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Measles in Bamako: Epidemiological, Clinical and Therapeutic Features of Patients Hospitalized at University Teaching Hospital of Point "G"

Received: 15 August 2019     Accepted: 5 September 2019     Published: 19 September 2019
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Abstract

Measles is a highly contagious acute febrile eruptive disease. It can be prevented through vaccination. The aim of this study was to determine the epidemiological, clinical, and therapeutic features of measles cases hospitalized at Point "G" University Teaching Hospital. It was a retrospective study to review the medical files of patients hospitalized for measles between January 2010 and May 2011 at the Infectious Diseases Department of the Point "G" University Teaching Hospital. During the study period, 31 patients (6.4%) were treated for measles, and the majority of cases were seen in April months (20 cases) and May months (5 cases). The most affected age group was 9 - 59 months (58.1%) with a sex ratio of 1.38. The majority of patients (64.5%) consulted at least two health facilities before their hospitalization in Point “G” with an average of 5.3 ± 3.6 days from unset to the hospitalization. Measles immunization was not effective in 16 out of 26 patients and nearly one-third (29.0%) had familial contact measles case. Febrile rash, present in all patients, was associated with cough (96.8%), rhinitis (77.4%) and/or conjunctivitis (77.4%). Pneumonia was the most common complication (83.9%) followed by comorbidities such as gastroenteritis (29%), malnutrition (9.7%) and oral candidiasis (9.7%). Amoxicillin and ceftriaxone were the antibiotics frequently used against complications. Patients were hospitalized for an average of 6.9 ± 4.2 days, and no death was recorded. This study revealed that pneumonia was the main complication leading to hospitalization of patients. For a better control of measles, we need to fully respect the immunization schedule which is a guarantee for vaccine efficacy.

Published in International Journal of Infectious Diseases and Therapy (Volume 4, Issue 3)
DOI 10.11648/j.ijidt.20190403.13
Page(s) 44-49
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2019. Published by Science Publishing Group

Keywords

Bamako, Clinical, Epidemiology, Therapeutic, Complications, Measles

References
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    Mikaila Kabore, Issa Konate, Yacouba Cissoko, Bassirou Diarra, Jean Paul Dembele, et al. (2019). Measles in Bamako: Epidemiological, Clinical and Therapeutic Features of Patients Hospitalized at University Teaching Hospital of Point "G". International Journal of Infectious Diseases and Therapy, 4(3), 44-49. https://doi.org/10.11648/j.ijidt.20190403.13

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    ACS Style

    Mikaila Kabore; Issa Konate; Yacouba Cissoko; Bassirou Diarra; Jean Paul Dembele, et al. Measles in Bamako: Epidemiological, Clinical and Therapeutic Features of Patients Hospitalized at University Teaching Hospital of Point "G". Int. J. Infect. Dis. Ther. 2019, 4(3), 44-49. doi: 10.11648/j.ijidt.20190403.13

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    AMA Style

    Mikaila Kabore, Issa Konate, Yacouba Cissoko, Bassirou Diarra, Jean Paul Dembele, et al. Measles in Bamako: Epidemiological, Clinical and Therapeutic Features of Patients Hospitalized at University Teaching Hospital of Point "G". Int J Infect Dis Ther. 2019;4(3):44-49. doi: 10.11648/j.ijidt.20190403.13

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  • @article{10.11648/j.ijidt.20190403.13,
      author = {Mikaila Kabore and Issa Konate and Yacouba Cissoko and Bassirou Diarra and Jean Paul Dembele and Mariam Soumare and Assetou Fofana and Abdoulaye Zare and Hermine Meli and Mohamed Aly Cisse and Dramane Sogoba and Oumar Magassouba and Madou Traore and Kongnimissom Apoline Sondo and Sounkalo Dao},
      title = {Measles in Bamako: Epidemiological, Clinical and Therapeutic Features of Patients Hospitalized at University Teaching Hospital of Point "G"},
      journal = {International Journal of Infectious Diseases and Therapy},
      volume = {4},
      number = {3},
      pages = {44-49},
      doi = {10.11648/j.ijidt.20190403.13},
      url = {https://doi.org/10.11648/j.ijidt.20190403.13},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijidt.20190403.13},
      abstract = {Measles is a highly contagious acute febrile eruptive disease. It can be prevented through vaccination. The aim of this study was to determine the epidemiological, clinical, and therapeutic features of measles cases hospitalized at Point "G" University Teaching Hospital. It was a retrospective study to review the medical files of patients hospitalized for measles between January 2010 and May 2011 at the Infectious Diseases Department of the Point "G" University Teaching Hospital. During the study period, 31 patients (6.4%) were treated for measles, and the majority of cases were seen in April months (20 cases) and May months (5 cases). The most affected age group was 9 - 59 months (58.1%) with a sex ratio of 1.38. The majority of patients (64.5%) consulted at least two health facilities before their hospitalization in Point “G” with an average of 5.3 ± 3.6 days from unset to the hospitalization. Measles immunization was not effective in 16 out of 26 patients and nearly one-third (29.0%) had familial contact measles case. Febrile rash, present in all patients, was associated with cough (96.8%), rhinitis (77.4%) and/or conjunctivitis (77.4%). Pneumonia was the most common complication (83.9%) followed by comorbidities such as gastroenteritis (29%), malnutrition (9.7%) and oral candidiasis (9.7%). Amoxicillin and ceftriaxone were the antibiotics frequently used against complications. Patients were hospitalized for an average of 6.9 ± 4.2 days, and no death was recorded. This study revealed that pneumonia was the main complication leading to hospitalization of patients. For a better control of measles, we need to fully respect the immunization schedule which is a guarantee for vaccine efficacy.},
     year = {2019}
    }
    

