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Growth Profile of 100 Breastfeeding Children with Early Introduction of Infant Formulas in Abidjan, Côte d’Ivoire

Open Journal of Pediatrics 2017年第4期7卷 236-244页

作者： Richard Azagoh-Kouadio Kouadio Vincent Asse Jean-Jacques Yao Atteby Lassina Cisse Jacob Slanziahuelie Enoh ehouman mocket adolphe Stéphane Koffi-Djadan Soumahoro Oulai Paediatric Ward of University and Teaching Hospital of Treichville Abidjan Cote d’Ivoire Paediatric Ward of University and Teaching Hospital of Bouake Bouaké Cote d’Ivoire University of Stellenbosch Cape Town South Africa

Objective: To describe the growth profile of breastfeeding babies following early introduction of infant formulas to improve the feeding pattern of the young infant. Methodology: This is a longitudinal descriptive study conducted in 2 medical clinics in Abidjan from 11-Jun-2013 to 15-Dec-2016 on 100 healthy newborn babies with the introduction of infant formulas before 6 months of life. The anthropometrics parameters were compared to those of WHO. Results: The exclusive breastfeeding rate was 5%. Ablactation occurred within 12 months in 95% of cases. All Infants have doubled and tripled their birth weight at 3 and 9 months respectively. The height and the head circumference at birth increased by 50% and 37% respectively at 12 months. Compared to WHO growth charts, the weight gain for the girls at 3 months was 12.4% higher and for the boys was 7.3% higher at 6 months. On the other hands, the statural gain at 12 months was 50% lower than the WHO standards while the head circumference was 37.8% and 45.5% higher than the WHO standards in boys and girls respectively. At 3 months, the prevalence of stunting was 26.1% for boys and 13.3% for girls. Lastly, at 12 months, the BMI showed 10% overweight and 19% obesity. Conclusion: Breastfeeding associated with an early introduction of infant formulas increases the risk of malnutrition of the young infant. We advise to avoid it and recommend an exclusive breastfeeding.

关键词： Infant Exclusive Breastfeeding Infant Formulas Growth WHO Standards Cote d’Ivoire

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Comparative Perception of Pharmacovigilance by Physicians versus Paramedical Professions in Ivory Coast

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Pharmacology & Pharmacy 2019年第10期10卷 416-426页

作者： Balayssac Eric Adon Auguste Tuo Mamadou ehouman mocket Clinical Pharmacology Service University Teaching Hospital of Cocody Abidjan Cte d’Ivoire Department of Biochemistry Physiology and Pharmacology Training and Research Unit of the Medical Sciences of Abidjan Felix Houphouet Boigny University Abidjan Cte d’Ivoire Department of General and Digestive Surgery University Teaching Hospital of Treichville Abidjan Cte d’Ivoire Clinical Research Service Olopam Pharma and Research and Development Abidjan Cte d’Ivoire.

Objective: To assess the perception of pharmacovigilance by healthcare professionals practicing at the University Teaching Hospital of Cocody (Ivory Coast) in 2017. Methodology: A descriptive and analytic cross-sectional survey has been conducted in 2017 at the University Teaching Hospital of Cocody. This survey involved a sample of healthcare professionals practicing in 17 services who are prescribing medications and gave their oral consent. Results: A response rate of 54.08% (106/196) among physicians versus 43.87% (86/196) for the nurses and 27.61% (21/76) for the mid-wives. 57.94% (62/107) of paramedics versus 94.33% (100/106) of physicians had already heard about pharmacovigilance, during their basic training (40.18% of paramedics versus 73.58% of doctors). However, the main obstacles to the practice of pharmacovigilance were it teaching hours considered insufficient (94.39% of paramedics versus 75.47% of physicians), the lack of knowledge on the location of the pharmacovigilance unit (80.37% of paramedics versus, 40% of physicians) and the reporting of the adverse drug reactions to a hierarchical supervisor (60.60% of paramedics versus 37.25% of physicians). A regular visit of pharmacovigilance monitors in the hospital services (34.57% of paramedics versus 29.24% of physicians) and the availability of reporting forms (30.84% of paramedics versus 27.35% of physicians) could improve the perception of pharmacovigilance by the healthcare professionals. Conclusion: Our investigational survey has highlighted some factors that may influence the perception of pharmacovigilance by the healthcare professionals in Ivory Coast.

