ABSTRACT
In Morocco, development of generic drugs, which are copies of original drugs, is not as fast as expected since accession to prescribers, which is essential to the development of these drugs, is still not well established. This report is intended to describe constraints that are behind this reluctance to prescribe these innovative products in public hospitals on the Rabat / Salé Wilaya. The study is based on administrated questionnaires to 91 medical specialists. Collated data were supported by results from interviews with officials at the National Laboratory of Drug Control and the Department of Pharmacy, responsible of hospital pharmacies and medical representatives. Quantitative analysis has been carried out by SPSS [version: 17.0] and Excel software, Among the salient findings, the fact that 83% of physicians suspect the quality of generic drugs and 75% of them believe that the requirement for bioequivalence study is essential to prove their quality. 75% of participants felt that the generic present a higher potential risk following their administration and 82% attest of their therapeutic failure after use. Only 21% of the participants to the study are opting for generic drugs in their prescriptions with 80% of them not adhering to the strategy of the Ministry of Health by considering it as an infringement to their professional freedom. This study highlights the key elements to allow building the National drug policy in order to ensure rational use of medicines and increase the prevalence of generic drugs prescribing. The generic policy, beside the consumer role, is an integration of many parameters as well as the action of the various actors of the health sector. Achieving an equilibrated policy is to combine all these elements and actions responding to patient's needs without overlooking the interests of different parties
ABSTRACT
Preventing associated with said nosocomial infections care, topic in health facilities. Despite the promotion of preventive measures, we find that they are not fully implemented. This study aims to describe the factors that impede the observance of hand hygiene with the paramedics, because of the rate attributable to nosocomial infections manu brought an estimated 1.4 million worldwide, from 4.9% in Europe and an average of 15% at the continental level. This is a quantitative descriptive study; through a questionnaire and an observation grid with paramedic services in medical and surgical intensive care, a comprehensive sampling arrested 35 participants. This study found a rate of 40% of participants who did not receive any further education on hand hygiene, resulting in an average knowledge observed in these participants on washing techniques 35% of hands. About intolerance, 20% say the drying and irritating detergents hand rub; statements of intolerance to hand hygiene products have never been subject to notification of pharmacovigilance. Factors influencing adherence to hand hygiene, 24% of participants reported inadequate hand hygiene products. 45% mentioned the workload.: The study revealed a satisfactory level of compliance with hand hygiene services resuscitation of this institution, comparable to that described in other studies and for continuous improvement of these practices, the recommendations of this study were offered as corrective and preventive measures adapted to the deficiencies observed
ABSTRACT
In Morocco, despite the importance of the subject, no studies concerning the magnitude of the problem of bacterial resistance to antibiotics have been conducted nationally. In hospitals, the results of some studies have shown that the use of amoxicillin alone or in combination with clavulanic acid for the treatment of urinary tract infections showed a resistance rate of E. Coli that goes from 50 to 70%. In the city, the growth of antibiotic resistance of this organism in community infections is also considered a disturbing phenomenon since resistance rates remain very high. There are many reasons for this resistance but the major determinant one is the excessive and / or inappropriate use of antibiotics. Surveys have shown that antibiotics engulf more than 25% of the total drug consumption in Moroccan hospitals. In addition, in our cities, there is also an abuse in the prescription of antibiotics. Their counter in pharmacies without prescriptions or diagnosis may explain the misuse of these drugs and the increase of self-medication. From these bad habits in prescribing and increasing antibiotic consumption result the change of the resistance patterns of bacterial species and the emergence of multidrug-resistant bacteria. It is high time that all concerned are aware of the seriousness of this problem. Policy monitoring and management of this bacterial resistance should be adopted
ABSTRACT
They are the most common and yet occupy 65% to 80% of nosocomial infections worldwide, despite efforts to control provided by the health authorities. In Africa, on a 46.7% infection rate of these infections, 43% are due to the survey. In Morocco, there is an incidence rate of 13.4% with a rate of 7.5% nosocomial bacteriuria among patients surveyed and a rate of nosocomial colonization of 6.5%. Hence the importance of this work to describe the risk factors for these infections aims. This is a descriptive study, prospective, qualitative and quantitative data collection tools as means of a questionnaire to 35 people involved in such acts; interviews with four medical specialists and the study of 30 cases of patients with urological services and resuscitation. This study showed that the risk factors associated with these infections are advanced patient age, poor health and disease history such as urinary tract infection, prostate cancer, gallstones and diabetes. Added to this are the organization of care such as lack of supervisory, non-notification of the surveyed patients and the workload of staff. As can be seen from this study, 33% of staff did not receive training in this technique, while there are twice as many bacteriuria when the probe is asked by a staff that is not specifically trained. The combination of the results allowed us to predict the risk factors of urinary tract infection-related survey and propose corrective and preventive actions; [a] set up units to IEC for patient education; [b] strengthen the health care team to reduce the workload attributed to it; [c] ensure compliance with protocols
ABSTRACT
The Ebola virus disease [formerly called Ebola hemorrhagic fever] is a serious and often fatal disease in humans. Since March, 2014, Ebola virus diseases are reported in Guinea. The outbreak spread then to Liberia, Sierra Leone, and neighboring countries. The continuation of the spread of the virus, the intensity of transmission at the community level and at the level of healthcare as well as the weakness of health systems in the countries currently affected and those most exposed to the risk make this disease a threat justifying a mobilization of the international community. In this development the authors recall the epidemiological context that has characterized the Ebola epidemic, the mode of transmission of the virus, the main events clinical and biological, the principles of support for suspected or confirmed cases and emphasize individual and collective protection measures adapted to this highly contagious disease