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Epidemiological Aspects of Diseases Seen in Pediatric Surgery Consultation at the Kara Teaching Hospital

Open Journal of Pediatrics 2021年第4期11卷 646-655页

作者： Missoki Azanlédji Boume Kwami Edem Edoh Bikor ouro-bagna tchagbele Kokou Agbekogni Réné Ségbedji Komi Deladem Azoumah Gamédzi Komlatsè Akakpo-Numado Pediatric Surgery Department in Kara Teaching Hospital Kara Togo Pediatric Surgery Department in Campus Teaching Hospital Lomé Togo Pediatric Department in Kara Teaching Hospital Kara Togo

Background: Pediatric surgery in developing countries faces serious problems of inadequate infrastructures and equipment. Since July 2019, a new department was created in the north of Togo. It is in this context that this study is initiated, with the aim of taking stock of the epidemiological distribution of pediatric surgical diseases. Material and methods: This was a retrospective and descriptive study over a period of eighteen months, from October 30, 2019 to April 30, 2021. It took place in the pediatric surgery department of the Kara teaching hospital. It concerns pathologies seen at the consultation in the department collected in consultation register. Epidemiological parameters were studied. Results: In eighteen (18) months, two hundred and fifty-nine children, were seen in pediatric surgery consultation at the Kara Teaching Hospital. The annual frequency of consultations was 172.66. The monthly frequency was 14.39. The average age of the children was 4.56 years with extremes of 2 days and 15 years. There were 194 boys (74.90%) and 65 girls (25.10%). At the consultation, whatever the reason, the examination was normal in 17 children and 242 children had abnormalities. Two hundred and twelve children (81.85%) had each one abnormality and 30 children (11.58%) had each at least two. A total of 298 diseases were reported in the 242 children. These were 218 congenital diseases (73.15%) dominated by urological abnormalities with 37.16% of cases and 80 acquired diseases (26.85%). Acquired diseases were for 26.85% and dominated by limb trauma and infectious pathologies including chronic osteomyelitis. Conclusion: Patholo

关键词： Pediatric Surgery Congenital Malformation Children

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Multifocal Tuberculosis Revealed by Facial Paralysis

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Open Journal of Pediatrics 2023年第5期13卷 613-618页

作者： Sollim Myriam Talboussouma ouro-bagna tchagbele Léhleng Agba Kokou Agbékogni Réné Segbedji Missoki Azanlédji Boume Dodji Adama Gbadoe Komi Deladem Azoumah Pediatrics Department University of Kara Kara Togo Medicine Department and Specialities University of Kara Kara Togo Surgical Department and Specialities University of Kara Kara Togo Pediatrics Department University of Lomé Lomé Togo

Introduction: Tuberculosis is a chronic infectious disease that remains a global public health problem. Children, accounting for 10% of cases, are particularly vulnerable to this disease. Based on a case of multifocal tuberculosis in a 14-month-old infant, the authors conducted a literature review on this condition. Observation: The case involved a 14-month-old infant referred from a health center for persistent symptoms including anemia, fever, and lateral deviation of the mouth during crying. Clinical examination revealed an infectious and meningeal syndrome, as well as facial paralysis. The results of brain imaging, cerebrospinal fluid examination, fundus examination, and gastric lavage fluid examination led to the conclusion of multifocal tuberculosis in the infant without association with HIV. Improvement was observed one week after the start of antituberculosis treatment, with complete recovery without sequelae after 12 months. Conclusion: Although rare, multifocal tuberculosis does exists and its diagnosis remains challenging in infants. Early treatment generally leads to favorable outcomes, especially in the absence of HIV coinfection.

