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Lessons learnt from a nosocomial outbreak of multi-resistant ESBL-positive Klebsiella pneumoniae in a neonatal advanced care unit in Port-au- Prince, Haiti, July 2014 – September 2015
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MSF opened Ebola management centres (EMCs) in Sierra Leone in Kailahun and Bo in June and Sept, 2014, respectively. Clinical data on outcomes can give important evidence to guide management. Such data on children are scarce; Ebola virus disease (EVD) is less reported in children although they are most at risk of death. Clinical data across all ages in the west Africa Ebola epidemic focused on symptoms reported on arrival at treatment facilities, rather than observed during admission.... The Lancet : DOI: http://dx.doi.org/10.1016/S2214-109X(16)30097-3
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Convulsive Status epilepticus (CSE) and refractory convulsive status epilepticus (RCSE) are frequent life-threatening presentations in children with severe Malaria, bacterial meningitis and other severe infections. Multiple non-communicable disorders can also lead to CSE/ RCSE.
Malnutrition 5.9 million children under 5 years died in 2015 45 % linked to malnutrition
Children with Neurodevelopmental Delays in Humanitarian Emergencies: A hidden tragedy in need of identification and intervention...
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To determine how well discharged neonates do two years after in terms of: Mortality Screened sequelae Potential burden to the family in caring for impaired infants Nutritional status
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90% of the severe childhood malaria cases in Sub-Saharan Africa •Supportive treatment and IV Artesunate recommended •Mortality of 18% in CM still high • Aim: Compare mortality in 2 clinical trials at MSF/Epicentre Mbarara Research Centre and establish potential predictors.....
... Children in need of critical care in all of our projects— OCP: 10-20% of kids present in a critical state (RED) and 80-90% present in an urgent state (ORANGE or YELLOW) Highlights need for 1) rapid identification, 2) prioritization of the most critically ill, and 3) medical treatment adapted to their unique needs...
Pancytopenia in a malnourished child presenting with fevers proffers a broad differential diagnosis made more challenging by a lack of available investigations. In the presence of malnutrition and infection, causes may be multifactorial and difficult to establish. When available, bone marrow examination is an important investigation and telemedicine can be utilised in guiding and interpreting investigations...
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In Niger roughly 18000 children are born annually with the disease (estimated 2 % out of 900,000 live births). 50 to 90 % of them will die before age 5...
prévalence VIH Togo : 2,5% en 2014 avec 113 740 PVVIH dont 60% femmes. 21 000 enfants VIH+ < 15 ans, contaminés par leurs mères (90%) Malgré progrès en PTME, couverture TARV enfant faible. 24% des enfants en besoin sous TARV enfants = 7% PVVIH sous TARV.
