Dermatosis: Morbidity and mortality at the University Hospital Center of Brazzaville.

To study the prevalence and distribution of dermatosis in hospitals and identify factors related to mortality and morbidity due to dermatosis Descriptive and analytical study conducted from 4 years of records of patients hospitalized in the department of dermatology of the University Hospital Center of Brazzaville. We identified 296 files of patients with dermatosis. The M/F ratio was 1.2. Erysipelas and cutaneous drug reactions accounted for 61.1% of the causes. Patients' mean age was 44.3 years. Comorbidity was found in 58.3% of cases. Cardiovascular disease and HIV infection were the most common conditions. The mortality rate was 6.9%. Erysipelas and cutaneous drug reactions are the most frequent dermatoses treated at the University Hospital Center of Brazzaville. Comorbidity exists in more than half the cases. Mortality is high.

[Scarification in children hospitalized in Congo]. / Scarifications chez l'enfant hospitalisé au Congo.

OBJECTIVE: The purpose of this report is to describe the epidemiologic, prognostic and clinic features of scarification in children in Congo. MATERIAL AND METHOD: A transversal study of scarification was conducted from January 1, 2006 to December 31, 2008 in children hospitalized in neonatology and pediatrics department of Loandjili General Hospital. RESULTS: During the study period, therapeutic scarifications were observed in 130 patients including 74 (56.9%) girls. Median age was 17 months (range, 1 month to 9 years). Multiple scarifications were observed in 31.5% of cases. The main site of scarification was the hypochondrias (82.4%) followed by the flanks (14.6%) and hemithorax (13.8%). Scarification was performed for curative purposes in 114 cases (88%; p 0.001) and prophylaxis in the remaining cases. The main indications for curative scarifications were big belly in 46 cases, ponderal stagnation in 23 and recurrent bronchitis in 22. The most frequently used scarification instrument was a razor blade in 102 cases (78.5%). Risk factors included being the oldest sibling child and low socioeconomic level. In all cases, the influence of the grandparents was clear. Complications were treated in 34 cases including local infection in 26 cases, distant infection (particularly severe sepsis) in 7 cases and pulmonary-pleurostaphylococci in one case. CONCLUSION: These findings show that scarification is still common in the Congo. Because of potential complications and therapeutic inefficiency of scarification, an effort should be made to eliminate this practice.