Introduction: Bronchiolitis is a common respiratory disease in pediatrics. Its acute onset manifestations are most often observed in infants under 24 months of age, but at this age the respiratory system remains immature. The main pathogen of acute bronchiolitis in infants is respiratory syncytial virus (RSV). Materials and method: This is a descriptive and prospective study of the acute bronchiolitis in infants aged 0 to 24 months received at the pediatric consultation of the Reference Health Center of the Commune I of Bamako de Mars 2019 to February 2020. Results: In 12 months, 167 cases of acute bronchiolitis were seen at the pediatric consultation. The prevalence of bronchiolitis was 1.85%, the average age of infants was 8 months, and the boy/girl sex ratio was 1.6. The month of September represented the peak (31.1%). Infants aged 1 to 10 months accounted for 60% of hospitalizations. Mortality was 5.4%. Conclusion: bronchiolitis is a common pediatric consultation pathology, it remains worrying for parents with a more or less negligible mortality rate.
Our study aimed to investigate the retina complictions of arterial hypertension during pregnancy in the reference health center of Kalaban-Coro. This was a descriptive cross-sectional study over a period of five months from August 1 to December 31, 2021. It involved 185 hypertensive patients admitted to the gyneco-obstetrics department. The frequency of the association of high blood pressure and pregnancy was 18.84%. The most represented age group was 25-34 years with a frequency of 44,9%. Most of our patients had normal visual activity in both eyes. Retinal lesios were in 5,4%of patients. Retinal hemorrhage was the most frequent region with 80%. Only one patient had papilledema, including Stage III, hypertensive retionpathy whiich disppeared on the 30th day.
The aim was to assess the knowledge, attitudes and practices of tetanus vaccination among women of childbearing age. Materials and methods: This was a cross-sectional study with a descriptive and analytical purpose that took place from May to July 2021 in the health district of Commune I. It targeted 258 DPFs. The data collection used observation, documentary exploitation, individual interviews and focus groups as a technique. Results: We observed that vaccination coverage in TAV2 and above among FAPs was 63.9% but 72.3% of these women had received their doses during antenatal consultations and 61.24% of them were between 14-24 years old. The majority of the FAPs surveyed (95.7%) were not aware of the vaccination schedule. 78.4% were unaware of the required doses. Among the women surveyed, 15.2% had not received any dose of VAT and 87.3% of them said they were unaware of the importance of vaccination. Conclusion: the lack of information, awareness and the age of FAPs are the main reasons for the lack of knowledge of the vaccination schedule, the number of doses required and the need for VAT.
Severe acute malnutrition (SAM) is characterized by a weight/height (W/T) ratio below -3Zscore and/or nutritional edema and/or arm circumference (MUAC) below 115 mm. This is a priority public health problem in Mali, because the nutritional situation remains very worrying for years. During our study period, 159 children suffering from severe acute malnutrition (SAM) with medical complications were hospitalized in the pediatric department. Materials and method: This is a prospective and descriptive study of children aged 0 to 59 months hospitalized for severe acute malnutrition with medical complications at the pediatrics department of the commune I from June 1, 2018 to May 31, 2019. All children from 0 to 59 months hospitalized in pediatrics during the study period and having parameters in favor of SAM were included. Results: We have a hospital prevalence of 14.7%. The average age of the children was 18 months with extremes of 3 to 59 months. Children aged 12-24 months were in the majority 55% and children under 12 months accounted for 40%. Most of the children were male with a sex ratio of 1.17. The majority of children (61.6%) came from the health district of the commune I. The frequency of admissions was higher in July and August (15.7% and 19.5%). The reasons for consultation were: anorexia (lack of appetite) 32.7%, diarrhea 26.4%, cough 9.4%, edema 8.2%, fever 7.6%, vomiting 7.6%, weight loss 5%. Marasmus was the most noticed form of malnutrition with 83.6%. The average length of hospitalization was 8 days with extremes of 3 to 17 days. Lethality reached 6.9%. The state of shock was the most marked factor of death 54.5%, cases of false route (food inhalation) 27.3% and respiratory distress 18.2%.
The aim was to assess the knowledge, attitudes and practices of women who have recently given birth in the face of positive HBsAg. Materials and methods: This was a descriptive, cross-sectional and analytical study from April 1, 2019 to March 31, 2020. Results: We collected 64 deliveries with a positive HBS-Ag out of 3935 deliveries, a prevalence of 1.6% (1/61). The median age was 27 ± 6 years. Multiparous were in the majority with 26.6%. Almost all pregnant women (96.9%) already knew their HBV HIV status. Sexual route was cited as the main mode of transmission (37.5%). The notion of previous HBV vaccination was reported in 65.6%, but none of the women had been vaccinated against HBV. HBeAg was present in 13.6% of parturients, A detectable viral load was found in 36.4%. In our series 60.9% were not taking any HBV treatment. Within the first 24 hours, 50% of newborns received seroprophylaxis. Conclusion: Screening for Hepatitis B during childbirth is useful because it reduces the so-called vertical transmission from mother to child during delivery through serovaccination of newborns.
