Intestinal parasitic infections causes significant morbidity in worldwide. In Senegal, since 2005 mass deworming campaign has been introduced as a preventive strategy. The main objective of this study was to evaluate the prevalence of intestinal parasitic infection among children living in Koranic teaching Schools in Senegal. A cross-sectional study was conducted from January to May 2018. Koranic schools were selected using simple random sampling and data on sociodemographic characteristicsand prevalence were collected. Stool samples were collected and treated accordingly. Descriptive analysis was performed using Stata software. Significance level was set at 5%. A total of 463 children were recruited in this study. The mean age of study population was 10.93 ± 2.4. The overall prevalence of intestinal parasites was 22.68%. Polyparasitism was detected in 20% of students. Students infected with single, double and triple parasites were 80%, 19.05% and 0.95%, respectively. The most common parasites were Entomoba coli cyst (33.33%), followed by Ascaris lumbricoides (32.38%), Giardia cyst (9.52%), Trichirus Trichiura (3.81%) and Schistosoma mansoni 0.95%. Intestinal parasites were more common in peri-urban areas (66.31%). Intestinal parasitic infection has been found to be very common in Koranic school children. Therefore, health education, improvement of learning and living conditions, and student deworming are essential.
Introduction: The nevirapine is the most widely accused drug in toxidermias in patients living with HIV. It is responsible for toxic epidermal necrolysis called Lyell syndrome or Stevens Johnson syndrome, severe during pregnancy. We report five cases in pregnant women who are HIV-positive.Case reports: Five pregnant women aged 35 years on average with a mean gestational age of 29.6 weeks of amenorrhea were HIV1-positive.The mean CD4 count was 416/mm 3 . They had severe toxidermia such as Lyell syndrome or Stevens Johnson syndrome. These toxidermias appeared on average 26 days after taking antiretroviral triple therapy including nevirapine as part of the prevention of mother-to-child transmission of HIV (PMTCT). The outcome was favorable after discontinuation of antiretrovirals. Nevirapine was substituted with lopinavir/ritonavir. Newborns had received antiretroviral prophylaxis and were not infected with HIV. Conclusion:The nevirapine toxidermia is common during antiretroviral therapy. These toxidermia are severe during pregnancy related to maternal and fetal vital risks. The replacement of nevirapine with an anti-protease is a therapeutic alternative in our resource-limited countries.
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