%0 Journal Article
%T Study of the Management of Children with Major Sickle Cell Disease in Pediatric Emergencies at the Gabriel Toure University Hospital
%A Mohamed Elmouloud Ciss¨¦
%A Abdoul Aziz Diakit¨¦
%A Adama Demb¨¦l¨¦
%A Belco Maiga
%A Fatoumata Nampomo Diarra
%A Oumar Coulibaly
%A Hawa Diall
%A Pierre Togo
%A Abdoul Karim Doumbia
%A Abdoulaye Barry
%A Karamoko Sacko
%A Fousseyny Traore
%A Djeneba Konat¨¦
%A Kalirou Traor¨¦
%A Lala N¡¯Drainy Sidib¨¦
%A Ibrahim Ahamadou
%A Amadou Tour¨¦
%A Fatoumata Dicko
%A Boubacar Togo
%A Mariam Sylla
%J Open Journal of Pediatrics
%P 244-252
%@ 2160-8776
%D 2023
%I Scientific Research Publishing
%R 10.4236/ojped.2023.132030
%X Objective:
To study the epidemiological</span><span style=\"font-family:Verdana;\">, clinical</span><span style=\"font-family:Verdana;\"> and therapeutic aspects of sickle cell disease in children admitted to
the pediatric emergency department of the Gabriel Toure University Hospital.
Materials and methods: This was a prospective study over 12 months in sickle
cell children aged 6 months to 15 years. Results: The frequency of sickle cell
disease was 4</span><span style=\"font-family:Verdana;\">.</span><span style=\"font-family:Verdana;\">67% with
71.1% of SS form. The age range of 60</span><span style=\"font-family:&quot;\"> </span><span style=\"font-family:Verdana;\">-</span><span style=\"font-family:&quot;\"> </span><span style=\"font-family:Verdana;\">120
months predominated with 43.4% and the sex ratio 1.4. Vaso-occlusive crises
(VOC) were the most frequent reason for consultation (50.6%) and osteoarticular
pain was the main symptom followed by fever and pallor with respectively 67.5%,
60.2%, 39.8%. The pain subsided in less than 72 hours in 39.8% and hyper
hydration was performed in 85.1% of patients. Analgesic treatment was given in
90.4%, antibiotic therapy in 51.8% and phenotyped red blood cells transfusion
was performed in 36.1%. The average duration of treatment was 10 days.
Conclusion: Vaso-occlusive crisis remains the main reason for consultation in
sickle cell disease children at Gabriel Toure University Hospital. The
management consisted, in addition to the correction of the triggering factors,
of hyper hydration and the administration of analgesics and blood products.
%K Sickle Cell Disease
%K Pediatrics
%K Emergencies
%U http://www.scirp.org/journal/PaperInformation.aspx?PaperID=123827