Introduction: Severe malaria is a public health problem that causes a real socio-economic burden in developing countries. It is associated with high but avoidable mortality thanks to preventive and curative measures. Methodology: This is a descriptive and cross-sectional study with a prospective survey for the benefit of mothers of children aged 06 to 59 months hospitalized for serious malaria in the pediatric department of the Reference Health Center of Commune I of Bamako from October 2021 to September 2022. Results: In 12 months, 624 children were hospitalized, including 151 children aged 6 to 59 months suffering from severe malaria. The hospital frequency of severe malaria in this age group from 06 to 59 months was 24.2%. The average age of the mothers interviewed was 27.8 years with a range of 15 to 48 years. Mothers were educated in 84.1%, married in 98.7% and working as housewives in 81.5%. The reason for consulting children was fever (91.4%), anorexia (90.1%), prostration (79.5%). Mothers knew about impregnated mosquito nets and smoke coils as means of prevention against malaria at the same frequency of 99.3%, repellent creams 96.7%, and indoor spraying in 92.7%. In practice, they used smoke coils in 64.2%, repellent cream in 44.4% and mosquito nets impregnated with insecticide in 40.4%. Mothers attributed the cause of malaria to mosquito bites in 91.4%; They had readjusted the way sick children were fed by giving more food than usual (29.8%), splitting meals (21.8%) or using active feeding (14.6%). Most children had severe malaria, neurological form or anemic form at the same proportion of 37.1%. The assessment of the nutritional status of children revealed 18.5% acute malnutrition. The children had received conventional and traditional self-medication in 63.58 and 58.94% of cases respectively before admission. In children, a significant relationship was noted between severe anemic malaria and acute malnutrition (Fisher's exact test = 18.41; p = 0.01). ....
The objective is to report a clinical case of vaginal cesarean section performed to expel a dead fetus in scarred uterus. For this indication, vaginal hysterectomy constitutes an alternative to vaginal expulsion with a high risk of uterine rupture and to classic abdominal cesarean section with risk of significant surgical trauma, particularly adhesions. However, this surgical technique, described since the 19th century, remains unknown to many practitioners and few publications exist on the subject throughout the world. Considered obsolete by some practitioners, it retains all its advantages in the practice of modern obstetrics. We report this case of expulsion of fetal death on a tri-scarred uterus performed by vaginal cesarean section at the Health District Reference Health Center (District Hospital) of Commune I in Bamako, Mali in a 37-year-old patient with a pregnancy of 27 weeks of amenorrhea.
The aim was to evaluate antenatal consultations at the maternity ward of the hospital in Gao (Mali). Materials and methods: This was a cross-sectional descriptive evaluative study that involved a randomly selected sample of 122 cases of antenatal consultations carried out over a period of (6 months). Results: In our study, the 21 to 30 age group was the most represented with a rate of 67%; 23% of pregnant women were between 14 and 20 years old and 10% were over 30 years old. The Sonrhaïs were mostly represented. In fact, more than one in two pregnant women belonged to this socio-cultural group, 53.2%. The majority of our pregnant women were out of school or in high school, i.e. 55% respectively; 38%. The household profession was the most represented in our study, accounting for 60% of cases. During this study, most pregnancies were seen in the third trimester with a rate of 72%, less than % of pregnancies had had 4 PNCs. The objective of comparing the quality index of so-called high-risk pregnancies with others could not be explored due to the very limited number of these pregnancies in our sample.
The aim was to evaluate the epidemiological and clinical aspects and the main etiologies of the couple's infertility. Materials and methods: This was a descriptive, cross-sectional, randomized and analytical study with prospective data collection from April 1, 2020 to March 31, 2021, a period of 12 months at the Kalaban-Coro reference health center. Result: The infertility of the couple remains a major problem with a prevalence of 19.99% and a predominance of the majority of patients were 21-25 years old, a frequency of 27.8%. The majority of spouses were housewives (60.9%), merchants were the most represented among spouses with a frequency of 23.5%. Patients were married 100% of the time and 73.9% were without a co-wife. Secondary infertility was the most prevalent at 64.3%. Palms accounted for 28.7% and nulliparous 48.7%. The history was dominated by hypertension and caesarean section, i.e. 3.5% each. The desire to have a child was found as a reason for consultation in 83.5% of cases and the most represented duration for infertility was between 12-24 months in 57.4% of cases. The patient participation rate was 97.4%. Percentage for spouses it was 13%. Female etiologies accounted for 20.9% (tubal obstruction 7%, PCOS 5.2%, endometriosis 6.2%, polymyomatous uterus 2.6%, uterine synechia 1.7% and anovulation 0.9%) and male etiologies accounted for 46.67% (13.33% azoospermia, oligospermia and asthenospermia, 6.67% asthenospermia). Conclusion: The problem of infertility affects a growing number of couples. It concerns all social strata with a prevalence of 19.99% and a conception of the population that thinks that the etiology is feminine.
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