Our study focused on the epidemiological, clinical and therapeutic aspect of post throat clearing sepsis in children aged 0 to 5 years in the Kailo Health Zone within the General Referral Hospital. Thus we set ourselves the three objectives namely: To determine the incidence of cases of sepsis post clearing of the throat; Identify the risks that children run after this practice; and Offer advice to our population.
The target population of our study consists of all children under 5 years of age who have developed sepsis after throat clearing at home.
Our sample consists of 787 children who underwent the practice of scraping at home and who came to the hospital in a table of complication of sepsis.
For data collection, taking into account our objectives, we used the documentary analysis technique; this allowed us to search for the data that are related to our subject of study. These include: Entry register of patients hospitalized in the pediatric ward; Exit register of cured or improved patients which allowed us to know the outcome of our patients and; SNIS reports from the General Reference Hospital.
To process the data, we used tables to calculate the different proportions of our desired indicators.
At the end of our study we found the following results:
- Compared to the incidence of cases: 787 children were victims of sepsis due to throat clearing at home out of a total of 4174 children admitted during the period of our study, i.e. a proportion of 18.8%.
- Compared to the epidemiological aspect: The most affected age group is 4 to 5 years with a proportion of 64%, the sex most affected is female with a proportion of 62% and in the end most of children come from the outskirts of Kailo with a proportion of 65%; 95% of children had fever, 99.7% complained of throat pain; 87% had conjunctival pallor; 57.5% were vomiting.
- Compared to biological elements: The sedimentation rate was greatly increased to 94.7%; Culture was 95% positive; A hyperleukocytosis of 94.7%; and We report here that the CRP was not done for lack of reagent.
- Compared to the therapeutic aspects and evolution: 100% of children underwent scraping before arriving at the hospital and all these children received antibiotics and antipyretics, and 72% received anti-inflammatories not steroids.
- Compared to the evolution of the patients: 23.1% died, and 76.9% were cured.
Introduction: The co-infection VIH / TBC is still a reality in LUBUTU and remains a major public health problem, its frequency is 34.3%. The objective of this work is to study the prevalence of HIV / CBT co-infection in pulmonary tuberculosis patients aged 14 years and over with smear-positive in HGR / LUBUTU.
Methods: Our study is retrospective; Based on the prevalence of HIV / TB co-infection in the LUBUTU General Reference Hospital for a one-year period from 1 January to 31 December 2017. Our study population consisted of all patients In whom the microscopy was performed and was positive (TPM +) in this hospital and the sample consisted of patients with HIV-TB co-infection.
Results: The prevalence of co-infectionVIH / TB was 34.3%. The male sex was the most represented with 65.7% of patients with a sex ratio of 1.9. The age group 35-54 Was the most represented, ie 51.5%. The out-of-school population represented 45.7%.
Mineral diggers are much affected by TBC, which is 40%.
Married couples are more affected by HIV / TB ie 54.3%.
HIV prevalence among TB patients was 34.3% (12/35).
Slimming was found in 100% of patients.66.7% of TB patients with HIV positive were in stage 4 according to the WHO. The TBC Pulmonary represents 31/35 cases or 88.6%. The smear was positive in 100% of the cases. The 2RHZE / 4RH regimen was the most established with 94.3%. The TDF+3TC (ou FTC) +EFV regimen was the most used with 66.7% of the patients who received ARV treatment. 58.3% of cases with HIV / TB co-infection improved after they adhered to TB and ARV treatment and 25% died despite treatment and 16.7% were lost from sight.
Conclusion: The co-infectionVIH / TB is a morbid association which is the basis of several deaths in the community and more precisely within the HGR / LUBUTU that following the non-information of the population as regards prevention Of TBC and HIV.