关键词： Perception Pharmacovigilance Healthcare Professionals Hospital

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Perception of Pharmacovigilance by Nurses and Midwives of the Cocody University Teaching Hospital in Abidjan

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Pharmacology & Pharmacy 2019年第11期10卷 474-483页

作者： Balayssac Eric Tadjo Jean Adon Auguste ehouman mocket Clinical Pharmacology Service University Teaching Hospital of Cocody Abidjan Ivory Coast Department of Biochemistry Physiology and Pharmacology Training and Research Unit of the Medical Sciences of Abidjan Felix Houphouet Boigny University Abidjan Ivory Coast Department of General and Digestive Surgery University Teaching Hospital of Treichville Abidjan Ivory Coast Clinical Research Service Olopam Pharma and Research and Development Abidjan Ivory Coast.

Objective: To assess the perception on pharmacovigilance by the nurses and midwives at the University Teaching Hospital (CHU) of Cocody in 2017. Methodology: Descriptive and analytic cross-sectional study conducted in 17 services of the University Teaching Hospital (CHU) of Cocody using an anonymized and standardized questionnaire. Results: The response rate was 39.33% for the 86 nurses and 21 midwives with at least 10 years of professional experience (50.6%). 57.94% of the respondents (n = 62) have already heard about pharmacovigilance during their basic training (40.18%, n = 43). However, only 19.63% (21/107) of the respondents knew about the existence of a pharmacovigilance unit which they wrongly located to the pharmacy (11/21) of the CHU of Cocody. 40.18% of respondents (n = 43) had previously experienced an adverse drug reaction that was reported (76.74%, n = 33) to a hierarchical supervisor (60.60%, n = 20). The causes of non-reporting were either the frequent occurence (4/10) or the benign nature (2/10) of the adverse drug reaction. Specific actions to be taken (37.38%, n = 40) and a feedback (28.97%, n = 31) were the respondents’ main expectations for the stimulation of the reporting system. They also wanted the pharmacovigilance monitors to regularly visit their services (34.57%, n = 37) and to provide them with the reporting forms (30.84%, n = 33). Conclusion: Our study has allowed us to highlight the lack of knowledge of the pharmacovigilance and to identify certain factors that could improve the perception of the pharmacovigilance by the nurses and the midwives in Ivory Coast.

关键词： Perception Pharmacovigilance Nurses Midwives Hospital

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Medication Error (ME) in the Pediatrics Service of the University Teaching Hospital (CHU) of Bouaké(Côte d’Ivoire)

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Open Journal of Pediatrics 2018年第2期8卷 141-153页

作者： Kouadio Vincent Asse Kossonou Roland Yeboua Richard Azagoh-Kouadio Kouassi Christian Yao Koko Aude Aka-Tanoh Christelle Avi mocket adolphe ehouman Kouie Jeannot Plo Paediatric Ward of University and Teaching Hospital of Bouake Bouaké Cote d’Ivoire Paediatric Ward of University and Teaching Hospital of Treichville Abidjan Cote d’Ivoire Olopam Pharma and Research & Development Abidjan Cote d’Ivoire

