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Clinica. a.d Epidemiologica. a.pects of Hepa.ocellula. Ca.cinoma.a. the Interna. Medicine Depa.tment of Point “G” Tea.hing Hospita. in Ma.i

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Open Journa. of Ga.troenterology 2023年第7期13卷 250-255页

作者： Ga.da.Souma.é Sa.ra.Débora. Sa.ogo a.doula.e Ma.ga.Oua.ou Ma.lé Ma.a.ou Ma.lé Ibra.ima.a. dembélé Ma.a.ou Cissoko Ma.a.ou M. Couliba.y a.sétou Ka.a.Soukho Ma.a.ou dembélé a.del Ka.er Tra.ré a.a.sa.e Tra.re Ha.a. a.a.sa.e Tra.re Ga.troenterology Depa.tment CHU du Point G Bamako Mali Interna. Medicine Depa.tment CHU du Point G Bamako Mali

liver ca.cer is the ma.igna.t tra.sforma.ion of liver cells. It develops in 90% of ca.es of cirrhosis, more ra.ely on chronic non-cirrhotic liver disea.e, a.d exceptiona.ly in a.hea.thy liver. This study a.med to investiga.e the clinica. a.pects of Hepa.ocellula. Ca.cinoma.(HCC). It wa. a.retrospective descriptive study covering 10 yea.s, focusing on HCC ca.es seen in outpa.ient a.d inpa.ient settings a. the Interna. Medicine Depa.tment. We recorded 153 ca.es out of 7021 pa.ient records, resulting in a.hospita. frequency of 2.17%. The ma.e-to-fema.e ra.io wa. 3.5. The mea. a.e wa. 52.37 ± 14.34 yea.s. The most common presenting compla.nt wa. pa.n in 16.3% of ca.es. a.history of ja.ndice wa. found in 25.5% of ca.es. a.cohol consumption wa. observed in 15.38% of ca.es. The ma.n physica. sign found wa. hepa.omega.y in 76% of ca.es. HBsa. wa. positive in 33.3% of ca.es. a.pha.fetoprotein levels were a.ove 400 IU/ml in 50.81% of ca.es. Pa.ients cla.sified a. CHIlD PUGH a.represented 39.72% of ca.es. a.domina. ultra.ound revea.ed porta. thrombosis a.socia.ed with heterogeneous multinodula. hepa.omega.y in 11% of ca.es. Cytology confirmed HCC in four out of six pa.ients who underwent the exa.ina.ion. We recorded 63 dea.hs out of 111 hospita.ized pa.ients. Complica.ions included encepha.opa.hy, hema.emesis, a.d a.cites in 48 pa.ients. Hepa.ocellula. ca.cinoma.rema.ns a.significa.t public hea.th issue. Its predomina.ce in men a.d its occurrence in a.ults with fa.tors such a. vira. infections a.d ethylism mea. tha. prevention of this pa.hology could grea.ly reduce its incidence.

关键词： Hepa.ocellula. Ca.cinoma.(HCC) Point G University Hospita. Ba.a.o Ma.i

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Risk Fa.tor for Ma.nutrition in Children a.ed 6 to 59 Months Hospita.ized in a.Pedia.ric Wa.d in the South of the Sa.a.a

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Open Journa. of Pedia.rics 2021年第3期11卷 329-338页

作者： a. a. Dia.ité a. Dia.l B. Ma.ga.a. dembélé F. l. Dia.ité B. Couliba.y l. N. Sidibé a. K. Doumbia.O. Couliba.y P. Togo G. dembélé a. Dia.l M. Sylla Depa.tment of Pedia.rics Gabriel Touré University Hospital Bamako Mali

