{"id":4577,"date":"2025-06-18T19:31:14","date_gmt":"2025-06-18T19:31:14","guid":{"rendered":"https:\/\/ijssass.com\/journal\/connaissances-attitudes-et-pratiques-du-personnel-soignant-sur-la-toxoplasmose-congenitale-a-lubumbashi-cas-des-cliniques-universitaires-et-de-lhopital-general-provincial-jason-sendwe-2\/"},"modified":"2025-06-18T19:56:30","modified_gmt":"2025-06-18T19:56:30","slug":"connaissances-attitudes-et-pratiques-du-personnel-soignant-sur-la-toxoplasmose-congenitale-a-lubumbashi-cas-des-cliniques-universitaires-et-de-lhopital-general-provincial-jason-sendwe-2","status":"publish","type":"post","link":"https:\/\/ijssass.com\/journal\/connaissances-attitudes-et-pratiques-du-personnel-soignant-sur-la-toxoplasmose-congenitale-a-lubumbashi-cas-des-cliniques-universitaires-et-de-lhopital-general-provincial-jason-sendwe-2\/","title":{"rendered":"CONNAISSANCES, ATTITUDES ET PRATIQUES DU PERSONNEL SOIGNANT SUR LA TOXOPLASMOSE CONGENITALE \u00c0 LUBUMBASHI\u00a0: cas des Cliniques Universitaires et de l\u2019H\u00f4pital G\u00e9n\u00e9ral Provincial Jason Sendwe."},"content":{"rendered":"<p>This article was originally published as: <strong>CONNAISSANCES, ATTITUDES ET PRATIQUES DU PERSONNEL SOIGNANT SUR LA TOXOPLASMOSE CONGENITALE \u00c0 LUBUMBASHI\u00a0: cas des Cliniques Universitaires et de l\u2019H\u00f4pital G\u00e9n\u00e9ral Provincial Jason Sendwe.<\/strong><\/p>\n<p>Original Article Link: <a href='https:\/\/ijssass.com\/index.php\/ijssass\/article\/view\/362' target='_blank' rel='noopener'>Read Original Article<\/a><\/p>\n<p>Download PDF: <a href='https:\/\/ijssass.com\/index.php\/ijssass\/article\/view\/362\/491' target='_blank' rel='noopener'>Click Here to Download PDF<\/a><\/p>\n<h2>Abstract<\/h2>\n<p>La toxoplasmose cong\u00e9nitale est une forme particuli\u00e8re de la\u00a0toxoplasmose\u00a0contract\u00e9e par le futur enfant durant la grossesse de sa m\u00e8re\u00a0; soit au passage transplacentaire. Elle peut \u00eatre \u00e0 l\u2019origine de manifestations cliniques graves chez le f\u0153tus ou \u00e0 la naissance.<\/p>\n<p>La toxoplasmose cong\u00e9nitale constitue un probl\u00e8me de sant\u00e9 publique en R\u00e9publique D\u00e9mocratique du Congo (R.D.C) selon une \u00e9tude s\u00e9rologique men\u00e9e en 2014 \u00e0 Kinshasa montrant 80,3 % des femmes enceintes infest\u00e9es par le Toxoplasma gondii. Un cas d\u2019anasarque foeto-placentaire li\u00e9e \u00e0 la toxoplasmose maternelle a \u00e9t\u00e9 rapport\u00e9 en 2018 \u00e0 Lubumbashi. Un autre cas de toxoplasmose cong\u00e9nitale chez un nouveau-n\u00e9 ayant d\u00e9velopp\u00e9 l\u2019hydranenc\u00e9phalie a \u00e9t\u00e9 d\u00e9crit aux cliniques universitaires de Lubumbashi en 2024.<\/p>\n<p>Pour contribuer \u00e0 la connaissance et l\u2019am\u00e9lioration de la prise en charge de la toxoplasmose cong\u00e9nitale \u00e0 Lubumbashi, nous avons r\u00e9alis\u00e9 l\u2019\u00e9tude descriptive transversale \u00e0 vis\u00e9e analytique avec l\u2019\u00e9chantillonnage non exhaustif de convenance. C\u2019est ainsi qu\u2019une enqu\u00eate a \u00e9t\u00e9 faite sur les connaissances, attitudes et pratiques du personnel soignant en rapport avec\u00a0la toxoplasmose cong\u00e9nitale sur 152 personnel soignant\u00a0des Cliniques Universitaires et de l\u2019H\u00f4pital G\u00e9n\u00e9ral de r\u00e9f\u00e9rence Jason Sendwe pour compl\u00e9ter l\u2019observation de 12 cas suspets. Et sp\u00e9cifiquement, nous cherchons \u00e0 d\u00e9terminer le niveau de connaissance du personnel soignant sur la toxoplasmose cong\u00e9nitale, pr\u00e9senter les signes cliniques, proposer le protocole \u00a0de prise en charge et d\u00e9terminer l\u2019issue des nouveau-n\u00e9s .