{"id":4380,"date":"2025-06-18T18:21:24","date_gmt":"2025-06-18T18:21:24","guid":{"rendered":"https:\/\/ijssass.com\/journal\/diagnostic-et-prescription-medicale-en-cas-des-fievres-indiferenciees-dans-des-institutions-sanitaires-de-kinshasa-avec-emphase-sur-le-virus-de-la-dengue\/"},"modified":"2025-06-18T19:59:55","modified_gmt":"2025-06-18T19:59:55","slug":"diagnostic-et-prescription-medicale-en-cas-des-fievres-indiferenciees-dans-des-institutions-sanitaires-de-kinshasa-avec-emphase-sur-le-virus-de-la-dengue","status":"publish","type":"post","link":"https:\/\/ijssass.com\/journal\/diagnostic-et-prescription-medicale-en-cas-des-fievres-indiferenciees-dans-des-institutions-sanitaires-de-kinshasa-avec-emphase-sur-le-virus-de-la-dengue\/","title":{"rendered":"DIAGNOSTIC ET PRESCRIPTION MEDICALE EN CAS DES FIEVRES INDIFERENCIEES DANS DES INSTITUTIONS SANITAIRES DE KINSHASA AVEC EMPHASE SUR LE VIRUS DE LA DENGUE"},"content":{"rendered":"

This article was originally published as: DIAGNOSTIC ET PRESCRIPTION MEDICALE EN CAS DES FIEVRES INDIFERENCIEES DANS DES INSTITUTIONS SANITAIRES DE KINSHASA AVEC EMPHASE SUR LE VIRUS DE LA DENGUE<\/strong><\/p>\n

Original Article Link: Read Original Article<\/a><\/p>\n

Download PDF: Click Here to Download PDF<\/a><\/p>\n

Abstract<\/h2>\n

Lorsque les patients se pr\u00e9sentent \u00e0 la clinique pour le cas des fi\u00e8vres, les cliniciens ont tendances \u00e0 demand\u00e9s un lot des examens para cliniques dont certains ne servent pas et font des prescriptions m\u00e9dicales hors les lignes budg\u00e9taires du patient et les normes de l\u2019\u00e9conomie de la sant\u00e9 qui exigent \u00a0de l\u2019efficience, l\u2019efficacit\u00e9 et l\u2019\u00e9conomie dans les prescriptions qui se r\u00e9sument par l\u2019attention accord\u00e9e au patient. Avec la r\u00e9duction de la charge du paludisme parmi les causes de la fi\u00e8vre, il est indispensable d’identifier les autres \u00e9tiologies afin d’am\u00e9liorer la prise en charge des patients. Pour ce diagnostic, il faut des outils simples utilisables dans les milieux end\u00e9miques surtout pour les pays en d\u00e9veloppement. Parmi les causes des fi\u00e8vres d’origine ind\u00e9termin\u00e9es figurent les causes virales notamment la dengue. Au total 600 patients ont \u00e9t\u00e9 inclus. Les r\u00e9sultats de notre recherche t\u00e9moignent que la \u00a0pr\u00e9valence de la dengue a \u00e9t\u00e9 estim\u00e9e \u00e0 6.1% en consid\u00e9rant les r\u00e9sultats de la PCR. La sensibilit\u00e9 et la sp\u00e9cificit\u00e9 de NS1 ont \u00e9t\u00e9 estim\u00e9es respectivement \u00e0 90.0% et \u00e0 100.0% en consid\u00e9rant la PCR comme le Gold standard. La Valeur Pr\u00e9dictive Positive et la Valeur Pr\u00e9dictive N\u00e9gative ont \u00e9t\u00e9 estim\u00e9es respectivement \u00e0 100.0% et 99.4%. Le virus de la dengue est en circulation \u00e0 Kinshasa en RDC. Le test de diagnostic rapide NS1 devra \u00eatre introduit dans les structures sanitaires de la RDC afin d’accro\u00eetre le plateau technique pour \u00e9lucider les causes de fi\u00e8vre et mettre le clinicien en confiance. Cette confiance permettra d’\u00e9viter une prescription inutile des antipaludiques et des antibiotiques.<\/p>\n

Authors<\/h2>\n
    \n
  • Freddy KATSHONGO MUSHINDUA (Chef travaux, ISTM KINSHASA)<\/li>\n
  • Bob SENKER NDIMBA (Doctorant, UNIVERSITE PEDAGOGIQUE NATIONALE)<\/li>\n
  • Maurice KATEMBO MUSHINDUA (Assistant, ISTM KINSHASA)<\/li>\n
  • Terry SANGWE GBAGBU (Assistant, ISTM KINSHASA)<\/li>\n
  • Florent MAKWALA LUMPUNGU (Assistant, ISTM KINSHASA)<\/li>\n
  • John LUPUENGE (Chef de Travaux, ISTM KINSHASA)<\/li>\n
  • Jean LUFULUABO KASUYI (Professeur, ISTM KINSHASA)<\/li>\n
  • Pascal LUTUMBA TSHINDELE (Professeur, UNIVERSITE DE KINSHASA)<\/li>\n<\/ul>\n

    Keywords<\/h2>\n

    Diagnostic, Prescription M\u00e9dicale, Etiologie, Fi\u00e8vre indiff\u00e9renci\u00e9e, Estimation, Institutions sanitaires, Ecole primaire de Kinshasa<\/p>\n

    References<\/h2>\n
      \n
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    15. B. WEBOGRAPHIE<\/li>\n
    16. http:\/\/fr.wikipedia.org\/wiki\/Arboviroses, le 22 Mai 2018. 143.<\/li>\n
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      This article was originally published as: DIAGNOSTIC ET PRESCRIPTION MEDICALE EN CAS DES FIEVRES INDIFERENCIEES DANS DES INSTITUTIONS SANITAIRES DE…<\/p>\n","protected":false},"author":21,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[124],"tags":[422,425,406,403,404,424,423],"class_list":["post-4380","post","type-post","status-publish","format-standard","hentry","category-articles","tag-diagnostic","tag-ecole-primaire-de-kinshasa","tag-estimation","tag-etiologie","tag-fievre-indifferenciee","tag-institutions-sanitaires","tag-prescription-medicale","wpcat-124-id"],"yoast_head":"\nDIAGNOSTIC ET PRESCRIPTION MEDICALE EN CAS DES FIEVRES INDIFERENCIEES DANS DES INSTITUTIONS SANITAIRES DE KINSHASA AVEC EMPHASE SUR LE VIRUS DE LA DENGUE - IJSSASS Repository<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/ijssass.com\/journal\/diagnostic-et-prescription-medicale-en-cas-des-fievres-indiferenciees-dans-des-institutions-sanitaires-de-kinshasa-avec-emphase-sur-le-virus-de-la-dengue\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"DIAGNOSTIC ET PRESCRIPTION MEDICALE EN CAS DES FIEVRES INDIFERENCIEES DANS DES INSTITUTIONS SANITAIRES DE KINSHASA AVEC EMPHASE SUR LE VIRUS DE LA DENGUE - 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