Ma.nutrition is a.ma.or public hea.th problem in Ma.i, a.ong with the country’s politica. a.d security insta.ility. We initia.ed this work with the objective of determining the frequency a. well a. the risk fa.tors fa.oring the occurrence of ma.nutrition in children a.ed 6a.>a.> a.>a.>-a.>a.> a.>a.>59 months hospitalized in the pediatrics department of the Gabriel Touré University Hospital in Bamako, country reference service to identify potential interventions to plan. A cross-sectional study was carried out over a period of 4 months. A bivariate logistic regression analysis allowed us to identify risk factors with degree of significance if pa.>a.> a.>a.>0.05. During the study period, 2888 children were hospitalized, including 348 aged 6 to 59 months, or a frequency of 12.04%. One in two children was malnourished, ia.>a.>a.>.a.>a.>ea.>a.>.a.>a.>a. style="font-fa.ily:Verda.a.">a. style="font-fa.ily:Verda.a.">a. style="font-fa.ily:Verda.a."> a.frequency of 50%. It more frequently

关键词： Ma.nutrition Contributing Fa.tors Pedia.rics

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Bilha.zia.a.pendicitis: Incidence in a.Commune in Ma.i, a.out 3Ca.

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Surgica. Science 2024年第5期15卷 321-329页

作者： Souleyma.e Bingue dembélé Yely Dia.essy Moussa.Sa.a.e a.dou Guiré Sia.a.Kona.é Ousma.e Sy Bouba.a. Yoro Sidibé a.a.ou Ma.ga.Thiorno Na.io Bouba.a. Ka.embe a.a.uiré Sa.e Sira.a.Dia.ra.Dorca. Sodjiné Yede Issia.a.Dia.ra.Ibra.ima.Ma.ga.Ma.a.a.e Dicko Moussa.Kona.é a.iou Bina.Dia.ra.Ba.a.y Tientigui dembélé Genera. Surgery Depa.tment of the District Hospita. of Commune IV of Ba.a.o Bamako Mali Kolondié ba Reference Health Centre Sikasso Mali Epidemiology a.d Clinica. Resea.ch Bamako Mali Genera. Surgery Depa.tment of Ga.riel Touré University Hospital Bamako Mali Ophtha.mology Depa.tment of the District Hospita. of Commune IV of Ba.a.o Bamako Mali Gynecology a.d Obstetrics Depa.tment of the District Hospita. of Commune IV of Ba.a.o Bamako Mali Commune I of the District of Ba.a.o Reference Hea.th Centre Bamako Mali Ima.ing Depa.tment of the District Hospita. of Commune IV of Ba.a.o Bamako Mali Commune VI of the District of Ba.a.o Reference Hea.th Centre Bamako Mali a.otomy-Pa.hology Depa.tment of the G Point University Hospita. Bamako Mali

a.pendicitis bilha.zia.is a.very ra.e condition a.d we report 3 ca.es of this pa.hology tha. sense clinica. a.d biologica. simila.ities with ba.teria. a.pendicitis. The etiologica. dia.nosis wa. exclusively histopa.hologica., this a.lowed to highlight eggs of Schistosome in the a.pendicula. wa.l in the three pa.ients. The surgica. trea.ment wa. supplemented by a.specific medica. trea.ment ba.ed on pra.iqua.tel. The surgica. suites were simple for 2 pa.ients, complica.ed by superficia. pa.ieta. suppura.ion in a.pa.ient.

关键词： Bilha.zia. a.pendicitis Endemic Histopa.hology Specific a.tipa.a.itic Trea.ment

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Epidemiologica. a.d a.a.omo Pa.h Ologica. a.pects of Stoma.h Ca.cers a. the Koutia.a.District Hospita.

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Surgica. Science 2024年第7期15卷 444-450页

作者： Ma.a.a.ou Couliba.y Souleyma.e Sa.ogo Sa.uel Kletigui dembélé Moussa.Dia.sa.a.Brehima.Ba.lo Cheick a.a.Wa.ga.o Bréhima.Benga.y Bira.a.Togola.Drissa.Tra.ré Nouhoum Ongoiba Fa.ulty of Medicine University of Science Technique and Technologies of Bamako Bamako Mali Depa.tment of Surgery Koutiala Hospital Bamako Mali Depa.tment of Surgery University Hospital Center Point G Bamako Mali Depa.tment of Surgery Tominian Hospital Tominian Mali Depa.tment of Surgery Sikasso Hospital Sikasso Mali

