Background: : The aim of this study was to document the knowledge, attitudes and practices of non-dermatologist health care workers on scabies. Method: We conducted a cross-sectional study among non-dermatologist health workers in public and private health facilities in the city of Lomé. Result: Of the 163 health workers included, 90.8% had a good knowledge of the definition of scabies; and the contributing factors (lack of hygiene, promiscuity) were known by 64.4% of the respondents. Pruritus was known as a major functional sign (92.6%) and the most cited sites of scabies lesions were the interdigital spaces (76.7%) and the buttocks (62.0%). In addition, 83.4% had already diagnosed and managed a case of scabies at least once. Topical scabicides were the most prescribed (86.5%), followed by antihistamines (54.6%); and 39.6% of respondents did not treat the patient’s environment. Conclusion: The knowledge, attitudes and practices of non-dermatologist health care personnel on scabies are low. It is important to organize continuing medical education to bring them up to speed. Key words: knowledge, attitudes, practices, non-dermatologist health care personnel, scabies
Background. The cosmetic use of skin bleaching products is common among women in sub-Saharan Africa despite numerous reported cutaneous and systemic complications. We report the first case of squamous cell carcinoma in a woman using skin bleaching products in Togo. Case Report. A 65-year-old woman with a 30-year history of skin bleaching products use consulted in dermatology for a tumor of the neck that had been evolving for 2 years. There was no personal or family history of cancer. The patient was obese (BMI = 38.3 kg/m2) and had high blood pressure. Clinical examination noted multiple ulcerative and cauliflower tumors of the neck. The presence of stretch marks, skin atrophy, and ochronosis was noted in the examination of the rest of skin. There were no lymph nodes. HIV serology was negative. Histology of a tumor biopsy concluded to an invasive skin squamous cell carcinoma. The cervical, thoracic, abdominal, and pelvic TDM revealed pulmonary metastases. The patient underwent complete surgical removal of the right latero-cervical tumor. The left latero-cervical tumors were not removed because they infiltrated the large vessels. Chemotherapy before surgery was prescribed but not honored for financial reasons. The patient died 2 months after her first consultation in respiratory distress. Conclusion. Squamous cell carcinoma is one of the complications of skin bleaching in sub-Saharan Africa. It is necessary to intensify awareness campaigns on the complications of this practice, in order to reduce their incidence, in our context where this practice is very frequent.
Introduction: The License, Master, and Doctorate (LMD) reform which structured high studies in three cycles has been instituted since the Bologna declaration in 1999. To be conformed to international standards, the LMD system has been instituted in university of Lomé in 2009 to foster pathways between medical and paramedical training. The purpose of this study was to evaluate the strengths and weaknesses of the LMD reform since its introduction in medical school of Lomé. Method: It was an opinion survey conducted in 4 months in University of Lomé among the medical school’s teachers about strengths and weaknesses of LMD reform since its application. The strengths were defined as all facilities brought by LMD reform in organization of courses and practices, evaluations, new Information and Communication Technologies (ICTs) (internet, video projector, courses on line). The LMD weaknesses were defined as any problem generated by the LMD system. Results: Of 113 resident teachers of the medical school of Lomé, seventy-six have completed the questionnaire (67.2%). The majority of teachers (74) thought that the introduction of LMD reform will make Lomé medical school fit into international standards. The availability of the video projectors was noted by 90.8% of the teachers and 82.9% of them used it for teaching. There was no online course. The main strengths of LMD were: a better evaluation system (33.3%), the organization of training in units with credit (28.6%), the usage of new ICTs (23.8%). Many weaknesses of LMD reform were noted by teachers: the plethoric number of students (36.2%), the absence of an intermediate diploma and pathways between studies (29.3%). The Insufficiency of human resources and material was also mentioned. Conclusion: This study highlights that LMD reform needs adaptation to local realities and improvement to ensure that students will get good training in conformity with international standards.
Background. Pityriasis versicolor (PV) is a ubiquitous superficial skin mycosis that often affects young adults. It is often effectively treated with local or oral antifungal agents. Cases of PV resistance to antifungal agents have been reported rarely. We report a case of antifungal resistant PV. Observation. A 22-year-old patient was followed since the age of 17 years in a dermatology outpatient clinic for hyperpigmented scaly macular lesions of the trunk and upper limbs. The clinical diagnosis of PV was retained. The patient was treated by fluconazole 300 mg/week before being lost to follow-up. He was seen again in 2019 (about 2 years later) for the same symptomatology and treated again by fluconazole and ciclopirox olamine cream without improvement. He was again lost to follow-up and seen again six months later. A mycological sample was taken and Aspergillus niger was isolated. The patient was treated by itraconazole for 6 weeks. The evolution was marked by a clinical status quo. The patient was again put on salicylated petroleum jelly 10% associated with terbinafine cream and then lost to follow-up. Conclusion. The emergence of fungal resistance to antifungal drugs does not spare PV. It can therefore be resistant to several antifungal drugs, leaving clinicians and patients in despair.
ObjectiveThe aim of this study was to evaluate the strengths and weaknesses of the License, Master, and Doctorate (LMD) reform since its introduction to the Faculty of Health Sciences of the University of Lomé.MethodsIt was an opinion poll conducted from August 1 to November 1, 2018 among teachers of the Faculty of Health Sciences of the University of Lome. We have studied the general data, the strengths and weaknesses, the problems generated and not yet solved by the LMD.ResultsSeventy-six of the 113 teachers answered the questionnaires. The median age of teachers was 41 years and M / F sex ratio of = 11.7. More than half (64.5%) of the teachers had not received training on the implementation of the LMD reform at the Health Sciences Faculty (HSF).The course explanation (100%) associated with the delivery of lessons as a mimeograph (89.5%) was the first method of instruction. The main strengths of the LMD were a better system of student evaluation (homework organization, limitation of frauds) (27.6%) and the organization of lessons in teaching unit with teaching unit capitalization (26.3%). The weak points were the lack of human and material resources (27.6%), the plethoric number of students (22.4%) and the fact that the LMD reform is not adapted to the FSS (22.4%). The bloated number of students was the problem caused by the LMD according to 40.8% of the teachers and the problem not yet solved by the LMD was the absence of intermediate degrees actually delivered during the training according to 34.2% of the teachers.ConclusionThe entry of Togo's public universities into the LMD reform is justified by a subregional integration objective. However, it is necessary to adapt this reform to local realities in order to ensure proper training and facilitate the task for the various actors.
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