Purpose: The aim of the study was to investigate the profile of psychoactive substance users in Senegal from 2018 to 2022. Methodology: These were retrospective descriptive studies of patient consultation and hospital...Purpose: The aim of the study was to investigate the profile of psychoactive substance users in Senegal from 2018 to 2022. Methodology: These were retrospective descriptive studies of patient consultation and hospitalization records in the 17 psychiatric and addictology care centers in Senegal from 2018 to 2022. This was an exhaustive survey. All usable consultation and hospitalization registers were included in the study. Non-usable consultation and hospitalization registers were not included. Data were collected from January 1 to December 31 of each respective year. Data were cleaned using Excel before analysis. R software version 4.3.3 was used for analysis. Results: Between 2018 and 2022, 26,029 patients were registered in mental health facilities in Senegal. The Fann Psychiatry Department (CHNU Fann) admitted 23.2% of patients and the Thiaroye National Psychiatric Hospital registered 17.6% of drug users. For the year 2019, we found 8259 and in 2021, we had 6607 patients. The male gender was more represented with 14,750 patients, or 90.9%. The age group [25 - 34] was the majority (7013 patients or 39.5%). The majority of patients (17,425 patients, or 84.6%) were followed as outpatients. The drugs were mainly inhaled (96.7%). The most consumed substance was cannabis with 8847 patients, or 54.2%. Withdrawal was the main reason for treatment, 11,614 patients, or 85.7%. Conclusion: In the light of the results of our study, we can say that the use of psychoactive substances is a real public health and development problem in Senegal. The peaks in psychoactive substance consumption preceded the peaks in psychiatric care centers, so we need to promote information, education and communication on the harmful effects of psychoactive substance consumption among the population in general and young people in particular, in order to safeguard the country’s development.展开更多
Introduction: Music therapy is a practice for helping and supporting people with intellectual and relational difficulties. This study illustrated the benefits of music therapy for young people living with intellectual...Introduction: Music therapy is a practice for helping and supporting people with intellectual and relational difficulties. This study illustrated the benefits of music therapy for young people living with intellectual disabilities (YLID) in an African context. Methodology: This study investigated six young individuals with intellectual disabilities who had undergone three years of music therapy. They were participants in the inclusive non-academic training program at the National School of Arts in Dakar from 2017 to 2019. Data collection utilized individual interviews with the youths, evaluation grids from teachers and psychiatrists. Guardians provided informed consent along with the assent of the young participants. Results: The six young were aged between 18 and 30 years old, with an average age of 24.6 years. Four of the YLID were male. Three young people with intellectual disabilities had delayed psychomotor development. Observations revealed the beneficial influence of music therapy on the health and well-being of young individuals. Music played a role in alleviating stress and anxiety among youth with intellectual disabilities (YLID), enhancing their mood and mental health. It assisted in navigating challenging situations and heightened alertness among YLID. Additionally, music therapy contributed to improvements in dyslexia, fine and gross motor skills, and memory development among intellectually disabled youth, ultimately facilitating their integration into society. Conclusion: In light of our results, music therapy makes a major contribution to the empowerment of YLID. Engaging in musical activities helps young people connect with others through instrumental expression and a sense of accomplishment. By facilitating music therapy, it becomes possible to combat discrimination and stigmatization, thus promoting the social inclusion of intellectually disabled youth. Therefore, it is important to promote music therapy in Senegal to meet the needs of YLID.展开更多
