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Search Results: 1 - 10 of 375 matches for " Fatoumata Dicko-Traoré "
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Epidemiological and Clinical Study of Cardiac Diseases in the Pediatric Department of the University Hospital Gabriel Touré (UH GT), Bamako (Mali)  [PDF]
Maiga Belco, Ba Hamidou Oumar, Sacko Karamoko, Dembélé Adama, Sanogo Nouhoum, Cissé Mohamed Elmouloud, Togo Pierre, Diakité Abdoul Aziz, Dicko-Traoré Fatoumata, Sylla Mariam
World Journal of Cardiovascular Diseases (WJCD) , 2018, DOI: 10.4236/wjcd.2018.87032
Abstract: Introduction: Children’s heart disease is a major public health problem in developing countries and especially in Mali. The purpose of our work was to determine frequency, different types of heart disease and their short term evolution in the pediatric department. Methods: We performed a retrospective study among children aged 0 to 15 years, hospitalized in the pediatric department from January to December 2015 and whose diagnosis was confirmed using trans-thoracic echocardiography. Results: We included 103 cases of heart disease out of a total of 8613 admissions in the pediatric department, giving an hospital prevalence of 1.2%. Mean age was 4.1 years (from 1 day to 15 years) and children under 5 years were the most affected with 73.80% of cases. Male predominance was noted (sex ratio = 1.2). Respiratory distress was the most common circumstance of discovery (93.20%). Cardiac murmur and tachycardia were the most common cardiac signs with respectively 88.35% and 83.50%. Congenital heart disease accounted for 70.87% and was dominated by ventricular septal defect (VSD) with 30.13%. Acquired heart disease (29.13% of the sample) was dominated by mitral regurgitation (MR) with 56.67%. Mortality rate was 31.9% for congenital heart disease and 11.1% for acquired heart disease. Conclusion: children’s heart disease is responsible for high mortality. Early detection improves the management of this pathology, which remains frequent.
Acute Pneumonia Characteristics in Children under Five Years of Age in Bamako, Mali  [PDF]
Fatoumata Dicko-Traoré, Abdoul Karim Doumbia, Mariam Sylla, Mariatou Traoré, Djènèba Konaté, Fatoumata Léonie Diakité, Karamoko Sacko, Belco Maiga, Hawa Diall, Oumar Coulibaly, Pierre Togo, Fousseyni Traoré, Abdoul Aziz Diakité, Yacouba Toloba
Open Journal of Pediatrics (OJPed) , 2019, DOI: 10.4236/ojped.2019.91002
Abstract: Pneumonia is the most common cause of mortality in child under five years of age. The objective of the study was to assess socio-demographic and clinical characteristics of children under 5 hospitalized for pneumonia. Material and method: We conducted a 6 months prospective study from June 1st, 2016 to December 31st, 2016 in the general pediatric service in the Pediatric Department of Gabriel Touré Teaching Hospital in Bamako, the capital city of Mali. Result: We have selected 63 cases of pneumonia according to our definition criteria, i.e. 2.2% of hospitalizations for children aged 1 to 59 months. The average age was 14 months. Infants under 2 years accounted for 82.53%. The sex ratio was 1.2. Seventy eight percent came from an unfavorable socio-economic background. The majority of mothers were uneducated (71.42%). Breastfeeding was exclusive up to 6 months in 50.79% of patients. Vaccination according to the national program was not up to date in 27% of patients. The average consultation time was 18 days. On admission, 81% of
Post-Infectious Acute Glomerulonephritis in Child: Epidemiological, Clinical and Evolutionary Aspects in Gabriel Touré Teaching Hospital in Mali  [PDF]
Mariam Sylla, Fatoumata Dicko-Traoré, Abdoul Karim Doumbia, Aminata Coulibaly, Abdoul Aziz Diakité, Modibo Sangaré, Pierre Togo, Fousseyni Traoré, Amadou Touré, Djènèba Konaté, Karamoko Sacko, Belco Maiga, Fatoumata Léonie Diakité, Lala N’Drainy Sidibé, Mohamed Elmouloud Cissé, Adama Dembélé, Hawa Diall, Oumar Coulibaly, Ibrahim Hamadou, Leyla Maiga, Issiaka Koné, Boubacar Togo, Toumani Sidibé
Open Journal of Pediatrics (OJPed) , 2018, DOI: 10.4236/ojped.2018.84036
