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760 Infection in Children with Hemophilia (Experience in the Paediatric Hospital Batna)
  1. SB Brahmi,
  2. H Zerguine,
  3. H Soltani,
  4. T Bendhib,
  5. F Karchi
  1. CHU Benflis Touhami, Universite de Batna, Park Aforage, Algeria

Abstract

Introduction Hemophilia; Constitutional most common coagulopathy with hemophilia A is 5 times more common than hemophilia B.

Serious not only about the risk of joint and muscle scars but also viral contamination in transfusions and the risk of post-traumatic infections.

Objectives To determine the frequency and severity of infections in children with hemophilia. Demonstrate the value of prophylaxis in the prevention of bleeding.

Materials and Methods Retrospective study on cases of children with hemophilia hospitalized for a period of 4.5 years (01–01–2007 to 31–07–2011). 26 patients with hemophilia complicated.

Results The incidence varies between 0.90% and 2.4%.

The child with hemophilia may be hospitalized for all age groups with a maximum 10-year entre 5. Only 38.46% of our patients have a family history of hemophilia.

61.54% have a severe form (factor VIII or IX < 1%).

38.88% were hospitalized for a hemarthrosis of the knee, the rest is represented by the other known locations bleeding in children with hemophilia.

14 of our patients developed infections (53.8%), including 8 of knee arthritis, arthritis of the ankle, two subcutaneous abscesses, a dental abscess and 2 cases of hepatitis B.

Conclusion Our study confirmed the significant incidence of infection in children with hemophilia dominated by post-traumatic infections with two cases of hepatitis B which is to intensify the education of our children and the benefit of prophylactic to reduce the incidence of bleeding including the risk of infection.

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