Ovarian Sertoli-Leydig Cell Tumors in a Three-Year-Old Child.

Ovarian Sertoli-Leydig cell tumors (SLCT) are extremely rare malignant tumors deriving from the sex cord stroma. An abdominal mass and a virilization syndrome dominate the clinical symptoms. This particular tumor poses diagnostic and therapeutic problems. Prognosis depends on staging (the International Federation of Gynecology and Obstetrics (FIGO)/tumor, node, metastasis (TNM)) and differentiation. The treatment is surgical, combined with adjuvant chemotherapy in certain cases. We report the case of a three-year-old girl admitted to our department for signs of virilization with an abdominal mass. The literature does not contain any reports of a younger case. Ovarian SLCTs should be considered in every girl presenting with signs of virilization and a lower abdominal mass. The prognosis and management depend on the results of the histological analysis and extension evaluation in order to define therapeutic management.

Local or distal flap in the management of digital trauma in children.

OBJECTIVES: We aim to describe the management of fingertip injuries treated by flaps in the paediatric surgery emergency ward and evaluate the long-term results. PATIENTS AND METHODS: Through a 2-year prospective study, we analysed all fingertip injuries treated by flaps in the paediatric emergency ward. We collected patients' data and the clinical and imaging characteristics of the lesions. The type of flap was chosen on a case-by-case basis. We evaluated aesthetic and functional results. RESULTS: Forty-two fingertip injuries required the use of flaps. The average age was 7 years, and boys were more affected. The smashed fingertip was the most common mechanism; pulp lesions and amputation were located mainly in zone I or II. We performed Atasoy flaps, palm flap, free skin grafts, McGregor flap and the cross finger flap. Our results were good to excellent in 66.67%. CONCLUSIONS: The best management of fingertip injuries in children remains prevention.

Impact of the COVID-19 lockdown on the epidemiologic and clinic profiles of domestic accidents in children.

BACKGROUND: Domestic accident (DA) is any harmful accidental event that occurs suddenly in the home or its immediate surroundings. Our study aims to describe the impact of the COVID-19 lockdown in the epidemiological and clinical profiles of DAs in children and their management. MATERIALS AND METHODS: This was a mixed descriptive study, comparing DAs occurring during the COVID-19 lockdown and the same period of the previous year. We exhaustively included all children aged from 0 to 15 years admitted for DAs. RESULTS: The incidence of DAs remains above 50% in both groups. The average age was 7 years and boys were more affected. Before the COVID-19 lockdown, the most common mechanism encountered was accidents on the public highway 20.75%, while during the lockdown, it was represented by falls from a high place with a height of 2 m or more. During the lockdown, 33.86% of patients consulted after more than 24 h of the trauma. Supracondylar fractures and burns remained the most frequent. In all cases, the cumulative frequency of fractures decreased during the lockdown. The COVID-19 lockdown had no impact on patient's management. CONCLUSION: The COVID-19 lockdown has negatively increased the consultation delay. However, it has considerably reduced the incidence of fractures.

Prévalence et facteurs de risque des infections associées aux soins dans trois hôpitaux nationaux de la ville de Conakry. Guinée / Prevalence and risk factors of healthcare-associated infections in three national hospitals in the city of Conakry. Guinea

Objectif. Cette étude avait pour objectif de déterminer la prévalence et les facteurs liés aux infections associées aux soins dans les hôpitaux nationaux de Conakry. Méthodes. la collecte des données et des prélèvements a été réalisée pendant trois jours du dans les hôpitaux nationaux. Vingt-deux services ont été choisies pour le sondage ; les patients dont la durée d'hospitalisation était supérieure ou égale à 48 heures ayant donné leur consentement ont été prélevé. Les analyses microbiologiques étaient effectuées à l'unité de bactériologie à l'Institut National de la Santé Publique Résultats. Au total251 patients ont été enquêtés parmi lesquels 120 patients ont été prélevés. Les infections associées aux soins ont été observés chez 65 patients soit 54,17%. Les infections urinaires 53 cas(60,2%) ont été signifi cativement plus fréquentes que les autres types d'infections (bactériémies, infection du site opératoire, avec respectivement 23.8% et15,8%). De tous les facteurs identifi és, l'âge était le seul associé (P<0,00) au seuil de signifi cativité de 5%. Escherichia coli a été le germe le plus identifi é avec une fréquence de 13,63% suivi de Klebsiella pneumonie avec 7,95%. Des bactéries comme les Staphylococcus aureus résistaient a la méticilline alors que certaines entérobactéries et des Pseudomonas aériginosa ont été résistants aux céphalosporines de troisième génération et aux carbapénèmes. Conclusion. Ces résultats préliminaires mettent en évidence le besoin d'augmenter la sensibilisation du personnel de l'hôpital concernant les infections associées et de revoir un programme opérationnel rigoureux en hygiène hospitalière. L