PriMera Scientific Medicine and Public Health (ISSN: 2833-5627)

Research Article

Volume 4 Issue 6

The Management of a Pandemic within a Moroccan Pediatric Oncology and Hematology Department the Example of Coronavirus Disease 2019

O Assem*, N Soraa and JEL Houdzi

May 29, 2024


Introduction: The Coronavirus Disease 2019 (COVID-19) pandemic has caused a complete upheaval of healthcare systems across the world. As children with cancer are considered to be at greater risk, the organization of oncological care had to be adapted.

Objective: We report our strategy in the face of the Delta wave of COVID-19 within our establishment, describing the measures put in place to limit its transmission while ensuring the continuation of anti-cancer treatments. We also present the main epidemiological, clinical and para-clinical characteristics as well as the outcome of our patients.

Materials and methods: This is a prospective study descriptive spread over three months from August 1, 2021 to October 31, 2021, concerning all children with cancer and diagnosed positive for SARS-CoV-2 infection, hospitalized or followed in the day hospital of the pediatric hemato-oncology department of the Hospital Center University of Marrakech. We collected 15 patients.

Results: The average age of our patients was 6 and 6 years. The underlying cancer was acute lymphoblastic leukemia in 5 cases (33.3%), neuroblastoma in 4 cases (26.7%), osteosarcoma and lymphoma in 2 patients (13.3%). Patients were symptomatic in 68.75% of cases. The main clinical signs were fever in 67% of cases, cough and rhinorrhea in 34%. The inflammatory syndrome was present in two thirds of cases, there was lymphopenia in 38.46%, and anemia in half of the cases. Severe forms represented 6.6% of cases. All of our patients benefited from geographic isolation with application of hygienic rules. Azithromycin was used in all our patients for 5 days. The Chemotherapy was postponed with a delay of 1 week in patients with cytopenia (53.3 The evolution was favorable in 14 children and we noted the death of a single case presenting post-chemotherapy aplasia.

Conclusion: Children with cancer are more vulnerable to pandemic infectious diseases. Therefore, we must take all preventive measures to ensure adequate care.

Keywords: Child; Cancer; Chemotherapy; COVID-19; PCR; Prevention


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