seve P, Duquesne A, Nguyen AM, Denis P, Kodjikian L, Mathis T. Uveitis in children: Epidemiological, clinical and prognostic characteristics. J Fr Ophtalmol 2023; 46:163-172. [PMID: 36642594 DOI: 10.1016/j.jfo.2022.08.005] [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] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/08/2022] [Revised: 08/20/2022] [Accepted: 08/26/2022] [Indexed: 01/15/2023]
Abstract
PURPOSE The purpose of this study is to describe the characteristics and prognostic factors of pediatric uveitis in a French university referral hospital. METHODS We performed a retrospective study of all cases of all pediatric uveitis seen at our institution over a 7-year period. RESULTS A total of 141 eyes of 86 children were included. The mean age was 10.7 years, and 61.6% were girls. The uveitis was bilateral in 64.0% of cases. Anterior uveitis (41.0%) and intermediate uveitis (32.0%) were the most frequent forms. The most frequent etiologies were idiopathic (27.9%), juvenile idiopathic arthritis (25.6%) and pars planitis (18.6%). During the follow-up period, systemic corticosteroids were received by 43.0% of children, immunosuppressive drugs by 31.4% and biological agents by 18.6%. At the final examination, complications were present in 67.0% of patients: 18.0% had cataracts, and 11.3% had intraocular hypertension. Posterior synechiae were present in 27.6% of eyes, optic disc edema in 10.5% and macular edema in 16.2%. At the last visit, visual acuity was better than 20/200 in 97.0% of cases. The presence of band keratopathy, cataract or glaucoma was an independent predictor of impaired visual outcomes at follow-up. CONCLUSION Juvenile idiopathic arthritis is one of the most frequent and severe pediatric uveitides. Close monitoring and early treatment could prevent complications.
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Affiliation(s)
- C Rodier-Bonifas
- Ophtalmologie rive gauche, department of ophthalmology, Clinique rive gauche, Toulouse 31076, France
| | - E Rochet
- Department of ophthalmology, Croix-Rousse University Hospital, Hospices Civils de Lyon, Lyon 69004, France
| | - P Seve
- Department of internal medicine, Croix-Rousse University Hospital, Hospices Civils de Lyon, Lyon 69004, France
| | - A Duquesne
- Department of rheumatology, Femme Mère Enfant University Hospital, Hospices Civils de Lyon, Lyon 69004, France
| | - A-M Nguyen
- Department of ophthalmology, Croix-Rousse University Hospital, Hospices Civils de Lyon, Lyon 69004, France
| | - P Denis
- Department of ophthalmology, Croix-Rousse University Hospital, Hospices Civils de Lyon, Lyon 69004, France
| | - L Kodjikian
- Department of ophthalmology, Croix-Rousse University Hospital, Hospices Civils de Lyon, Lyon 69004, France; CNRS UMR 5510 Mateis, Villeurbanne 69621, France.
| | - T Mathis
- Department of ophthalmology, Croix-Rousse University Hospital, Hospices Civils de Lyon, Lyon 69004, France; CNRS UMR 5510 Mateis, Villeurbanne 69621, France
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Yao H, Ekou A, Brou I, Niamkey T, Koffi F, Tano S, Kouamé I, N'Guetta R. [Evolution of epidemiology and management of acute coronary syndromes in Abidjan : A cross-sectional study of 1011 patients.]. Ann Cardiol Angeiol (Paris) 2022; 71:130-135. [PMID: 35293317 DOI: 10.1016/j.ancard.2022.02.001] [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] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/18/2019] [Revised: 11/29/2020] [Accepted: 02/03/2022] [Indexed: 06/14/2023]
Abstract
BACKGROUND To assess the evolution of the epidemiology and management of patients hospitalized to Abidjan Heart Institute for acute coronary syndrome (ACS). METHODS Cross-sectional study comparing two periods: from January 2002 to December 2009 (period 1) and from January 2010 to December 2016 (period 2), including all patients aged 18 years old, admitted to Intensive Care Unit of Abidjan Heart Institute for ACS. RESULTS One thousand eleven (1011) patients were included among the 6784 patients admitted to Intensive Care Unit of Abidjan Heart Institute for a cardiovascular disease. The overall prevalence of ACS was 14.9%. The prevalence in period 2 was significantly higher than in period 1 (22.6% and 7.3% respectively, p < 0.001). Diabetes (33.5%, p < 0.001) significantly, and smoking (30.7%, p = 0.30) had the largest rises from period 1 to period 2. ST-segment Elevation Myocardial Infarction was the main clinical presentation during both periods. The median time to treatment (p = 0.46) and length of hospital stay (p <0.001) decreased during period 2. Percutaneous coronary intervention (PCI) was performed in 173 patients (22.6%) during the period 2 and 42 patients (5.5%) underwent primary PCI. The rate of fibrinolysis increased significantly between the two periods (9.5%, p <0.001). In-hospital death increased during period 2 (10.4%, p = 0.07). CONCLUSION The burden of ACS and its related mortality have risen alarmingly past years in Côte d'Ivoire. Healthcare policies should help improve the management and outcomes of patients.
