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Epidemiological, Clinical and Anatomopathological Aspects of Cancers in Central African Republic Children

Open Journal of Pediatrics 2022年第5期12卷 841-849页

作者： Jess Elio Kosh Komba Palet Cyriaque simplice Kango Carine Kiteze Nguinzanemou marie christine awa sépou yanza marie Colette Nganda Bangue Barbara Ouansaba Mouhamadou Ousmane Jean Chrysostome Gody Boniface Koffi Complexe Pédiatrique de Bangui Bangui République Centrafricaine Faculté des sciences de la santé de l’Université de Bangui Bangui République Centrafricaine Laboratoire National de Biologie Clinique et de santé Publique Bangui République Centrafricaine

Objectives: To determine the epidemiological, clinical and anatomopathological aspects of childhood cancer in CAR. Patients and Methods: This was a retrospective study carried out from May 2015 to May 2018, at the Center Hospitalier Universitaire Pédiatrique de Bangui (CHUPB). The study population consisted of patients aged under 15 followed in the UHOPB for malignant tumors on clinical, radiological or ultrasound suspicion of malignancy and confirmed or not by histology or biology. A questionnaire was used to collect the data which was analyzed using sPss11.0 software. Results: During the study period, we collected 107 cases of childhood cancer. The annual hospital incidence was 1.27% in 2016;1.93% in 2017 and 1.50% in 2018 The average monthly frequency of patients followed is 35.66. The intensity of pain assessed in the 99 patients ranged from 02/10 to 09/10 with an average of 5.41/10. The mean duration of the disease was 3.3 months with extremes at 1.2 months and 36 months. A predominance of comorbidity with HIV is 41.66%. Histologically diagnosed malignant tumors are dominated by 30.4% Burkitt’s lymphoma. Conclusion: Data on cancer incidence are scarce in developing countries and for the most part are hospital statistics. In CAR, it will be important to set up a national register for collecting information.

关键词： Cancer Child Epidemiology Central African Republic

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Neonatal Tetanus at Pediatric Teaching Hospital in Bangui

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Open Journal of Pediatrics 2021年第2期11卷 179-188页

作者： Jean Chrysostome Gody marie christine awa sepou yanza Olivier Brice Bogning Mejiozem Victoire NGatimo Franck Houndjahoué Vanessa Iris Gaspiet sonny Evodie Pierrette Kakounguere Baptistine Anguize Aymard Trésor Guénefio Aristide Prince Mbeko Moyen Engoba Georges Moyen Centre Hospitalier Universitaire Pédiatrique de Bangui Bangui Central African Republic Faculté des sciences de la santé de l’Université de Bangui Bangui Central African Republic Université marien Ngouabi Brazzaville Republic of Congo

Background: Despite the Maternal and Neonatal Tetanus (MNT) elimination initiative, neonatal tetanus still persists in some parts of the world. Objectives: To determine hospital prevalence and describe epidemiological... 详细信息

strong>Background:strong> Despite the Maternal and Neonatal Tetanus (MNT) elimination initiative, neonatal tetanus still persists in some parts of the world. Objectives: To determine hospital prevalence and describe epidemiological, clinical, therapeutic and outcome aspects of neonatal tetanus at the Pediatric Teaching Hospital in Bangui. Methodology: 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 Résultats: Forty-eight (48) out of 5796 newborns had neonatal tetanus (0.8%).span style="font-family:Verdana;"> 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%

关键词： Neonatal Tetanus Childbirth Mortality Bangui

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