This work investigates the influence of the type sludge on drainage, plant development, purification performances and biosolids quality. Drainage properties were measured through the frequency of clogging, the percent...This work investigates the influence of the type sludge on drainage, plant development, purification performances and biosolids quality. Drainage properties were measured through the frequency of clogging, the percentage of leachate recovered and the dryness of accumulated sludge. Plant development was measured through the density, the height and the stem diameter. Purification performance was evaluated from the reduction rate. Biosolids quality was measured after 3 months of maturation. The results show that the clogging frequencies were 9.5%;0% and 3.7%;the volume of leachate recovered was 42.2%;20.4% and 24.7% and, the dryness was 33.4%;61.1% and 52.4% for FS-ST, FS-STT and SS respectively. Plants densities were about, with densities 197.1, 171.3 and 178.3 plants/m2 in beds fed respectively with FS-ST, FS-STT and SS. Despite the high removal rates, the concentrations of pollutants in the leachates are above the Senegalese standard NS 05-061 for discharge into the environment. The biosolids are all mature with C/N and NH4+/NO3?ratios lower than 12 and 1 respectively. The biosolids are also rich in organic and mineral elements. The concentrations of Ascaris eggs are higher than the WHO recommendations. These biosolids should be stored for additional time or composted.展开更多
The Faleme River, a West Africa long transboundary stream (625 km) and abundant flow (>1100 million m<sup>3</sup>) is affected by severe erosion because of mining activities that takes place throughout ...The Faleme River, a West Africa long transboundary stream (625 km) and abundant flow (>1100 million m<sup>3</sup>) is affected by severe erosion because of mining activities that takes place throughout the riverbed. To preserve this important watercourse and ensure the sustainability of its services, selecting and implementing appropriates restorations techniques is vital. In this context, the purpose of this paper was to present an overview of the actions and techniques that can be implemented for the restoration/rehabilitation of the Faleme. The methodological approach includes field investigation, water sampling, literature review with cases studies and SWOT analysis of the four methods presented: river dredging, constructed wetlands, floating treatment wetlands and chemical precipitation (coagulation and flocculation). The study confirmed the pollution of the river by suspended solids (TSS > 1100 mg/L) and heavy metals such as iron, zinc, aluminium, and arsenic. For the restoration methods, it was illustrated through description of their mode of operation and through some case studies presented, that all the four methods have proven their effectiveness in treating rivers but have differences in their costs, their sustainability (detrimental to living organisms or causing a second pollution) and social acceptance. They also have weaknesses and issues that must be addressed to ensure success of rehabilitation. For the case of the Faleme river, after analysis, floating treatment wetlands are highly recommended for their low cost, good removal efficiency if the vulnerability of the raft and buoyancy to strong waves and flow is under control.展开更多
Introduction: Life expectancy improvement for people living with Human Immunodeficiency Virus (HIV) is coming up against the problems associated with aging and chronic diseases. Frailty is a concern affecting a growin...Introduction: Life expectancy improvement for people living with Human Immunodeficiency Virus (HIV) is coming up against the problems associated with aging and chronic diseases. Frailty is a concern affecting a growing number of patients, particularly the elderly in this population. Our study aimed to determine the prevalence of frailty and its predictors on people living with HIV aged 50 years and older followed at the Outpatient Treatment Clinic (CTA) in Dakar. Methodology: We conducted a cross-sectional study of descriptive and analytic purposes ranging from November 2022 to August 2023, in CTA, Dakar (Senegal). We included people living with HIV aged 50 years and older under antiretroviral therapy for at least 6 months (≥6 months). Frailty was considered according to Fried criteria with a score ≥3. To identify the predictors of frailty, we performed a multivariate logistic regression analysis using STATA software version 18. Results: We included 199 patients. The median age at the moment of the study was 58 years old [50 - 91] with a sex ratio (M/F) of 0.58. The most representative age group was that of [50 - 59] years (59.3%). HIV-1 profile was most common in 89.45%. The median duration under antiretroviral therapy was 180 months [6 - 284] and 94% of patients received a Tenofovir Disoproxil Fumarate (TDF)-containing regimen with 43% of them for at least 10 years. Viral load was undetectable (≤40 copies/ml) in 98% of cases. WHO Stage III was more common at inclusion and 55.78% had nadir TCD4+ Lymphocyte counts Conclusion: Our study confirms the high prevalence of frailty among older people living with HIV. Its prevention should consider the management of comorbidities and the implementation of non-pharmacological interventions such as nutrition.展开更多