a.m: This pa.er a.ms to eva.ua.e the epidemiologica. a.d pa.hologica. a.pects of stoma.h ca.cer a. Koutia.a.District Hospita.. Methods: This wa. a.retrospective study ca.ried out in the Genera. Surgery Depa.tment of the Koutia.a.District Hospita. Hea.th Centre. The records of pa.ients a.mitted for stoma.h ca.cer in the period from a.gust 1, 2017 to December 31, 2022 were collected. Pa.ients who underwent surgery for stoma.h ca.cer were included in the study. Pa.ients who ha. not undergone surgery were excluded. Results: We collected records from 40 pa.ients opera.ed on for stoma.h ca.cer. The media. a.e wa. 58.4 yea.s ± 5.7. Men were in the ma.ority with 72.5% The sex ra.io wa. 2.6. The incidence ra.e of stoma.h ca.cer in the genera. popula.ion in the circle wa. 4.9 ca.es per 100,000 popula.ion. Pa.ients ha. a.history of ga.tric ulcer in 90%, Helicoba.ter pylori infection in 47.5% a.d a.notion of excessive sa.t consumption in 47.5%. The media. dura.ion of disea.e progression wa. 5 yea.s ± 2.3. The sea. wa. a.tro-pyloric in 77.5%. The ca.cer wa. ulcera.ive budding in 23 pa.ients. a.enoca.cinoma.wa. the histologica. type in a.l pa.ients. The ca.cer wa. cla.sified a. sta.e III in 30 ca.es a.d sta.e IV in 10 ca.es. Pa.lia.ive surgica. trea.ment wa. the most performed (47.5%). Postopera.ive morbidity wa. 15% a.d morta.ity wa. 42.5% a. one yea.. Conclusion: Stoma.h ca.cer is common in the wa.d. Most pa.ients consult a. the sta.e of meta.ta.is. Pa.lia.ive surgery rema.ns the most pra.tica.. Postopera.ive morbidity a.d morta.ity is very high.

关键词： Epidemiology Stoma.h Ca.cer Koutia.a

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Incidences a.d Risk Fa.tors for Surgica. Site Infections in Koutia.a. Ma.i

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Surgica. Science 2024年第7期15卷 465-469页

作者： Ma.a.a.ou Couliba.y Moussa.Dia.sa.a.Issia.a.Dia.ra.Bréhima.Benga.y Bira.a.Togola.Drissa.Oua.ta.a.Souleyma.e Sa.ogo Sa.uel Kletigui dembélé Cheick a.a.Wa.ga.o Brehima.Ba.lo Drissa.Tra.ré Nouhoum Ongoiba Fa.ulty of Medicine University of Science Technique and Technologies of Bamako Bamako Mali Depa.tment of Surgery Koutiala Hospital Koutiala Mali Depa.tment of Surgery Sikasso Hospital Sikasso Mali Dpa.tement de Chirurgie Hpital Commune I Bamako Mali Depa.tment of Surgery University Hospital Center Point G Bamako Mali Depa.tment of Surgery Tominian Hospital Tominian Mali

Purpose: This pa.er a.ms to a.sess the incidences a.d risk fa.tors for surgica. site (ISO) infections in the genera. surgery depa.tment of the Koutia.a.District Hospita.. Pa.ients a.d Methods: This wa. a.prospective a.d descriptive study from a.gust 1, 2017 to October 31, 2020 involving a.l pa.ients who underwent la.a.otomy in the genera. surgery depa.tment of the Koutia.a.District Hospita.. Pa.ients who were not opera.ed on a.d who did not ha.e a.la.a.otomy were not included. a.e, sex, frequency, pa.ient history, Na.iona. Nosocomia. Infections Surveilla.ce (NNIS) index, time to occur, ba.teriologica. test results a.d course of infection were a.a.yzed. Results: Fifty pa.ients were registered. The a.era.e a.e wa. 34.2 ± 21.2 yea.s old. Eleven pa.ients were 60 yea.s old or older. The hospita. incidence ra.e wa. 4.3% a.d the community incidence ra.e wa. 6.1 ca.es per 100,000 popula.ion. The concept of smoking wa. noted in 15 pa.ients. Pa.ients were opera.ed on in emergency 84% of ca.es. Peritonitis wa. the most common initia. lesion with 32% of ca.es. Our pa.ients ha. a. NNIS index grea.er tha. 0 in 84% of ca.es. The time to develop infection from the surgica. site wa. less tha. 3 da.s in 8 pa.ients (16% of ca.es). Depending on the depth of the infection, it wa. superficia. (cuta.eous) in 39 pa.ients (78%) a.d deep (subcuta.eous a.d orga.ic) in 11 pa.ients (22%). Escherichia.coli wa. the most common germ with 72% followed by sta.hylococcus a.reus a. 24%. We noted 22% morbidity. The media. length of hospita.iza.ion wa. 9 ± 2.2 da.s. Conclusion: ISO is common in our service. Prevention a.d ma.tery require knowledge of risk fa.tors.

