6 research outputs found
Relecture des Determinants Sociaux du Desequilibre Glycemique chez les Diabetiques Suivis au Centre Antidiabetique dâAdjame (CADA)/Adidjan
Cette Ă©tude sâest dĂ©roulĂ©e du 06 au 12 juillet 2018. Elle a eu pour cadre gĂ©ographique le centre antidiabĂ©tique dâAdjamĂ© (CADA) Ă Abidjan. Elle est Ă la fois quantitative et qualitative. Le but Ă©tait dâanalyser les dĂ©terminants sociaux du dĂ©sĂ©quilibre glycĂ©mique constatĂ© chez 46% des diabĂ©tiques suivis au CADA en dĂ©pit de lâĂ©ducation Ă la santĂ© instaurĂ©e dans le paquet des activitĂ©s de soins de ce centre. Le recueil des donnĂ©es sâest fait Ă travers des entretiens par questionnaire et des entretiens semi-dirigĂ©s. Le questionnaire a Ă©tĂ© administrĂ© auprĂšs de la population cible constituĂ©e de diabĂ©tiques suivis au CADA au nombre 21. A lâaide de guides dâentretien, nous avons rĂ©alisĂ© des entretiens semi-dirigĂ©s avec deux mĂ©decins diabĂ©tologues et un infirmier spĂ©cialisĂ© qui sont des experts dans la prise en charge du diabĂšte. Les enquĂȘtĂ©s ont Ă©tĂ© abordĂ©s de façon accidentelle, en fonction de leur disponibilitĂ©. Des rĂ©sultats obtenus, il en ressort que le dĂ©sĂ©quilibre glycĂ©mique prĂ©sentĂ© par les diabĂ©tiques rĂ©sulte de plusieurs facteurs que sont : le profil sociodĂ©mographique des diabĂ©tiques, leur niveau de conscience sanitaire, la perception quâils se font de leur maladie. Ces rĂ©sultats montrent que le traitement du diabĂšte est multifactoriel et va au-delĂ du savoir mĂ©dical strict.
This study took place from July 06 to 12, 2018. Its geographical setting was the Adjamé anti-diabetic center (CADA) in Abidjan. It is both quantitative and qualitative. The aim was to analyze the social determinants of glycemic imbalance observed in 46% of diabetics followed at CADA despite the health education instituted in the care activities of this center. Data were collected through questionnaire interviews and semi-structured interviews. The questionnaire was administered to the target population of 21 diabetics followed at CADA. With the help of interview guides, we conducted semi-structured interviews with two diabetic physicians and a specialized nurse who are experts in the management of diabetes. The respondents were approached in an accidental manner, depending on their availability. From the results obtained, it appears that the glycemic imbalance presented by diabetics results from several factors. The socio-demographic profile of diabetics, their level of health awareness, and their perception of their disease. These results show that the treatment of diabetes is multifactorial and goes beyond strict medical knowledge
Analyse des Determinants Sociaux du Desequilibre Glycemique chez les Diabetiques Suivis au Centre Antidiabetique dâAdjame (CADA)/Abidjan
Cette Ă©tude sâest dĂ©roulĂ©e du 27 dĂ©cembre 2018 au 11 janvier 2019. Elle a eu pour cadre gĂ©ographique le Centre AntidiabĂ©tique dâAdjamĂ© (CADA) Ă Abidjan. Elle est Ă la fois quantitative et qualitative. Son objectif Ă©tait dâanalyser les dĂ©terminants sociaux du dĂ©sĂ©quilibre glycĂ©mique constatĂ© chez 415 diabĂ©tiques (soit 46%) sur les 900 enregistrĂ©s par mois, malgrĂ© le fait que ces malades bĂ©nĂ©ficient rĂ©guliĂšrement des sĂ©ances dâĂ©ducation thĂ©rapeutique en vue de leur favoriser lâautonomie dans la gestion ambulatoire de leur Ă©tat de santĂ©. Le recueil des donnĂ©es sâest fait Ă travers des entretiens par questionnaire et des entretiens semi-dirigĂ©s. Le questionnaire a Ă©tĂ© administrĂ© auprĂšs de la population cible constituĂ©e de diabĂ©tiques suivis au CADA au nombre de 51. A lâaide de guides dâentretien, nous avons rĂ©alisĂ© des entretiens semi-dirigĂ©s avec deux mĂ©decins diabĂ©tologues et un infirmier spĂ©cialisĂ© qui sont des experts dans la prise en charge du diabĂšte. Les enquĂȘtĂ©s ont Ă©tĂ© abordĂ©s de façon accidentelle, en fonction de leur disponibilitĂ©. Des rĂ©sultats obtenus, il en ressort que le dĂ©sĂ©quilibre glycĂ©mique prĂ©sentĂ© par les diabĂ©tiques rĂ©sulte de plusieurs facteurs que sont : le statut social des diabĂ©tiques Ă travers leur profil sociodĂ©mographique qui rĂ©vĂšle leur niveau de culture et leur pouvoir dâachat face aux contraintes multiples et au cout du traitement, leur rapport aux observances mĂ©dicales et hygiĂ©no-diĂ©tĂ©tiques liĂ© Ă leur de conscience sanitaire et la perception quâils se font de leur maladie.