Objectives: To assess the socio-professional determinants of burnout among the medical staff of Dakar University Hospitals. The aim was to propose effective means of prevention. Material and Methods: This was a cross-...Objectives: To assess the socio-professional determinants of burnout among the medical staff of Dakar University Hospitals. The aim was to propose effective means of prevention. Material and Methods: This was a cross-sectional, descriptive, and analytical study of physicians in permanent contact with patients at the Fann and Aristide Le Dantec teaching hospitals in Dakar, Senegal. Results: A total of 159 doctors were included in the study, with a sex ratio (M/F) of 1.3 in favor of men. The prevalence of burnout was 91.8%. Burnout was significantly associated (p Conclusion: Burnout is a threat to doctors at university hospitals in Senegal. It has several determinants linked above all to work organization. It is essential to set up psychological support units in hospitals and integrate occupational medicine into various organizational processes.展开更多
Water is the most essential requirement for life. It provides a variety of purposes such as a source of water supply for drinking, domestic and industrial use, irrigated agriculture, livestock, and mining activities. ...Water is the most essential requirement for life. It provides a variety of purposes such as a source of water supply for drinking, domestic and industrial use, irrigated agriculture, livestock, and mining activities. Evaluating the status of water quality from traditional approaches does not guarantee the whole overview of the water quality situation. Therefore, developing a tool that can convert multiple parameters data into information that is understandable by both technical and non-technical personnel is vital. In this context, the purpose of this paper was to develop, calculate, and apply a water quality index for assessing the suitability (for drinking purposes) of groundwater in the gold mining areas in south-eastern Senegal. The development of this index based on WHO water quality guidelines followed the five standards steps i.e., parameters selection, sub-index formation, parameters weighting and sub-index aggregation and evaluation. Finally, the WQI summarized twelve key water quality parameters into 05 simple terms (excellent, good, medium, poor, and very poor) which is more relevant for reporting to managers and the public in a consistent manner. Thus, it was observed in the study area, that the water quality indexes in artisanal and industrial mining areas are either poor or very poor while in the reference stations (where there are no mining activities) WQI are either good or excellent. This situation was attributed to the effects of mining activities in such zones which contribute to the pollution of groundwater with heavy metals, nitrates, and suspended solids.展开更多
Invasive fungal infections are a major challenging problem in the management of febrile neutropenia (FN) in patients with hematologic malignancies. Liposomal amphotericin B (L-AmB) or micafungin (MCFG) has been widely...Invasive fungal infections are a major challenging problem in the management of febrile neutropenia (FN) in patients with hematologic malignancies. Liposomal amphotericin B (L-AmB) or micafungin (MCFG) has been widely used as a first-line empirical antifungal therapy for suspected fungal infection in such patients. However, there are several issues in patients receiving these agents: drug related toxicities for L-AmB and breakthrough fungal infections for MCFG. In order to make the best use of these 2 agents, we conducted a prospective study of sequential therapy from MCFG to L-AmB, and evaluated the efficacy and safety of this strategy in FN patients with hematologic malignancies. A total of 18 patients were enrolled, and 11 patients who fulfilled the protocol defined criteria were evaluated. Underlying diseases consisted of acute leukemia (n = 9), non-Hodgkin lymphoma (n = 1), and myelodysplastic syndrome (n = 1). Treatment success was achieved in 8 patients (72.7%). Drug-related adverse events occurred in 8 patients (72.7%). All of those adverse events except one case were below grade 2. Three patients required discontinuation of L-AmB. Although our empirical antifungal sequential therapy seems to be encouraging for antibiotics-refractory FN in patients with hematologic malignancies, further investigation in large-scale studies is warranted.展开更多
