RESUMO
Le paludisme; endemie parasitaire majeure; pose un probleme de sante publique a l'echelle planetaire; mais surtout a l'Afrique au Sud du Sahara qui en paie un lourd tribut. En effet; l'Afrique recele pres de 90 pour cent des cas declares dans le monde. Les strategies curatives a appliquer dependront de la gravite de l'acces; de la chimioresistance; du terrain et du niveau de recours
Assuntos
Resistência a Medicamentos , Malária/tratamento farmacológico , Saúde PúblicaRESUMO
The human rabies is a dangerous disease with fatal evolution. We report in this study, 33 cases of human rabies admitted in the Infectious Diseases Clinic CHU Fann Dakar, on january 1980 through december 1990. The development of the disease in our country depends on the existence of stray dogs and deficient informations of the population about this endemic. It is therefore necessary to insist on the health care education of populations, the campaign against dogs rabies, the formation of medical and paramedical health care personnel and the creation of decentralized antirabies centers.
Assuntos
Raiva/epidemiologia , Feminino , Humanos , Masculino , Raiva/diagnóstico , Raiva/prevenção & controle , SenegalRESUMO
A retrospective case control study is underdone in Infections Diseases Service of Dakar (Senegal) from june 1 st, 1989 to december 31 st, 1989. 203 observations are collected on the basis of positive blood stream and blood films with Plasmodium falciparum. The authors give the epidemiological picture of the two clinical features which are: Malignant tertian (107 cases-53%) and intermittent access (96 cases-47%). Lethal risk is 12 fold higher in Malignant tertian form than in the intermittent one. Parasitemia median is below 5,000 parasites/mm3. There is no relation between parasite density and clinical pictures. Thus, they advance tumor necrosis factor's in the pathogenia as others authors did and its impact in vital prognostic.
Assuntos
Malária/epidemiologia , Malária/parasitologia , Adolescente , Adulto , Idoso , Idoso de 80 Anos ou mais , Animais , Estudos de Casos e Controles , Criança , Pré-Escolar , Humanos , Lactente , Pessoa de Meia-Idade , Plasmodium falciparum/isolamento & purificação , Estudos Retrospectivos , SenegalRESUMO
Systematic, non-suppurate, acute pneumopathies (PANSS) or acute, clear-cut, lobary pneumonia (PFLA) constitute a pathology in babies aged 0-1 years. The clinic found 83.3% of these little patients to be feverish, dyspneic and suffering from a dry cough. 85% of the cases presented the alveolary filling syndrome with acric bronchogramme. After a 3 day apyrexy period on penicillin, the evolution was favourable in 83.4% of the cases.
Assuntos
Pneumonia Pneumocócica/epidemiologia , Feminino , Humanos , Lactente , Recém-Nascido , Masculino , Penicilinas/uso terapêutico , Pneumonia Pneumocócica/diagnóstico , Pneumonia Pneumocócica/tratamento farmacológico , SenegalRESUMO
The authors point out that, after tetanus, purulent meningitis is a very common neo-natal infection. Their epidemiology is dominated by the existence of particular obstetric and associated factors, which play an important role in the early development of this sickness. Numerous forms of bacteria, particularly pneumococci, were isolated. In spite of everything, the mortality rate is high, so attention should be given to preventing this illness. Better follow-up during pregnancy coupled with better conditions for delivery could help this prophylaxis.