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Affiliation(s)
- H Yao
- Unité de Soins Intensifs Cardiologiques, Institut de Cardiologie d'Abidjan, 01 BP V 206 Abidjan, Côte d'Ivoire
| | - A Ekou
- Unité de Soins Intensifs Cardiologiques, Institut de Cardiologie d'Abidjan, 01 BP V 206 Abidjan, Côte d'Ivoire
| | - I Brou
- Laboratoire de biostatistique et d'informatique médicale, Centre Hospitalier Universitaire de Cocody, Abidjan, Côte d'Ivoire
| | - T Niamkey
- Service des explorations externes, Institut de Cardiologie d'Abidjan, Côte d'Ivoire
| | - F Koffi
- Service des Urgences, Institut de Cardiologie d'Abidjan, Côte d'Ivoire
| | - S Tano
- Unité de Soins Intensifs Cardiologiques, Institut de Cardiologie d'Abidjan, 01 BP V 206 Abidjan, Côte d'Ivoire
| | - I Kouamé
- Unité de Soins Intensifs Cardiologiques, Institut de Cardiologie d'Abidjan, 01 BP V 206 Abidjan, Côte d'Ivoire
| | - R N'Guetta
- Unité de Soins Intensifs Cardiologiques, Institut de Cardiologie d'Abidjan, 01 BP V 206 Abidjan, Côte d'Ivoire.
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Sonfo B, Camara Y, Thiam C, Konaté M, Maiga AK, Sacko M, Sangaré I, Touré M, Sidibé S, Sangaré Z, Camara M, Daffé S, Ba HO, Mariko S, Coulibaly S, Menta I, Diall I, Diarra MB. [Epidemiological and clinical aspects of atrial fibrillation at the cardiology department of kati university hospital]. Mali Med 2022; 37:32-35. [PMID: 38196251] [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] [Subscribe] [Scholar Register] [Indexed: 01/11/2024]
Abstract
Atrial fibrillation is the most frequent permanent rhythm disorder.Theaim of this work was to determine the epidemiological and clinical aspects of atrial fibrillation cases hospitalized in the cardiology department of the University Hospital of Kati. MATERIALS AND METHODS We carried out a descriptive retrospective study, from January 2018 to December 2019.Patients of all ages and both sexes with clinical and EKG atrial fibrillation admitted to the department during the study period were included in the study.The variables studiedwere: socio-demographic characteristics, clinical signs, classification of atrial fibrillation, and comorbidities associated. RESULTS A total of 52 patients were included in the studyof 203 cases hospitalized in the department, with a hospital prevalence of 25.61%, the female sex was predominant 69.23%. The main reason for consultation was heart failure syndrome (46.15%).Arterial hypertension (55.76%) was the mostassociatedcomorbidity. Permanent atrial fibrillation accounted for 63.46% of cases . CONCLUSION Atrial fibrillation is the most frequent arrhythmia in our environment, preventive measures must be put in place for early detection and better management of comorbiditiesassociatedwith atrial fibrillation.
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Affiliation(s)
- B Sonfo
- Service de Cardiologie CHU de Kati
| | - Y Camara
- Service de Cardiologie CHU de Kati
| | - C Thiam
- Service de Cardiologie CHU de Kati
| | - M Konaté
- Service de Médecine de l'Hôpital du Mali
| | - A K Maiga
- Service de Cardiologie CHUME « le Luxembourg »
| | - M Sacko
- Service de Cardiologie CHU du Point G
| | - I Sangaré
- Service de Cardiologie CHU « Gabriel Touré »
| | - M Touré
- Service de Cardiologie CHU « Gabriel Touré »
| | - S Sidibé
- Service de Cardiologie CHU du Point G
| | - Z Sangaré
- Service de Cardiologie de l'Hôpital Mère-Enfant de Kayes
| | - M Camara
- Service de Cardiologie CHU de Kati
| | - S Daffé
- Service de Cardiologie CHUME « le Luxembourg »
| | - H O Ba
- Service de Cardiologie CHU « Gabriel Touré »
| | - S Mariko
- Service de Medecine De l'Hôpital de Tombouctou
| | | | - I Menta
- Service de Cardiologie CHU « Gabriel Touré »
| | - I Diall
- Service de Cardiologie CHU du Point G
| | - M B Diarra
- Service de Cardiologie CHUME « le Luxembourg »
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Chigblo P, Lawson E, Layes T, Alihonou T, Padonou A, Amossou F, Goukodadja O, Gbedinhessi C, Madougou S, Akue AHM. [Epidemiology of cervical spine injuries in National teaching hospital Hubert K. Maga of Cotonou]. Mali Med 2022; 37:6-10. [PMID: 38506218] [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] [Subscribe] [Scholar Register] [Indexed: 03/21/2024]
Abstract
INTRODUCTION Trauma to the cervical spine is a real public health problem. They can cause neurological complications that are sometimes irreversible and mortality remains high. The causes are dominated by traffic and work accidents. We assess their epidemiological and lesional aspects in our work environment. MATERIAL AND METHOD This was a descriptive retrospective study of any cervical spine trauma patient admitted to the National teaching hospital Hubert Koutoukou Maga of Cotonou between January 2010 and June 2014 for which the clinical file was complete. RESULTS 57 files were retained. The average age was 38.7 years (19 - 71 years). The predominance was male with a sex ratio of 4.2. The mean admission time was 27.5 days (3 hours - 175 days). As aetiologies, we found: traffic accidents (41 cases or 71.9%), work accidents (13 cases or 22.9%) and domestic accidents (3 cases or 5.3%). From an anatomopathological point of view, there were 16 simple fractures, one compression fracture, 13 dislocation fractures, 15 pure dislocations, 5 sprains, 2 post-traumatic disc herniations and 5 decompensations of cervicarthrosis myelopathy. The lesions involved the upper cervical spine (7%), the lower cervical spine (71.9%), the upper and lower cervical spine (21.1%). Thirty-two patients (56.1%) were quadriplegic and autonomic disorders were present in 7 patients (12.3%). CONCLUSION Cervical spine trauma is frequent in Cotonou. They are often of interest to the young male subject. The lesions predominate on the lower cervical spine.