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    AU  - Mikaila Kabore
    AU  - Issa Konate
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    AU  - Assetou Fofana
    AU  - Abdoulaye Zare
    AU  - Hermine Meli
    AU  - Mohamed Aly Cisse
    AU  - Dramane Sogoba
    AU  - Oumar Magassouba
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    AU  - Kongnimissom Apoline Sondo
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    AB  - Measles is a highly contagious acute febrile eruptive disease. It can be prevented through vaccination. The aim of this study was to determine the epidemiological, clinical, and therapeutic features of measles cases hospitalized at Point "G" University Teaching Hospital. It was a retrospective study to review the medical files of patients hospitalized for measles between January 2010 and May 2011 at the Infectious Diseases Department of the Point "G" University Teaching Hospital. During the study period, 31 patients (6.4%) were treated for measles, and the majority of cases were seen in April months (20 cases) and May months (5 cases). The most affected age group was 9 - 59 months (58.1%) with a sex ratio of 1.38. The majority of patients (64.5%) consulted at least two health facilities before their hospitalization in Point “G” with an average of 5.3 ± 3.6 days from unset to the hospitalization. Measles immunization was not effective in 16 out of 26 patients and nearly one-third (29.0%) had familial contact measles case. Febrile rash, present in all patients, was associated with cough (96.8%), rhinitis (77.4%) and/or conjunctivitis (77.4%). Pneumonia was the most common complication (83.9%) followed by comorbidities such as gastroenteritis (29%), malnutrition (9.7%) and oral candidiasis (9.7%). Amoxicillin and ceftriaxone were the antibiotics frequently used against complications. Patients were hospitalized for an average of 6.9 ± 4.2 days, and no death was recorded. This study revealed that pneumonia was the main complication leading to hospitalization of patients. For a better control of measles, we need to fully respect the immunization schedule which is a guarantee for vaccine efficacy.
    VL  - 4
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Author Information
  • Department of Infectious Diseases, Point “G” University Teaching Hospital, Bamako, Mali

  • Department of Infectious Diseases, Point “G” University Teaching Hospital, Bamako, Mali

  • Department of Infectious Diseases, Point “G” University Teaching Hospital, Bamako, Mali

  • Faculty of Medicine and Odontostomatology, University of Sciences, Techniques and Technologies of Bamako (USTTB), Bamako, Mali

  • Department of Infectious Diseases, Point “G” University Teaching Hospital, Bamako, Mali

  • Department of Infectious Diseases, Point “G” University Teaching Hospital, Bamako, Mali

  • Department of Infectious Diseases, Point “G” University Teaching Hospital, Bamako, Mali

  • Department of Infectious Diseases, Point “G” University Teaching Hospital, Bamako, Mali

  • Department of Infectious Diseases, Point “G” University Teaching Hospital, Bamako, Mali

  • Department of Infectious Diseases, Point “G” University Teaching Hospital, Bamako, Mali

  • Department of Infectious Diseases, Point “G” University Teaching Hospital, Bamako, Mali

  • Department of Infectious Diseases, Point “G” University Teaching Hospital, Bamako, Mali

  • Department of Medicine, Sikasso Regional Hospital, Sikasso, Mali

  • Department of Infectious Diseases, Yalgado Ouedraogo University Teaching Hospital, Ouagadougou, Burkina Faso

  • Department of Infectious Diseases, Point “G” University Teaching Hospital, Bamako, Mali

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