This study took place from 27 December 2018 to 11 January 2019. Its geographical setting was the Adjamé Antidiabetic Centre (CADA) in Abidjan. It is both quantitative and qualitative. Its objective was to analyse the social determinants of glycaemic imbalance observed in 415 diabetics (46%) out of the 900 registered per month, despite the fact that these patients regularly benefit from therapeutic education sessions intended to enable them to manage their health condition on an outpatient basis. The data were collected through questionnaire interviews and semi-structured interviews. The questionnaire was administered to the target population of 51 diabetics followed at CADA. With the help of interview guides, we conducted semi-structured interviews with two diabetologists and a specialist nurse who are experts in the management of diabetes. Respondents were approached accidentally, depending on their availability. From the results obtained, it appears that the glycemic imbalance presented by diabetics results from several factors: the social status of diabetics through their socio-demographic profile which reveals their level of culture and their purchasing power in the face of the multiple constraints and the cost of treatment, their relationship to medical and hygienic-dietary observance linked to their health awareness and the perception they have of their disease
Kyste géant para-urétral feminine
Le kyste gĂ©ant para-urĂ©tral fĂ©minin infectĂ© est rarement rapportĂ© dans la littĂ©rature. Ce kyste est diffĂ©rent du diverticule sous urĂ©tral sur le plan clinique, diagnostique et thĂ©rapeutique. Sa pathogĂ©nie se confond avec celle des diverticules sous urĂ©traux. Son traitement nâest pas bien codifiĂ©, vu sa raretĂ©. Nous rapportons un cas atypique de kyste gĂ©ant para urĂ©tral infectĂ© chez une jeune femme de 26 ans. Le kyste Ă©tait symptomatique et la patiente a eu un traitement chirurgical. Nous discutons les aspects cliniques, diagnostiques et thĂ©rapeutiques de cette entitĂ© rare Ă travers une revue de la littĂ©rature.Key words: Kyste gĂ©ant, para urĂ©tral, fĂ©minin, chirurgi
Deperdition Des Produits Sanguins Des Depots De Sang Aux Receveurs Dans Les Chu De Bouake Et De Treichville, Cote dâIvoire
Cet article vise Ă Ă©valuer la traçabilitĂ© des Produits Sanguins Labiles (PSL) dans les Centres Hospitaliers Universitaires (CHU) de BouakĂ© et de Treichville. LâĂ©tude est prospective et comparative. Elle a consistĂ© Ă lâenrĂŽlement exhaustif des bons de commande des Produits Sanguins Labiles (PSL) du 4 AoĂ»t 2014 au 3 Octobre 2014, Ă©mis par les unitĂ©s de soins issues des deux CHU susmentionnĂ©s et Ă suivre leurs destinations. Au total, 2 152 unitĂ©s de PSL ont Ă©tĂ© enrĂŽlĂ©es et tracĂ©es. Cette Ă©valuation rĂ©vĂšle que pour 13 bons soit 0,6%, le prescripteur de PSL n'existait pas dans le service de soins. Dans 166 cas sur les 2 152 enrĂŽlements rĂ©alisĂ©s, soit 7,7% des cas, le patient mentionnĂ© sur le bon de commande n'Ă©tait pas connu du service de soins et 424 soit 19,7% des PSL servis ne sont pas arrivĂ©s dans le service de soins, au lit du malade. Ces rĂ©sultats sont faibles au CHU de BouakĂ© qui abrite un Ă©tablissement de transfusion sanguine. En conclusion, la promiscuitĂ© ou la cohabitation Etablissements de soins-Etablissements de Transfusion Sanguine rĂ©duit la dĂ©perdition des Produits sanguins labiles.