<strong>Introduction:</strong><span style="font-family:""><span style="font-family:Verdana;"> HIV infection in children is a major public health problem. The objective ...<strong>Introduction:</strong><span style="font-family:""><span style="font-family:Verdana;"> HIV infection in children is a major public health problem. The objective of this study carried out in the paediatric department of the Centre Hospitalier Roi Baudouin de Guédiawaye, was to evaluate the epidemiological, clinical, therapeutic and evolutionary aspects of a cohort of children with HIV over a 15-year period and to determine the factors associated with discontinuation of treatment and transition to second-line treatment. </span><b><span style="font-family:Verdana;">Patients and Methods: </span></b><span style="font-family:Verdana;">This was a descriptive and analytical cross-sectional study from August 2004 to December 2019 at the Centre Hospitalier Roi Baudouin de Guédiawaye. Through this study, age at diagnosis, current age, gender, orphan status, therapeutic aspects, status announcement and evolution were evaluated. A total of 129 patient records were studied over a 15-year period (2004-2019). HIV-positive children with profile I represented 93.8% and there was a male predominance with a sex ratio of 1.43. The current mean age of the children was 12.2 ± 4.5 and the median was 14 years. Fatherless and motherless children represented 24.0% and 20.2%, respectively, while both fatherless and motherless children represented 11.6%. The mean age at the start of ARV treatment was 7.6 ± 4.3 years and the median was 7.5 years. The mean age at the start of second-line treatment was 13.7 years with a standard deviation of 2.6 while the median was 13 years. AZT + 3TC + NVP was the most commonly used combination (29.5%) followed by TDF + FTC + NVP (26.2%). The mean age at treatment discontinuation was 13.3 ± 4.3 years while the median was 15 years. More than half of the children (57.0%) (N = 69) were aware of their status. Factors associated with discontinuation were gender (p value = 0.025 and OR = 3.2), orphan status (p value = 0.027 and OR = 3.0) and follow-up time greater than 10 years (p value = 0.013 and OR = 5.6). The mortality rate was 3.9%. Factors associated with transition to second-line treatment were year of inclusion (p value = 0.001 and OR = 15.6), age group (p value = 0.001 and OR = 19.2), orphan status (p value = 0.040 and OR = 2.6), treatment regimen (p value = 0.019 and OR = 5.7), duration of ARV treatment (p value < 0.001 and OR = 38.0) and announcement (p value = 0.002 and OR = 4.7). </span><b><span style="font-family:Verdana;">Conclusion </span></b><span style="font-family:Verdana;">The cohort of HIV-infected children followed up in Guédiawaye remains dominated by adolescents. Orphan status, announcement of status and duration of follow-up are associated with transition to second-line treatment and treatment discontinuation.</span></span>展开更多
文摘Purpose: The aim of the study was to investigate the profile of psychoactive substance users in Senegal from 2018 to 2022. Methodology: These were retrospective descriptive studies of patient consultation and hospitalization records in the 17 psychiatric and addictology care centers in Senegal from 2018 to 2022. This was an exhaustive survey. All usable consultation and hospitalization registers were included in the study. Non-usable consultation and hospitalization registers were not included. Data were collected from January 1 to December 31 of each respective year. Data were cleaned using Excel before analysis. R software version 4.3.3 was used for analysis. Results: Between 2018 and 2022, 26,029 patients were registered in mental health facilities in Senegal. The Fann Psychiatry Department (CHNU Fann) admitted 23.2% of patients and the Thiaroye National Psychiatric Hospital registered 17.6% of drug users. For the year 2019, we found 8259 and in 2021, we had 6607 patients. The male gender was more represented with 14,750 patients, or 90.9%. The age group [25 - 34] was the majority (7013 patients or 39.5%). The majority of patients (17,425 patients, or 84.6%) were followed as outpatients. The drugs were mainly inhaled (96.7%). The most consumed substance was cannabis with 8847 patients, or 54.2%. Withdrawal was the main reason for treatment, 11,614 patients, or 85.7%. Conclusion: In the light of the results of our study, we can say that the use of psychoactive substances is a real public health and development problem in Senegal. The peaks in psychoactive substance consumption preceded the peaks in psychiatric care centers, so we need to promote information, education and communication on the harmful effects of psychoactive substance consumption among the population in general and young people in particular, in order to safeguard the country’s development.
