Connaissances, Attitudes et Pratiques des Parents sur la Dermite des Langes dans le Service de Dermato-Vénérologie du Centre National d'Appui à la Lutte Contre la Maladie (Ex Institut Marchoux)

RESUMEObjectif. Le but de ce travail etait de decrire les connaissances, attitudes et pratiques des parents face a la dermite des langes dans le service de dermatologie venerologie du Centre National d'Appui a la Lutte Contre la Maladie (CNAM) de Bamako. Patients et methodes. Etude transversale descriptive portant sur tous les malades consultant au service de dermatologie venerologie du CNAM pour dermite des langes sur un an. Les connaissances, attitudes et pratiques des meres ont ete evaluees par questionnaire et observation. Un traitement base sur les diagnostics cliniques a ete applique. Les patients ont ete revus  chaque 10 jours pendant 4 semaines. Resultats. Parmi les 108 enfants malades, 61 etaient de sexe masculin (sex- ratio de 1,3). L’âge moyen etait de 5,42 mois [1-17 mois] et 72 ,2 % des malades avaient moins de 6 mois. 12 % des meres pensaient que la dermite des langes est provoquee par les ports de couches. 33,34 % des meres pensaient que l‘application de (poudre+ creme) pouvait favoriser la dermite. Seulement 8,33 % des meres pensaient que la dermite des langes est contagieuse Les couches en coton etaient plus responsables de la dermite des langes (77,8 %). Les dermites en culotte etaient les plus frequentes (57,4 %). Notre traitement a ete efficace dans 91,7 % des cas. Conclusion. Dans notre etude la dermite des langes represente l’affection dermatologique la plus frequente chez le nourrisson. La connaissance et le role des parents permettent de reduire cette frequence. ABSTRACTAim. To describe the knowledge, attitudes and practices (KAP) of parents in the face of nappy dermatitis in the dermatology and venereology department of the CNAM of Bamako. Patients and methods. This was a descriptive cross-sectional study of all patients consulting the dermatology and venereology department of the CNAM for nappy rash over a period of one year. Knowledge, attitudes and practices (KAP) of parent were evaluated with a questioner and observation. A treatment based on clinical diagnosis was prescribed. Patients were evaluated every 10 days for 4 weeks. Results. Out of 108 patients, 61 were male (sex ratio: 1.3). The mean age was 5.42 months [1 - 17 months] and 72.2% of children were aged 6 months or less. 12% of the mothers thought that nappy dermatitis was caused by wearing nappies. Mothers thought that the application of (powder+ cream) could cause nappy rash (33.34%). Only 8.33% of mothers thought that nappy rash was contagious. Cotton nappies were most responsible for nappy dermatitis at 77.8%. Diaper dermatitis was most common (57.4%). Our treatment was effective in 91.7% of cases. Conclusion. In our study, nappy rash is the most common dermatological condition in infants. The knowledge and the role of the parents may reduce this frequency.