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Affiliation(s)
- Pascal Chigblo
- Clinique Universitaire de Traumatologie Orthopédie et de Chirurgie Réparatrice, CNHU-HKM Cotonou, Bénin
| | - Eric Lawson
- Clinique Universitaire de Traumatologie Orthopédie et de Chirurgie Réparatrice, CNHU-HKM Cotonou, Bénin
| | - Toure Layes
- Clinique Universitaire de Traumatologie Orthopédie et de Chirurgie Réparatrice, CNHU-HKM Cotonou, Bénin
| | - Thierry Alihonou
- Service de Chirurgie, Centre Hospitalier Universitaire Départemental O-P, Porto-Novo, Bénin
| | - Adébola Padonou
- Clinique Universitaire de Traumatologie Orthopédie et de Chirurgie Réparatrice, CNHU-HKM Cotonou, Bénin
| | - Francois Amossou
- Service de Chirurgie, Centre Hospitalier Universitaire Départemental O-P, Porto-Novo, Bénin
| | - Oswald Goukodadja
- Clinique Universitaire de Traumatologie Orthopédie et de Chirurgie Réparatrice, CNHU-HKM Cotonou, Bénin
| | - Christian Gbedinhessi
- Clinique Universitaire de Traumatologie Orthopédie et de Chirurgie Réparatrice, CNHU-HKM Cotonou, Bénin
| | - Soumaïla Madougou
- Clinique Universitaire de Traumatologie Orthopédie et de Chirurgie Réparatrice, CNHU-HKM Cotonou, Bénin
| | - Aristote Hans-Moevi Akue
- Clinique Universitaire de Traumatologie Orthopédie et de Chirurgie Réparatrice, CNHU-HKM Cotonou, Bénin
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NGakoutou R, Allawaye L, Ahamat A, Ali Bolti M, Joseph M, Adjougoulta KD, Mihimit A. [Clinical and etiological epidemiological profiles of hospitalized pleurisia in the pneumo-phtisiology department at N'Djamena's National Reference General Hospital, Chad]. Mali Med 2022; 37:21-25. [PMID: 38196261] [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] [Subscribe] [Scholar Register] [Indexed: 01/11/2024]
Abstract
INTRODUCTION Pleurisy is one of the frequent reasons for hospitalization in the pneumo-phtisiology department. Their etiologies are diverse. The objective of our study was to determine the clinical and etiological epidemiological profiles of hospitalized pleurisia in the pneumo-phtisiology department in order to improve their management. SUBJECTS AND METHODS We conducted a descriptive retrospective study covering a 1-year period from January 01 to December 31, 2018 collecting clinical and biological epidemiological data from hospitalized patients for exploration of pleural effusion. RESULTS Our study covered the period from January to December 2018 in the pneumo-phtisiology department of the N'Djamena National Reference General Hospital and covered all cases of adult patients in hospital. A total of 963 patients including 130 cases of pleurisy (13.6%), with a sex ratio of 1.5. More than half (54%) patients were HIV-30 and the average age of patients was 36.30 (±14 years). The main history was smoking (38.5%) ethyl (43.1%). The dominant general signs were fever (95.4%), asthenia (83%), and weight loss (81%). Clinical manifestations were dominated by chest pain (90.8%) cough (85%). Pleural puncture was performed in all patients. The appearance of pleural fluid was citrin yellow in 96% of cases, purulent in 13% of cases and sero-hematic in 5% of cases. Pleural biopsy performed in 25 patients found tuberculosis in 28% of cases followed by adenocarcinoma in 16% of cases, and squamous cell carcinoma in 11% bacterial in 4% of cases. CONCLUSION In our series, the etiologies of pleurisy are dominated by tuberculosis. We will stress the resurgence of this condition in this context of HIV requiring early and appropriate therapeutic management. However, delayed diagnosis can be life-threatening.
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Affiliation(s)
- R NGakoutou
- Faculté des Sciences de la Santé Humaine (N'Djamena) et Hôpital Général de Référence Nationale (N'Djamena)
| | - L Allawaye
- Faculté des Sciences de la Santé Humaine (N'Djamena) et Hôpital Général de Référence Nationale (N'Djamena)
| | - A Ahamat
- Faculté des Sciences de la Santé Humaine (N'Djamena) et Hôpital Général de Référence Nationale (N'Djamena)
| | - Mahamat Ali Bolti
- Faculté des Sciences de la Santé Humaine (N'Djamena) et Hôpital Général de Référence Nationale (N'Djamena)
| | - Mad Joseph
- Faculté des Sciences de la Santé Humaine (N'Djamena) et Hôpital Général de Référence Nationale (N'Djamena)
| | - Koboye Dand Adjougoulta
- Faculté des Sciences de la Santé Humaine (N'Djamena) et Hôpital Général de Référence Nationale (N'Djamena)
| | - A Mihimit
- Faculté des Sciences de la Santé Humaine (N'Djamena) et Hôpital Général de Référence Nationale (N'Djamena)
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Villeneuve T, Prévot G, Lintz F, Mourin G, Ferry G, Bousquet E, Perelroizen H, Boghanim T, Faviez G, Noël-Savina E, Collot S, Le Borgne A, Didier A. [Epidemiology of fibrosing interstitial lung diseases in the department of Haute Garonne]. Rev Mal Respir 2021; 38:972-979. [PMID: 34629221 DOI: 10.1016/j.rmr.2021.07.004] [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] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/20/2020] [Accepted: 07/31/2021] [Indexed: 11/30/2022]
Abstract
EPIDemio study is a multicenter, prospective and observational study. The objective is to estimate the prevalence and incidence of fibrosing interstitial lung diseases (ILDs) in the department of Haute Garonne (31) in France. Fifty-five pulmonologists from the Toulouse university hospital and 8 private establishments participated in this study. Two hundred and fifty-six cases of fibrosing ILDs were reported (gross overall prevalence: 22.8/100,000 and estimated 30.1/100,000. Idiopathic ILDs represent 55.8% of fibrosing ILDs ahead of systemic disease-related ILDs (24.6%) and ILDs associated with environmental exposure (13.3%). Idiopathic pulmonary fibrosis (IPF) represents 35.9% of fibrosing ILDs, which corresponds to a minimal prevalence of 8.2/100,000 and an estimated prevalence of 11.2/100,000. This study confirms epidemiological data collected in France and Europe.