文摘Introduction: Music therapy is a practice for helping and supporting people with intellectual and relational difficulties. This study illustrated the benefits of music therapy for young people living with intellectual disabilities (YLID) in an African context. Methodology: This study investigated six young individuals with intellectual disabilities who had undergone three years of music therapy. They were participants in the inclusive non-academic training program at the National School of Arts in Dakar from 2017 to 2019. Data collection utilized individual interviews with the youths, evaluation grids from teachers and psychiatrists. Guardians provided informed consent along with the assent of the young participants. Results: The six young were aged between 18 and 30 years old, with an average age of 24.6 years. Four of the YLID were male. Three young people with intellectual disabilities had delayed psychomotor development. Observations revealed the beneficial influence of music therapy on the health and well-being of young individuals. Music played a role in alleviating stress and anxiety among youth with intellectual disabilities (YLID), enhancing their mood and mental health. It assisted in navigating challenging situations and heightened alertness among YLID. Additionally, music therapy contributed to improvements in dyslexia, fine and gross motor skills, and memory development among intellectually disabled youth, ultimately facilitating their integration into society. Conclusion: In light of our results, music therapy makes a major contribution to the empowerment of YLID. Engaging in musical activities helps young people connect with others through instrumental expression and a sense of accomplishment. By facilitating music therapy, it becomes possible to combat discrimination and stigmatization, thus promoting the social inclusion of intellectually disabled youth. Therefore, it is important to promote music therapy in Senegal to meet the needs of YLID.
文摘This work investigates the influence of the type sludge on drainage, plant development, purification performances and biosolids quality. Drainage properties were measured through the frequency of clogging, the percentage of leachate recovered and the dryness of accumulated sludge. Plant development was measured through the density, the height and the stem diameter. Purification performance was evaluated from the reduction rate. Biosolids quality was measured after 3 months of maturation. The results show that the clogging frequencies were 9.5%;0% and 3.7%;the volume of leachate recovered was 42.2%;20.4% and 24.7% and, the dryness was 33.4%;61.1% and 52.4% for FS-ST, FS-STT and SS respectively. Plants densities were about, with densities 197.1, 171.3 and 178.3 plants/m2 in beds fed respectively with FS-ST, FS-STT and SS. Despite the high removal rates, the concentrations of pollutants in the leachates are above the Senegalese standard NS 05-061 for discharge into the environment. The biosolids are all mature with C/N and NH4+/NO3?ratios lower than 12 and 1 respectively. The biosolids are also rich in organic and mineral elements. The concentrations of Ascaris eggs are higher than the WHO recommendations. These biosolids should be stored for additional time or composted.
文摘The Faleme River, a West Africa long transboundary stream (625 km) and abundant flow (>1100 million m<sup>3</sup>) is affected by severe erosion because of mining activities that takes place throughout the riverbed. To preserve this important watercourse and ensure the sustainability of its services, selecting and implementing appropriates restorations techniques is vital. In this context, the purpose of this paper was to present an overview of the actions and techniques that can be implemented for the restoration/rehabilitation of the Faleme. The methodological approach includes field investigation, water sampling, literature review with cases studies and SWOT analysis of the four methods presented: river dredging, constructed wetlands, floating treatment wetlands and chemical precipitation (coagulation and flocculation). The study confirmed the pollution of the river by suspended solids (TSS > 1100 mg/L) and heavy metals such as iron, zinc, aluminium, and arsenic. For the restoration methods, it was illustrated through description of their mode of operation and through some case studies presented, that all the four methods have proven their effectiveness in treating rivers but have differences in their costs, their sustainability (detrimental to living organisms or causing a second pollution) and social acceptance. They also have weaknesses and issues that must be addressed to ensure success of rehabilitation. For the case of the Faleme river, after analysis, floating treatment wetlands are highly recommended for their low cost, good removal efficiency if the vulnerability of the raft and buoyancy to strong waves and flow is under control.
