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Knowledge and Practices of Neonatal Resuscitation by Health Providers in Côte d’Ivoire

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Open Journal of Pediatrics 2017年第3期7卷 149-155页

作者： cisse lassina Joseph Gnegneri Ouattara Kouadio Vincent Asse Line Couitchere Jacob Enoh Kouadio Richard Azagoh Jean-Jacques Attebi Soumahoho Oulai Paediatric Ward of University and Teaching Hospital of Treichville Abidjan C&ocirc te d’Ivoire Paediatric Ward of University and Teaching Hospital of Bouake Bouake C&ocirc te d’Ivoire

Cote d’Ivoire ranks third among African countries with the highest neonatal mortality rate (38‰). Perinatal asphyxia is one of the major causes of neonatal mortality. In its severe form, it imposes an efficient neonatal resuscitation in the birth room. This can only be done when the proven competence of the staff in charge of the newborn and the availability of the appropriate equipment are met. What is the situation in the birth facilities of these two challenges for the response to the high rate of neonatal mortality in Cote d’Ivoire? Method: It is a cross-sectional study, which took place from March 28 to July 28, 2016, in three health districts of Cote d’Ivoire (Bouaké, Gagnoa, Yopougon). Public health structures offering delivery activities were selected. Based on a fact sheet, the practitioners present have been interviewed and a direct observation of the organization and equipment set up to perform neonatal resuscitation in the birth room has been done. In addition, an observation grid made it possible to evaluate the practical skills of providers in neonatal resuscitation on a newborn mannequin. The data were entered using the Epi-Info 7 software. Based on the data collected, we determined the numbers and frequencies of the responses of the target agents of the survey. Results: The membership structures included 46 first contact health facilities (FCHFs) and 4 reference hospitals (HRs). The heating system, mucus suction, oxygen, timers and self-inflating balloons were available in HR and in six, eight, four, 34 and 10 FCHFs respectively. The 253 midwives surveyed came from Bouaké (86), Gagnoa (62) and Yopougon (105). They had a seniority of at least eight years. Their knowledge for newborns’ care was acquired in initial training (75% of cases). They knew the golden minute in 95.6% of the cases. Inadequacies in the recognition of risk situations, useful equipment and in the execution of neonatal resuscitation steps were noted. Conclusion: The survival of the

关键词： Knowledge Midwives Neonatal Resuscitation Practice

Prevalence and Risk Factors for Albuminuria among HIV Ivorian Children, Using the Dipstick Method

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Open Journal of Nephrology 2018年第1期8卷 1-9页

作者： Tia Weu Melanie Messou K. Eugene Lagou Delphine Amelie cisse lassina Grinmaud Mylene Coulibaly Pessa Albert N’Zoue Kanga Sita Department of Nephrology CHU Yopougon Abidjan C&ocirc te d’Ivoire CePReF Abidjan C&ocirc te d’Ivoire Department of Paediatrics Chu Treichville Abidjan C&ocirc te d’Ivoire

Context: Human immunodeficiency virus (HIV) infected children are at risk of developing chronic kidney disease defined by decreased glomerular filtration rate and or proteinuria. Studies on the prevalence of and risk factors for proteinuria among HIV-infected children in sub-Saharan Africa are scarce and in Cote d’Ivoire, there is paucity of reported data. We determined the prevalence of and the risk factors for proteinuria among HIV-infected Ivorian children in both ART (antiretroviral therapy)-na?ve and ART-exposed children. Method: It was a cross-sectional bi-centric study, conducted from July 2013 to April 2014. Each child’s urine was tested for proteinuria and microalbuminuria using multi test strips and mitral test, respectively. Proteinuria was defined as of significant of 1+ and above on the dipstick or the presence of microalbuminuria ≥ 20 mg/l. Results: Of the 155 HIV-infected children enrolled, there were 78 boys. Sixty seven point seven percent were treated with antiretroviral and 74.1% had treatment duration of less than 5 years. In the first dipstick test, the prevalence of proteinuria was 29% which persisted in 9.7% after 24 hour urinary protein examination. It was significantly different between the 2 groups treated and na?ve (2.8% versus 24%). The advanced CDC clinical stage emerged as the main independent determinant of proteinuria. Conclusion: Proteinuria is common in HIV-infected Ivorian children. Screening for proteinuria in HIV-infected children will help in early and treatment, and thus prevention and progression to chronic kidney disease to end-stage kidney disease.

