2000年至2014年在瓦加杜古的亚尔加多·乌苏达戈大学医院中心接受破伤风治疗

Sonda Ka, J. Zoungrana, M. Savadogo, Hien Sjm, I. Diallo, A. Poda, Ouédraogo Ag, E. Diendéré, Sanou As, Ngaha La, M. Kaboré, C. Kyelem, M. Ouédraogo, Y. Drabo
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摘要

前言/任务:在布基纳法索,破伤风仍然是一个公共卫生问题。该研究的目的是描述瓦加杜古亚尔加多大学医院中心破伤风的流行病学、临床和进化概况。患者和方法:我们对2000年1月至2014年6月传染病科收治的破伤风病例进行了描述性横断面研究。数据来自住院患者的临床记录。结果:该院破伤风发生率为2.6%,年平均住院10.2例。92例报告破伤风病例,平均年龄29.2±18.8岁。15-45岁年龄组占62%。农民(36.5%)、失业者(28.5%)和非正规部门工人(21.5%)是最具代表性的职业。97.8%的患者未接种破伤风疫苗。主要入路为肠膜(68%)和外科(16.5%)。并发症以感染性为主(14%),致死率为35.5%。结论:破伤风是布基纳法索的一种地方性疾病,影响到人群的活动层。使人们认识到预防破伤风的重要性是必不可少的。
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Tetanus at Yalgado Ouédraogo University Hospital Center in Ouagadougou from 2000 to 2014
Introduction/Mission: In Burkina Faso, tetanus remains a public health problem. The aim of the study was to describe the epidemiological, clinical and evolutionary profile of tetanus at the Yalgado University Hospital Center in Ouagadougou. Patients and methods: We conducted a descriptive cross-sectional study of tetanus cases admitted in the department of infectious diseases from January 2000 to June 2014. The data were collected from the clinical records of hospitalized patients. Results: The frequency of tetanus in the hospital was 2.6% and the average admission was 10.2 cases per year. Of the 92 cases of tetanus reported, the mean age was 29.2 ± 18.8 years. The group age of 15-45 accounted for 62% of the patients. Farmers (36.5%), unemployed (28.5%) and informal sector workers (21.5%) were the most represented occupations. The patients were mostly unvaccinated against tetanus (97.8%). The main points of entry were integumentary (68%) and surgical (16.5%). Complications were mostly infectious (14%) and the lethality was 35.5%. Conclusion: Tetanus is endemic in Burkina Faso and affects the active layer of the population. Sensitization of populations on the interest of anti-tetanus prophylaxis is essential.
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