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Affiliation(s)
- T Villeneuve
- Service de pneumologie, Hôpital Larrey, Université Paul Sabatier, CHU Toulouse, Toulouse, France.
| | - G Prévot
- Service de pneumologie, Hôpital Larrey, Université Paul Sabatier, CHU Toulouse, Toulouse, France
| | - F Lintz
- Service de pneumologie, clinique Pasteur, Toulouse, France
| | - G Mourin
- Service de pneumologie, clinique d'Occitanie, Muret, France
| | - G Ferry
- Service de pneumologie, clinique des Cèdres, Cornebarrieu, France
| | - E Bousquet
- Service de pneumologie, clinique L'Union, Saint-Jean, France
| | - H Perelroizen
- Service de pneumologie, clinique La Croix du Sud, Quint-Fonsegrives, France
| | - T Boghanim
- Service de pneumologie, Hôpital Larrey, Université Paul Sabatier, CHU Toulouse, Toulouse, France
| | - G Faviez
- Service de pneumologie, Hôpital Larrey, Université Paul Sabatier, CHU Toulouse, Toulouse, France
| | - E Noël-Savina
- Service de pneumologie, Hôpital Larrey, Université Paul Sabatier, CHU Toulouse, Toulouse, France
| | - S Collot
- Service de radiologie, Hôpital Larrey-Rangueil, Université Paul-Sabatier, CHU Toulouse, Toulouse, France
| | - A Le Borgne
- Service de pneumologie, Hôpital Larrey, Université Paul Sabatier, CHU Toulouse, Toulouse, France
| | - A Didier
- Service de pneumologie, Hôpital Larrey, Université Paul Sabatier, CHU Toulouse, Toulouse, France
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Moulis G, Comont T, Adoue D. New insights into the epidemiology of immune thrombocytopenia in adult patients: Impact for clinical practice. Rev Med Interne 2020; 42:11-15. [PMID: 32798089 DOI: 10.1016/j.revmed.2020.05.018] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/08/2020] [Accepted: 05/26/2020] [Indexed: 12/28/2022]
Abstract
New insights into immune thrombocytopenia (ITP) epidemiology in adult patients highlight three main outcomes of morbidity and mortality: bleeding, infection and thrombosis. This review depicts current evidence about incidence and risk factors of bleeding, infection and thrombosis as well as predictors of chronicity, and shows how this assessment impacts the choice of ITP second-line treatment at the individual-level basis.
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Affiliation(s)
- G Moulis
- Service de Médecine Interne, CHU de Toulouse, France; UMR 1027 INSERM, Université de Toulouse, France; CIC 1436, CHU de Toulouse, France.
| | - T Comont
- Service de Médecine Interne, Institut Universitaire du Cancer de Toulouse- Oncopôle, France
| | - D Adoue
- Service de Médecine Interne, Institut Universitaire du Cancer de Toulouse- Oncopôle, France
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Régas I, Bellemère P, Lamon B, Bouju Y, Lecoq FA, Chaves C. Hand injuries treated at a hand emergency center during the COVID-19 lockdown. Hand Surg Rehabil 2020; 39:459-461. [PMID: 32777488 PMCID: PMC7411507 DOI: 10.1016/j.hansur.2020.07.001] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 05/31/2020] [Revised: 07/18/2020] [Accepted: 07/28/2020] [Indexed: 10/26/2022]
Abstract
The recent coronavirus outbreak has tested the adaptability, cooperation and organizational capabilities of our healthcare systems. Restrictions were implemented in several countries to reduce virus transmission whilst emergency departments (ED) were overwhelmed and there was shortage of healthcare providers. Given this situation and the consequences of hand injuries, we studied the epidemiology of hand injuries in an accredited FESSH emergency center during the lockdown in France (March 17 to May 10, 2020) due to the coronavirus outbreak. During this period, 1947 patients consulted for a hand injury. We found high percentages of men (63%), open wounds (70%), domestic accidents (88%) and surgical treatment being required (76%). There was a significant decrease in admissions and consultations relative to the same period in 2019. This reference data can help healthcare systems prepare for future outbreaks and similar restrictions.
