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Child Victims of Road Traffic Accidents: Epidemiological and Clinical Aspects in the Medical and Surgical Emergency Department of the Donka National Hospital

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Case Reports in Clinical Medicine 2024年第3期13卷 63-72页

作者： Ibrahima Sory diallo Mamadou Moustapha Diop Amadou Oury Toure Mamadou Aliou Doukouré Aîssata Barry M’mah Aminata Bangoura Mariama Sadjo diallo Abdoulaye Oumare diallo Salimatou Hassimiou Camara Thierno Mamadou Aliou Touré Ouo Ouo Kolié mohamed lamine diallo Fatoumata Binta diallo Ibrahima Sory Souaré Institute of Child Nutrition and Health Conakry Guinea Department of Pediatrics Donka National Hospital Conakry Guinea UNICEF-Guinea Community Health Section Conakry Guinea Gamal Abdel Nasser University of Conakry Conakry Guinea

Introduction: Children involved in road accidents most often suffer head or limb injuries. The severity of these injuries varies according to the age of the child, the type of road user and whether or not protective devices are used. The aim of this study was to carry out a census of admissions and to identify the epidemiological and clinical profile of children involved in road traffic accidents at Donka National Hospital. Methods: This is a descriptive cross-sectional study of children involved in traffic accidents over a 3-month period from September 1 to November 30, 2021. All children admitted to the emergency department for a traffic accident were included in the study. Results: During the study period, 435/530 children (82.1%) were victims of road accidents. Boys accounted for 54.94% of cases, compared with 45.06% for girls. The age group most affected was 12-17 years old (48.97%). October had the highest accident rate (36.4%). Pedestrians are most affected (52.87%). Bicycles and mopeds were involved in 59.77% of accidents. Head injury was the most frequent pathology (33.33%). The study showed that 12.64% of victims were referred to intensive care, pediatric surgery, etc. We recorded 8 cases of death (1.84%). Conclusion: This study highlighted the characteristics, incidence and risk factors for accidents in children admitted to emergency departments. Accident prevention, particularly serious accidents in children, requires more precise knowledge of the factors and circumstances leading to their occurrence.

关键词： Child Accident Public Highway Donka

Management of Acute Malnutrition in Children Aged 0 to 24 Months Boulbinet Health Center

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Child Victims of Road Traffic Accidents: Epidemiological and Clinical Aspects in the Medical and Surgical Emergency Department of the Donka National Hospital

Open Journal of Pediatrics（儿科学期刊） 2024年第1期

作者： mohamed lamine diallo Mamadou Ciré Barry M’mah Aminata Bangoura Louis Philippe Diffo Mamadouba Bangoura Fatoumata Sacko Telly Sy

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Acute Alithiasis Cholecystitis in Children: Diagnostic and Therapeutic Approach in the Pediatric Surgery Department of the CHU of Conakry

Case Reports in Clinical Medicine（临床医学病理报告） 2024年第3期 63页

作者： Ibrahima Sory diallo Mamadou Moustapha Diop Amadou Oury Toure Mamadou Aliou Doukouré Aîssata Barry M’mah Aminata Bangoura Mariama Sadjo diallo Abdoulaye Oumar diallo Salimatou Hassimiou Camara Thierno Mamadou Aliou Touré Ouo Ouo Kolié mohamed lamine diallo Fatoumata Binta diallo Ibrahima Sory Souaré

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Open Journal of Pediatrics 2023年第1期13卷 86-91页

作者： Balla Keita Mamadou Alpha Toure mohamed lamine Sadou Sacko Thierno Saidou Barry mohamed lamine diallo Mamadou Madiou Barry Daniel Agbo-Panzo Department of Pediatric Surgery National Hospital of Donka/CHU Conakry Guinea Faculty of Science and Technology University Gamal Abdel Nasser of Conakry Conakry Guinea

