{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,9]],"date-time":"2026-10-09T17:40:03Z","timestamp":1791567603866,"version":"4.3.4"},"reference-count":21,"publisher":"CAIRN","issue":"1","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2004,3,1]]},"abstract":"<jats:p>R\u00e9sum\u00e9 L\u2019an\u00e9mie gravidique constitue un probl\u00e8me fr\u00e9quent de sant\u00e9 publique dans les pays en d\u00e9veloppement. Sa d\u00e9tection est surtout bas\u00e9e sur l\u2019observation de la p\u00e2leur des conjonctives palp\u00e9brales dont la performance est peu connue en Afrique. Le pr\u00e9sent travail vise \u00e0 d\u00e9terminer la valeur des indicateurs de cette performance pour l\u2019an\u00e9mie s\u00e9v\u00e8re et mod\u00e9r\u00e9e dans une maternit\u00e9 rurale au B\u00e9nin. \u00c0 cet effet, 480 femmes enceintes ont \u00e9t\u00e9 recrut\u00e9es al\u00e9atoirement lors des visites pr\u00e9natales et apr\u00e8s observation des conjonctives et autres t\u00e9guments par deux observateurs ind\u00e9pendants. Il ressort de l\u2019analyse des donn\u00e9es que 67,4 % des femmes sont biologiquement an\u00e9mi\u00e9es (Hb &lt; 11.0 g\/dl) alors que seules 49 % d\u2019entre elles le sont cliniquement. La sensibilit\u00e9 de cette m\u00e9thode d\u2019observation de la p\u00e2leur des conjonctives est de 87,5% pour l\u2019an\u00e9mie s\u00e9v\u00e8re et de 74 % pour l\u2019an\u00e9mie mod\u00e9r\u00e9e. Sa valeur pr\u00e9dictive positive de 62,5% pour l\u2019an\u00e9mie mod\u00e9r\u00e9e, est tr\u00e8s faible (3 %) pour l\u2019an\u00e9mie l\u00e9g\u00e8re. L\u2019exactitude de cette m\u00e9thode clinique varie de 51 \u00e0 71 % alors que la vraisemblance va de 1,8 \u00e0 2,3. Sa reproductibilit\u00e9 appara\u00eet \u00e9galement faible k = 0,34 (p = 0,00). Les auteurs ont sugg\u00e9r\u00e9, pour des raisons pratiques, le renforcement de l\u2019apprentissage de la m\u00e9thode au personnel de soins et aux \u00e9tudiants en formation en vue de l\u2019am\u00e9lioration de son utilisation plus efficace dans les maternit\u00e9s rurales d\u00e9pourvues de laboratoire.<\/jats:p>","DOI":"10.3917\/spub.041.0123","type":"journal-article","created":{"date-parts":[[2009,4,10]],"date-time":"2009-04-10T15:48:01Z","timestamp":1239378481000},"page":"123-132","source":"Crossref","is-referenced-by-count":5,"title":["Valeur diagnostique de la p\u00e2leur des t\u00e9guments dans l'an\u00e9mie chez les femmes enceintes au B\u00e9nin"],"prefix":"10.3917","volume":"Vol. 16","author":[{"given":"L.","family":"Fourn","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"L.","family":"Salami","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"2273","reference":[{"key":"rb1","unstructured":"1Akpovi J, Aguessy AB, Assah H, Ad\u00e9gbini R, Alihonou E. 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Bull WHO 1997 ; 75 (Suppl. 1) : 97-102."}],"container-title":["Sant\u00e9 Publique"],"original-title":[],"deposited":{"date-parts":[[2023,12,15]],"date-time":"2023-12-15T13:23:30Z","timestamp":1702646610000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cairn.info\/revue-sante-publique-2004-1-page-123.htm?ref=doi"}},"subtitle":[""],"short-title":[],"issued":{"date-parts":[[2004,3,1]]},"references-count":21,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2004,3,1]]}},"URL":"https:\/\/doi.org\/10.3917\/spub.041.0123","relation":{},"ISSN":["0995-3914"],"issn-type":[{"value":"0995-3914","type":"print"}],"subject":[],"published":{"date-parts":[[2004,3,1]]}}}