3 research outputs found
Le syndrome des ovaires micropolykystiques chez les femmes infertiles à Cotonou :Résultats de la prise en charge de 74 cas
- Publication venue
- 'Ashdin Publishing'
- Publication date
- 08/10/2012
- Field of study
Le but de l’étude est de déterminer les éléments du diagnostic du syndrome des ovaires micropolykystiques chez les femmes infertiles à Cotonou, analyser les modalités du traitement et établir le pronostic. C’est une étude prospective, longitudinale à but descriptif et analytique sur une période de 12 mois, du 1er janvier 2010 au 31 décembre 2010. Elle a porté sur des femmes suivies pour infertilité et répondant aux critères PCOS (polycystic ovary syndrome). Les principaux signes cliniques étaient la spanioménorrhée 61 sur 74, l’hirsutisme et l’acné dans les mêmes proportions 35 sur 74. Les critères échographiques ont été retrouvés chez toutes les patientes. Le taux de testostérone était élevé chez 55 sur 60. Les mesures hygiéno-diététiques n’ont pas été observées par toutes les patientes. La metformine a été utilisée chez 50 sur 74. Aucune patiente n’a bénéficié du « drilling » ovarien. Le cycle menstruel a été régularisé dans 34 cas, 15 grossesse ont été enregistrées
Surgical site infection after gastrointestinal surgery in high-income, middle-income, and low-income countries: a prospective, international, multicentre cohort study
- Author
- Aahlin EK
- Aamer A
- Aaniana K
- Ababneh A
- Abaliksta T
- Abantanga F
- Abbas A
- Abbasy J
- Abbo O
- Abbott T
- Abbouch M
- Abd El-Sameea A
- Abd Elkhalek E
- Abd Elmoen Elhusseiny A
- Abd-Elmawla M
- Abd-Elrazek A
- Abdallah E
- Abdalmageed Kasem E
- Abdel Gawad Shakshouk H
- Abdel Sabour F
- Abdel-Aty A
- Abdel-Hameed N
- Abdelaal A
- Abdelaty M
- Abdelaty Mohamed M
- Abdelazim G
- Abdelaziz MA
- Abdelbadeai K
- Abdelfatah A
- Abdelfatah Ibraheem A
- Abdelhady S
- Abdelhamed R
- Abdelhamid A
- Abdelhaq A
- Abdelkader M
- Abdelkader O
- Abdelkhalek M
- Abdellatif Elsherif F
- Abdelmageed E
- Abdelmotaleb I
- Abdelraouf AM
- Abdelshakour M
- Abdul Aziz Amin H
- Abdul Aziz DN
- Abdul Bassit K
- Abdul-Latif S
- Abdulaziz H
- Abdulaziz M
- Abdulbagi O
- Abdullah N
- Abdullah Soliman N
- Abdullahi L
- Abdurrazzaaq A
- Abem OE
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- Aboelsoud MR
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- Yoganathan P
- Yolcu S
- Yong GL
- Younis A
- Youssef M
- Yuksek MA
- Yusuf Shawky M
- Yusufali T
- Zaa'treh R
- Zadoroznas A
- Zahran D
- Zakaria E
- Zakaria M
- Zakaria Y
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- Zuber M
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- Zumbühl L
- Çakaloğlu HC
- Žilinskas J
- Žilinskienė R
- Žiubrytė G
- Publication venue
- 'Elsevier BV'
- Publication date
- 01/01/2018
- Field of study
