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{"id":3373,"date":"2024-02-10T22:18:56","date_gmt":"2024-02-10T22:18:56","guid":{"rendered":"https:\/\/rufso.ac.cd\/journal\/rjsse\/?p=3373"},"modified":"2024-02-11T23:28:11","modified_gmt":"2024-02-11T23:28:11","slug":"aspects-clinique-et-biologique-de-la-covid-19-et-du-diabete-au-mali-de-2020-a-2023-2","status":"publish","type":"post","link":"https:\/\/rufso.ac.cd\/journal\/rjsse\/2024\/02\/10\/aspects-clinique-et-biologique-de-la-covid-19-et-du-diabete-au-mali-de-2020-a-2023-2\/","title":{"rendered":"Aspects clinique et biologique de la covid-19 et du diab\u00e8te au Mali de 2020 \u00e0 2023"},"content":{"rendered":"<div class=\"entry-content single-content\">\n<div class=\"entry-content single-content\">\n<header class=\"entry-header post-title title-align-inherit title-tablet-align-inherit title-mobile-align-inherit\"><strong>Abstract\u00a0<\/strong><\/header>\n<header><\/header>\n<header><\/header>\n<header><\/header>\n<header class=\"entry-header post-title title-align-inherit title-tablet-align-inherit title-mobile-align-inherit\">\u00c0 l\u2019instar de plusieurs pays au monde, le Mali \u00e9tait confront\u00e9 \u00e0 la pand\u00e9mie de COVID-19. Ainsi, au Mali, 30.752 personnes sont atteintes de COVID-19 entre 2020 et 2022, parmi ces patients, 29.828 patients sont gu\u00e9ris et 731 patients sont d\u00e9c\u00e9d\u00e9s (MSDS, 2022). Selon la f\u00e9d\u00e9ration internationale du diab\u00e8te (IDF Diabetes), le Mali est plus affect\u00e9 par le diab\u00e8te de type 2 avec une estimation de 1,8% (Atlas, 2021). Le diab\u00e8te et l\u2019hypertension art\u00e9rielle sont des facteurs de comorbidit\u00e9 les plus rencontr\u00e9s parmi les d\u00e9c\u00e8s de COVID-19 respectivement 20,45% et 17,42% (Kon\u00e9 B, 2021). En effet, l\u2019objectif de cette \u00e9tude \u00e9tait d\u2019analyser l\u2019aspect clinique et biologique de la COVID-19 et du diab\u00e8te au Mali de 2020 \u00e0 2023. La pr\u00e9sente recherche constitue une \u00e9tude transversale analytique \u00e0 vis\u00e9e comparative qui porte sur l\u2019aspect clinique et biologique de la COVID-19 et du diab\u00e8te au Mali 2020 \u00e0 2023. Elle est conduite du 2 juin au 15 d\u00e9cembre 2023 aupr\u00e8s de cinquante (50) patients retenus \u00e0 partir d\u2019un choix exhaustif issue d\u2019une analyse documentaire de 105 dossiers m\u00e9dicaux de patients au niveau de l\u2019h\u00f4pital du Mali et dans les Csr\u00e9f de la commune I et commune VI. Ainsi, le recueil des donn\u00e9es est effectu\u00e9 \u00e0 domicile sous forme d\u2019entretiens individuels pour les patients. Ensuite l\u2019analyse et le traitement des donn\u00e9es sont r\u00e9alis\u00e9s \u00e0 partir du logiciel SPSS version 21 et des logiciels office 2016 Excel et Word. Toutefois, l\u2019\u00e9tude a montr\u00e9 qu\u2019avant la pand\u00e9mie, 34% des patients sont ob\u00e8ses tandis qu\u2019aucun patient ob\u00e8se n\u2019est enregistr\u00e9 durant et apr\u00e8s la pandemie. Aussi, avant la pand\u00e9mie, 54% de patients ont un diab\u00e8te d\u00e9s\u00e9quilibr\u00e9. \u00a0En plus, durant la pand\u00e9mie, neuf des patients (18%) ont d\u00e9satur\u00e9 tandis qu\u2019aucun n\u2019a d\u00e9satur\u00e9 avant et apr\u00e8s l\u2019infection \u00e0 COVID-19. Cette d\u00e9saturation en oxyg\u00e8ne est plus remarquable chez les hommes (59%) plus que chez les femmes (41%) dans la tranche d\u2019\u00e2ge de 65-74 ans. Puis, des cas d\u2019acidoc\u00e9toses diab\u00e9tiques sont enregistr\u00e9s seulement durant la pandemie chez 6% de patients. L\u2019hypertension art\u00e9rielle est la seule complication macro angiopathique retrouv\u00e9e chez les patients avec une augmentation de