Le Mali medical最新文献

Introduction: Healthcare workers continue to be a population at risk of vaccine-preventable diseases. The overall aim of our study was to contribute to the prevention of vaccine-preventable diseases among healthcare workers in Abidjan university teaching hospitals.

Material and methods: A descriptive cross-sectional study was conducted over a 6-month period among healthcare workers in Abidjan's university teaching hospitals. Data were collected using two survey forms sent to the staff and management of the university hospitals. The data were processed using Epi info 7 software.

Results: One thousand seventeen (1017) workers out of a population of 2550 participated in the study: 54.6% were women with an average age of 36 ± 6 years. They were represented by physicians in 47.7% of cases and had an average professional seniority of 7 ± 5 years. Coverage rates by infectious agent were: 53.1% (hepatitis B), 16.5% (influenza), 67.9% (tetanus), 46.6% (typhoid fever), 78.5% (yellow fever), 47.6% (meningitis). Most of the vaccination costs were covered by the caregivers themselves.

Conclusion: The study of vaccination coverage among UHC nursing staff revealed low levels overall. A vaccination policy needs to be put in place.

Objective: to present the epidemiological, diagnostic, therapeutic and progressive aspects of laryngeal papillomatosis.

Patients and method: This was a retrospective study over a period of 6 years (January 2016 to December 2021), covering cases of laryngeal papillomatosis collected at the Oto-Rhino-Laryngology department of the Niamey National Hospital.

Results: A total of 36 cases of laryngeal papillomatosis were recorded. The average age of the patients was 19 years. Children aged 0 to 15 were the most represented with 23 cases (63.89%). The symptomatology was dominated by dysphonia in all patients, associated with dyspnea in 97% of cases. The average duration of progression of these symptoms was 16 months. Direct suspension laryngoscopy made it possible to make the diagnosis in all cases and to proceed with surgical excision of the papillomatous tufts using micro-instruments. The tracheotomy preceded that endoscopy in 7 cases (19,44%). The evolution was marked by recurrence observed in 17 cases (48.57%).

Conclusion: Laryngeal papillomatosis is a rare condition in ENT in Niamey. It is characterized by a delay in diagnosis. Endoscopic micro-tweezer peeling was the therapeutic modality used, the evolution of which remains punctuated by recurrences.

Introduction: Breast cancer is one of the main causes of morbidity and mortality in Africa and Mali and its prognosis remains serious with very low survival. We initiated this study to determine the overall and specific survival rate by treatment type.

Patients and methods: This was a cross-sectional study from January 1, 2016 to October 31, 2021. It concerned all women who had been seen in the obstetric gynecology department of the teaching hospital Luxembourg in Bamako during the study period. We conducted a multivariate analysis of the factors influencing survival after logistic regression according to the Cox model.

Results: We recorded 70 cases of breast cancer among 41613 gynecological consultations or 0.16%. Over the months there is a very rapid decrease in survival. The chemotherapy improves survival, surgery and radiotherapy greatly contribute to the improvement. Concerning hormone therapy, it protects subjects with a statistically significant probability (P<0,05).

Conclusion: Breast cancer survival remains very low in the department, the need for well-organized screening campaigns and early and multidisciplinary case management.

Extremely low birth weight infants are a public health problem in developing countries.

The objective: of this study was to evaluate the prognosis of extremely low birth weight newborns hospitalized at Saint Camille Hospital in Ouagadougou (HOSCO).

Method: This was a descriptive and analytical study with retrospective data collection on newborns with birth weight <1000g, in the neonatology department from January 2017 to December 2021.

Results: A total of 319 newborns were admitted giving a hospital frequency of 8.62%. Male sex was predominant with a sex ratio of 1.02. The mean age was 0.18 ± 0.71 days. The main signs on admission were hypothermia 88.40% and respiratory distress 92.16%. The evolution was marked by 92.79% of deaths of which 90.20% occurred during the early neonatal period. Hypothermia, birth outside HOSCO and maternal age less than 20 years were the factors associated with mortality.

Conclusion: The management of low birth weight remains difficult because of the very limited resources in our countries. Simple and inexpensive interventions can considerably improve the survival of these newborns.

Fibroadenomas are the most common benign breast disorders. The aim of this study was to identify the clinical and therapeutic aspects of fibroadenoma in the obstetric gynecology department and General Surgery of Teaching hospital Gabriel TOURE in Bamako Mali.

Patients and methods: The study was descriptive with retrospective data collection from July 1, 2018 to July 31, 2021. The records of patients treated for fibroadenoma were included in accordance with ethical principles guaranteeing anonymity and confidentiality of data.

Results: A total of 112 patients were selected for the study period, representing 15. 9% of all breast pathologies. We recorded 642 cases of breast mass, with fibroadenoma accounting for 16.72% of these breast tumors. Among all 154 benign breast tumors, fibroadenoma accounted for 72%. The mean age was 27 years, with a standard deviation of 14.8 years (13 years and 62 years). The 20-35 age group was the most represented, at 44%. The frequency of fibroadenoma decreased with increasing gestational age and parity. Over 60% of patients were overweight. The main reason for consultation was the presence of breast swelling. Unilateral left breast swelling was predominant in 46% of cases, and location in the upper-outer quadrant accounted for 50%. Surgical excision was the most frequent management modality, accounting for 56,2% of cases.