关键词： Surgica. Site Infection Incidence Risk Fa.tors Surgery

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Symphysea. Disjunction a.ter Dystocic Va.ina. Delivery: a.out Two Ca.es a. the SourôSa.ou University Hospita. of Bobo-Dioula.so (CHUSS)

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Open Journa. of Obstetrics a.d Gynecology 2024年第1期14卷 1-6页

作者： Millogo Jea. De la.Croix Sa.ou Jea. de Dieu Ga.igbé a.ofa.Méré Godé Sa.i Tokobou Willia. Ouédra.go a.dré Togbé Eric Serge a.ihonou Ya.éogo Rélwendé Ba.na.é dembélé a.a.a.Somé Der a.olphe Oua.ta.a.Souleyma.e Obstetrics-Gynecology a.d Reproductive Medecine Depa.tement of Sourô Sanou Teaching Hospital Bobo-Dioulasso Burkina Faso Higher Institute of hea.th Sciences (INSSa. Université nazi Boni Bobo-Dioulasso Burkina Faso

Dia.ta.is of the symphysis pubis is a.ra.e postpa.tum complica.ion. We report two ca.es of symphysis dia.ta.is a.ter dystocic delivery, in two pa.ients who presented in the postpa.tum period with functiona. impotence, puba.gia.a.d a.ute urine retention. a.fronta. ra.iogra.h of the pelvis confirmed the dia.nosis, showing a.symphysea. sepa.a.ion of 12 mm a.d 18 mm. In our ca.e, ma.a.ement wa. ma.nly medica., with a.fa.ora.le clinica. outcome.

关键词： Pelvis Symphysea. Disjunction/Dia.ta.is Post-Pa.tum Burkina.Fa.o

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Scleroderma.a.d HIV Infection: a.Ca.e Report with litera.ure Review

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Open Journa. of Interna. Medicine 2018年第4期8卷 255-260页

作者： I. a. dembélé N. R. Nya.ke D. Tra.re a. K. Souckho D. Sy M. Cissoko a. Sa.ogo B. B. Sa.ga.é O. a. Cisse K. Da. K. T. Tigha.kpa.M. Ma.le M. Togo a. Keita.a. Tra.re M. Sa.iou Y. Fofa.a.D. Sa.ga.é N. Tolo N. Doumbia.a. Doumbia.B. B. Berthé B. D. Ca.a.a.S. a. Couliba.y N. Sa.a.ogo M. dembélé a. K. Tra.re H. a. Tra.re Interna. Medicine Depa.tment Point G Teaching Hospital Bamako Mali Depa.tment of Interna. Medicine Kaya Regional Hospital Kaya Burkina Faso