Abstract: Introduction: Acute post-infectious glomerulonephritis (APIGN) can be serious due to its complications that still occur in our countries. In this work, we aimed to study the epidemiological, clinical, biological and evolutionary aspects of APIGN. Patients and methods: We conducted a retrospective, descriptive study from January 1st, 2015 to December 31st, 2017 in the pediatric ward of the Gabriel Touré Teaching Hospital in Bamako. All children hospitalized for APIGN were included. Results: In two years, we included 10 children aged 7 years old on average; all from low socioeconomic backgrounds. The sex ratio was 1.5. On average, the children spent 15.8 days before our consultation. Edema was the main reason for consultation. We found a history of infection and high blood pressure in 30% each, and renal failure in 10% of the children. Hematuria and proteinuria were detected in 100% and 90%, respectively. Hypocomplementemia was observed in 66.6%. One third of the children had a positive antistreptolysin O. The average duration of hospital stay was 11.2 days. The evolution was favorable in 90%. Kidney failure was the leading cause of death. Conclusion: Acute post-infectious glomerulonephritis is still a reality in our context. Emphasis should be put on its prevention by improving the hygienic conditions, detection and the management of
Profile and Antibiotic Sensitivity of Acute Pyelonephritis in Children at Gabriel Toure Teaching Hospital, Bamako  [PDF]
Djénèba Konaté, Lala N’Driany Sidibé, Karamoko Sacko, Bakary Koné, Adama Koné, Aminata Doumbia, Fatoumata Tiero, Pierre Togo, Fatouamata Léonie Diakité, Abdoul Karim Doumbia, Belco Maiga, Fousseyni Traoré, Aamadou Touré, Hawa Diall, Mohamed Elmouhouloud Cissé, Adama Dembélé, Oumar Coulibaly, Yacouba Aba Coulibaly, H. Konaré, Isabelle Traoré, Guédiouma Dembélé, Issiaka Koné, Leyla Ma?ga, Ibrahima Ahamadou, Abdoul Aziz Diakité, Boubacar Togo, Mariam Sylla, Fatoumata Dicko-Traoré
Open Journal of Pediatrics (OJPed) , 2020, DOI: 10.4236/ojped.2020.101008
Abstract: Background: Very common symptom in children, fever, perhaps a warning sign of more or less severe pathology, rapidly progressive, including an invasive bacterial infection such as acute pyelonephritis (APN). The aim of this work was to study the bacteriological profile and antibiotic sensitivity of APN in children. Methods: A prospective study involving any infant or child aged 3 months to 15 years with an acute fever (≥38°C) in which a urine test strip was performed in the pediatric department of the teaching hospital Gabriel Toure between April 1st and May 15th, 2019 (45 days). Results: 124 children were included out of 244 febrile patients. Infants (3 - 23 months) predominated (52.8%) with a sex ratio of 2. Seventy-five percent of children came directly from home and 30.6% were on antibiotic prior to admission. The urine bag sample was
Hematological Profile of Newborns Hospitalized for Neonatal Bacterial Infection in the Neonatology of the Pediatric Department of Gabriel Toure Teaching Hospital Bamako, Mali  [PDF]
F. L. F. Diakité, A. A. Diakité, O. Coulibaly, H. Diall, A. Bocoum, L. N. Sidibé, D. Konaté, K. Sacko, B. Maiga, F. Traoré, P. Togo, A. Dembélé, A. K. Doumbia, N. L. Traoré, H. Konaré, M. E. Cissé, A. Touré, Y. A. Coulibaly, M. Sylla, M. Baby, F. Dicko-Traoré
Open Journal of Pediatrics (OJPed) , 2020, DOI: 10.4236/ojped.2020.101001
Abstract: The blood count is an easily achievable routine exam and will it have specifics in the event of a neonatal bacterial infection? Hence, the present study with the objective of determining the profile of the hemogram of newborns hospitalized for early bacterial neonatal infection. Material and methods: This was a cross-sectional study that took place from June 27 to September 03, 2016 in the neonatology department of teaching hospital Gabriel Toure. Included were all neonates hospitalized for early neonatal bacterial infection (ENBI) and who had a blood count. Results: We included 227 patients, 64.8% of whom were premature. The sex ratio was 1.4. The infants were less than 24 hours old in 93.6% of the cases. The mean hemoglobin level was 16.435 g/dl [8.8 - 22.26]. Erythrocytopenia was found in 18.5% of cases. Anemia was present in 17% of newborns. The average leukocyte was 15.228·103/mm3 [1.4 -
The Effect of Human Immunodeficiency Virus-1 Infection on Low Birth Weight, Mother to Child HIV Transmission and Infants’ Death in African Area  [PDF]
Traoré Youssouf, Téguété Ibrahima, Dicko Fatoumata Traoré, Bocoum Amadou, Fané Seydou, Traoré Tidiani, Traoré Mamadou Salia, Dao Seydou, Touré Moustapha, Varol Nesrin, Dolo Amadou
Open Journal of Obstetrics and Gynecology (OJOG) , 2019, DOI: 10.4236/ojog.2019.92017