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Affiliation(s)
- I Régas
- Institut de la Main Nantes Atlantique, Boulevard Charles-Gautier, 44800 Saint Herblain, France
| | - P Bellemère
- Institut de la Main Nantes Atlantique, Boulevard Charles-Gautier, 44800 Saint Herblain, France
| | - B Lamon
- Institut de la Main Nantes Atlantique, Boulevard Charles-Gautier, 44800 Saint Herblain, France
| | - Y Bouju
- Institut de la Main Nantes Atlantique, Boulevard Charles-Gautier, 44800 Saint Herblain, France
| | - F-A Lecoq
- Institut de la Main Nantes Atlantique, Boulevard Charles-Gautier, 44800 Saint Herblain, France
| | - C Chaves
- Institut de la Main Nantes Atlantique, Boulevard Charles-Gautier, 44800 Saint Herblain, France.
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Irié Bi GS, Pete Y, Benie AC, Koffi N, N'da-Koffi C, Able E, Ogondon B, Kouadio S, Boua N, Kouame KE. [Epidemiology and mortality factors of acute intoxication in intensive care in Bouaké (Ivory Coast) from 2015 to 2018]. Mali Med 2020; 35:1-5. [PMID: 37978724] [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] [Subscribe] [Scholar Register] [Indexed: 11/19/2023]
Abstract
INTRODUCTION Acute poisoning is a common reason for admission to intensive care. OBJECTIVE To describe the epidemiological profile, to analyze the mortality factors of patients admitted to intensive care for acute intoxication. PATIENTS AND METHODS A retrospective, descriptive and analytical study covering four years (from January 1, 2015 to December 31, 2018) .Includes patients admitted to intensive care in Bouaké for acute intoxication. The variables studied were: socio-demographic characteristics, intoxication characteristics, clinical, therapeutic, evolutionary and prognostic characteristics. RESULTS Of a total of 1476 admissions during the study period, 131 patients were admitted for acute intoxication, with a hospital prevalence of 8.8%. The average age was 19 (range: 1 month to 70 years). The sex ratio was 0.84. The majority of poisonings occurred at home (94%). Psychiatric history was present in 11% of patients. The poisoning occurred in urban areas in 72% of cases. The place of intoxication was the family home in 94% of cases. The nature of the intoxication and the type of poison toxin depended on the age of the intoxicated patients. The average admission time was 7.38 hours ± 12 hours (range: 30 minutes to 72 hours). The poisoning was symptomatic in 93% of the patients. The clinical symptoms observed were: gastrointestinal (70%), respiratory (62%) and neurological (43%). Vomiting attempts associated with self-medication were performed in 69% of patients. The substances used for self-medication were: palm oil (80%) and milk (20%). The treatment in intensive care was initially symptomatic then secondarily adapted to the nature of the incriminated or suspected toxin. The use of tracheal intubation and mechanical ventilation was necessary for 10% of the patients. The average stay in hospital was 1.64 ± 1.5 days (range: 1 to 10 days). The lethality was 8%. The factors of poor prognosis were the existence of a cardiovascular collapse (p <0.001), the presence of a deep coma (p <0.001) and the use of mechanical ventilation (p <0. 001). CONCLUSION Acute intoxication is a public health problem in Bouaké and requires preventive action.
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Affiliation(s)
- G S Irié Bi
- Service de réanimation polyvalente du Centre Hospitalier Universitaire de Bouaké
| | - Y Pete
- Service de réanimation polyvalente du Centre Hospitalier Universitaire de Bouaké
| | - A C Benie
- Service de chirurgie pédiatrique du Centre Hospitalier Universitaire de Bouaké
| | - N Koffi
- Service de réanimation polyvalente du Centre Hospitalier Universitaire de Bouaké
| | - C N'da-Koffi
- Service de réanimation polyvalente du Centre Hospitalier Universitaire de Bouaké
| | - E Able
- Service de réanimation polyvalente du Centre Hospitalier Universitaire de Bouaké
| | - B Ogondon
- Service de réanimation polyvalente du Centre Hospitalier Universitaire de Bouaké
| | - S Kouadio
- Service de réanimation polyvalente du Centre Hospitalier Universitaire de Bouaké
| | - N Boua
- Service de réanimation polyvalente du Centre Hospitalier Universitaire de Bouaké
| | - K E Kouame
- Service de réanimation polyvalente du Centre Hospitalier Universitaire de Bouaké
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Khefacha Aissa S, Ghali H, Ben Rejeb M, Ben Fredj S, Ben Ouanes R, Dhidah L, Said Latiri H. [Smoking attitudes and behavior of the hospital staff Sahloul (Sousse, Tunisia)]. Rev Mal Respir 2018; 35:256-263. [PMID: 29397302 DOI: 10.1016/j.rmr.2017.12.001] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/09/2016] [Accepted: 01/30/2017] [Indexed: 11/17/2022]
Abstract
BACKGROUND Smoking is a major public health problem. Legislation banning smoking in public institutions exists but is not strictly enforced, particularly in health facilities. Therefore health workers have a crucial role to play in the control of smoking on account of their contact with patients and their credibility and moral authority in health matters. They can help patients by their advice and by abstaining from smoking in the hospital themselves. The aim of our study was to determine the prevalence of smoking among medical staff at the University Hospital of Sahloul in Sousse and their attitudes and behaviour with regard to smoking. METHODS The data came from a descriptive cross-sectional study conducted during the year 2013-2014 using a self-administered questionnaire and included the health personnel of all services and laboratories of the University Hospital of Sahloul in Sousse. RESULTS The participation rate was 71% (768/1081). Our study population was predominantly female (51%) with a mean age of 37.8 (±11.3) years. The overall prevalence of smoking was 21%. It was significantly higher among men (38.8%) than women (4.6%). This prevalence was higher among physicians/pharmacists (29.5%). More than half the smokers (58%) started smoking between the age of 19 and 25 years. Nicotine dependence was moderate among 27.4% and strong among 18.3% of smokers. The average dependence score was 4.1±2.4 [0-9] with a median of 4.0. Two-thirds of smokers (66.5%) reported smoking in the workplace. CONCLUSION Confronted with the problem of tobacco, health institutions should find solutions for the prevention of smoking in hospitals. It seems necessary to train and involve hospital staff in anti-tobacco measures and to help smokers to quit in order to make our hospital a tobacco smoke free space.