关键词： Prevalence Proteinuria HIV Ivorian Child Antiretroviral Therapy

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

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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

Etiological and Evolutionary Profile of the Child’s Pericarditis in Tropical Environments

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Open Journal of Pediatrics 2017年第3期7卷 164-177页

作者： Richard Azagoh-Kouadio Jacob Slanziahuelie Enoh Jean-Jacques Yao Atteby Line Guei Couitchere lassina cisse Yves N’da Kouakou N’goran Kouadio Euloge Kramoh Oulai Soumahoro Paediatric Ward of University and Teaching Hospital of Treichville AbidjanCote d’Ivoire Institute of Cardiology of Abidjan(ICA) AbidjanCote d’Ivoire

Background: Liquid pericarditis is a frequent cause of hospitalization in developing countries. Objective: of this study was to describe the etiological and evolutionary aspects of fluid pericarditis in pediatric cardiology at ICA. Methods: This was a retrospective study of 42 cases of fluid pericarditis diagnosed among 202 children hospitalized over a five-year period (1st January 2009 to 31st December 2014). All patients with pericardial effusion were included in the study. Results: Prevalence was estimated at 20.8% of hospitalizations, sex ratio was 1.1 with a female predominance (52%) and the mean age at 9.2 years (11 days to 15 years). The etiologic varieties identified were: tuberculosis 22 cases, 52%, rheumatic pericarditis 6 cases or 14.3%, chronic parietal endocarditis 5 cases (11.9%), bacterial pericarditis with trivial germ 3 cases (7.1% 3 cases (7.1%), post-surgery syndrome 2 cases (4.8%), umbilical post-catheterization 1 case (2.4%). HIV serology was positive in 11.9% of cases. The progression was favorable in 55% of the cases with 10% of deaths. Conclusion: Fluid pericarditis in children is a severe condition that is clearly on the rise today, especially in immunocompromised patients. Optimal management of fluid pericarditis in children is the best guarantee to avoid short-term tamponade and in the medium term constriction.

关键词： Pericarditis Etiology Evolution Children Tropical Diseases

Ulcero-Necrotic Wound: Socio-Economic Impact, Kayes, Mali

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Surgical Science 2022年第6期13卷 280-287页

作者： Lamine Issaga Traore Sidy Sangare Gaoussou Sogoba Mamaye Kouyate Abdoulaye cisse Bakary Skeita Sadio Dembele lassina Goita Adama Sdiakité Mariam Sanogo Moussa Camara Drissa Traore Department of General Surgery of the Hospital Fousseyni Daou de Kayes Kayes Mali Department of Pediatric Surgery of the Hospital Fousseyni Daou de Kayes Kayes Mali Department of Dermatology and Venereology of the Hospital Fousseyni Daou de Kayes Kayes Mali Infectious Diseases Unit of the Hospital Fousseyni Daou de Kayes Kayes Mali Department of Anesthesia and Intensive Care of the Hospital Fousseyni Daou de Kayes Kayes Mali Departmenturology of the Hospital Fousseyni Daou de Kayes Kayes Mali Department of Social of the Hospital Fousseyni Daou de Kayes Kayes Mali Department of General Surgery of the Hospital CHU du Point “G” Kayes Mali

The issue of wound care has always played an important role in the practice of medicine. This is evidenced by Ambroise Paré’s decision to publish his first work on this subject, “La manière de traiter les Plaies” (The Way of Treating Wounds) in 1545. Objective: To evaluate the therapeutic methods we practice and to describe the impact of the pathology on socio-economic and professional development. Patients and Method: This was a retrospective study carried out at the Fousseyni Daou Hospital in Kayes from January 1, 2018, to December 31, 2020. We included all patients with an ulcero-necrotic wound on immunocompetent terrain hospitalized in the department. Patients with ulcerative necrotic wounds of diabetes, HIV, or cancerous origin were not included. The parameters studied were: etiologies, local care, sequelae, and socio-economic and professional aspects. Results: We collected 57 patients of whom 43 were men and 14 were women, i.e. a sex ratio of 3. The mean age was 40.7 years with a standard deviation of 8.4 with extremes (7 years and 80 years). The average consultation time was 25.1 days. The most represented socio-professional stratum was agropastoralism in 37 cases (65%). The predominant etiological factor was neglected traumatic wounds in 34 cases (59.6%). The site was the lower limb in 39 cases (68.5%). The germ found was Staphylococcus aureus in 21 cases (36.8%). The particularity during local care was the use of table sugar in 9 cases (15.7%) and maggot therapy in 2 cases (3.5%). Hyperthermia was the clinical sign of aggravation in 22 cases (38.6%) and we diagnosed 2 cases (3.5%) of tetanus. The mortality rate was 15.7% (9 cases) and 30 cases (52.7%) of sequelae after recovery. The average length of hospitalization was 38 days. Hospital care was provided by the social welfare service in 35 cases (61.4%). Nineteen (19) patients (39.5%) were unable to resume their socio-professional activity. Conclusion: Ulcero-necrotic wounds are complex to manage and can h

关键词： Ulcero-Necrotic Wound Surgery Disability Socio-Economic