The HIV’s Transmission from the Mother to the Child at the Community Hospital Center of Bangui (Central African Republic)

Objective: Assess the impact of B + option on mother-to-child HIV’s transmission at the community university hospital center after 4 years of use. Patients and methods: This was a retrospective and analytical study from January 1st 2015 to December 31st 2018 i.e. 4 years. The population’s study was on HIV-positive mothers and their infants care in the service. Results: A total of 323 files of infants born from HIV-positive mothers were selected and having performed the PCR. 9 of them were HIV positive representing a rate of 2.79% mother-to-child HIV’s transmission. This prevalence was 1.1% for women who started ART before and during pregnancy. The average age of newborns was 29 years. Mothers were literally rating in 24.15% during the period of starting antiretroviral therapy, 63% during pregnancy and 19% before pregnancy. For the delivery’s way 295 delivered vaginally;they represented 91.33%. Cesarean delivery was 8.67%. Exclusive breastfeeding represented 87.31% of the diet. Mothers who started ARV therapy during the labor and after delivery were more likely to transmit HIV to their infants than mothers who started ART before and during pregnancy (p = 0.01). The other risk factors were represented by premature rupture of the membranes (p = 0.0001), hours of labor (p = 0.0001), use of suction cup (p = 0.0005), birth weight less than 2500 g (p = 0.00). Conclusion: Mother-to-child HIV’s transmission still remains a public health problem at the Community University Hospital.

Anogenital Condyloma: Epidemiological, Clinical, Therapeutic and Evolutionary Aspects of 74 Cases in Benin

The aim of this study was to study the epidemiological, clinical, therapeutic and evolutionary aspects of anogenital warts in Benin. A retrospective cohort study was conducted over a 4-year period from January 1st, 2013 to December 31st, 2016 at the Dermatology-Venerology Clinic of Cotonou. A total of 74 patients, including 67 men and middle aged 35.1 ± 10.3 years, were received for anogenital condyloma during the study period, accounting for 2.1% of the total and 28.2% of patients were received for sexually transmitted infection. The most common clinical form was acuminated condyloma (61 cases;82.4%). HIV serology was positive in 12 patients (16.2%). Therapeutically, the use of electrocoagulation was systematic in 80% of cases. The evolvement is noticeable when 37% of the cases were recidivated and the rate of loss of sight after the first consultation was 60.8%. Early diagnosis and improvement of the technical platform will help to improve the quality of care for these patients.

Epidemio-Clinical Profile of Skin Conditions in Pediatric Dermatology Consultation of the University Hospital of Treichville

Introduction: Dermatoses are common in the pediatric population. They have certain particularities such as the prevalence of the diaper dermatitis and genetic disorders. Paediatric dermatological problems are common, with some conditions requiring specialist consultation. Often appropriate diagnosis and therapy are sometime delayed in certain countries. Few studies have focused on pediatric aspects of skin diseases in Côte d’Ivoire. We initiated this work to contribute to a better knowledge of pediatric skin conditions in our work context. Material and Methods: This is a cross-sectional prospective, descriptive and analytical study carried out in the Dermatology Department of the University Hospital of Treichville from January 2015 to December 2017. Data from the study were collected on a survey card that included socio-demographic characteristics and clinical aspects. All children with cutaneous and mucosal disease seen in pediatric dermatology consultation have been taken into account in the study. Results: 11,487 patients were seen in dermatology consultation during the period of our study with only 302 children, a prevalence of 2.6%. The sex ratio was 0.9. The main reason for consultation was pruritus (22.65%). In 63.9% of the cases the child was referred by a family member whereas more than 1/3 of the children (39.07%) had previously been consulted by a pediatrician. Among children referred with a skin diagnosis, the half had a correct diagnosis The most prevalent disorders by category were dermatitis (57.9%) and infections (29.5%). Multiple diagnosis were made in 9.27% of the patients. The most common pathologies encountered were prurigo (23.2%), scabies (12.9%) and atopic dermatitis (9.6%). The lesions were mainly located on the head (23.31%) and the lower limbs (20.51%). In almost all cases (99.3%), the diagnosis was essentially clinical. Conclusion: Pediatric dermatoses are numerous and varied. They are dominated by Prurigo and Scabies. This study invites for close collaboration between pediatricians and dermatologists in order to optimize their therapeutic management. The knowledge of this spectrum of pediatric skin diseases would be useful for future health planning in order to reduce disease burden.