ABSTRACT
INTRODUCTION: Peripheral neuropathies, in hemodialysis patients, are frequent. OBJECTIVE: To study peripheral neuropathies in the population of chronic hemodialysis patients in Benin. METHODS: This was a descriptive and analytical cross-sectional study conducted from April 1st to July 31st, 2017 in the hemodialysis units of the two public dialysis centers in Benin. Recruitment was exhaustive with inclusion of all patients with hemodialysis for more than 3months, aged at least 18years and consenting. The diagnosis of peripheral neuropathy was based on the presence of sensory-motor and/or vegetative disorders associated with amyotrophy, abolition or reduction of osteotendinous reflexes and absence of central signs. RESULTS: A total of 189 hemodialysis patients were included in the two public hemodialysis centers of Benin, 180 at the CNHU-HKM and 9 at the CHUD/BA. The mean age was 50.23±13.31years with extremes from 20 to 85 years and a sex ratio of 1.59. The overall frequency of peripheral neuropathy was 59.26%, including polyneuropathies (72.32%), unifocal mononeuropathies (10.71%), polyradiculoneuropathies (9.82%), and multiple mononeuropathies (7.14%). The associated factor in multivariate analysis was socioeconomic level (P=0.001; OR 39.41; 95% CI 4.81-322.64). CONCLUSION: Peripheral neuropathy is frequent in chronic hemodialysis patients in Benin, requiring early detection and management.
Subject(s)
Mononeuropathies , Peripheral Nervous System Diseases , Humans , Adult , Middle Aged , Peripheral Nervous System Diseases/epidemiology , Peripheral Nervous System Diseases/etiology , Peripheral Nervous System Diseases/diagnosis , Cross-Sectional Studies , Benin/epidemiology , Renal Dialysis/adverse effectsABSTRACT
OBJECTIVE: We aimed to assess the management of hypertensive patients by general practitioners in Cotonou city. METHODS: This was a cross-sectional study based on a multicentre survey conducted from 1 May to 31 July 2011. We recruited all consenting general practitioners who worked in public and private centres in Cotonou city. We used the 7th report of the Joint National Committee to assess the management of hypertension by general practitioners. A tested and validated self-questionnaire was used to collect the data on hypertension management by general practitioners. RESULTS: In eight centres that approved the study, 41 general practitioners were included. The definition of hypertension was known by 20 (48.8%) practitioners. Only 25 (61.0%) could describe the conditions for blood pressure measurement. Ten of them were unable to list half of the minimum recommended tests for hypertension, and the majority (92.7%) did not have any idea of global cardiovascular risk. The blood pressure goal was known by only 18 (43.9%) practitioners. Lifestyle (82.9%) and monotherapy (70.7%) were the therapeutic modalities most prescribed. Antihypertensive agents commonly used by practitioners were calcium channel blockers (82.9%), angiotensin converting enzyme inhibitors (53.7%) and diuretics (36.6%). The general practitioners referred their patients to cardiologists mainly for uncontrolled hypertension (63.4%) and the onset of acute complications (56.1%). CONCLUSION: The general practitioners' knowledge of hypertension was insufficient and their management did not reflect international guidelines.
Subject(s)
Antihypertensive Agents/therapeutic use , Attitude of Health Personnel , Blood Pressure/drug effects , General Practitioners/psychology , Health Knowledge, Attitudes, Practice , Hypertension/drug therapy , Benin , Cross-Sectional Studies , Guideline Adherence , Health Care Surveys , Humans , Hypertension/diagnosis , Hypertension/physiopathology , Practice Guidelines as Topic , Practice Patterns, Physicians' , Referral and Consultation , Treatment Outcome , Urban HealthABSTRACT
Introduction La migraine est une affection frequente ayant un important retentissement sur la vie socioprofessionnelle des migraineux. L'objectif de ce travail etait de determiner la prevalence de la migraine dans une population de travailleurs de la ville de Cotonou Cadre et methode Il s'agit d'une etude transversale prospective realisee dans 5 milieux de travail de la ville de Cotonou. Elle a ete menee selon une technique de sondage aleatoire systematique a 3 degres et porte sur 938 travailleurs. Le diagnostic de la migraine etait base sur les criteres IHS de 1988 avec une modification sur la duree ou le nombre des acces (IHS + probable). Resultats La prevalence des cephalees etait de 24;8(IC95: [22;1-27;8]). La prevalence de la migraine etait de 8;9(IC95: [7;2-10;9]) celle de la migraine IHS etant de 2;3; celle de la migraine probable de 6;6. Elle est significativement plus frequente chez les femmes 20;8(p10-7) et chez les cadres superieurs 16;9(p10-5). La migraine sans aura etait la forme la plus frequente (60;7). Conclusion Ces resultats suggerent une frequence de la migraine chez les travailleurs de la ville de Cotonou et imposent d'en etudier l'impact