Abstract: Background: It is yet a controversy subject whether low birth weight and infant death are associated to human immunodeficiency virus-1 infection. Objective: To appreciate association between low birth weights, mother to child HIV transmission and infant mortality in HIV-1 infected pregnant women delivering between 2011 and 2016. Materials: We conducted 6 years cohort study in urban Mali. Outcome included preterm delivery, small for gestational age, infant survival status and HIV transmission. Comparison concerned women clinical WHO stage, mother viro-immunological status, and newborn anthropometric parameters. Results: HIV-1 infected women who delivered low birth weight newborn were 20.9% (111/531) versus 16.5% (1910/11.546) in HIV negative patients (p = 0.016). CD4 T cell counts low than 350 T cells count were strongly associated to LBW (p = 0.000; RR = 3.03; 95% CI [1.89 - 3.16]). There is no significant association between ART that was initiated during pregnancy (p = 0.061, RR = 0.02; CI 95% (1.02 - 1.99)) or during delivery (p = 0.571; RR = 1.01; CI 95% (0.10 - 3.02)) and LBW delivery. In multivariate analysis ART regimens containing protease inhibitor (PI) were lone regimens associated with LBW ((p = 0.030; RR = 1.001; 95%
Knowledge of Health Professionals on Essential Newborn Care in Bamako, Mali  [PDF]
Fatoumata Dicko Traoré, Mariam Sylla, Hawa Diall, Mamadou Traoré, Pierre Togo, Mariam Ma?ga, Nouhoum Lalama Traoré, Leyla Ma?ga, Kalirou Traoré, Marikomossé Sacko, Souleymane Sagara, Hamadou Ibrahim, Oumou Ma?ga, Diakaridia Mariko, Saoudatou Tall, Oumar Coulibaly, Issiaka Koné, Modibo Soumaré, Kadiatou Ba, Youssouf Traoré, Niani Mounkoro, Toumani Sidibé
Open Journal of Pediatrics (OJPed) , 2018, DOI: 10.4236/ojped.2018.84032
Abstract: Despite existing policies on training health professionnels in essential newborn care (ENC), neonatal mortality still remains high in Mali. Our work aimed to assess the level of knowledge of health staff about ENC. Material and methods: From March 20th to April 20th, 2016, we interviewed newborn care providers at the six reference health centers and the Gabriel Touré University Hospital Center in Bamako. Results: In total, we interviewed 407 newborn care providers with a sex ratio of 0.52. Interviewees had over five years work experience in 62.1%. They considered a low Apgar score as an indication for neonatal resuscitation in 89%, regardless of profile (p = 0.1583). They knew the good aspiration technique in 54%, with nurses and midwives more knowledgeable (p < 0.001) of the reference health centers (p = 0.0000). The interviewees knew the indication and rate of ventilation in 30.2% and 16.0%, respectively. About one third (34%) thought oxygen administration should be systematic during ventilation. The knowledge level on ventilation was the lowest in the group of general practitioners (p = 0.0063 for
HIV Status Disclosure and Retention in Care in HIV-Infected Adolescents on Antiretroviral Therapy (ART) in West Africa
Elise Arrivé, Fatoumata Dicko, Hind Amghar, Addi Edmond Aka, Hélène Dior, Belinda Bouah, Mariam Traoré, Patricia Ogbo, Hortense Aka Dago-Akribi, Tanoh Kassi F. Eboua, Kouadio Kouakou, Haby Signate Sy, Ahmadou Alioum, Fran?ois Dabis, Didier Koumavi Ekouévi, Valériane Leroy, for the Pediatric IeDEA West Africa Working Group
PLOS ONE , 2012, DOI: 10.1371/journal.pone.0033690
Abstract: Objective We assessed the effect of HIV status disclosure on retention in care from initiation of antiretroviral therapy (ART) among HIV-infected children aged 10 years or more in Cote d'Ivoire, Mali and Sénégal. Methods Multi-centre cohort study within five paediatric clinics participating in the IeDEA West Africa collaboration. HIV-infected patients were included in this study if they met the following inclusion criteria: aged 10–21 years while on ART; having initiated ART≥200 days before the closure date of the clinic database; followed ≥15 days from ART initiation in clinics with ≥10 adolescents enrolled. Routine follow-up data were merged with those collected through a standardized ad hoc questionnaire on awareness of HIV status. Probability of retention (no death or loss-to-follow-up) was estimated with Kaplan-Meier method. Cox proportional hazard model with date of ART initiation as origin and a delayed entry at date of 10th birthday was used to identify factors associated with death or loss-to-follow-up. Results 650 adolescents were available for this analysis. Characteristics at ART initiation were: median age of 10.4 years; median CD4 count of 224 cells/mm3 (47% with severe immunosuppression), 48% CDC stage C/WHO stage 3/4. The median follow-up on ART after the age of 10 was 23.3 months; 187 adolescents (28.8%) knew their HIV status. The overall probability of retention at 36 months after ART initiation was 74.6% (95% confidence interval [CI]: 70.5–79.0) and was higher for those disclosed compared to those not: adjusted hazard ratio for the risk of being death or loss-to-follow-up = 0.23 (95% CI: 0.13–0.39). Conclusion About 2/3 of HIV-infected adolescents on ART were not aware of their HIV status in these ART clinics in West Africa but disclosed HIV status improved retention in care. The disclosure process should be thus systematically encouraged and organized in adolescent populations.