文摘Introduction: Life expectancy improvement for people living with Human Immunodeficiency Virus (HIV) is coming up against the problems associated with aging and chronic diseases. Frailty is a concern affecting a growing number of patients, particularly the elderly in this population. Our study aimed to determine the prevalence of frailty and its predictors on people living with HIV aged 50 years and older followed at the Outpatient Treatment Clinic (CTA) in Dakar. Methodology: We conducted a cross-sectional study of descriptive and analytic purposes ranging from November 2022 to August 2023, in CTA, Dakar (Senegal). We included people living with HIV aged 50 years and older under antiretroviral therapy for at least 6 months (≥6 months). Frailty was considered according to Fried criteria with a score ≥3. To identify the predictors of frailty, we performed a multivariate logistic regression analysis using STATA software version 18. Results: We included 199 patients. The median age at the moment of the study was 58 years old [50 - 91] with a sex ratio (M/F) of 0.58. The most representative age group was that of [50 - 59] years (59.3%). HIV-1 profile was most common in 89.45%. The median duration under antiretroviral therapy was 180 months [6 - 284] and 94% of patients received a Tenofovir Disoproxil Fumarate (TDF)-containing regimen with 43% of them for at least 10 years. Viral load was undetectable (≤40 copies/ml) in 98% of cases. WHO Stage III was more common at inclusion and 55.78% had nadir TCD4+ Lymphocyte counts Conclusion: Our study confirms the high prevalence of frailty among older people living with HIV. Its prevention should consider the management of comorbidities and the implementation of non-pharmacological interventions such as nutrition.
文摘Objectives: To assess the socio-professional determinants of burnout among the medical staff of Dakar University Hospitals. The aim was to propose effective means of prevention. Material and Methods: This was a cross-sectional, descriptive, and analytical study of physicians in permanent contact with patients at the Fann and Aristide Le Dantec teaching hospitals in Dakar, Senegal. Results: A total of 159 doctors were included in the study, with a sex ratio (M/F) of 1.3 in favor of men. The prevalence of burnout was 91.8%. Burnout was significantly associated (p Conclusion: Burnout is a threat to doctors at university hospitals in Senegal. It has several determinants linked above all to work organization. It is essential to set up psychological support units in hospitals and integrate occupational medicine into various organizational processes.
文摘Water is the most essential requirement for life. It provides a variety of purposes such as a source of water supply for drinking, domestic and industrial use, irrigated agriculture, livestock, and mining activities. Evaluating the status of water quality from traditional approaches does not guarantee the whole overview of the water quality situation. Therefore, developing a tool that can convert multiple parameters data into information that is understandable by both technical and non-technical personnel is vital. In this context, the purpose of this paper was to develop, calculate, and apply a water quality index for assessing the suitability (for drinking purposes) of groundwater in the gold mining areas in south-eastern Senegal. The development of this index based on WHO water quality guidelines followed the five standards steps i.e., parameters selection, sub-index formation, parameters weighting and sub-index aggregation and evaluation. Finally, the WQI summarized twelve key water quality parameters into 05 simple terms (excellent, good, medium, poor, and very poor) which is more relevant for reporting to managers and the public in a consistent manner. Thus, it was observed in the study area, that the water quality indexes in artisanal and industrial mining areas are either poor or very poor while in the reference stations (where there are no mining activities) WQI are either good or excellent. This situation was attributed to the effects of mining activities in such zones which contribute to the pollution of groundwater with heavy metals, nitrates, and suspended solids.