Acute alithiasic cholecystitis (AAC) is the inflammatory disease of the gallbladder in the absence of gallstones. It is a rare pathology in children. The aim was to describe the clinical, diagnostic and therapeutic characteristics of this disease. Materials and Method: This was a 3-year retrospective study (January 2008 to December 2010) including 66 patient records collected for CAA. Results: The frequency of AAC was 3.57%, the mean age of the patients was 8 ± 3.52 years, and there were 36 boys and 30 girls. The main clinical features were right hypochondrial pain (66 cases), positive Murphy’s (66 cases), fever (53 cases) and jaundice or sub-jaundice (51 cases). The main ultrasound signs were thickened vesicular wall 50 cas (75.76%), vesicular distension 50cas (75.76%) and positive ultrasound Murphy 47 cas (71.21%). Medical treatment was exclusive in 64 patients (96.97%) and surgical treatment in 2 patients (3.03%). Conclusion: Acute alithiasic cholecystitis is a rare pathology in children, the clinical picture is not very specific and abdominal ultrasound is the key to early diagnosis. Conservative treatment is the first choice in the absence of any complications.

关键词： Acute Alithiasic Cholecystitis Children Medical Treatment

Evaluation of Glomerular Filtration Rate and Urinary Abnormalities in Children with Cancer before Chemotherapy

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Open Journal of Pediatrics 2023年第4期13卷 594-603页

作者： Mamadou Moustapha Diop Aissata Barry Ouo Ouo Kolié Emanuel Camara mohamed lamine diallo Kaba Bangoura Mamadou Aliou Doukouré Pé Neabel Beimy Dienab diallo Moustapha Kouyate mohamed lamine Kaba Department of Pediatrics Faculty of Health Sciences and Technologies Gamal Abdel Nasser University Conakry Republic of Guinea Pediatric Emergency CHU Donka Ministry of Higher Education Scientific Research and Innovation Conakry Republic of Guinea Hemodialysis Department CHU Donka Ministry of Higher Education Scientific Research and Innovation Conakry Republic of Guinea

Introduction: Glomerular filtration is an important elimination pathway for many types of chemotherapy. Accurate estimation of glomerular filtration is essential in the management of children with cancer. Methodology: This was a prospective cross-sectional study of the descriptive type extending over a period of 6 months from July 01 to December 31, 2021 on all children with cancer followed in the pediatric hemato-oncology unit of the HND with a renal, blood and urinary assessment associated with the GFR calculated by the SCHWARTZ formula during the study period. Results: During the study period, we registered 41 new cases of cancer in the pediatric oncology unit. The age group of 0 - 5 years was the most represented, i.e. 65.85% and the average age was 5.6 ± 4 years. The most cited clinical signs were fever ie 56.10% followed by abdominal pain 34.15% and anemia 26.83%. The most represented diagnosis was Burkitt’s Lymphoma, i.e. 26.83% followed by Retinoblastoma 24.39%. Mean serum creatinine was 70.65 ± 68.93 μmol/L. In our series, patients whose normal glomerular filtration rate were more represented, i.e. 70.73% and 29.27% had an abnormal GFR with an average of 87.28 ± 70 mL/min/1.73m2. Proteinuria and leukocyturia were observed in 31.71% and 19.51% respectively. Glycosuria and hematuria with common frequencies of 2.44% of patients. Conclusion: The prevention of renal toxicity of anticancer drugs always involves the precise evaluation of renal function using the Schwartz formula in children. .

