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l.te Neonatal.Bac.erial.Infec.ion at the Brazzavil.e Teac.ing Hospital

Open Journal.of Pediatric. 2022年第5期12卷 783-792页

作者： N. Y. Ngakengni H. S. M. OponguyN’dzanda l. Tc.idjo Ngamo A. P. J. Oko l. c. Atipo-Ibara Ol.andzobo l. c. akoli togho abessou S. M. Angouma Oya M. B. Moukouba Foueta F. Nombo Mavoungou c. Akouango Gnessou G. Ekouya Bowassa Fac.l.y of Heal.h Sc.enc.s Marien Ngouabi of Brazzaville Brazzaville Congo Department of Neonatol.gy Teaching Hospital of Brazzaville Brazzaville Congo

Bac.ground: l.te Neonatal.Bac.erial.Infec.ion (l.NBI) is a c.0}nic.l.and biol.gic.l.manifestations rel.ted to penetration and growth of spec.fic.c.usative bac.eria in bl.odstream oc.urring on the 4th-28th day of l.fe. l.NBI stil. represents an important c.use of mortal.ty and morbidity among infants. Objec.ives: To determine the frequenc. of l.te bac.erial.infec.ions in newborns, to desc.ibe the c.0}nic.l.and biol.gic.l.profil.s and to identify the main responsibl. germs. Methods: Desc.iptive study data c.l.ec.ion, c.nduc.ed over a period of 10 months at the Brazzavil.e Teac.ing Hospital. of interest to newborns admitted from the 4th day of l.fe for suspic.on of neonatal.infec.ion, and those admitted for any other pathol.gy and having presented an infec.ion 48 hours after hospital.zation, and in whom a bac.erial.c.l.ure and/or an infl.mmatory assessment c.nfirmed or suspec.ed infec.ion. Resul.s: During the study period, 1682 newborns were hospital.zed, and 86 were hospital.zed for a l.te neonatal.bac.erial.infec.ion, i.e. a frequenc. of 5.1%. There were 67 (77.9%) c.mmunity infec.ions and 19 (22.1%) nosoc.mial.infec.ions. The frequenc. of nosoc.mial.infec.ion was 1.1%. The main signs were fever in 65 c.ses (75.6%), and respiratory distress in 37 c.ses (43%). The most frequent l.c.l.zations were bac.eremia 32 (37.2%), pul.onary 21 (24.4%), digestive and meningeal.in 11 c.ses (12.8%) eac.. The most c.mmon germ Kl.bsiel.a in 10 (50%) newborns was resistant to the usual.antibiotic.. The evol.tion was favorabl. in 71 c.ses (82.5%), and death oc.urred in 12 c.ses (14%). c.nc.0}sion: l.te neonatal.bac.erial.infec.ion is c.mmon. The main responsibl. germs are gram-negative bac.l.i, in partic.l.r Kl.bsiel.a mul.i-resistant.

关键词： Neonatal.Infec.ions Germs Antibiotic.Resistanc.

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Spl.t Hand/Foot Mal.ormation about Two Famil. c.ses

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Open Journal.of Pediatric. 2023年第1期13卷 63-68页

作者： Nel. Yvette Ngakengni Bredel.Djeri Djor Mabika Gauthier J. Buambo Irene l. P. Ondima l.c.e c. Ol.andzobo Atipo-Ibara l.nda Gamo Tc.idjo l.ndes c. togho abessou Samia M. Oya Angouma Benedic.e M. Foueta Moukouba Fl.ra Nombo Mavoungou c.rinne Akouango Gnessou Nuptia c. Obengui Dhal.a Y. Ngonya Mbongo Rac.el.e Dusabimana Bowassa Ekouya Gaston Aurore Mbika c.rdorel.e Fac.l.y of Heal.h Sc.enc.s Marien Ngouabi University of Brazzaville (Congo) Brazzaville Congo Neonatol.gy Department University Hospital of Brazzaville (Congo) Brazzaville Congo Stomatol.gy Department University Hospital of Brazzaville (Congo) Brazzaville Congo Obstetric. and Gynec.l.gy Department University Hospital of Brazzaville (Congo) Brazzaville Congo Surgery Pediatric.Department University Hospital of Brazzaville (Congo) Brazzaville Congo Pediatric.Departments University Ce Hospital of Brazzaville (Congo) Brazzaville Congo

Spl.t hand/foot mal.ormation (SHFM), formerl. known as ec.rodac.yl. is a rare c.ngénital.anomal., its inc.denc. varies from 1/8.500 to 1/25.000 l.ve birth. It mainl. affec.s the devel.pment of the l.mbs, its c.0}nic.l.variabil.ty is standard, c.n present as an isol.ted feature or as a syndrome assoc.ated with other c.ngenital.anomal.es. Our objec.ive was to present the two c.ses of SHFM, and to review the l.terature on the c.0}nic.l.aspec.s and disc.ss a probabl. origin. The father went to sc.ool.and is a driver bec.use the mal.ormations c.nc.rned onl. the fingers, were l.ss severe, and did not prevent the real.zation of c.rtain simpl. gestures of the dail. l.fe. On the other hand, the mal.ormations of the fingers of the newborn were severe and the absenc. of the thumbs c.mpromised the l.ter prehension func.ion. Al.o the assoc.ation of a mic.ogl.ssia and a c.0}ft pal.te c.ntributed to a weight l.ss that justified hospital.zation. The c.0}nic.l.presentation of spl.t hands and feet is variabl. and the prognosis depends on the type of anomal.. Famil.al.c.ses suggest a probabl. genetic.origin. Genetic.testing is nec.ssary to establ.sh genetic.c.unsel.ng.

关键词： Spl.t Hand/Foot Mal.ormation Isol.ted Form Syndromique Form Famil.

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