文摘Invasive fungal infections are a major challenging problem in the management of febrile neutropenia (FN) in patients with hematologic malignancies. Liposomal amphotericin B (L-AmB) or micafungin (MCFG) has been widely used as a first-line empirical antifungal therapy for suspected fungal infection in such patients. However, there are several issues in patients receiving these agents: drug related toxicities for L-AmB and breakthrough fungal infections for MCFG. In order to make the best use of these 2 agents, we conducted a prospective study of sequential therapy from MCFG to L-AmB, and evaluated the efficacy and safety of this strategy in FN patients with hematologic malignancies. A total of 18 patients were enrolled, and 11 patients who fulfilled the protocol defined criteria were evaluated. Underlying diseases consisted of acute leukemia (n = 9), non-Hodgkin lymphoma (n = 1), and myelodysplastic syndrome (n = 1). Treatment success was achieved in 8 patients (72.7%). Drug-related adverse events occurred in 8 patients (72.7%). All of those adverse events except one case were below grade 2. Three patients required discontinuation of L-AmB. Although our empirical antifungal sequential therapy seems to be encouraging for antibiotics-refractory FN in patients with hematologic malignancies, further investigation in large-scale studies is warranted.
文摘<strong>Introduction:</strong><span style="font-family:""><span style="font-family:Verdana;"> HIV infection in children is a major public health problem. The objective of this study carried out in the paediatric department of the Centre Hospitalier Roi Baudouin de Guédiawaye, was to evaluate the epidemiological, clinical, therapeutic and evolutionary aspects of a cohort of children with HIV over a 15-year period and to determine the factors associated with discontinuation of treatment and transition to second-line treatment. </span><b><span style="font-family:Verdana;">Patients and Methods: </span></b><span style="font-family:Verdana;">This was a descriptive and analytical cross-sectional study from August 2004 to December 2019 at the Centre Hospitalier Roi Baudouin de Guédiawaye. Through this study, age at diagnosis, current age, gender, orphan status, therapeutic aspects, status announcement and evolution were evaluated. A total of 129 patient records were studied over a 15-year period (2004-2019). HIV-positive children with profile I represented 93.8% and there was a male predominance with a sex ratio of 1.43. The current mean age of the children was 12.2 ± 4.5 and the median was 14 years. Fatherless and motherless children represented 24.0% and 20.2%, respectively, while both fatherless and motherless children represented 11.6%. The mean age at the start of ARV treatment was 7.6 ± 4.3 years and the median was 7.5 years. The mean age at the start of second-line treatment was 13.7 years with a standard deviation of 2.6 while the median was 13 years. AZT + 3TC + NVP was the most commonly used combination (29.5%) followed by TDF + FTC + NVP (26.2%). The mean age at treatment discontinuation was 13.3 ± 4.3 years while the median was 15 years. More than half of the children (57.0%) (N = 69) were aware of their status. Factors associated with discontinuation were gender (p value = 0.025 and OR = 3.2), orphan status (p value = 0.027 and OR = 3.0) and follow-up time greater than 10 years (p value = 0.013 and OR = 5.6). The mortality rate was 3.9%. Factors associated with transition to second-line treatment were year of inclusion (p value = 0.001 and OR = 15.6), age group (p value = 0.001 and OR = 19.2), orphan status (p value = 0.040 and OR = 2.6), treatment regimen (p value = 0.019 and OR = 5.7), duration of ARV treatment (p value < 0.001 and OR = 38.0) and announcement (p value = 0.002 and OR = 4.7). </span><b><span style="font-family:Verdana;">Conclusion </span></b><span style="font-family:Verdana;">The cohort of HIV-infected children followed up in Guédiawaye remains dominated by adolescents. Orphan status, announcement of status and duration of follow-up are associated with transition to second-line treatment and treatment discontinuation.</span></span>