This article aims to evaluate the traceability of Labiles Sanguins Products (PSL) in the University Hospital Centres (CHU) in Bouaké and Treichville. The study is prospective and comparative. It consisted of the comprehensive enlistment of the order orders of The Sanguins Labiles Products (PSL) from August 4, 2014 to October 3, 2014, issued by the care units from the two aforementioned hospitals and to follow their destinations. A total of 2,152 PSL units were conscripted and traced. This evaluation reveals that for 13 vouchers or 0.6%, the PSL prescriber did not exist in the care department. In 166 of the 2,152 enlistments made, or 7.7% of the cases, the patient mentioned on the purchase order was not known to the care department and 424 or 19.7% of the PSL served did not arrive in the care unit, in the patient's bed. These results are low at the Bouaké University Hospital, which houses a blood transfusion facility. In conclusion, the promiscuity or cohabitation Of Care Establishments-Blood Transfusion Establishments reduces the decrease of Labile Blood Products
The Carriage Population of Staphylococcus aureus from Mali Is Composed of a Combination of Pandemic Clones and the Divergent Panton-Valentine Leukocidin-Positive Genotype ST152âż
Staphylococcus aureus is an important human pathogen, but it appears more commonly in asymptomatic colonization of the nasopharynx than in cases of invasive disease. Evidence concerning the global population structure of S. aureus is limited by the overrepresentation in the multilocus sequence testing database of disease isolates recovered from Western Europe, the Americas, Australia, and Japan. We address this by presenting data from the S. aureus carriage population in Mali, the first detailed characterization of asymptomatic carriage from an African population. These data confirm the pandemic spread of many of the common S. aureus clones in the carriage population. We also note the high frequency (âŒ24%) of a single divergent genotype, sequence type 152 (ST152), which has not previously been recovered from nasal carriage isolates but corresponds to a sporadic Panton-Valentine leukocidin (PVL)-positive, community-acquired methicillin-resistant S. aureus clone noted mostly in Central Europe. We show that 100% of the ST152 isolates recovered from nasal carriage samples in Mali are PVL positive and discuss implications relating to the emergence and spread of this virulent genotype
Diversity of Staphylococcal Cassette Chromosome mec Structures in Methicillin-Resistant Staphylococcus epidermidis and Staphylococcus haemolyticus Strains among Outpatients from Four Countriesâż
In staphylococci, methicillin (meticillin) resistance (MR) is mediated by the acquisition of the mecA gene, which is carried on the size and composition variable staphylococcal cassette chromosome mec (SCCmec). MR has been extensively studied in Staphylococcus aureus, but little is known about MR coagulase-negative staphylococci (MR-CoNS). Here, we describe the diversity of SCCmec structures in MR-CoNS from outpatients living in countries with contrasting environments: Algeria, Mali, Moldova, and Cambodia. Their MR-CoNS nasal carriage rates were 29, 17, 11, and 31%, respectively. Ninety-six MR-CoNS strains, comprising 75 (78%) Staphylococcus epidermidis strains, 19 (20%) Staphylococcus haemolyticus strains, 1 (1%) Staphylococcus hominis strain, and 1 (1%) Staphylococcus cohnii strain, were analyzed. Eighteen different SCCmec types were observed, with 28 identified as type IV (29%), 25 as type V (26%), and 1 as type III (1%). Fifteen strains (44%) were untypeable for their SCCmec. Thirty-four percent of MR-CoNS strains contained multiple ccr copies. Type IV and V SCCmec were preferentially associated with S. epidermidis and S. haemolyticus, respectively. MR-CoNS constitute a widespread and highly diversified MR reservoir in the community