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I Diomande

Publications and source records attributed to I Diomande.

5 recordsLinked to original sources
PubMed1998

[Helicobacter pylori infections in children in the tropical zone. Endoscopic and histological aspects].

AIMS: To assess the endoscopic and histological aspects of Helicobacter pylori (H. pylori) infection in children in a prospective study. PATIENTS AND METHODS: One hundred and four children (6 months-15 years old), with digestive symptoms admitted to the Pediatric Department of the National Hospital of Ouagadougou between February Ist and October 31 1996, underwent upper digestive endoscopy with fundic and antral biopsies for histological and bacteriological analysis. RESULTS: Endoscopy was normal in 80 cases (77%). No lesion was specific of H. pylori infection. Nodular gastritis was observed in 3% of the cases only. Duodenal ulcers were seen in 3 children (3%). 83% of the children had chronic antral gastritis, associates with H. pylori in 95% of the cases. The lesions were follicular gastritis (45%), mild atrophic gastritis (38.5%) and lymphocytic gastritis (1%). Follicular gastritis was more pronounced in the antrum than in the fundus. CONCLUSION: The high prevalence of early H. pylori infection and chronic gastritis in children contrasts with the rarity of gastric cancer in black Africa. Protective factors or peculiar strains should be searched for.

Adolescent↗
PubMed1995

Emergence of Buruli ulcer disease in the Daloa region of Cote d'Ivoire.

Recent reports have suggested increases in Buruli ulcer (BU), an infection caused by Mycobacterium ulcerans in west Africa. In 1991, we conducted surveillance for BU in a rural area of Cote d'Ivoire and identified 312 cases of active or healed ulceration. A case-control study was then performed to investigate risk factors for this infection. The rate of illness did not appear to differ between males and females (5.2% versus 7.5%; P = 0.11). The highest rate of illness was seen in the 10-14-year-old age group (143 cases per 1,000 population). New cases increased more than three-fold between 1987 and 1991, and local prevalence of BU was as high as 16.3%. Twenty-six percent of persons with healed ulcers had chronic functional disability. Participation in farming activities near the main river in the region was identified in the case-control study as a risk factor for infection (odds ratio [OR] for each 10-min decrease in walking distance between the fields and the river = 1.52, 95% confidence interval [CI] 1.01, 2.28, P = 0.046). Wearing long pants was protective (OR 0.20, 95% CI 0.06, 0.62, P < 0.005). We conclude that the incidence of BU is increasing rapidly in Cote d'Ivoire. Specific causes of this increase were not identified, but wearing protective clothing appeared to decrease the risk of disease.

Adolescent↗
PubMedDate not supplied

[Evaluation of the health status of 0-to-4-year-old children in an urban community of Abidjan].

During summer 1985 a survey was realized in an administrative territorial division of Abidjan (2 M. residents) in Ivory Coast. Four thousand households were randomly selected (EPI*/WHO model) including 653 children, from 0 to 4 years old. Mothers were interviewed and children examined. Seventeen per cent of children were below the weight curve standardised for Ivory Coast, 8% had a ratio arm diameter on head diameter lower or level of 0.27 and 54% a ratio between 0.28 and 0.31. Diarrhoea was noted among 10% of children, bronchopneumopathy among 44.7%, rhinitis among 53.6% and otitis 15.4%. The interview of mothers confirmed these results; in addition it appeared that 3% of children have had measles in the preceding month. The diarrhoeas and ORL infections prevalence is linked with the lack of drinking water at home, the IRA prevalence with community habitat; ORL infections are more frequent among children from illiterate mothers. The authors think that an amelioration of this situation is possible only by socio-economic progress for families (the work over lunch generalisation would be already an important progress) and putting the specific accent on measles immunization (the incidence rate of measles didn't changed since 1978 in spite of EPI application).

Anthropometry↗
PubMedDate not supplied

[Epidemiological aspects of meningitis in the north of the Ivory Coast].

Classically, the North of Ivory Coast is not part of the "meningitis belt". However, recent health statistics put in light some recent outbreaks in this part of the country, the last one in the years 1983-1985. The authors have studied this last outbreak and it can be foreseen that these epidemics will appear again as in the more Northern countries. Therefore it is desirable to set up a monitoring system to better organize the fight against this disease.

Adolescent↗