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Affiliation(s)
- S Khefacha Aissa
- Service de prévention et de sécurité des soins, CHU Sahloul, Hammam, 4054 Sousse, Tunisie; Consultation d'aide au sevrage tabagique, CHU Sahloul, Sousse, Tunisie.
| | - H Ghali
- Service de prévention et de sécurité des soins, CHU Sahloul, Hammam, 4054 Sousse, Tunisie
| | - M Ben Rejeb
- Service de prévention et de sécurité des soins, CHU Sahloul, Hammam, 4054 Sousse, Tunisie; Département de médecine préventive et communautaire, faculté de médecine, Sousse, Tunisie
| | - S Ben Fredj
- Service de prévention et de sécurité des soins, CHU Sahloul, Hammam, 4054 Sousse, Tunisie
| | - R Ben Ouanes
- Service de prévention et de sécurité des soins, CHU Sahloul, Hammam, 4054 Sousse, Tunisie
| | - L Dhidah
- Service de prévention et de sécurité des soins, CHU Sahloul, Hammam, 4054 Sousse, Tunisie
| | - H Said Latiri
- Service de prévention et de sécurité des soins, CHU Sahloul, Hammam, 4054 Sousse, Tunisie; Département de médecine préventive et communautaire, faculté de médecine, Sousse, Tunisie
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Karabinta Y, Konaté I, Dicko A, Cissé L, Samaké M, Touré A, Traoré B, Fofana Y, Touré S, Faye O, Dao S. [Epidemiological and clinical aspects of prurigo in HIV infected patients in Fousseyni N'Daou hospital of Kayes, Mali]. Mali Med 2018; 33:13-16. [PMID: 30484578] [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] [Subscribe] [Scholar Register] [Indexed: 06/09/2023]
Abstract
INTRODUCTION Prurigo is one of the most common dermatological conditions during HIV infection and AIDS. It appears as an immunosuppression marker associated with HIV infection. The study objective was to determine the prevalence of prurigo in people living with the human immunodeficiency virus (PLHIV) in Fousseyni N'Daou Hospital of Kayes, and to describe the socio-demographic aspects of patients and lesions associated with prurigo among PLHIV. METHODS It was a descriptive cross-sectional study included all cases of HIV infected patients with prurigo in the Dermatology-Venomology Department of Fousseyni N'DAOU Hospital from January 1, 2015 to August 31, 2015. RESULTS We collected 121 cases of prurigo. The hospital prevalence was 14.5% among PLHIV with 65% Female and the average age was 34.8 years old (SD: 15-81 years). The elementary lesions associated with prurigo were seropapules (40.2%), vesiculo-crusts (13%), excoriated papules (33.3%), lichenified papules (10.8%), and cicatricial lesions (2.7%). The prurigo was generalized in 68.5% of cases and localized in 31.24%. More than half of our patients had weight loss, fever, diarrhea and oral candidiasis in their medical history. Patients were infected with HIV1 in 60.03% and HIV1+ 2 in 24.3%. More than the half of our patients had a CD4 count inferior to 250 cells/mm3 at the time of prurigo diagnosis. CONCLUSION In our study, prurigo remains a common condition in PLHIV, particularly in patients with low CD4 counts. Early detection and rapid antietroviral therapy can reduce the frequency of prurigo in PLHIV.
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Affiliation(s)
- Y Karabinta
- Centre national d'appui à la lutte contre la maladie (CNAM), Bamako, Mali
- Faculté de médecine et d'Odontostomatologie
| | - I Konaté
- Faculté de médecine et d'Odontostomatologie
- Service des Maladies Infectieuses, CHU du Point G
| | - A Dicko
- Centre national d'appui à la lutte contre la maladie (CNAM), Bamako, Mali
- Faculté de médecine et d'Odontostomatologie
| | - L Cissé
- Centre national d'appui à la lutte contre la maladie (CNAM), Bamako, Mali
| | - M Samaké
- Centre national d'appui à la lutte contre la maladie (CNAM), Bamako, Mali
| | - A Touré
- Service de dermatologie-Vénéréologie de hôpital Fousseyni N'Daou de Kayes (HFDK)
| | - B Traoré
- Centre national d'appui à la lutte contre la maladie (CNAM), Bamako, Mali
| | - Y Fofana
- Centre national d'appui à la lutte contre la maladie (CNAM), Bamako, Mali
| | - S Touré
- Centre national d'appui à la lutte contre la maladie (CNAM), Bamako, Mali
| | - O Faye
- Centre national d'appui à la lutte contre la maladie (CNAM), Bamako, Mali
- Faculté de médecine et d'Odontostomatologie
| | - S Dao
- Faculté de médecine et d'Odontostomatologie
- Service des Maladies Infectieuses, CHU du Point G
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Traoré K, Coulibaly SP, Tembely MB, Togora A, Coulibaly S, Koumaré B. [Epidemiological aspects of autism in mental health care structures in the district of Bamako, Mali]. Mali Med 2018; 33:1-4. [PMID: 30484575] [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] [Subscribe] [Scholar Register] [Indexed: 06/09/2023]
Abstract
AIMS Autism is a global and early developmental disorder that appears before the age 3 years old. It is characterized by a triad of symptoms affecting the following domains: social interaction, verbal and non-verbal communication, imagination and behaviors. This work aimed to determine the frequency of autism and to identify its risk factors in Malians aged 0-17 years old. METHOD In a cross sectional and prospective study, we reviewed clinical data in 2068 medical charts dating from 1992 to 2012 from all the mental health care centers in Bamako. RESULTS We found a frequency of 7.8% (162/2068). The age range 0-5 years old was the most represented. The sex ratio was 1.7. The autistic child was issued from a consanguineous marriage in 25.4% (41/162) of the cases. To have parents in divorce, being the first child, and male gender were associated with autism with statistical significance. Our data suggest an elevated number of autism cases in Mali. We plan to carry out a larger prospective study to determine other autism risk factors and importantly to identify autistic families for a molecular genetic study.