Traditional Medicine Followed at the Heart Institute of Abidjan  [PDF]
Fatoumata Traoré, Kamagaté Djenamba Bamba, Yves N’da Kouakou Ngoran, Florent Koffi, Marie Paule Mottoh, Soya Esaie, I. Coulibaly
World Journal of Cardiovascular Diseases (WJCD) , 2017, DOI: 10.4236/wjcd.2017.79027
Abstract: Objective: To determine the prevalence of the use of traditional medicine in?hypertensive patients and to identify the socio-demographic characteristics of these patients. Materials and Methods: This is a single cross-sectionalstudy with descriptive purpose that was carried out over a 4 month-period, from 1 January 2017 to 30 April 2017, in the outpatient department of the Heart Institute of Abidjan. It involved patients who consulted during this period for high blood pressure. An informed questionnaire was submitted to patients. A pre-test was performed on 20 patients prior to the start of the survey. Results: The prevalence was 34%, with a slight male predominance (52.4%). The average age of our patients was 51.7 years ± 20 years. Males (52.4%) and females (47.6%) were roughly in the same proportions in our study with a slight male predominance. Patients with a higher level of education used traditional medicine in 30.6% that is about one third of the cases. Nearly one third of the patients had a monthly income above 300,000 FCFA (28.5%). Almost half of the patients (45%) had social insurance coverage. Conclusion: The use of traditional medicine by hypertensive patients is a practice that exists and is growing rapidly. The profile of hypertensive patients using traditional medicine can be summarized as a young subject, a male with a higher education level, a high monthly income and social coverage. It is the place to insist on the therapeutic education of our hypertensive patients only way for a good control of the blood pressure figures.
Endoscopic Management of Migrated Intra Uterine Device in Sub-Saharan Health Setting Area. Our Experience about Seventeen Cases  [PDF]
Traoré Youssouf, Kanté Ibrahim, Sima Mamadou, Ongoiba Ibrahima, Coulibaly Ahmadou, Dicko Birama, Bocoum Amadou, Kodio Souma, Théra Tiounkani, Téguété Ibrahima, Traoré Mamadou
Surgical Science (SS) , 2018, DOI: 10.4236/ss.2018.91003
Abstract: Intra uterine device migration is a relatively rare event. The migration of the IUD in the surrounded viscera can be managed by endoscopy approach. Objectives: We reported our experience to determine the epidemiologic characteristics of patients that presented migrated IUD, to report clinical aspects and describe the laparoscopic management. Method: We conducted a descriptive and prospective survey from January 1st, 2014 to October 31, 2016. That survey took place in the department of gynecology and obstetrics of Point G Teaching hospital, Bamako, Mali. Population study concerned patients with intra uterine device complications. Statistic tests used have been X2 or Fisher test according their application conditions. P < 0.05 was considered statistically significant. Results: Seventeen patients were included. Mean age of patients is 29 years with extremes of 13 years and 44 years. The main reference incitement of patients were perforation of the uterus and pelvis pain (27.8% for each), misplaced IUD (22.3%). Complications observed were intra uterine device migrated in to the bladder (1 case), in the abdomen (10 cases), in the ovary (2 cases) and in the uterine tuba (1 case). Three perforations were done without migration in to surrounded viscera. We used endoscopic surgery among all of them. But in one case we switched endoscopy method in to laparotomy because of important intra peritoneal bleeding to end the management of the patient. No death occurred and mean duration of the stay of hospitalization was 2 days. Conclusion: IUD migration is a scarce event. All the surrounded viscera can be the site of its migration. The management of that complication is usually done by endoscopy method.
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