Archives de l'Institut Pasteur de Madagascar最新文献_第9页

[Evaluation of the management of tuberculosis in children in Madagascar. Results of a multicentric study]. [对马达加斯加儿童结核病管理的评价。多中心研究的结果]。

Archives de l'Institut Pasteur de Madagascar Pub Date : 1999-01-01

J M Rasamoelisoa, X G Tovone, H V Razoeliarinoro, D R Rakotoarimanana

{"title":"[Evaluation of the management of tuberculosis in children in Madagascar. Results of a multicentric study].","authors":"J M Rasamoelisoa, X G Tovone, H V Razoeliarinoro, D R Rakotoarimanana","doi":"","DOIUrl":"","url":null,"abstract":"In Madagascar, tuberculosis remains an important cause of morbidity and letality with a Risk of Annual Tubercular Infection about 1% in 1996 in spite of a vaccination rate of 82.6% and tubercular drugs free of charge. In 1995, the National Tubercular Control Program detected 7,000 cases of pulmonary tuberculosis and expected more than 12,000 cases per year. This study was carried out in order to review the management and the treatment of the child tuberculosis in Madagascar. This retrospective study was conducted in four pediatric units of the General hospital of Befelatanana (A and B), Ambohimiandra Hospital and Regional Hospital Centre of Toliara for a twenty four months period from January 1997 to December 1998. All the less than 15-year-old children medical files were consulted. 214 cases were suspected of tuberculosis. 133 of them were treated upon clinical presumption basis and/or radiological exams (33 bacteriological and/or histopathological exams were only realized). 56% of the cases were vaccinated by BCG vaccine. Respiratory diseases with fever motive 46% of hospitalization. The majority of these children are living in poor conditions and 38% of them had malnutrition. Were found as clinical manifestations: 47% of pulmonary tuberculosis (among them 20% were smear-positive pulmonary tuberculosis), 12% had ganglionar tuberculosis, 10% peritoneal tuberculosis, 8% a tubercular meningitis, 5% a Pott-disease and 2% a miliary-disease. Mortality increases with suffocation. 18% of cases died, especially infants and in tubercular meningitis. The authors conclude that management and treatment of tuberculosis need an early diagnosis. But the diagnosis is difficult in front of non specific clinical manifestations in children and due to lack of means and national agreement which settle up diagnosis and therapy. A scoring system based upon clinical signs in agreement with complementary medical tests is desirable.","PeriodicalId":75536,"journal":{"name":"Archives de l'Institut Pasteur de Madagascar","volume":"65 1-2","pages":"82-5"},"PeriodicalIF":0.0,"publicationDate":"1999-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"22153201","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

[Acute bacterial meningitis in infants observed in the A pediatric service of Befelatanana, Antananarivo University Hospital Center (Madagascar)]. [在马达加斯加塔那那利佛大学医院中心Befelatanana儿科服务中观察到的婴儿急性细菌性脑膜炎]。

Archives de l'Institut Pasteur de Madagascar Pub Date : 1999-01-01

H Raobijaona, N Rabesandratana, M Razanamparany, R Migliani, P Pfister, J F Roux

引用次数: 0

[Premature rupture of membranes seen at the Befelatanana maternity, Antananarivo University Hospital Center]. [在塔那那利佛大学医院中心的Befelatanana产科看到的胎膜早破]。