Introduction: a.quired immunodeficiency syndrome (a.DS) linked to HIV infection is a.compa.ied by a.to-immune phenomena. a.toimmune disea.es ca. develop in people living with HIV, most in a.context of good immunologica. control (va.culitis, a.ti-phospholipid syndrome). Since the a.vent of a.tiretrovira. thera.y, a. increa.ing number of a.toimmune connective tissue disea.es such a. systemic lupus erythema.osus, derma.omyositis, a.d syndromes of Sj?gren a.d scleroderma.ha.e been reported. Purpose: To describe this a.socia.ion’s not very common scleroderma.a.d HIV infection. Observa.ion: We report the ca.e of a.56-yea.-old la.y a.mitted into the service for functiona. impotence tha. would ha.e been evolving for a.week. Prior to her hospita.iza.ion, she presented edema. of the lower limbs a.socia.ed with a.esthesia.of the lower limbs for 5 months. The pa.nting is a.compa.ied by a.productive cough a.d a. intermittent fever. a. the physica. exa.ina.ion a.weight loss (BMI = 13.74 Kg/m2), fever (38.7°C): Ora. ca.didia.is, lower lip ulcera.ion, perlicking, undernutrition folds, scleroda.tyly a.d homogeneous hepa.omega.y wa. noted. The dia.nosis of immunosuppression to HIV Sta.e 3 with TB co-morbidity a.d positive hepa.itis B Serology wa. reta.ned while diffuse Scleroderma.wa. selected from the a.R/EUla. criteria.of 2012 with a.score of 10 (scleroda.tyly = 4 point;Ra.na.d’s phenomenon = 3 point a.d a. a.ti Scl 70 positive = 3 point). Conclusion: These a.socia.ions of chronic pa.hology must be described to improve the future trea.ment of our pa.ients.

关键词： Scleroderma HIV Interna. Medicine

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Preva.ence a.d Prognosis of Rela.se of Nephrobla.toma.a. the Pedia.ric Oncology Unit of Ba.a.o

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Open Journa. of Pedia.rics 2019年第4期9卷 317-325页

作者： F. l. F. Dia.ité P. Togo a. K. Doumbia.F. Tra.ré M. Tra.ré K. Sa.ko C. O. Couliba.y N. l. Tra.ré a. Touré B. Ma.ga.l. N. Sidibé D. Kona.é a. Dia.l a. dembélé C. B. Tra.ré B. Togo Depa.tment of Pedia.rics CHU Gabriel Toure Bamako Mali Depa.tment of Pedia.ric Surgery CHU Gabriel Toure Bamako Mali Depa.tment of Pa.hology a.a.omy a.d Cytology CHU Point G Bamako Mali

The nephrobla.toma.is the third pedia.ric ca.cer in Ma.i, this study a.med to describe the preva.ence a.d prognosis of nephrobla.toma.rela.ses. Methods: It wa. a.descriptive retrospective study over a.10-yea. period from Ja.ua.y 2005 to Ma.ch 2015. We collected children a.ed 0 to 15 yea.s followed for rela.se of nephrobla.toma.in the pedia.ric oncology unit of university hospita. center (UHC) Ga.riel Toure. Results: The frequency of rela.se of nephrobla.toma.wa. 7.4% (19 ca.es) whose mea. a.e wa. 42 months with a.sex ra.io of 1.3. The rela.se occurred before the end of the postopera.ive course in 16% of ca.es (3 pa.ients). It wa. loca. recurrence in 52% of ca.es (10 pa.ients), pulmona.y 16% (3 pa.ients), a.d hepa.ic 11% (2 pa.ients). a.cording to the SIOP cla.sifica.ion, 47% of pa.ients were dia.nosed in sta.e III (9 pa.ients) a.d 21% (4 pa.ients) in sta.e IV. The tumor wa. high risk in 37%. Pa.lia.ive chemothera.y wa. performed in 63% of the pa.ients (12 pa.ients) a.d the rema.ning seven were put on a.high risk diet. The overa.l surviva. a. 5 yea.s wa. 21% or 4 pa.ients. Conclusion: Our results showed a.l the difficulties in the ma.a.ement of nephrobla.toma.rela.ses in our context.

关键词： Nephrobla.toma Rela.se Ma.i

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Inva.ive <i>Ha.mophilus influenza.</i>Type b (Hib) Infections in Children in the Pedia.ric Depa.tment of the University Hospita. Ga.riel Touré(UH-GT)

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Open Journa. of Pedia.rics 2021年第1期11卷 100-107页

作者： B. Ma.ga.a. a. Dia.ité K. Sa.ko M. Sylla.M. Ma.ga.M. E. Cissé a. dembélé F. Tra.ré D. Kona.é F. l. Dia.ité l. Sidibé a. K. Doumbia.O. Couliba.y P. Togo a. Touré K. Tra.ré l. Ma.ga.a. Ibra.im H. Dia.l a. Doumbia.H. Kona.e S. Sa.a.a.M. Nia.a.é a. Cissouma Pedia.ric Depa.tement University Hospital Gabriel Touré Bamako Mali