<\/p>\n<p>Le niveau de connaissance satisfaisante a \u00e9t\u00e9 identifi\u00e9 sur plusieurs points concernant la toxoplasmose cong\u00e9nitale et son traitement soit\u00a095,40% des r\u00e9pondants. Les infirmiers ont particip\u00e9 minoritairement avec 12,6% des r\u00e9pondants\u00a0; la majorit\u00e9 \u00e9tant les m\u00e9decins \u00e0 64,2%.La majorit\u00e9 des participants travaillaient aux Cliniques Universitaires de Lubumbashi soit 54,61% et le personnel soignant masculin \u00e9tait majoritaire dans la participation soit 57,89%. La plupart des participants connaissaient le toxoplasma gondii comme la cause de la toxoplasmose cong\u00e9nitale soit 93,52% avec la transmission verticale comme\u00a0voie de contamination soit 94,08%\u00a0et la majorit\u00e9 ont reconnu avoir appris la toxoplasmose cong\u00e9nitale\u00a0\u00e0 l\u2019universit\u00e9 soit 61,37%.<\/p>\n<p>Les attitudes identifi\u00e9es en rapport avec la pathologie \u00e9taient d\u2019un niveau acceptable car les r\u00e9pondants accordaient majoritairement leur confiance \u00e0 l\u2019information sur la toxoplasmose cong\u00e9nitale venant des m\u00e9decins et praticiens de la sant\u00e9 soit 96,71%. Et face \u00e0 la suspicion de toxoplasmose cong\u00e9nitale chez le nouveau-n\u00e9, la majorit\u00e9 choisissait de parler \u00e0 un personnel soignant soit 68,40%\u00a0; tout en prodiguant les mesures prophylactiques aux parents ( \u00e9viction du chat ) soit 72,36% .<\/p>\n<p>Les pratiques d\u00e9cel\u00e9es \u00e9taient d\u2019un niveau plus au moins bas car, moins de la moiti\u00e9 des r\u00e9pondants disaient avoir d\u00e9j\u00e0 pos\u00e9 l\u2019hypoth\u00e8se diagnostique de toxoplasmose cong\u00e9nitale dans l\u2019exercice de leur fonction sur base de la clinique et paraclinique pr\u00e9sent\u00e9es par les nouveau-n\u00e9s ou alors les gestantes\u00a0; soit 49,30% avec la commune Annexe comme grande pourvoyeuse des cas soit 51,25%. Les participants disaient avoir instaur\u00e9 le traitement soit 45,39% et plus de la moiti\u00e9 des patients \u00e9taient rest\u00e9s avec des s\u00e9quelles neurologiques soit 52,50%\u00a0.<\/p>\n<p>Le niveau de connaissance de la toxoplasmose cong\u00e9nitale n\u2019est pas significativement influenc\u00e9e par la profession soit p-valeur \u2248 0,24\u00a0. Autrement dit, la plupart des professionnels de sant\u00e9 ont une connaissance \u00e9quivalente du sujet, ind\u00e9pendamment de leur sp\u00e9cialit\u00e9.\u00a0De m\u00eame,\u00a0les attitudes de pr\u00e9vention de la toxoplasmose cong\u00e9nitale ne sont pas significativement influenc\u00e9es par la profession soit p \u2248 0,74\u00a0.\u00a0Cela sugg\u00e8re que les recommandations et pratiques pr\u00e9ventives sont relativement homog\u00e8nes parmi les professionnels de sant\u00e9.