Introduction: Medication error (ME) is a common cause of childhood morbidity and mortality reported in developed countries. It has not yet been described in the pediatric services in Cote d’Ivoire. Objective: To evaluate ME in pediatrics for the improvement of professional practice. Materials and Methods: This was a cross-sectional, descriptive and analytical study conducted in the service of pediatrics at the University Teaching Hospital (CHU) of Bouaké from January 11 to February 25, 2016. It involved 204 children hospitalized and treated with drugs. The variables studied were the prescription, dispensing and administration of the drugs. Results: A total of 483 prescriptions notes were recorded for 733 therapeutic lines, i.e. 2.3 prescriptions notes and 3.6 lines per child. The overall prevalence of ME was 31% (prescription 83%, dispensing 0%, administration 11%). The prescription error concerned the illegible writing (20%), the omission of the stamp & signature (47%), the omission of the date (33%), weight (66%), age (25%) and name of the child (9%).The drug name and the dosage were incorrect in 99% and 1% respectively. Regarding the administration error, care was provided by a person without a nursing qualification in 65.5% of cases. On the patient’s care record, the care giver’s name was omitted in 100%, the child’s name in 57% and the date in 47%. The route of administration and the administered dose were each incorrect in 5%. The student nurses and assistant nurse caregivers committed more prescription errors than doctors and nurses and midwives (p= 0,000 X2 = 44.91). Administration error was not significantly related to the service, the socio-professional category, the gender and the age of the patient. Conclusion: EM is common in pediatrics at the University Teaching Hospital (CHU) of Bouaké. To prevent it, it is necessary to strengthen the staff’s capacity to prescribe and administer the drug in children.

关键词： Pediatrics Medication Error Hospitalization Ivory Coast

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Violence on Health Professionals: Experience of the Obstetrics &Gynecology and Pediatrics Departments at the University Teaching Hospital of Bouake;, Cote d’Ivoire

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Open Journal of Pediatrics 2018年第1期8卷 8-18页

作者： Kouadio Vincent Asse Richard Azagoh-Kouadio Kouassi Christian Yao Koko Aude Aka-Tanoh Christelle Avi Kossonou Roland Yeboua John Patrick Yenan mocket adolphe ehouman Yacouba Doumbia Kouie Jeannot Plo Paediatric Ward of University and Teaching Hospital of Bouake BouakeCote d’Ivoire Paediatric Ward of University and Teaching Hospital of Treichville AbidjanCote d’Ivoire Olopam Pharma and Research&Development AbidjanCote d’Ivoire Obstetrics and Gynecoology Ward of University and Teaching Hospital of Bouake BouakeCote d’Ivoire

Introduction: Violence in hospital is a major Public Health issue. In Cote d’Ivoire, acts of violence against health professionals exist and may sometimes take a dramatic turn. Objective: To research the causes of this violence for the purpose to prevent them. Materials and Methods: This is a cross-sectional, descriptive study conducted in the Obstetrics & Gynecology and Pediatrics departments at the University Teaching Hospital of Bouaké from 26 January 2016 to 24 February 2016. It included 129 health workers who gave their consent. The data collection was done through individual interviews followed by a focus group according to the socio-professional category. Results: Out of 129 health professionals included, 100 were a victim of violence i.e. a frequency of 77.5%. Most of the violence occurred during “on-call hours” (55.8%) in the emergency units (34.8%). The violence was verbal (52.5%), physical (28.6%), moral and psychological (11.6%), theft (7.3%). The aggression was mainly related to patient’s care (32.1%), visiting hours (26%) and the low level of understanding of the person (16.5%). The victim’s immediate feelings were dominated by frustration (26.7%), discouragement (21.3%) and insecurity (18.3%). The victims received a medical assistance in 9% of cases. To prevent this violence, the staff mainly offered to raise awareness about violence (27.6%) and the respect for hospital staff (25%). Conclusion: Violence against health professionals is common and has negative impacts on staff and hospital activity. Its prevention requires a holistic approach centered on awareness. Keywords: Violence, Hospital, Pediatrics, Staff, Cote d’Ivoire.

关键词： Violence Hospital Pediatrics Staff Cote d’Ivoire

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Perception of Pharmacovigilance by Nurses and Midwives of the Cocody University Teaching Hospital in Abidjan

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Pharmacology & Pharmacy（药理与制药） 2019年第11期

作者： Balayssac Eric Tadjo Jean Adon Auguste ehouman mocket

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