关键词： GFR Child Cancer Chemotherapy

Respiratory Complications of Measles in the Pediatric Ward of the Regional Hospital of Kindia/Guinea

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Open Journal of Pediatrics 2023年第5期13卷 727-733页

作者： mohamed lamine diallo Mamadou Ciré Barry Fatoumata Binta diallo Kaba Bangoura Hessou Agossi Nouvidomé Chimène Telly Sy Urgences Pédiatriques Donka National Hospital Conakry Guinea Service de Pédiatrie H&#244pital National Ignace Deen Conakry Guinea Service de Pédiatrie Donka National Hospital Conakry Guinea Service de Pédiatrie H&#244pital Régional de Kindia Kindia Guinea Service de Gynécologie-Obstétrique Hopital National Ignace Deen Conakry Guinea

Introduction: Measles is a highly contagious infectious disease caused by the measles virus belonging to the morbillivirus genus, the measles morbillivirus species and the Paramyxoviridae families. The aim was to study respiratory complications due to measles in children aged 1 to 15 in the pediatric ward of the Kindia regional hospital. Materials and Methods: A transversal descriptive study was carried out in the pediatrics department of the Kindia Regional Hospital from October 1, 2019, to March 31, 2020, on children aged 1 to 15 years hospitalized for measles with respiratory complications. Results: 53 cases of measles were recorded, i.e. 11.71% of hospital pathologies including 32 cases of respiratory complications, i.e. 60.38% with an M/F sex ratio of 1.66, male predominance of 62.5%, and a mean age of 4.10 ± 2.8 years. The outcome was favorable in 90.62% of our patients. The mortality was 9.38% with an average hospital stay of 6.8 ± 3.04 days. Conclusion: The respiratory complication of measles is a serious pathology due to the risk of mortality that it can cause, a consultation followed by rapid treatment can contribute to a reduction in complications and a faster cure.

关键词： Measles Respiratory Complication Child Kindia

Glomerular Filtration Rate of Children with Sickle Cell Disease Compared to Non-Sickle Cell Patients in Donka Pediatric Emergencies and SOS Drepano-Guinea Center

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Open Journal of Pediatrics 2023年第4期13卷 562-567页

作者： mohamed lamine diallo Emmanuel Camara Mamadou Moustapha Diop Mamadou Cire Barry Fatoumata Binta diallo Aissata Barry Saliou Bellanrcisse diallo Narcisse Idohou Ganin Paul Ulrich N’dri N’gotta Mamdy Dramé Telly Sy mohamed lamine Kaba Paediatric Emergency Donka National Hospital Conakry Guinea Paediatrics Department Donka National Hospital Conakry Guinea Department of Paediatrics H&#244pital National Ignace Deen Conakry Guinea Centre SOS Drépano-Guinée Conakry Guinea Department of Gynaecology and Obstetrics H&#244pital National Ignace Deen Conakry Guinea Haemodialysis Department Donka National Hospital Conakry Guinea

Introduction: Our study focused on the evaluation of renal function in children with sickle cell disease compared to children without sickle cell disease at the pediatric emergency unit of the Donka National Hospital and SOS Drepano-Guinea center. Patients and Methods: This was a cross-sectional descriptive and analytical study lasting 3 months (October 1 to December 31, 2020). Were included, all sickle cell and non-sickle cell children aged 0 to 15 received on an outpatient basis and had undergone an exploration of renal function (serum creatinine and urine dipstick). Results: We performed the urine dipstick and serum creatinine in 75 children, 45 of whom were sickle cell and 30 were not sickle cell. 27 of our patients or 36% had a reduction in GFR, among them 9 or 20% were sickle cell and 18 or 60% were not sickle cell. The most affected age group was 5 to 9 years in sickle cell (66.7%) and non-sickle cell (38.9%). In sickle cell patients, 9 cases (100%) had mild renal failure (IRL). Non-sickle cell patients, had 14 cases or 77.8% of IRL and 4 cases (22.2%) of moderate IR. Sickle cell disease and antibiotics which had the respective p-value (0.01);(0.02), were statistically significant with the onset of renal failure. Conclusion: Several factors including sickle cell anemia and antibiotics are believed to be involved in lowering GFR. It would be essential to detect early the children received in consultation.