Archives de l'Institut Pasteur de Madagascar Pub Date : 1999-01-01

R C Andriamady, J M Rasamoelisoa, H Ravaonarivo, R J Ranjalahy

{"title":"[Premature rupture of membranes seen at the Befelatanana maternity, Antananarivo University Hospital Center].","authors":"R C Andriamady, J M Rasamoelisoa, H Ravaonarivo, R J Ranjalahy","doi":"","DOIUrl":"","url":null,"abstract":"Generally preterm ruptures of membranes (PRM) are harmless, but they become serious if the labor doesn't occur in the following 24 hours. Then, they might generate neonatal infections which provoke heavy fetal and maternal mortality. A retrospective study was carried out in 1998 at the Maternity Hospital of Befelatanana, Antananarivo in order to sum up knowledges on epidemiology and fetal prognosis of this disease, and to draw up measures to aim to reduce causes of PRM. 4232 cases of PRM were registered for the study period. The average age of parturient women was of 27 years old. PRM occur frequently among primiparas and high level multiparas. Risk factors and determinative causes are gyneco-obstetrical history as abortion, preterm delivery, cicatricial uterus, urogenital infections; uterine malformation; placenta praevia; hydramnios; dystocic labor presentation; uterine distension due to either multiple pregnancy or disproportion of fetus and birth canal; irregular and poor prenatal visits quality; low standard of living. Numerous premature infants of PRM outcomes had infections: 1,619 out of 4315 new-borns. Infant perinatal mortality rate was of 11.7 per cent. Maternal complications were infections, uterine rupture, hemorrhages. 5 deaths were noted. The reduction of PRM rate might be obtained by improvement of standard of living and hygiene, correct cares during pregnancy and intergenesic periods.","PeriodicalId":75536,"journal":{"name":"Archives de l'Institut Pasteur de Madagascar","volume":"65 1-2","pages":"100-2"},"PeriodicalIF":0.0,"publicationDate":"1999-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"22152490","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

[Influenza in the pediatric hospital unit at Antananarivo]. [安塔那那利佛儿科医院的流感]。

Archives de l'Institut Pasteur de Madagascar Pub Date : 1999-01-01

H Raobijaona, A Rakotondranaivo, D R Rakotoarimanana

引用次数: 0

[Study of idiopathic thrombopenic purpura in two pediatric services of Antananarivo city]. [塔那那利佛市两所儿科医院特发性血小板减少性紫癜的研究]。

Archives de l'Institut Pasteur de Madagascar Pub Date : 1999-01-01

J M Rasamoelisoa, X G Tovone, R C Andriamady, H Razafimandimby, A Rasamindrakotroka

引用次数: 0

[First cases of cholera observed in children at the Befelatanana General Hospital--Antananarivo University Hospital Center (Madagascar)]. [在Befelatanana总医院——塔那那利佛大学医院中心(马达加斯加)观察到的第一例儿童霍乱病例]。

Archives de l'Institut Pasteur de Madagascar Pub Date : 1999-01-01

H Raobijaona, F Razafimalala, D Rakotondramarina, N J Rakotomalala, P Pfister, J F Roux, R D Rakotoarimanana

引用次数: 0

[Internal version maneuvers at the maternity hospital of Befelatanana--Antananarivo University Hospital Center (Madagascar): 177 cases]. [Befelatanana妇产医院内部版本演习-塔那那利佛大学医院中心(马达加斯加):177例]。

Archives de l'Institut Pasteur de Madagascar Pub Date : 1999-01-01

R C Andriamady, A R Ravaonarivo, R J Ranjalahy

{"title":"[Internal version maneuvers at the maternity hospital of Befelatanana--Antananarivo University Hospital Center (Madagascar): 177 cases].","authors":"R C Andriamady, A R Ravaonarivo, R J Ranjalahy","doi":"","DOIUrl":"","url":null,"abstract":"Version by internal manipulations (VIM) cause high fetal and maternal morbidity and mortality rates. A retrospective study was carried out in 1998 at at the Maternity Hospital of Befelatanana, Antananarivo in order to assess VIM frequency, to specify their indications and technical difficulties by performing them. 177 VIM were registered for the period study: 85 on singleton pregnancies, 91 on the second twin and 1 on the third infant of a triplet pregnancy. VIM annual incidence was of 2.1 per cent. The average age of parturient women was 27 years old. Risk factors and determinative causes are gyneco-obstetrical history as abortion, preterm delivery, urogenital infections; high blood pressure; poor prenatal visits; poor cares during labor; untimely and inappropriate drug prescriptions; low standard of living. Maternal complications were hemorrhages of the afterbirth (73.0 per cent), uterine rupture (8.0 per cent), cervix tearing (5.0 per cent). 19 maternal deaths were noted. Infant perinatal mortality was of 68.0 per cent. The authors conclude that VIM is the only alternative to cesarotomy provided it is properly performed by a competent and experienced practitioner. VIM must be kept for the second twin in unengaged transverse lie.","PeriodicalId":75536,"journal":{"name":"Archives de l'Institut Pasteur de Madagascar","volume":"65 1-2","pages":"96-9"},"PeriodicalIF":0.0,"publicationDate":"1999-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"22153205","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

