Profil des méningites bactériennes pédiatriques au Centre Hospitalier Régional de Tsévié (Togo)
| Autor: | T Guedehoussou, M Bouraima, Kks Koffi, K.E. Djadou, Yawo Dzayissè Atakouma, E Tsolenyanu, AS Kante |
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| Rok vydání: | 2010 |
| Předmět: | |
| Zdroj: | Journal de la Recherche Scientifique de l’Université de Lomé; Vol 11, No 2 (2009): Serie D |
| ISSN: | 1027-1988 2413-354X 1727-8651 |
| DOI: | 10.4314/jrsul.v11i2.56932 |
| Popis: | Cette etude des meningites qui demeurent un probleme de sante publique a ete motivee par les difficultes diagnostiques de cette affection au Togo. Il s’agit d’une etude retrospective portant sur les dossiers d’enfants hospitalises entre le 1er janvier 2004 et le 31 decembre 2008 (5 ans), au CHR de Tsevie. Resultats : le nombre d’enfant hospitalise etait de 3 680, dont 48 pour meningites bacteriennes, avec un tot de prevalence de 1,3%. Les enfants de moins de 5 ans ont represente 58,5% des cas, dont 60,7% de moins de 1 an. La coloration Gram a permis de visualiser dans 82,9% des cas, le germe en cause. Les germes identifies etaient Haemophilus influenzae b (40%), Streptococcus pneumoniae (37,1%), Neisseria meningitidis (20%) et Cryptocoque (2,9%). Le taux de letalite etait de 33,3%. Conclusion : cette etude a confirme la gravite des meningites bacteriennes pediatriques et rappel ainsi, l’importance de la vaccination. Paediatric bacterial meningitis remained a problem in the tropic. We investigated their epidemiological, clinical, bacteriological, therapeutical and prognosis aspects in a regional hospital of southern Togo. We conducted a retrospective study between 1st January 2004 and 31 st December 2008 (5 years). Results: 3 680 children were hospitalized, and 48 for paediatric bacterial meningitis, with a hospitalization rate of 1.3%. Children under 5 years were more accounted (58.5%), with 60.7% under 1 year. With Gram colouring, we identified in 82.9% of cases, the germ in cause: Haemophilus influenzae (40%), Streptococcus pneumoniae (37.1%), Neisseria meningitidis (20%) and Cryptococcus (2.9%) were the germs in cause. In 27% of cases, the germ was not identified. The antibiotherapy was principally done with cephalosporin of third generation (50%) and ampicilline (41.7%). The mortality rate was 33.3%. Conclusion: The gravity of paediatric bacterial meningitis is real, with a very high mortality rate; and recalled thus, the necessity of vaccination. |
| Databáze: | OpenAIRE |
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