<\/p>\n<p>Le niveau de pratique de la prise en charge ne semble pas influencer significativement l\u2019issue des nouveau-n\u00e9s atteints de toxoplasmose cong\u00e9nitale soit p \u2248 0,88\u00a0. Malgr\u00e9 les diff\u00e9rentes m\u00e9thodes de prise en charge, les taux \u00e9lev\u00e9s de s\u00e9quelles et de d\u00e9c\u00e8s sugg\u00e8rent que les traitements utilis\u00e9s ne sont pas suffisants pour assurer une gu\u00e9rison compl\u00e8te.<\/p>\n<p>Ces r\u00e9sultats interpellent le personnel soignant face \u00e0 ses connaissances sur la toxoplasmose cong\u00e9nitale qui n\u2019influencent pas du tout ses attitudes et pratiques sur le devenir des patients. Cela implique qu\u2019une am\u00e9lioration du protocole de soins soit envisag\u00e9e pour optimiser les r\u00e9sultats cliniques.<\/p>\n<h2>Authors<\/h2>\n<ul>\n<li>Arthur Tshimuanga Kabuamba (D\u00e9partement de p\u00e9diatrie, Facult\u00e9 de M\u00e9decine de l\u2019Universit\u00e9 de Kananga, R\u00e9publique D\u00e9mocratique du Congo)<\/li>\n<li>Gaston Kabuamba Milembu (\u00c9cole de Sant\u00e9 Publique de l\u2019Universit\u00e9 de Lubumbashi, R\u00e9publique D\u00e9mocratique du Congo)<\/li>\n<li>Salomon Bidilukinu Mukendi (\u00c9cole de Sant\u00e9 Publique de l\u2019Universit\u00e9 de Lubumbashi, R\u00e9publique D\u00e9mocratique du Congo)<\/li>\n<li>C\u00e9lestin Kabuayi Kenketa (\u00c9cole de Sant\u00e9 Publique de l\u2019Universit\u00e9 de Lubumbashi, R\u00e9publique D\u00e9mocratique du Congo)<\/li>\n<li>Charles Matungulu (\u00c9cole de Sant\u00e9 Publique de l\u2019Universit\u00e9 de Lubumbashi, R\u00e9publique D\u00e9mocratique du Congo)<\/li>\n<li>Abel Ntambue Mukengeshayi (\u00c9cole de Sant\u00e9 Publique de l\u2019Universit\u00e9 de Lubumbashi, R\u00e9publique D\u00e9mocratique du Congo)<\/li>\n<\/ul>\n<h2>Keywords<\/h2>\n<p>connaissances, Attitudes, pratiques, toxoplasmose cong\u00e9nitale, Lubumbashi<\/p>\n<h2>References<\/h2>\n<ol>\n<li>1] Ahmed Maimouna, Soud Akanksha, Gupta Janesh, Toxoplasmosis pregnancy, DOI : 10.1016\/j.ejogrb.2020.10.003,PMID : 33075679, 2024, PubMed (en anglais) Google Scholar<\/li>\n<li>2] Barros Marrina, Teixeira Daniela, Vilanova Manuel, Correia Alexandra, Teixeira Matercia, Borges Margarida, Vaccines in congenital toxoplasmoxis : Advances and perspectives, DOI : 10.3389\/fimmu.2020.621997, PMID : 33658997, 2024, PubMed (en anglais) Google Scholar<\/li>\n<li>3] Archana S. 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(2018) 6 (3): 314-318.<\/li>\n<\/ol>\n","protected":false},"excerpt":{"rendered":"<p>This article was originally published as: CONNAISSANCES, ATTITUDES ET PRATIQUES DU PERSONNEL SOIGNANT SUR LA TOXOPLASMOSE CONGENITALE \u00c0 LUBUMBASHI\u00a0: cas&#8230;<\/p>\n","protected":false},"author":21,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[124,249],"tags":[717,1064,416,252,1065],"class_list":["post-4577","post","type-post","status-publish","format-standard","hentry","category-articles","category-education","tag-attitudes","tag-connaissances","tag-lubumbashi","tag-pratiques","tag-toxoplasmose-congenitale","wpcat-124-id","wpcat-249-id"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v25.8 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>CONNAISSANCES, ATTITUDES ET PRATIQUES DU PERSONNEL SOIGNANT SUR LA TOXOPLASMOSE CONGENITALE \u00c0 LUBUMBASHI\u00a0: cas des Cliniques Universitaires et de l\u2019H\u00f4pital G\u00e9n\u00e9ral Provincial Jason Sendwe. - 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