Introduction: a.cording to Ma.i’s Na.iona. Immuniza.ion Center, the Ha.mophilus influenza. b (Hib) va.cine covera.e ra.e wa. 90% in 2015. Our work a.med to study inva.ive ba.teria. infections due to Ha.mophilus influ... 详细信息

Introduction: According to Mali’s National Immunization Center, the Haemophilus influenzae b (Hib) vaccine coverage rate was 90% in 2015. Our work aimed to study invasive bacterial infections due to Haemophilus influenzae type b in children aged 0a.> - 15 years hospitalized in the pediatrics department of the UH-GTa.>. Method: We carried out a retrospective descriptive study from January 2017 to December 2018 (i.e. 2 years) among children aged 0a.> - 15 years and hospitalized for Haemophilus influenzae type b infection confirmed by culture (blood culture, Cerebro-spinal Fluid, and pleural and skin fluid).a.> Results: a. sty

关键词： Inva.ive Ba.teria. Infections Ha.mophilus influenza. b Children Pedia.rics

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Hema.ologica. Profile of Newborns Hospita.ized for Neona.a. Ba.teria. Infection in the Neona.ology of the Pedia.ric Depa.tment of Ga.riel Toure Tea.hing Hospita. Ba.a.o, Ma.i

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Open Journa. of Pedia.rics 2020年第1期10卷 1-11页

作者： F. l. F. Dia.ité a. a. Dia.ité O. Couliba.y H. Dia.l a. Bocoum l. N. Sidibé D. Kona.é K. Sa.ko B. Ma.ga.F. Tra.ré P. Togo a. dembélé a. K. Doumbia.N. l. Tra.ré H. Kona.é M. E. Cissé a. Touré Y. a. Couliba.y M. Sylla.M. Ba.y F. Dicko-Tra.ré Depa.tment of Pedia.rics CHU Gabriel Toure Bamako Mali Na.iona. Center for Blood Tra.sfusion Bamako Mali

The blood count is a. ea.ily a.hieva.le routine exa. a.d will it ha.e specifics in the event of a.neona.a. ba.teria. infection? Hence, the present study with the objective of determining the profile of the hemogra. of newborns hospita.ized for ea.ly ba.teria. neona.a. infection. Ma.eria. a.d methods: This wa. a.cross-sectiona. study tha. took pla.e from June 27 to September 03, 2016 in the neona.ology depa.tment of tea.hing hospita. Ga.riel Toure. Included were a.l neona.es hospita.ized for ea.ly neona.a. ba.teria. infection (ENBI) a.d who ha. a.blood count. Results: We included 227 pa.ients, 64.8% of whom were prema.ure. The sex ra.io wa. 1.4. The infa.ts were less tha. 24 hours old in 93.6% of the ca.es. The mea. hemoglobin level wa. 16.435 g/dl [8.8 - 22.26]. Erythrocytopenia.wa. found in 18.5% of ca.es. a.emia.wa. present in 17% of newborns. The a.era.e leukocyte wa. 15.228·103/mm3 [1.4 - 72]. Hyperleukocytosis a.d leukopenia.were found in 12.32% a.d 6.6% respectively. Neutropenia.a.d lymphopenia.were present in 14.5% a.d 30.8%. There wa. a.correla.ion between leukocytosis of nega.ive blood cultures (23/27) (p = 0.030). For Neutrophils, neutrophilia.wa. more observed in term neona.es a.d neutropenia.in prema.ure infa.ts (p = 0.03). Monocytosis wa. present in 13.6% of ca.es. One qua.ter (25.5%) of newborns ha. thrombocytopenia. Conclusion: Hema.ologica. va.ia.ions did not a.low a.specific profile of newborns hospita.ized for ea.ly neona.a. ba.teria. infection to be identified.

关键词： Hema.ologica. Profile Newborns Ea.ly Ba.teria. Neona.a. Infection

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