Conclusion: fibroadenoma of the breast are a fairly common benign condition. Diagnosis requires surveillance. Surgical treatment should be discussed according to age, size and the presence of risk factors for malignancy.

Oncology therapies have repercussions on the quality of life of patients. This quality of life is a cardinal element in the care pathway of patients. We initiated this work to assess the quality of life after mastectomy.

Material and method: We carried out a descriptive cross-sectional study over a period of 5 years from January 2016 to December 2020 in the General Surgery Department of the Gabriel Touré University Hospital. We included all patients who had undergone surgery for breast cancer with histological evidence and who had undergone a mastectomy and agreed to answer the questionnaire.

Results: The QLQC3O questionnaire is a cancer-specific scale used to establish the quality of life score like many others, but with the difference that it is simpler, easier to use and more widely used. We have recorded 79 cases of mastectomy for breast cancer. The prevalence of mastectomy was 5.8%. The median age was 58 years. Patients had at least one child 92.38%. Non-specific ductal carcinoma was the most common histological type with 87.33%. The side effects of mastectomy affect the area of symptoms were the most difficult stage to bear with p value not significant. These situations have seriously affected self-esteem. Among the side effects affecting quality of life (52 cases), digestive disorders (22 cases) were in the first place, followed by dyspnea (7 cases) and financial difficulties (8 cases) which resulted in the sale of goods.

Conclusion: The place of quality of life remains undeniable in the therapeutic strategy and its evaluation improves the therapeutic choice.

Objective: To assess the profile of metabolic syndrome (MS) in a hypertensive population in Mali.

Patients and methods: Prospective study from June 1, 2022 to June 31, 2022, in the cardiology department of the Mother-Child University Hospital in Bamako, Luxembourg. Our study sample consisted of adult hypertensive patients, aged 18 years and older, received as an outpatient. Patients were included in our study after informed consent. The SM was established based on International Diabetes Federation (IDF) definitions.

Results: Out of 520 patients, 238 were included in our study. The prevalence of SM was 30.2% according to IDF criteria. There was a female predominance (66%). The mean age was 57 ± 5 years. Grade II hypertension was in the majority with 39%. Seventy-five percent of patients with metabolic syndrome had 3 risk factors. Ischemic stroke was the most common complication with a rate of 12%. Dual therapy was indicated in 59.23% of patients. Calcium channel blockers were the most prescribed with a rate of 74.5%. SM is a reality in Mali. Adequate preventive measures are necessary to limit its progression.

Introduction: The aim of this study was to investigate the contribution of computed tomography (CT) and its degree of concordance with pathological examination in the etiological diagnosis of maxillomandibulartumours.

Materials and methods: Our study was cross-sectional, retrospective and prospective. It took place over a period of five years and six months and included cases of maxilla-mandibulartumours confirmed by pathological examination after clinical examination and CT scan. Data were collected from medical records, entered and analysed with SPSS 21.0 software.

Results: Men represented 55.7% of cases with a sex ratio of 1.25. The duration of symptoms on presentation varied from 1 month to 27 years (mean 24.37+/- 48 months). This consultation was motivated in 92.6% of cases by a mandibular swelling. Squamous cell carcinomas were the most common on pathological examination with 34.2% of cases followed by ameloblastomas in 24.2% of cases. There was good agreement between the results of the CT scan and those of the pathological examination (Cohen's Kappa=0.77).

Conclusion: CT remains a reliable tool in the diagnosis of maxillomandibulartumours.

Objective: to contribute to improving the care of patients hospitalized in the department.

Patients and methods: This was a cross-sectional study from January 1, 2018 to December 31, 2020. We included patients of both sexes hospitalized and who died in the department whose cause of death was known.

Results: During the study period, 1324 patients were hospitalized, of whom 279 died (21.07%). Of the 279 cases of death, 222 were included in the study. The clinical signs were: deterioration in general condition (95%), ascites (61.7%), hepatomegaly (57.6%), jaundice (44.9%). The most frequent diagnoses retained in our patients were: cirrhosis (39.6%), primary liver cancer (30.6%), HIV infection (11.4%), pancreatic cancer '6.8%). Causes of death were in order of frequency: hepatic encephalopathy (22.5%), primary end-stage liver cancer (20.3%), ascites fluid infection (16.2%) , hypovolemic shock (14.9%).

Conclusion: The deceased patients had chronic liver disease with a significant deterioration in general condition. Deaths are due to infectious and metabolic complications. An improvement of the technical platform is essential.

the goal of this study was to investigate the internal hemorroid disease in our endoscopic center.

Method: This transversal study went from December 2011 to December 2012.

Results: Sixty cases of internal hemorroid desease were enroled with36 men and 24 women and a middle age of 47 ±14.4 years. Clinical signs were frequently: bleeding (66.7%), constipation (58.4%), anal pain (58.3%) and hemorrhoid prolapsed (18.3%). The anal and rectum scopy found only internal hemorrhoid in 78.4% of cases and the grade I was about 81.7% of cases. All patients were beneficied of medical treatement.

Conclusion: hemorrhoid disease is a frequent pathology in general population mainly around third decade.