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Affiliation(s)
- K Traoré
- Service de psychiatrie CHU du Point G
| | - S P Coulibaly
- Service de psychiatrie CHU du Point G
- Faculté de Médecine et d'Odontostomatologie
| | | | - A Togora
- Service de psychiatrie CHU du Point G
- Faculté de Médecine et d'Odontostomatologie
| | - S Coulibaly
- Service de psychiatrie CHU du Point G
- Faculté de Médecine et d'Odontostomatologie
| | - B Koumaré
- Service de psychiatrie CHU du Point G
- Faculté de Médecine et d'Odontostomatologie
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Keïta M, Diallo BM, Samaké BM, Fomba S, Dicko H, Goïta D, Camara B, Sima M, Diallo D, Doumbia D, Coulibaly Y. [Epidemiology and maternal prognosis of eclampsia in the intensive care unit at the University Hospital of Point G, Bamako]. Mali Med 2016; 31:1-9. [PMID: 30079675] [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] [Subscribe] [Scholar Register] [Indexed: 06/08/2023]
Abstract
OBJECTIVE This research aimed to analyze the epidemio- clinical characteristic and the prognosis of patients with eclampsia admitted to the intensive care unit at the University Hospital of Point G. MATERIALS AND METHODS The clinical records of all patients admitted to intensive care for eclampsia from September 2009 to February 2011 were retrospectively collected. We analyzed the following parameters: age, parity, gravidity, the admission deadline, the beginning of eclampsia compared to the term of pregnancy, the number of seizure, mode of delivery, score of Glasgow, blood pressure, proteinuria, complications and evolution. RESULTS Among 702 admissions, 158 patients, with a mean age of 20 ± 4 were hospitalized for eclampsia (22.5%). We recorded 106 cases of first pregnancies (67.1%) and 104 primiparous (65.8%). The admission period after the first seizure was over 6 hours for 90 patients (57%). The first seizure had occurred in ante-partum period for 69 patients, in per-partum period for 4 patients and in postpartum period for 85 patients. UNLABELLED Ninety-three patients (59%) had consciousness disorders at admission, 12 patients received oxygen treatment .Vaginal delivery was the mode of delivery for 93 patients and cesarean section for 65 patients.Eclampsia was associated with renal failure in 25 patients, HELLP syndrome for 15 patients, the stroke for 5 patients, acute pulmonary edema for 3 patients, the coagulation disorders for one patient; and the sepsis for 6 patients. Maternal and perinatal lethality was 9.5% and 10.8% respectively. CONCLUSION Eclampsia is a frequent medical and obstetric emergency in intensive care unit of the University Hospital of Point G and affects young patients during their first pregnancy and delivery. Maternal and perinatal lethality remains high, due to the delay in the cases management and the associated factors of gravity. Strong actions are needed to raise awareness for early medical visit and to prepare medical teams for better cases management.
