RESUMEN
But : Evaluer les connaissances et les pratiques relatives a la prescription du fer dans le service de pediatrie du Centre Hospitalier Universitaire Gabriel Toure (CHU-GT) de Bamako; Mali. Materie( et methodes: Il s'agissait d'une etude transversale realisee du 1 er au 30 Juillet 2012 a la pediatrie. Nous avons soumis un questionnaire aux prestataires et analyse les dossiers des enfants ages de 1 a 60 mois hospitalises ayant recu du fer. Le consentement des prescripteurs a ete demande et obtenu au prealable. Resu(tats: nous avons enquete cinquante prestataires dont 10 pediatres (20%); 31 medecins CES de pediatrie (62 %); 2 medecins generalistes (4%); 7 etudiants en fin de cycle medical (14%) et analyse 100 dossiers. Trente pour cent des prestataires ont correctement defini le fer. Plus de la moitie des prestataires connaissaient les besoins en fer chez l'enfant. Les reserves en fer etaient connues de 42% des prestataires. Huit pour cent des prestataires savaient que les fers apportes par l'alimentation etaient le fer heminique ou le fer non heminique. Trente pourcent des malades ont recu le fer a la dose de 8 a 10mg/kg. La duree du traitement n'a pas ete precisee chez 92% des malades. Conc(us ion : Dans notre contexte la bonne connaissance theorique des indications et des regles de prescription du fer chez l'enfant n'excluait pas les mauvaises pratiques de sa prescription. D'autres travaux devraient analyser les raisons de cette discordance
Asunto(s)
Revisión de la Utilización de Medicamentos , Hierro , Conocimiento , PediatríaRESUMEN
A cross sectional study was conducted to explore the awareness of the local population of AL-Nahrawan district about National Immunization days [NIDs] and their major sources of information about the campaign. A total of 476 households, selected randomly during the first NIDs round of the year 2000, were screened using pretested questionnaires. The questionnaires include questions about various aspects of NIDs campaign. There were 61.8% females, 70% aged between 20-39 years and about 79% were either illiterate or can just read and write. The study reveal that 88.2% of the respondents were aware of the NIDs but only 10.5% knew the date of the next NIDs and less than half of the respondents [43.3%] were understood the purpose of the program. Tow aspects of the NIDs [whether a previously immunized child is involved in NIDs and whether involved children should be vaccinated again in the next NIDs were understood by the majority of the respondents 92.2% and 78.2% respectively]. Among the various media used to increase awareness of population about NIDs, the television was the most popular. The general awareness about NIDs program in AL-Nahrawan district is acceptable which probably reflect the successfulness of the program in Iraq. Some points about the program need to be verified and reinforced
RESUMEN
This rep o rt describes 6 cases of Wi l s o n 's disease observed at the Unive rsity Hospital Center in Conakry; Guinea. P resenting symptoms invo l ved ex t rapy ramidal syndrome in 4 cases; p s y chomotor ep i l epsy in 1; and confusional syndrome in 1 c a s e. Diagnosis was based on neuro p s y chic manife s t ations; Kayser- F l e i cher corneal ring; liver failure; and impaired copper metabolism. Brain CT-scan depicted normal fe at u res in 3 cases; s y m m e t ric hypodensity of the lenticular nu cleus in one; discrete ve nt ricular dilat ation of in one a and cortico-subcoetical atro p hy in one