关键词： Flow Filtration Glomerular Child Sickle Cell Disease

Transient Diabetes Induced by L-Asparaginase

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Open Journal of Pediatrics 2023年第6期13卷 862-865页

作者： Mamadou Moustapha Diop M’mah Aminata Bangoura Aissata Barry Emmanuel Camara Kolié Ouo Ouo Pé Neabei Beimy mohamed lamine diallo Kaba Bangoura Moustapha Kouyate mohamed lamine Kaba Aka Nbga Department of Paediatrics Faculty of Health Sciences and Techniques Gamal Abdel Nasser University Conakry Republic of Guinea Urgence Pédiatrique CHU Donka Ministère de l’enseignement de la recherche scientifique et de l’innovation Conakry Republic of Guinea Haemodialysis Department CHU Donka Ministry of Education Scientific Research and Innovation Conakry Republic of Guinea

Background: Although hyperglycaemia is one of the known side effects of L-asparaginase, its contribution to the development of diabetic ketoacidosis (DKA) is less well known in the literature. Asparaginase is an essential component of treatment protocols for acute lymphoblastic leukaemia (ALL) in combination with other chemotherapeutic drugs. On further evaluation, she was found to have high anion gap metabolic acidosis, hyperglycaemia and ketonuria. In recent decades, the use of these chemotherapeutic agents has led to a decrease in mortality and disease-free survival in ALL. L-asparaginase is one of the chemotherapy protocols used in the treatment of acute lymphoblastic leukaemia (ALL) and can induce hyperglycaemia which is aggravated by the concomitant use of corticosteroids. We report the observation of a 14-year-old girl treated with chemotherapy (GFA LAL protocol) who developed transient diabetes following the use of L-asparaginase. She was treated at the Donka paediatric haemato-oncology unit by a multidisciplinary team including a paediatric oncologist, a psychologist and a diabetologist. The aim of this study was to highlight blood glucose monitoring before and after the use of asparaginase in acute lymphoblastic leukaemia. Conclusion: We conclude that the occurrence of ketoacidosis following the use of asparaginase is a rare event. We recommend close monitoring of blood glucose levels for hyperglycaemia in patients with ALL receiving L-asparaginase.

关键词： Asparaginase Diabetes ALL Donka

Frequency of Group A Beta-Hemolytic Streptococcal Angina in Children in the Department of Pediatrics of Donka National Hospital

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Open Journal of Pediatrics 2020年第4期10卷 610-616页

作者： Mamadou Moustapha Diop Aissata Barry Emmanuel Camara mohamed lamine diallo M’mah Aminata Bangoura Hasmiou Dia Saliou Bella diallo Mamadou Aliou Doukouré Moustapha Kouyaté Narcisse Viani Gateu Tadjom Mamadou Pathé diallo Pediatrics Department Donka National Hospital Conakry Republic of Guinea Paediatric Medical Emergency Donka National Hospital Conakry Republic of Guinea Institute of Nutrition and Child Health Conakry Republic of Guinea Paediatrics Department Ignace Deen National Hospital Conakry Republic of Guinea Medical Centre and Health Counselling Conakry Guinea

Background: Angina is a common paediatric condition. It has certain peculiarities in children, particularly with regard to the frequency of bacterial germs and the use of diagnostic tests. The aim of this study was to determine the place of the rapid diagnostic test in the management of group A beta-hemolytic streptococcal angina in children in the paediatric ward at Donka National Hospital. Methods: This was a prospective descriptive study lasting 6 months from 1st February to 31st July 2019 concerning children aged between 3 and 15 years old who were diagnosed with angina. Epidemiological, clinical, para-clinical and therapeutic variables were studied. Results: Out of 1494 registered children, we collected 116 cases of angina (7.76%). Out of 52 patients who benefited from the rapid diagnostic test, we recorded 13 cases of angina due to group A beta-hemolytic strptococcus. The male sex was the most dominant with 31 cases (59.69%) and a G/F sex ratio of 1.47. The age group most affected was between 3 and 5 years old (50%). The average age of ou

关键词： Angina Frequency Clinic Treatment Pediatrics Donka