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Affiliation(s)
- M Keïta
- Service d'Anesthésie réanimation et des Urgences: CHU du Point G
| | - B M Diallo
- Service d'Anesthésie réanimation et des Urgences: CHU du Point G
| | - B M Samaké
- Service d'Anesthésie réanimation et des Urgences: CHU Gabriel TOURE
| | - S Fomba
- Programme National de Lutte contre le Paludisme
| | - H Dicko
- Service d'Anesthésie réanimation et des Urgences: CHU du Point G
| | - D Goïta
- Service d'Anesthésie réanimation et des Urgences: CHU du Point G
| | - B Camara
- Service d'Anesthésie réanimation et des Urgences: CHU du Point G
| | - M Sima
- Service de Gynécologie - obstétrique
| | - D Diallo
- Service d'Anesthésie réanimation et des Urgences: CHU du Point G
| | - D Doumbia
- Service d'Anesthésie réanimation et des Urgences: CHU du Point G
| | - Y Coulibaly
- Service d'Anesthésie réanimation et des Urgences: CHU du Point G
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Thiam O, Cissé ML, Niang MM, Gaye A, Diouf A, Moreau JC. [Maternal Mortality At The Centre De Sante Roi Baudouin (Dakar - Senegal): About 308 Cases]. Mali Med 2014; 29:19-24. [PMID: 30049098] [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] [Subscribe] [Scholar Register] [Indexed: 06/08/2023]
Abstract
OBJECTIVES - To determine the epidemiologic profile and private clinics of the cases of maternal mortality at the centre de santé Roi Baudouin. UNLABELLED - To identify the etiologies of the cases of maternal death at the centre de santé Roi Baudouin; - To determine the assumption of responsibility of the cases of maternal death at the centre de santé Roi Baudouin. MATERIAL AND METHODS It was about a longitudinal descriptive retrospective study relating to 308 cases of maternal death from January 1998 to December 2005 at the centre de santé Roi Baudouin; de Guédiawaye, in suburbs of Dakar. We had included in the study all the patients died during the time of the gravido-puerperality during the study period. The studied parameters related to the socio-epidemiologic data, the clinical data on the pregnancy and the childbirth, the quality of the assumption of responsibility, the causes of maternal death and the forecast neonatal. The data were analyzed with the software Epi information-version 6. RESULTS The ratio of maternal death was of 615.8 per 100.000 live births. The Middle Age of the deaths was 28.4 years with extremes of 14 and 52 years. The average gestity was of 4 with extremes of 1 and 25. As for the parity, it was of 3.9 with extremes of 1 and 22. The multipares were the section most concerned, followed first calf cows. A woman on four had made more than 3 antenatal consultations. The majority of our patients were evacuated (53.6%), but only 18.2% of the patients had profited from a medicalized transport. The reasons for evacuation were dominated by the vasculo-renal haemorrhages (49%) and syndromes (19%). The majority of the patients (n=234) had been confined, that is to say 76% of the cases; by natural way (45%) and Caesarean (32%). The patients had died of direct obstetrical causes in 80%, the indirect causes accounted for only 17,5%. The obstetrical causes death were dominated by the abrupto placentae, the haemorrhage of the postpartum and the uterine rupture. The maternal death was associated in more half of the cases of a fetal death (51.3%). The maternal age, the parity, the quality of the antenatal consultations, the hemorrhagic pathology coupled with the way of childbirth influenced occurred of maternal death. CONCLUSION Maternal mortality remains a major concern at the centre de santé Roi Baudouin. The reduction of this mortality passes by operation correct 24 hours a day hours of the other ONEC centers of the area of Dakar, the availability of blood and its derivatives and the creation of a functional service of intensive care.
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Affiliation(s)
| | | | - Mouhamadou Mansour Niang
- clinique gynecologique et obstetricale, c.h.u. aristide le dantec, universite cheikhe anta. Diop de dakar, senegal
| | | | - Alassane Diouf
- clinique gynecologique et obstetricale, c.h.u. aristide le dantec, universite cheikhe anta. Diop de dakar, senegal
| | - Jean Charles Moreau
- clinique gynecologique et obstetricale, c.h.u. aristide le dantec, universite cheikhe anta. Diop de dakar, senegal
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N'guessan R, Gbonon V, Dick-Amon Tanoh F, Guessennd N, Ouattara D, Ketté F, Dosso M. [Epidemiology of bacterial infection materno-fetal at Abidjan- Ivory Cost: prospective study of eighty (80) cases]. Mali Med 2014; 29:50-55. [PMID: 30049142] [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] [Subscribe] [Scholar Register] [Indexed: 06/08/2023]
Abstract
UNLABELLED The aim of our study was to describe the risk factors, clinical symptoms and bacteria isolated during fetal-maternal bacterial infections in hospitals. MATERIALS AND METHODS This was a prospective, descriptive study conducted from August 2, 2007 to October 3, 2007 at the neonatology department and the delivery room of the Yopougon teaching hospital . All newborn babies presenting a risk factor of infection have been included in this study. A bacteriological evaluation including containing central, peripheral and gastric fluid samples was performed. Bacteriological tests (NFS, CRP, PCT) were also performed on those newborn babies. RESULTS Eighty newborn babies were included. The maternal risk factors were dominated by prolonged breaking of membranes 62.5%. In the newborn bad APGAR score 56.3% and prematurity 18.8%, were noted. The main clinical symptoms were neurological, , respiratory and digestive 52.5%, 44.4% 37.5%, respectively. The main pathogens isolated were 65.5% Staphylococcus coagulase negative, 13.8% Staphylococcus aureus, 6.9% Pseudomonas aeruginosa, 3,4% Klebsiella pneumoniae, and 3.4% Acinetobacter Sp. CONCLUSION The clinical symptoms of the fetal-maternal bacterial infections are polymorphic. Germs found in our study differ from those usually found in the fetal-maternal bacterial infections in Europe.
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Affiliation(s)
- R N'guessan
- Service de Néonatologie CHU de Yopougon 22 BP 1347 Abidjan 22. Côte d'Ivoire
| | - V Gbonon
- Institut Pasteur de Côte d'Ivoire 01 BP 490 Abidjan 01. Côte d'Ivoire
| | - F Dick-Amon Tanoh
- Service de Néonatologie CHU de Yopougon 22 BP 1347 Abidjan 22. Côte d'Ivoire
| | - N Guessennd
- Institut Pasteur de Côte d'Ivoire 01 BP 490 Abidjan 01. Côte d'Ivoire
| | - D Ouattara
- Institut Pasteur de Côte d'Ivoire 01 BP 490 Abidjan 01. Côte d'Ivoire
| | - F Ketté
- Institut Pasteur de Côte d'Ivoire 01 BP 490 Abidjan 01. Côte d'Ivoire
| | - M Dosso
- Institut Pasteur de Côte d'Ivoire 01 BP 490 Abidjan 01. Côte d'Ivoire
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