Introduction: To describe the epidemiologic profile, clinical and paraclinical of diabetics presenting microalbuminuria at Marc Sankale center. Patients and methods: We have done cross-sectional and retrospective study in a descriptive and analytic view or way. It happened within 6 months. Diabetic patients who performed the nycthemeral urinary albumin dose and mentioned in the file were included. The last study is considered as a positive one from 30 to 299 mg/24h: Microalbuminuria. The creatinine has been noted and the clearing of the creatinine is calculated through the formula of Cockcroft and Gault. The statistical analysis of data has been done thanks to software such as excel 2013 and SPSS VER 18.0. Results: 221 patients have been noted with 70% women and 30% men. The age varied between 30 years and 85 years with an average of 56, 62 against 9.97 years. Sixty three (63) patients have microalbuminuria (29%); creatinine has been regularized to 25 patients with 14.8% of cases. Among the microalbuminuria patients having completed the creatinine, 32 patients (42.7%) and 16 (21.3%) are respectively in a state of chronical renal failure, light and moderated. Conclusion: The microalbuminuria is frequent to diabetics. But in our series a starting renal insufficiency could precede that microalbuminuria.
Introduction: The objective of that study was to evaluate diabetics knowledge, attitudes and practices on physical activity. Patients and Methods: That study has concerned 200 diabetics at Marc Sankale antidiabetic Center of Abass Ndao Hospital in Dakar. Women represent 76% with a sex ratio M: F0.13. The average age is 54 years with extremes of 4 to 84 years. The housewives are 29% and among them 15% haven't any professional activity. 45.07% of the population is illiterate. In our study, 63.13% of patients have low socio economic level. In our series, the majority of patients is type 2 diabetes (89.5%). The diabetes evolution time is about 8 years inferior to 7% in 84 patients. In our study obesity is noted in 17.20% of cases. The HTA is present in 56% of cases. 54% of the studied population presents a dyslipidemia. Physical activity is practiced in 81% of patients. In our study the doctor' advice motivates the half of our patients to practice physical activity (62.26%). The lack of time (43.2%) and volution (8.1%), the useless character of physical activity (2.7%) and the patients' health state 45.9% are the obstacles to the practice of physical activity. The average frequency of physical activity practiced by patients is about 4 times a week with extremes ranging from 1 to 7 stages a week. The average time of activity practiced by patients is 39.72% with extremes ranging from 10 to 150 mn. 87% of patients practice physical activity at least 3 times a week. The main risks noted from intense physical activity in diabetics are hypertension 39.0%, ortestic hypertension 3.0%. In the contrary 58.8% of patients ignore the answer. Conclusion: Our study demonstrates the ignorance of diabetics on physical activity. Therefore it would be necessary to reinforce the training mainly therapeutic education in the patients taken into account.
Introduction Le but de notre étude était de déterminer le profil clinique et évolutif des lésions de la peau et des parties molles des sujets diabétiques suivis à la salle de pansement. Méthodes Il s'agissait d'une étude observationnelle descriptive et analytique menée du 1 er janvier au 31 décembre 2017 à la salle de pansement du centre Marc Sankale de Dakar. Notre étude a porté sur les sujets diabétiques ayant consultés à la salle de pansement. Résultats Au total, 37173 actes de soins ont été enregistrés au centre Marc Sankale. Les activés de soins à la salle de pansement représentaient 16418 cas soit une prévalence de 14,16%. L'âge moyen était de 56,6 ± 12 ans et le sex ratio (H/F) de 0,88. Le diabète de type 2 prédominait (78,97%) et la durée moyenne du diabète était de 8,06 ± 7,9 ans. La glycémie capillaire moyenne était de 2,4 ± 1 g/l. La neuropathie diabétique était présente chez 72,33% des cas. Les lésions se situait aux membres dans 93,98% (1185 cas). Les lésions les plus représentatives étaient l'ulcère (46,76%), l'abcès (13,46%), le phlegmon (13,20%), la gangrène (8,41%), l'érysipèle (3,78%), le mal perforant (3,53%), l'intertrigo (3,95%). Les lésions étaient infectieuses (61,41), non infectieuses (33,50%), vasculaires pures (1,57%) et Mixtes (3,70%). Sur les 1189 patients 7,57% avaient présentés une ostéite. Les germes retrouvés étaient des bactéries grams positifs (12,70%), grams négatifs (23,80%). L'amputation était corrélée à la topographie de la lésion (p=0.00), au type de lésion (p=0.000), à l'ancienneté du diabète (p=0,02), au type de diabète (p=0,008), à la présence d'ostéite (p=0,006). L'amputation etait mineur (43,33%), et majeur (37,43%). Nous avons enregistré 70 décès (5,89%). Conclusion Les lésions de la peau et des tissus mous restent dominées par le pied diabétique. La mortalité est non négligeable et le risque d'amputation était statistiquement corrélé à la topographie, au type de lésion, à l'ancienneté et le type de diabète et à l'existence d'ostéite.
Aim: To evaluate the attitude practice and knowledge of pharmacists in the management of diabetes in the department of Dakar. Methodology: Cross-sectional study, conducted from 01 March to 30 September 2017 including all pharmacists in the Dakar region who agreed to participate in the survey. Data was collected through a pre-established questionnaire. Results: A total of 144 pharmacists were included in the study, representing a participation rate of 87.58%. The average age was 33.90 years, with a sex ratio of 1.69. Pharmacists were single in 50.88% of cases, and a minimum experience of 5 years was found in 64.03% of cases. Pharmacist assistants accounted for 57.9% of our study population. The assessment of knowledge based on 16 items shows an average score of 9.02. The level of knowledge was low to insufficient in 37.21% of cases, average in (50%) half of cases and good for (13.16%). Less than half (34.21%) of pharmacists had received training and the average date of last training was 33.76 ± 24.6 months. Training was provided by medical representatives and academics in 66.66% and 26.67% respectively. The most felt positive feelings were respectively the need for help, the compassion in respectively 98.42%, 42.11%. Feelings felt and simultaneously cited were: need for help and compassion in more than 40% of respondents. Only 29% of pharmacists did not have a lot of difficulty with patient questions and the only reason was the lack of awareness (84.68%) of patients about their disease. Screening for diabetes by capillary blood glucose was performed by 57% of pharmacists. Dietary advice (76.15%) and referral to the hospital (94.41%) were the most common practices in case of blood sugar disruption. The dialogue with patients was impossible in 22.81% of pharmacists and the main reasons given were lack of time (53.
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