ABSTRACT
Emphysematous cystitis and pyelonephritis is a rare infectious disease of the urinary tract. Its reputedly-serious prognosis is related to treatment failures revealing ignorance concerning its pathophysiological mechanisms. One case of this disease was seen in our department, a diabetic woman over the age of 78 years with a history of hypertension. She presented to the emergency department with hematuria, pain in her lower abdomen and alteration of the general state. The urine culture isolated Klebsiella pneumoniae. The treatment consisted of bladder drainage associated with adapted antibiotic therapy and diabetes control. The prognosis of this disease depends on early diagnosis and prompt effective treatment
ABSTRACT
Accidental Blood Exposures [ABE] represents a real threat to healthcare workers. To our knowledge, in the two sanitary districts of Ouardia and Djebel Jeloud, few actions, in terms of ABE prevention, have been conducted. As a result, we have carried out there a knowledges-practical abilities [KPA] study during the month of April, 2007, in order to assess the initial situation, gauge the overall level of knowledge and practices of all the exposed personnel, and help define a training and improvement program. A questionnaire has been distributed to 49 people, using the technique of the direct interview. The results have shown a good knowledge of contamination risk by the three viruses HBV, HCV and HIV. The vaccination rate against B hepatitis is 59%. The resheathing of needles, considered as risk practice, has been identified among 58% of the people investigated. The police to follow, in case of ABE, seems to be insufficiently known. The results have enabled to set up an improvement procedure to reinforce the awareness and enhance the consciousness of the healthcare workers regarding ABE risks