sa fr\u00e9quence pendant la pand\u00e9mie. Quant \u00e0 la d\u00e9tresse respiratoire est observ\u00e9e chez neuf (25%) des patients lors de l\u2019infection \u00e0 COVID-19 contre cinq (29%) apr\u00e8s la pand\u00e9mie. Sur le plan curatif, cinquante-sept pourcent de soignants ont utilis\u00e9 l\u2019insuline pour traiter l\u2019hyperglyc\u00e9mie au cours du diab\u00e8te et 14% ont trait\u00e9 la COVID-19 selon protocole du Mali. \u00a0Enfin, l\u2019aspect clinique et biologique de la COVID-19 et du diab\u00e8te au Mali 2020 \u00e0 2023 a prouv\u00e9 que la pand\u00e9mie est un facteur de risque associ\u00e9 au diab\u00e8te au m\u00eame titre que le diab\u00e8te pour alt\u00e9rer la sant\u00e9 des patients.<\/header>\n<header><\/header>\n<header><\/header>\n<header class=\"entry-header post-title title-align-inherit title-tablet-align-inherit title-mobile-align-inherit\"><strong>Mots-clefs : <\/strong>Impact, Covid-19, prise en charge des diab\u00e9tiques, Bamako, Mali<\/p>\n<hr \/>\n<p><strong><br \/>\n<\/strong><strong>Summary<\/strong><\/p>\n<p><strong>\u00a0<\/strong>Like many countries in the world, Mali was faced with the COVID-19 pandemic. In Mali, 30,752 people were affected by COVID-19 between 2020 and 2022, of whom 29,828 were cured and 731 died (MSDS, 2022). According to the International Diabetes Federation (IDF Diabetes), Mali was more affected by type 2 diabetes, with an estimated 1.8% (Atlas, 2021). Diabetes and hypertension are the most common co-morbidities among COVID-19 deaths, at 20.45% and 17.42% respectively (Kon\u00e9 B, 2021). The aim of this study was to analyze the clinical and biological aspects of COVID-19 and diabetes in Mali from 2020 to 2023.<\/p>\n<p>The present research constitutes a comparative cross-sectional analytical study of the clinical and biological aspects of COVID-19 and diabetes in Mali 2020 to 2023. It was conducted from June 2 to December 15, 2023, on fifty (50) patients selected from an exhaustive literature review of 105 patient medical records at the Mali Hospital and in the referral health centers (Csr\u00e9f) of Commune I and Commune VI. Data collection was carried out in patients&#8217; homes, in the form of individual interviews. Data were then analyzed and processed using SPSS version 21 software and Office 2016 Excel and Word. However, the study showed that before the pandemic, 34% of patients were obese, whereas no obese patients were recorded during or after the pandemic. In addition, before the pandemic, 54% of patients had unbalanced diabetes.\u00a0 In addition, during the pandemic, nine patients (18%) desaturated, whereas none desaturated before or after the COVID-19 infection. This oxygen desaturation was more remarkable in men (59%) than in women (41%) in the 65-74 age group. Cases of diabetic ketoacidosis were recorded in only 6% of patients during the pandemic. Arterial hypertension is the only macro-angiopathic complication found in patients, with an increase in frequency during the pandemic. Respiratory distress was observed in nine (25%) patients during COVID-19 infection, compared with five (29%) after the pandemic. On the curative side, fifty-seven percent of caregivers used insulin to treat hyperglycemia during diabetes, and 14% treated COVID-19 according to the Mali protocol. Finally, the clinical and biological aspect of COVID-19 and diabetes in Mali 2020 to 2023 proved that the pandemic is a risk factor associated with diabetes in the same way as diabetes to alter the health of patients.<\/p>\n<p><strong>Keywords: <\/strong>Impact, Covid-19, diabetes care, Bamako, Mali<\/p>\n<\/header>\n<div class=\"entry-content single-content\">\n<hr \/>\n<p><strong>Titre<\/strong> : Aspects clinique et biologique de la covid-19 et du diab\u00e8te au Mali de 2020 \u00e0 2023.