Author/Authors :
minto’o rogombé, s faculté de médecine - département de pédiatrie, Libreville, Gabon , kuissi kamgaing, e faculté de médecine - département de pédiatrie, Libreville, Gabon , minko, ji faculté de médecine - département de pédiatrie, Libreville, Gabon , mimbila mayi, m faculté de médecine - département de pédiatrie, Libreville, Gabon , nkoghe, vc faculté de médecine - département de pédiatrie, Libreville, Gabon , koko, j faculté de médecine - département de pédiatrie, Libreville, Gabon , ategbo, s. faculté de médecine - département de pédiatrie, Libreville, Gabon
Abstract :
Introduction. Sickle cell disease is the most frequent genetic disorder worldwide. Because of the recurrence and the severity of the sickle cell crisis, their improper medical or social management and monitoring may jeopardize the schooling and social integration of these young patients. The purpose of this survey was to evaluate the medical follow-up of sickle cell patients in Gabon, in relation to their schooling. Methodology. This was a cross-sectional descriptive study, conducted from December 2015 to December 2016. We include sickle cell children from Libreville and Lambaréné. The variables of study were socio-demographic data of the child and the family, information concerning the inter-critical treatment including the intake of traditional pharmacopoeia, and the schooling of the children. Results. We included 217 children (114 Boys and 113 girls). Their mean age was 7.8 ± 3.4 years. Their mothers had a median age of 35 years, post secondary education level in 46.6% of cases and an average number of children of 3.7 ± 1.9. The head of the family was senior executive in 2.8% of cases. 154 children (71%) had regular medical follow-up. 195 (89.9%) declared regular intake of folic acid. 58 (26.7%) children also used traditional treatment regularly. The schooling was good or excellent for 80 (70%) children, and 34 (30%) fell behind their schooling. Conclusion. There is a great variation in the management of Gabonese sickle cell children in Gabon; harmonization is therefore mandatory, especially because about one third of Gabonese sickle cell children fall behind their schooling.
NaturalLanguageKeyword :
drépanocytose , Gabon , scolarité , suivi médical
