Author(s)

Mohamed Elmouloud Cissé^*, Abdoul Aziz Diakité, Adama Dembélé, Belco Maiga, Fatoumata Nampomo Diarra, Oumar Coulibaly, Hawa Diall, Pierre Togo, Abdoul Karim Doumbia, Abdoulaye Barry, Karamoko Sacko, Fousseyny Traore, Djeneba Konaté, Kalirou Traoré, Lala N’Drainy Sidibé, Ibrahim Ahamadou, Amadou Touré, Fatoumata Dicko, Boubacar Togo, Mariam Sylla

Department of Pediatrics, Gabriel Toure University Hospital, Bamako, Mali.

Objective: To study the epidemiological, clinical and therapeutic aspects of sickle cell disease in children admitted to the pediatric emergency department of the Gabriel Toure University Hospital. Materials and methods: This was a prospective study over 12 months in sickle cell children aged 6 months to 15 years. Results: The frequency of sickle cell disease was 4.67% with 71.1% of SS form. The age range of 60 - 120 months predominated with 43.4% and the sex ratio 1.4. Vaso-occlusive crises (VOC) were the most frequent reason for consultation (50.6%) and osteoarticular pain was the main symptom followed by fever and pallor with respectively 67.5%, 60.2%, 39.8%. The pain subsided in less than 72 hours in 39.8% and hyper hydration was performed in 85.1% of patients. Analgesic treatment was given in 90.4%, antibiotic therapy in 51.8% and phenotyped red blood cells transfusion was performed in 36.1%. The average duration of treatment was 10 days. Conclusion: Vaso-occlusive crisis remains the main reason for consultation in sickle cell disease children at Gabriel Toure University Hospital. The management consisted, in addition to the correction of the triggering factors, of hyper hydration and the administration of analgesics and blood products.

Sickle Cell Disease, Pediatrics, Emergencies

Cissé, M. , Diakité, A. , Dembélé, A. , Maiga, B. , Diarra, F. , Coulibaly, O. , Diall, H. , Togo, P. , Doumbia, A. , Barry, A. , Sacko, K. , Traore, F. , Konaté, D. , Traoré, K. , Sidibé, L. , Ahamadou, I. , Touré, A. , Dicko, F. , Togo, B. and Sylla, M. (2023) Study of the Management of Children with Major Sickle Cell Disease in Pediatric Emergencies at the Gabriel Toure University Hospital. Open Journal of Pediatrics, 13, 244-252. doi: 10.4236/ojped.2023.132030.