<br \/>\n<strong>Auteur(s)<\/strong> : <em><a href=\"https:\/\/rufso.ac.cd\/journal\/rjsse\/tag\/moussa-issa-lende\/\">Moussa Issa Lende<\/a><\/em><br \/>\n<strong>Affiliation:<\/strong> Laboratoire de Sant\u00e9 et Biom\u00e9dicale Centre Interuniversitaire de recherche pluridisciplinaire(CIREP)_www.cirep.ac.cd<br \/>\n<strong>Publi\u00e9 dans\u00a0<\/strong>\u00a0<em><a href=\"http:\/\/rufso.ac.cd\/journal\/rjsse\/\">\u00a0Journal des sciences sociales et de l\u2019ing\u00e9nierie<\/a>\u00a0,\u00a0\u00a0<a href=\"https:\/\/rufso.ac.cd\/journal\/rjsse\/category\/jsse\/rjsse-volume-36\/\" target=\"_blank\" rel=\"noreferrer noopener\">Volume 36<\/a>\u00a0\u00a0,\u00a0\u00a0<\/em><a href=\"https:\/\/rufso.ac.cd\/journal\/rjsse\/category\/jsse\/rjsse-volume-36\/rufso-rjsse-volume-36-issue-2\/\">num\u00e9ro 2<\/a><strong><br \/>\ndoi<\/strong>\u00a0:\u00a0<a href=\"https:\/\/www.doi.org\/10.55272\/rufso.rjsse\">10.55272\/rufso.rjsse<\/a><em><br \/>\n<\/em><\/p>\n<h3><strong><a href=\"http:\/\/rufso.ac.cd\/journal\/rjsse\/wp-content\/uploads\/sites\/3\/2024\/02\/10.55272.rufso_.rjsse_.36.2.3.pdf\" target=\"_blank\" rel=\"noreferrer noopener\">T\u00e9l\u00e9charger en PDF<\/a><\/strong><\/h3>\n<\/div>\n<\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>Abstract\u00a0 \u00c0 l\u2019instar de plusieurs pays au monde, le Mali \u00e9tait confront\u00e9 \u00e0 la pand\u00e9mie de COVID-19. Ainsi, au Mali, 30.752 personnes sont atteintes de COVID-19 entre 2020 et 2022, parmi ces patients, 29.828 patients sont gu\u00e9ris et 731 patients sont d\u00e9c\u00e9d\u00e9s (MSDS, 2022). Selon la f\u00e9d\u00e9ration internationale du diab\u00e8te (IDF Diabetes), le Mali est&#8230;<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_monsterinsights_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0,"_kad_post_transparent":"default","_kad_post_title":"default","_kad_post_layout":"default","_kad_post_sidebar_id":"","_kad_post_content_style":"default","_kad_post_vertical_padding":"default","_kad_post_feature":"","_kad_post_feature_position":"","_kad_post_header":false,"_kad_post_footer":false,"_kad_post_classname":"","footnotes":""},"categories":[174,38,177,13,220,224,36,12],"tags":[109],"class_list":["post-3373","post","type-post","status-publish","format-standard","hentry","category-article","category-health-and-biomedical-sciences","category-jsse","category-psychology","category-rjsse-volume-36","category-rufso-rjsse-volume-36-issue-2","category-management-sciences","category-social-sciences","tag-moussa-issa-lende"],"_links":{"self":[{"href":"https:\/\/rufso.ac.cd\/journal\/rjsse\/wp-json\/wp\/v2\/posts\/3373","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/rufso.ac.cd\/journal\/rjsse\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/rufso.ac.cd\/journal\/rjsse\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/rufso.ac.cd\/journal\/rjsse\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/rufso.ac.cd\/journal\/rjsse\/wp-json\/wp\/v2\/comments?post=3373"}],"version-history":[{"count":8,"href":"https:\/\/rufso.ac.cd\/journal\/rjsse\/wp-json\/wp\/v2\/posts\/3373\/revisions"}],"predecessor-version":[{"id":3423,"href":"https:\/\/rufso.ac.cd\/journal\/rjsse\/wp-json\/wp\/v2\/posts\/3373\/revisions\/3423"}],"wp:attachment":[{"href":"https:\/\/rufso.ac.cd\/journal\/rjsse\/wp-json\/wp\/v2\/media?parent=3373"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/rufso.ac.cd\/journal\/rjsse\/wp-json\/wp\/v2\/categories?post=3373"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/rufso.ac.cd\/journal\/rjsse\/wp-json\/wp\/v2\/tags?post=3373"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}