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• W2895557185 abstract "Objectif: Analyser les caracteristiques epidemiologiques, cliniques, therapeutiques et evolutives des enfants hospitalises pour paludisme grave a Dapaong.Materiels et methode: Il s’agit d’une etude retrospective menee du 01 juillet au 31 decembre 2007 a l’hopital d’enfants Yendoube de Dapaong. Etait inclus dans l’etude, tout enfant âge de moins de 15 ans, ayant presente une goutte epaisse (GE) positive associee a un signe de gravite du paludisme. Les donnees ont ete recueillies a partir de 587 dossiers cliniques.Resultats: La frequence hospitaliere du paludisme grave etait de 29,4% avec une sexe ratio de 0,89. Les enfants de 6 a 59 mois etaient les plus representes (90%). La moyenne d’âge etait de 5 ans 9 mois (1 mois - 15 ans). ). Une recrudescence des cas de juillet a octobre avec un pic de deces en septembre a ete observee. Les principaux signes de gravite retrouves a l’examen physique etaient l’anemie (71,6%) et les convulsions (14,0%). La denutrition aigue constituait la principale pathologie associee (10,9%). Le traitement curatif le plus utilise etait l’Artemether (96,0%). Le taux de letalite etait de 10,9%.Conclusion: Le paludisme demeure le premier probleme de sante publique a Dapaong et au Togo. La distribution des moustiquaires impregnees d’insecticides a longue duree d’action et la chimioprevention saisonniere du paludisme pourraient produire un impact positif.Mots-cles: Paludisme grave, enfant, TogoEnglish Title: Severe malaria among children at Yendoube child hospital in Dapaong, TogoEnglish AbstractAim: To investigate the morbidity and the mortality among children hospitalized for severe malaria at the Yendoube child hospital in Dapaong.Materials and method: This retrospective study was conducted from 1st July to 31st December, 2007 at Yendoube Child Hospital of Dapaong. Children with a clinical sign of severe malaria and a positive malaria blood test, aged from 0 to 15 years old were included. Data were collected from 587 medical files.Results: 29.4% of hospitalized children were suffering from severe malaria. The sex ratio M/F was 0.89. Most of child were 6-59 months old (90%) with a mean age of 5 years and 9 months (1 month - 15 years). The majority of the patients were registered in the period from July to September. Anemia (71.6%) and convulsions (14.0%) was the main complications. Severe acute malnutrition has been observed in 10.9% cases. Medicine used were often Artemether (96.0%). The lethality rate was about 10.9%.Conclusion: Malaria’s still the major public health disease in Dapaong such as in the whole Togo, especially among 0-5 years children.Keywords: severe malaria, child, Togo" @default.
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• W2895557185 date "2017-01-01" @default.
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• W2895557185 title "Paludisme grave chez l’enfant a l’hopital d’enfants yendoube de dapaong au Togo" @default.
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