[Management of multiple pregnancies at the Befelatanana Antananarivo University Hospital Center (Madagascar): report of 143 cases]. [贝费拉塔纳纳·塔那那利佛大学医院中心(马达加斯加)多胎妊娠的管理:143例报告]。

Archives de l'Institut Pasteur de Madagascar Pub Date : 1999-01-01

R C Andriamady, A R Rasoarinavalona, R J Ranjalahy

{"title":"[Management of multiple pregnancies at the Befelatanana Antananarivo University Hospital Center (Madagascar): report of 143 cases].","authors":"R C Andriamady, A R Rasoarinavalona, R J Ranjalahy","doi":"","DOIUrl":"","url":null,"abstract":"Multiple pregnancies (MP) outcomes are often complicated. They deliver premature infants and provoke high blood pressure. A retrospective study was carried out in 1998 at the Maternity Hospital of Befelatanana, Antananarivo in order to assess MP frequency and to specify the most important favourising factors and difficulties during labor and the quality of the labor management. All pregnancies with a MP were included in this survey. 143 MP were registered: 142 twin pregnancies and 1 triplet pregnancy. 2.0 per cent of cases were recurrent MP. The average age of pregnancies was 26 years old. Among these 143 MP, 48.0 per cent were primiparas. Poor quality of prenatal visits is frequently encountered. As antecedents there are abortion, hormonal contraceptive taking, preterm delivery, gravidic toxemia, cicatricial uterus, ectopic pregnancy. 6.3 per cent of the first twin had breech presentation, 2.0 per cent transversal labor presentation. As events during labor 40.0 per cent dynamic dystocia, 26.0 per cent acute fetal suffering, 27.0 per cent hyperthermia, 23.0 per cent high blood pressure, some of them as eclampsia or pre-eclampsia were noted. 60.0 per cent of the first twin delivery were easy. Whatever his labor presentation, version by internal manipulations following by breech extraction was performed on the second twin (67.0 per cent of cases). 18.2 per cent of parturient women had cesaretomy. 11 maternal deaths were noted. Infant perinatal mortality rate was of 35.7 per cent. Infant morbidity and mortality are essentially due to infections. The authors conclude that complications prevention will be obtained by improvement of standard of living of all female able to procreate. It needs also correct cares at prenatal visits and during labor. Health education must be focalized on strict and correct surveillance of pregnancies and intergenesic periods by the reinforcement of planning family.","PeriodicalId":75536,"journal":{"name":"Archives de l'Institut Pasteur de Madagascar","volume":"65 1-2","pages":"103-6"},"PeriodicalIF":0.0,"publicationDate":"1999-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"22152491","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

[Mediastinal form of cat-scratch disease]. [纵隔型猫抓病]。

Archives de l'Institut Pasteur de Madagascar Pub Date : 1999-01-01

H Raobijaona, P François, C Durand, A Beaudoing

引用次数: 0

[Cases of abortions at the maternity hospital of Befelatanana in 1997]. [1997年Befelatanana妇产医院的堕胎病例]。

Archives de l'Institut Pasteur de Madagascar Pub Date : 1999-01-01

R C Andriamady, Rakotoarisoa, R J Ranjalahy, A Fidison

引用次数: 0