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Determinants o. Prematurity at the Centre Ho.pitalier Universitaire Pédiatrique de b.ngui (CHUPb.

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o.en Jo.rnal o. Pediatrics 2022年第5期12卷 850-856页

作者： C. J. Kiteze Nguinzanémo. b. o. bogning mejiozem S. Ningato.o.m Nazita F. D. Fio.1}me E. V. Ngatimo.J. E. Ko.h-Ko.b. Palet I. M. Wando.Kangalé E. Kiteze b.ndassa S.-C.H. Diemer J.-C. Go.y Clinique Médicale Infantile Raymo.d Max Sio.athis Centre Hospitalo-Universitaire Pédiatrique de Bangui CHUPB Bangui Ré-publique Centrafricaine Faculté des Sciences de la Santé (FACSS) Bangui République Centrafricaine

o.0}ective: The aim o. this wo.k was to.identify the risk facto.s fo. the o.currence o. prematurity at CHUPb. Materials and Metho.s: a case-co.tro. study was perfo.med b.tween Feb.uary and June 2021 at CHUPb. o.r study po.ulatio. co.sisted o. premature infants who.were matched to.full-term newb.rns o. a 1:1 b.sis. The variab.es studied were maternal characteristics (age, marital status, educatio. level, and o.cupatio.) as well as pregnancy (maternal histo.y, prenatal care), delivery (maternal fever, rupture o. memb.anes), and newb.rns (gestatio.al age, sex, and weight). The chi2 test with a significance level o. p 0.05 and the adjusted o.ds ratio.were used. Results: A to.al o. 609 newb.rns were ho.pitalized, 219 o. who. were premature (36%), o. who. 100 premature infants meeting the inclusio. criteria were enro.led. Maternal age 18 years was no.ed in 20% o. cases (adjusted o. = 2.94 [0.86 - 10.06]) versus 5% o. co.tro.s. Lo. educatio.al level was no.ed in 47% (adjusted o. = 4.33 [1.88 - 9.96]) o. cases versus 14% o. co.tro.s. The risk facto.s identified were previo.s preterm delivery (adjusted o. = 0.06 [0.00 - 0.80]), maternal fever b.fo.e lab.r (adjusted o. = 0.43 [0.20 - 0.90]), and premature rupture o. memb.ane (RPM), (adjusted o. = 0.32 [0.16 - 0.64]). There was no.asso.iatio. b.tween marital status and insufficient prenatal visits (ANC) in relatio. to.the o.currence o. prematurity. Co.clusio.: The reductio. o. preterm b.rths requires impro.ed mo.ito.ing o. pregnancy, delivery and care o. the newb.rn. b.t primary preventio. lies in impro.ing the living co.ditio.s o. the po.ulatio..

关键词： Prematurity CHUPb Risk Facto.s

First To.al Po.terio. Cranio.agus Twins in Central African Repub.ic: Two.Years Challenge o. Management

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o.en Jo.rnal o. Pediatrics 2021年第3期11卷 438-449页

作者： Go.y Jean Chryso.to.e bogning mejiozem b.ice o.ivier Ho.ndjaho.e Ghislain Franck Paso.ti o.b.etta Eno. Mariella Carlo.Efisio.Marras Centre Ho.pitalier Universitaire Pédiatrique de b.ngui Bangui Central African Republic H&o.irc pital Pédiatrique b.mb.no.Gesu de Ro.e Rome Italy Département de Neuro.hirurgie de l’H&o.irc pital Pédiatrique b.mb.no.Gesu de Ro.e Rome Italy

Intro.uctio.: Co.ntries with limited reso.rces have real difficulties in separating cranio.agus twins. Separatio. surgery canno. b. co.sidered there due to.lack o. techno.o.ical co.ditio.s and appro.riate means. o.0}ec... 详细信息

o.g>Intro.uctio.: o.g>Countries with limited resources have real difficulties in separating craniopagus twins. Separation surgery cannot be considered there due to lack of technological conditions and appropriate means. b.Objective: b.To show the benefits of an Italian-Central African humanitarian collaboration, after two years follow-up, aiming to improve the first childhood years of craniopagus twins, born in the Central African Republic and separated in Rome. b.Case Report: b.The two female conjoined craniopagus twin, born at term on June 29, 2018 in Mbata located about 96 km from Bangui (CAR), were referred to the neonatology unit of the CHUPB on their 3rdo.t-family:Verdana;"> day o. life. The mo.her was 31-year-o.d, gravida 4 and para 5. Prenatal cares were quantitatively and qualitatively po.rly fo.lo.ed. The diagno.is o. po.terio. co.jo.ned cranio.agus twins asso.iated with early neo.atal infectio. was retained. After seven days o. antib.o.ics and regressio. o. infectio.s sympto.s, the newb.rns were kept in the neo.ato.o.y unit fo. a clo.er fo.lo.-up, pending the co.pletio. o. administrative pro.edures fo. a medical evacuatio. as part o. the internatio.al humanitarian activities o. the Pediatric Ho.pital o. the Ho.y Seat in co.lab.ratio. with the Pediatric Teaching Ho.pital in b.ngui. Finally, the twins were transferred to.the b.mb.no.Gesu Ho.pital in Ro.e o. Septemb.r 10, 2018 where the 3D images co.firmed the to.al po.terio. fusio.. b.tween May 2019 and June 2020 thirty ho.rs o. interventio.s allo.ed a step-b.-step separatio. o. the twins, with a gradual rero.ting o. the shared b.o.d supply, remo.eling and re-creating a skin to.co.er the skull b.nes. No.po.to.erative co.pli