关键词： Multifocal Tuberculosis Choroidal Tubercles Child Cerebral Tuberculosis Togo

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Practices of Maternity’s Care Providers in the Municipality of Kozah 1 Regarding the Administration of Vitamin K1, Eye Care, and Umbilical Cord Care in Immediate Postpartum Newborns

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Open Journal of Pediatrics 2023年第4期13卷 484-495页

作者： ouro-bagna tchagbele Kokou Agbékogni Réné Segbedji Missoki Azanledji Boume Sollim Myriam Talboussouma Kadji Kombieni Fidèle Comlan Dossou Alouki Essossinam Constantine Adom Flore Djath Palabié Lare Pouhawè Zato Koffi Edem Djadou Adama Dodzi Gbadoe Komi Deladem Azoumah Pediatrics Department University of Kara Kara Togo Surgical Department and Specialities University of Kara Kara Togo National School of Midwifery Kara Togo Pediatrics Department University of Lomé Lomé Togo

Background: Neonatal mortality is a real public health problem in the world and particularly in countries with limited resources. Essential care remains an effective means of reducing this mortality. Objective: To evaluate the practice of administering of vitamin K1, ocular and cord care in maternity wards in the Kozah 1 municipality. Method: This is a cross-sectional study conducted from March 1st to June 30th, 2022 in all maternity wards in the Kozah 1 municipality. Socioprofessional aspects of providers and those related to the administration of vitamin K1, ocular and cord care were studied. Results: Eighty-five (85) maternity providers were included in this study. The average age of the providers was 36.2 years with extremes of 21 and 55 years. Providers were midwives (51.8%), childbirth attendants (35.3%), and matrons (12.9%). The average length of practice was 9.5 years with extremes of 1 and 28 years. For three out of four providers (75.3%), the postpartum period was defined as a period of 02 hours following delivery. The importance of cord, ocular care, and administration of vitamin K1 in postpartum was known respectively by 84.7%, 98.8%, and 92.9% of the providers. Chlorhexidine gel was used by 81.2% of providers for umbilical cord care. For ocular disinfection, more than half of the providers (52.9%) reported using half-diluted povidone iodine. No center had displayed care protocol. Conclusion: This study highlighted the level of knowledge and practice of three essential postpartum care practices. The products used for the different care practices are consistent with recommendations but vary according to the care providers.

关键词： Essential Care Newborn Immediate Postpartum Maternity Togo

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Pediatric HIV Infection in Togo: Situation of Child Care in the Central Region from 2008 to 2015

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World Journal of AIDS 2017年第4期7卷 260-268页

作者： F. Agbeko T. Guedehoussou K. D. Azoumah O. E. Takassi M. Fiawoo K. A. R. Segbedji O. B. tchagbele M. Kpegouni K. Tongon K. E. Djadou D. Y. Atakouma A. D. Agbere Service de Pédiatrie CHR-Lomé Commune Lomé Togo Service de Pédiatrie CHU Kara Kara Togo Service de Pediatrie CHU-Sylvanus Olympio Lomé Togo Service de Pédiatrie Centre Des Armées Lomé Togo

This piece of work covers thirteen (13) AIDS assistance programs sites over the period 1st January 2008 to 31st December 2015. The study is retrospective, descriptive, and cross-sectional based on 292 clinical cases of HIV infected children aged between 0 and 14 years old. A regional committee was charged to validate antiretroviral treatment (ART) prescriptions on a weekly basis. We have also used data from the regional committee register. HIV infected children represent 5.1% of casework on ART. The average starting age for ART was 4.5 years (1 - 180 months) with a sex ratio (Male/Female) of 0.9. The clinical classifications according to WHO guidelines were: Stage III (52.3%) and Stage IV (20.3%). The most frequent opportunistic infections were: wasting (40.12%), digestive candida infection (29.0%), acute respiratory infections (22.8%) and skin diseases (17.9%). The HIV type 1 was detected on all of the children (100%). The average rate of CD4 at the beginning of the ART was 552.98 cells/mm3, leading to a severe immuno-suppression in many cases (44.8%). The initial ART was essentially NEVIRAPINE + LAMIVUDINE + STAVUDINE. HIV infections diagnosis are usually late in the Central Region of Togo and will therefore be improved by the UNAIDS 90-90-90 strategic plan by 2020, through various initiatives. These are: the Prevention of Mother to Child HIV Transmission (PMTCT), the Early Infection Diagnosis (EID) based on Polymerase Chain Reaction (PCR) and the Provider Initiated Testing and Counseling (PITC).

关键词： HIV AIDS ART Children Togo

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