Publications

@article{nokey,

title = {Aetiologies of non-malaria febrile episodes in children under 5 years in sub-Saharan Africa.},

author = {Francois Kiemde and Ren\'{e} Spijker and Petra F. Mens and Halidou Tinto and Michael Boele and Henk D. F. H. Schallig},

year  = {2016},

date = {2016-08-01},

journal = {Tropical medicine \& international health : TM \& IH},

volume = {21},

issue = {8},

pages = {943-955},

address = {England},

abstract = {OBJECTIVES: To provide an overview of the most frequent aetiologies found in febrile episodes of children under 5 years from sub-Saharan Africa. METHODS: MEDLINE and EMBASE were searched for publications in English and French on non-malaria fever episodes in African children under 5 years of age, which were published between January 1990 and July 2015. Case reports and conference abstracts were excluded. RESULTS: In total, 3851 titles and abstracts were reviewed, and 153 were selected for full screening of which 18 were included in the present review. Bloodstream infection (BSI) was most commonly investigated (nine of 18) followed by urinary tract infection (UTI) (four of 18) and respiratory tract infection (RTI) (two of 18). Few studies investigated BSI and UTI in the same children (two of 18), or BSI and gastrointestinal infection (GII) (one of 18). As for BSI, the most frequently isolated bacteria were E. coli (four of 12), Streptococcus pneumonia (four of 12), Salmonella spp (three of 12) and Staphylococcus aureus (two of 12) with a positive identification rate of 19.7-33.3%, 5.2-27.6%, 11.7-65.4% and 23.5-42.0%, respectively. As for UTI, the main bacteria isolated were E. coli (six of six) and Klebsiella spp (six of six) with a positive rate of 20.0-72.3% and 10.0-28.5%, respectively. No bacterium was isolated in RTI group, but Human influenzae A and B were frequently found, with the highest positive identification rate in Tanzania (75.3%). Dengue virus (two of 12) was the most frequently reported viral infection with a positive identification rate of 16.7-30.8%. Finally, only rotavirus/adenovirus (69.2% positive identification rate) was found in GII and no bacterium was isolated in this group. CONCLUSIONS: The high prevalence of treatable causes of non-malaria fever episodes requires a proper diagnosis of the origin of fever followed by an appropriate treatment, thereby reducing the under-5 mortality in sub-Saharan Africa and preventing the overprescription of antibiotics and thus circumventing the rise of antibiotic resistance.},

keywords = {aetiology, \'{A}frica subsahariana, Afrique subsaharienne, Children, enfants, etiolog\'{i}a, \'{e}tiologie, Fever, fiebre, fi\`{e}vre, Malaria, ni\~{n}os, paludisme, sub-Saharan Africa},

pubstate = {Publisher},

tppubtype = {article}

}

@article{Drabo2015,

title = {Prise en charge communautaire du paludisme chez Ia femme enceinte au Benin, au Burkina Faso et en Gambie : one revue systematique de litterature},

author = {KM Drabo and G Sondjo and H Hien and H Tinto and M Traore and I Valea and S Konfe and F Nana and U D'alessandro},

url = {https://www.ajol.info/index.php/stss/article/view/141580},

issn = {1011-6028},

year  = {2015},

date = {2015-01-01},

journal = {Science et Technique, Sciences de la Sant\'{e}},

volume = {38},

issue = {1-2},

pages = {73-81},

abstract = {Avant la mise en place d'une intervention visant a tester 1' efficacite du diagnostic et du traitement systematique du paludisme chez la femme enceinte au Benin, au Burkina Faso et en Gambie, une revue systematique de la litterature relative a la prise en charge du paludisme a base communautaire a ete realisee dans chaque pays. Les moteurs de recherche PUBMED et Google scholar ont ete utilises. Une personne ressource dans chaque pays a collecte les documents disponibles sur place. Dans ces trois pays, la prise en charge a base communautaire du paludisme pendant la grossesse s' appuie sur des agents de sante communautaire (ASC). L' efficacite prouvee dans la litterature d'une telle approche reste sous documentee sur le terrain. Un doute recurrent subsiste sur la qualite de la prise en charge dupaludisme pendant la grossesse par les ASC. Le choix des personnes responsables du diagnostic et de !'administration du traitement du paludisme durant la grossesse devra prendre en compte leur role et leur statut dans la communaute. Une documentation systematique des effets secondaires et des incidents critiques survenant au cours des prestations des ASC contribuerait a rassurer les professionnels de sante.Mots-cles : Revue de litterature, paludisme, grossesse, agents de sante communautaire.Community-based malaria case management in pregnancy: a systematic literature review.A systematic review is undertaken prior to the implementation of a trial related to the efficacy of a community- based scheduled screening and treatment of malaria in pregnancy for improved maternal and infant health in Benin, Burkina Faso and The Gambia. PUBMED and Google scholar were used to screen the articles related to the community involvement into the management of malaria during pregnancy. In the three countries, the community-based management of malaria in pregnancy involved village health workers (VHW). However the proved efficacy of such strategy is not very documented in the field. The quality of care provided by VHW is doubtful according to nurses and health system managers. For the trial to be successful, VHW must be involved by taken into account their previous tasks and their recognition by the community. Side effects and critical event should be documented along the case management by VHW.Keywords: Literature review, malaria, pregnancy and community health worker.},

keywords = {agents de sante communautaire., grossesse, paludisme, Revue de litterature},

pubstate = {published},

tppubtype = {article}

}