[Evaluation of midwives' practices for the prevention of mother-to-child transmission of hepatitis B in Abidjan (Ivory Coast)]. / Évaluation de la pratique des sages-femmes sur la prévention de la transmission mère-enfant du virus de l'hépatite B à Abidjan (Côte d'Ivoire).

UNLABELLED: Prevention of mother-to-child transmission of hepatitis B virus (HBV) assumes and requires good practices by midwives. The objective of this study was to evaluate their practices for this prevention. METHODOLOGY: This prospective, descriptive study in Abidjan took place from January 2 to May 31, 2014 and included the midwives in Abidjan (recruited from university hospitals, general hospitals, and peripheral health care facilities) at the time of the survey who agreed to complete this written survey. Univariate analyses were done with Pearson Chi 2 tests or Fisher's test, as appropriate, P<0.05 was defined as significant. RESULTS: The study included 197 of the 220 midwives approached (89.5%), 88 (44.6%) of whom worked in the university hospital delivery rooms. Overall, 59% performed HBsAg tests during the second trimester, and 47.72% vaccinated newborns of HBsAg-positive mothers at birth. Hospital-based midwives had the best prevention practices, including HBsAg testing (P = 0.023) and immunization of the newborn at birth (P = 0.005). CONCLUSION: Midwives' practices for the prevention of mother-to-child transmission of HBV in Abidjan are improving.

[Persistent, cavitating, non-tuberculous pneumopathy in a patient with HIV: the role of Candida?]. / Pneumopathie persistante et excavee non tuberculeuse chez un patient infecte par le VIH: rôle de candida?

Fungal agents are not common cause of pneumonia. In favorables conditions mycosis can cause atypical clinical and radiographic figures. Authors report the observation of a 45 years and VIH-positive patient presenting a persistant and excavating pneumonia probably caused by Candida albicans.