Background: Surgical site infection (SSI) is one of the most common infections associated with health care, but its importance as a global health priority is not fully understood. We quantified the burden of SSI after gastrointestinal surgery in countries in all parts of the world. Methods: This international, prospective, multicentre cohort study included consecutive patients undergoing elective or emergency gastrointestinal resection within 2-week time periods at any health-care facility in any country. Countries with participating centres were stratified into high-income, middle-income, and low-income groups according to the UN's Human Development Index (HDI). Data variables from the GlobalSurg 1 study and other studies that have been found to affect the likelihood of SSI were entered into risk adjustment models. The primary outcome measure was the 30-day SSI incidence (defined by US Centers for Disease Control and Prevention criteria for superficial and deep incisional SSI). Relationships with explanatory variables were examined using Bayesian multilevel logistic regression models. This trial is registered with ClinicalTrials.gov, number NCT02662231. Findings: Between Jan 4, 2016, and July 31, 2016, 13 265 records were submitted for analysis. 12 539 patients from 343 hospitals in 66 countries were included. 7339 (58\ub75%) patient were from high-HDI countries (193 hospitals in 30 countries), 3918 (31\ub72%) patients were from middle-HDI countries (82 hospitals in 18 countries), and 1282 (10\ub72%) patients were from low-HDI countries (68 hospitals in 18 countries). In total, 1538 (12\ub73%) patients had SSI within 30 days of surgery. The incidence of SSI varied between countries with high (691 [9\ub74%] of 7339 patients), middle (549 [14\ub70%] of 3918 patients), and low (298 [23\ub72%] of 1282) HDI (p<0\ub7001). The highest SSI incidence in each HDI group was after dirty surgery (102 [17\ub78%] of 574 patients in high-HDI countries; 74 [31\ub74%] of 236 patients in middle-HDI countries; 72 [39\ub78%] of 181 patients in low-HDI countries). Following risk factor adjustment, patients in low-HDI countries were at greatest risk of SSI (adjusted odds ratio 1\ub760, 95% credible interval 1\ub705\u20132\ub737; p=0\ub7030). 132 (21\ub76%) of 610 patients with an SSI and a microbiology culture result had an infection that was resistant to the prophylactic antibiotic used. Resistant infections were detected in 49 (16\ub76%) of 295 patients in high-HDI countries, in 37 (19\ub78%) of 187 patients in middle-HDI countries, and in 46 (35\ub79%) of 128 patients in low-HDI countries (p<0\ub7001). Interpretation: Countries with a low HDI carry a disproportionately greater burden of SSI than countries with a middle or high HDI and might have higher rates of antibiotic resistance. In view of WHO recommendations on SSI prevention that highlight the absence of high-quality interventional research, urgent, pragmatic, randomised trials based in LMICs are needed to assess measures aiming to reduce this preventable complication. Funding: DFID-MRC-Wellcome Trust Joint Global Health Trial Development Grant, National Institute of Health Research Global Health Research Unit Grant