关键词： Cranio.agus Twins Co.lab.ratio. Pediatrics Neuro.urgery CHUPb b.mb.no.Gesu Ho.pital in Ro.e

Neo.atal Tetanus at Pediatric Teaching Ho.pital in b.ngui

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o.en Jo.rnal o. Pediatrics 2021年第2期11卷 179-188页

作者： Jean Chryso.to.e Go.y Marie Christine Awa Sepo. Yanza o.ivier b.ice bogning mejiozem Victo.re NGatimo.Franck Ho.ndjaho.é Vanessa Iris Gaspiet So.ny Evo.ie Pierrette Kako.nguere b.ptistine Anguize Aymard Tréso. Guénefio.Aristide Prince Mb.ko.Mo.en Engo.0} Geo.ges Mo.en Centre Ho.pitalier Universitaire Pédiatrique de b.ngui Bangui Central African Republic Faculté des Sciences de la Santé de l’Université de b.ngui Bangui Central African Republic Université Marien Ngo.ab. Brazzaville Republic of Congo

b.ckgro.nd: Despite the Maternal and Neo.atal Tetanus (MNT) eliminatio. initiative, neo.atal tetanus still persists in so.e parts o. the wo.ld. o.0}ectives: To.determine ho.pital prevalence and describ. epidemio.o.ical... 详细信息

o.g>b.ckgro.nd:o.g> Despite the Maternal and Neonatal Tetanus (MNT) elimination initiative, neonatal tetanus still persists in some parts of the world. b.Objectives: b.To determine hospital prevalence and describe epidemiological, clinical, therapeutic and outcome aspects of neonatal tetanus at the Pediatric Teaching Hospital in Bangui. b.Methodology: b.It was the review of hospitalized newborns’ files in the neonatal unit at Pediatric Teaching Hospital in Bangui between January 2016 and December 2019. Newborns discharged with tetanus diagnosis, and whose files were usable were included. The variables studied were: for the newborn: age, sex, birth weight, the reason for transfer, diagnosis, cause and time of death, place and method of delivery;for the mother: age, antenatal care, tetanus vaccine status, parity and geographical provenance. Epi Info 7 software, version 7.***.3.3 was used for data analysis. The chi2 test with the significance level set at p b.Résultats: b.Forty-eight (48) out of 5796 newborns had neonatal tetanus (0.8%). They were newborns to mothers with an average age of 18.8 years of which 68.8% (n = 33) were primipara and 87.5% (n = 42) not vaccinated against tetanus. Childbirth happened at home in 91.7% (n = 44), and the blade was used for sectioning the umbilical cord in 39.6% (n = 19). Newborns were referred from rural area in 47.9% (n = 23). A single antenatal care contact was done in 68.7% (n = 33). Tetanus was classified as severe according to the Dakar prognosis score between 4 and 6 in 89.6% of cases (n = 43). The death occurred in 58.3% (n = 28). b.o.t-family:Ver

关键词： Neo.atal Tetanus Childb.rth Mo.tality b.ngui

Risk Facto.s o. Early Neo.atal Deaths in Pediatric Teaching Ho.pital in b.ngui, Central African Repub.ic

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o.en Jo.rnal o. Pediatrics 2021年第4期11卷 840-853页

作者： Jean Chryso.to.e Go.y Mo.en Engo.0} b.ice o.ivier bogning mejiozem Lydie Verleine Daneb.ra Evo.ie Pierrette Kako.guere Marie Co.lette Nganda b.ngue Carine Judith Kiteze Nguinzanemo. Ro.uald b.lly de Dieu Ko.ango.a Kpemb. Petula Waraka Dusie Lesly Ngo.o.i Mb.de Mireille Mande Djapo. Ghislain Franck Ho.ndjaho.e Geo.ge Mo.en Centre Ho.pitalier Universitaire Pédiatrique de b.ngui (CHUPb. Bangui République Centrafricaine Université Marien Ngo.ab. Brazzaville Congo Médecins avec l’Afrique CUAMM Internatio.al NGo Padova Italie

b.ckgro.nd: The neo.atal mo.tality rate in the Central African Repub.ic (CAR) is 42.3 per 1000 live b.rths in 2017, indicating that CAR is with the highest numb.r o. newb.rn deaths. o.0}ective: The o.0}ective is to.clar... 详细信息

o.g>b.ckgro.nd:o.g> The neonatal mortality rate in the Central African Republic (CAR) is 42.3 per 1000 live births in 2017, indicating that CAR is with the highest number of newborn deaths. b.Objective:b. The objective is to clarify the risk factors of neonatal deaths in this area. b.Methodology:b. A case-control study with retrospective data collection. Targets were newborns >7 days, hospitalized and dead (cases), and newborns admitted after the respective case during the study period and discharged before the 7th day of life. This study was carried out between 2016 and 2018 in the neonatal unit of the “Complexe Hospitalier Universitaire Pédiatrique de Bangui” (CHUPB), the only national hospital for newborns care in the CAR. b.Results:b. We included 902 newborns, with 451 cases of early neonatal death and 451 controls. 4168 newborns were admitted to the neonatology unit with 621 early death cases;a lethality rate of 14.9%. Early neonatal deaths factors were: newborns with low birth weight (OR = 22.59;95% CI [15.93 - 32.04]; P o.t-family:Verdana;">25 years (o. = 2.08;95% CI [1.58 - 2.73];P o.-medical transpo.t (o. = 2.14;95% CI [1.03 - 4.46];P = 0.03);o.igin f

关键词： Early Neo.atal Mo.tality Risk Facto.s CHUPb CAR