Exploring the cost-effectiveness of high versus low perioperative fraction of inspired oxygen in the prevention of surgical site infections among abdominal surgery patients in three low- and middle-income countries
- Author
- Aahlin EK
- Aamer A
- Aaniana K
- Ababneh A
- Abaliksta T
- Abantanga F
- Abbas A
- Abbasy J
- Abbo O
- Abbott T
- Abbouch M
- Abd-Elmawla M
- Abdallah E
- Abdel-Aty A
- Abdel-Hameed N
- Abdel-Kader SM
- Abdelaal A
- Abdelaty M
- Abdelazeam AR
- Abdelazim G
- Abdelaziz MA
- Abdelbadeai K
- Abdelfatah A
- Abdelhady S
- Abdelhamed R
- Abdelhamid A
- Abdelhaq A
- Abdelkader M
- Abdelkader O
- Abdelkhalek M
- Abdelmageed E
- Abdelmotaleb I
- Abdelraouf AM
- Abdelrouf DM
- Abdelshakour M
- Abdrabou AK
- Abdul-Latif S
- Abdulaziz H
- Abdulaziz M
- Abdulbagi O
- Abdulhakeem EM
- Abdullah MA
- Abdullah N
- Abdullah NAN
- Abdullahi L
- Abdurrazzaaq A
- Abem OE
- Abiola O
- Aboelella M
- Aboelmagd O
- Aboelsoud MR
- Aboul-Naga MS
- Abouzaid A
- Abu Qumbos A
- Abu-Toyour M
- Abubakr M
- Abuowda Y
- Abuqwaider E
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- Abushamleh S
- Ackom E
- Acquah E
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- Adel BE
- Adel I
- Adella FJ
- Adelshone A
- Ademuyiwa A
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- Saad H
- Saad HA
- Saad MM
- Saad R
- Saadeh R
- Saami M
- Saar S
- Sabe A
- Sabe AK
- Sabour FA
- Sacco M
- Sacco R
- Saeed M
- Sahbaz NA
- Sahel S
- Saidbadr A
- Saied GA
- Sakr A
- Salah A
- Salah M
- Salah M
- Salah OM
- Salama M
- Salama Y
- Salamone G
- Salcedo J
- Sale D
- Saleh AA
- Salem HK
- Salem HK
- Salem M
- Salem MM
- Salem MM
- Sallam AE
- Salleh A
- Sallinen V
- Salma M
- Salma U
- Salman A
- Salusso P
- Sam ZH
- Samalavicius NE
- Samaniego CS
- Samison LH
- Sammarco G
- Sammut K
- Samson G
- Samuel SA
- Samy M
- Samy M
- Sanad A
- Sanchez B
- Sanchez D
- Sander A
- Sandler S
- Sanni HA
- Sanz S
- Sapci I
- Saqlain M
- Sarafilovic H
- Saraste D
- Saravia F
- Sasia D
- Saw JE
- Sayed F
- Sayed IME
- Sayed M
- Scalabre A
- Schadde E
- Schiavone R
- Schmid R
- Schmitt F
- Schuetz T
- Schultz JK
- Scicluna R
- Segura-Sampedro JJ
- Seisay S
- Selvaggi F
- Selvaggi L
- Semeda N
- Semiz A
- Sena-Ruiz F
- Senanayake KJ
- Septiem JG
- Servin GRP
- Setiawan J
- Seto DM
- Seyoum N
- Sfougaris D
- Shachykava T
- Shaharuddin S
- Shahbaz AR
- Shaheen A
- Shahine A
- Shahzad N
- Shaikh N
- Shakshouk HAG
- Shalabi A
- Shalaby M
- Shalaby M
- Shamasneh A
- Shamsedine AW
- Sharma A
- Sharpin C
- Shatkar V
- Shaw CA
- Shaw CA
- Shawky MY
- Shawqi M
- Sheshe A
- Sheta A
- Shillito S
- Shiwani HA
- Sholadoye T
- Shrimanker N
- Shu S
- Shu S
- Shu S
- Shubianok M
- Shwky A
- Siaw JY
- Sierra S
- Sierra S
- Sigurdadottir J
- Sii SSY
- Sila GCM
- Sileri P
- Silvestri V
- Simioni A
- Simutis G
- Skerritt C
- Slapelyte E
- Sleem AS
- Sleem M
- Smart N
- Smart N
- Smedley A
- Smith C
- Sobnach S
- Sokratous A
- Solaini L
- Soldevila-Verdeguer C
- Soley R
- Soliman A
- Soliman A
- Soliman N
- Soliman NA
- Soliman S
- Soliman Y
- Solis LAZ
- Sollazzo V
- Soon WC
- Souaibou YI
- Soulou V
- Spence R
- Spence R
- Spence R
- Spence R
- Sproule L
- Srinivasan R
- Sroor F
- Sruogiene EZ
- Steccanella F
- Stefanopoulos A
- Stock S
- Stoddart M
- Stoddart M
- Stourton F
- Strupas K
- Stuva J
- Styles K
- Suarez A
- Suarez AAB
- Subaie NA
- Subocius A
- Sund M
- Suresh S
- Suroy A
- Sutandi N
- Suyadi A
- Suárez NA
- Swaroop M
- Syibrah KZ
- Søreide JA
- Søreide K
- Søreide K
- Søreide K
- Tabiri S
- Tabiri S
- Tabiri S
- Tabiri S
- Tackie E
- Taddei A
- Tahboub H
- Taher
- Taher MM
- Taieb C
- Taiwo A
- Taiwo O
- Talaat M
- Tale L
- Talving P
- Talving P
- Tan C
- Tan CL
- Tan JK
- Tan KSK
- Tan RCK
- Tan YK
- Tan YW
- Tang L
- Tani SI
- Tansoker I
- Tarek A
- Tarek D
- Targa S
- Tariq S
- Tata MD
- Tawfik BA
- Tawfik G
- Teasdale E
- Teasdale E
- Teasdale E
- Tedeschi U
- Tembo T
- Tennakoon A
- Teo SY
- Ter EZ
- Tew YY
- Tew YY
- Thabet W
- Thalgaspitiya SPB
- Theodosopoulos T
- Thollot A
- Thorarinsdottir H
- Thorell A
- Ticona WA
- Timothy OK
- Ting JRS
- To K
- Tolonen M
- Tolotra TEC
- Tori SA
- Torrance HD
- Torres SG
- Toto ÖF
- Townsend D
- Trompetto M
- Tselos A
- Tshisola SK
- Tugnoli G
- Tun M
- Turati L
- Turkustani S
- Tutino R
- Tverskis Z
- Tyler R
- Tze RGE
- Tzikos G
- Ubiali P
- Ukwenya Y
- Ulusahin M
- Uluşahin M
- Upadhyaya V
- Urbonas T
- Urniežius Z
- Uzabumwana N
- Uščinas L
- Vaicius A
- Valcarcel-Saldaña M
- Valioulis I
- Van Der Naald N
- Van Niekerk M
- Van Straten S
- Vargas M
- Vartanoglu T
- Vartic M
- Vasquez G
- Vasquez I
- Veen T
- Vega GMM
- Velasquez R
- Velásquez AJR
- Venclauskas L
- Vendramin E
- Venskutonis D
- Venskutonis D
- Verbeek A
- Verjee A
- Vermaas M
- Vicario E
- Vico TD
- Vida LC
- Villalobos S
- Vilčinskas M
- Violi P
- Višinskas P
- Voulgaris E
- Wael N
- Wakefield R
- Walker M
- Walker N
- Walls L
- Walsh M
- Walędziak M
- Waqar M
- Warren O
- Waterman A
- Werder G
- Whitaker J
- White R
- Whitehurst K
- Wiborg J
- Widiastini TA
- Widmer LW
- Wijayarathna LS
- Williams O
- Wilson L
- Wilson M
- Wilson M
- Wimalge PMSN
- Wogensen F
- Wolf B
- Wondoh P
- Wondoh P
- Wong CY
- Wong F
- Wong HY
- Wood G
- Worku M
- Worku T
- Wright N
- Yahaya MT
- Yakubu M
- Yakubu SY
- Yam Y
- Yang J
- Yap S
- Yau JD
- Ye J
- Yeang LJ
- Yeung MHA
- Yifieyeh A
- Yildirim R
- Yip C
- Ymeri S
- Yoganathan P
- Yolcu S
- Yong GL
- Younis A
- Youssef M
- Yuksek MA
- Yusufali T
- Zaa'treh R
- Zadoroznas A
- Zahran D
- Zakaria E
- Zakaria M
- Zakaria Y
- Zaki A
- Zammit S
- Zampitis N
- Zani A
- Zani A
- Zanini N
- Zapata F
- Zarb C
- Zielinski M
- Zilinskas J
- Zilinskas J
- Zohair A
- Zorrilla CD
- Zuber M
- Zuk G
- Zulkifli A
- Zumbühl L
- Çakaloğlu HC
- Žilinskas J
- Žilinskienė R
- Žiubrytė G
- Publication venue
- Elsevier
- Publication date
- 01/09/2023
- Field of study