ABSTRACT
Psoas abscesses are rare. In the absence of specific symptoms and signs, their diagnosis was usually difficult. Medical imaging advances have helped in their diagnosis and treatment. Eleven cases of psoas abscess were reviewed retrospectively. We tried to determine epidemiologic and clinical features and therapeutic alternatives for this entity. Mean aged 27 years. Three of the 11 cases occurred in females. An underlying disease was observed in three cases. Associated clinical features were fever [n = 11], lumbar pain [n = 10], and psoOtis [n = 5]. Diagnosis was confirmed by ultrasonography [n = 10] and computed tomography [n = 1]. Blood culture was positive in 6 out of 11 cases: Staphylococcus aureus [n = 5] and Klebsiella pneumonia [n = 1] Staphylococcus aureus was isolated in 6 abscess pus. Antibiotics were prescribed in all cases for a mean length of 61 days, in association with percutaneous drainage in 5 cases, surgical drainage in one case and abscess puncture in one case. Outcome was favourable in all cases, psoas abscess - Staphylococcus aureus - imaging n drainage
Subject(s)
Humans , Male , Female , Staphylococcus aureus , Psoas Abscess/etiology , Psoas Abscess/drug therapy , Psoas Abscess/surgery , DrainageABSTRACT
The aim of this study is to evaluate the frequency of infectious urgencies and the quality of their management in an emergency medical service. During the period of study, 21737 consultants are recorded, from which 2011 for an infectious urgency [9.25%], pharyngitis with rhinitis excluded. 692 patients are hospitalized and 1074 receive ambulatory antibiotics. Therapeutic urgencies are the most frequent infectious urgencies [48.4%], followed by protection urgencies [46.3%], urgencies due to antibiotics [5.2%] and prevention urgencies [0.1%]. The conduct is considered correct for 1379 cases [68.5%] and incorrect for 500 cases [25%]. Main incorrect conducts are the absence of follow-up [81.6%] and the maladjusted antibiotherapy [11.8%]. These results incite, mainly, to the improvement of the professional training of emergency physicians and their communication with their colleagues of the other sanitary structures
Subject(s)
Humans , Male , Female , Emergency Medical Services , Prospective Studies , Anti-Bacterial AgentsABSTRACT
The degree of knowledge about AIDS contribute to influence the incidence of HIV infection. To evaluate the degree of knowledges, attitudes and behaviours of tunisians towards AIDS an investigation was carried out. 310 persons [258 employees and 52 students] had a questionnaire before and after health educational session and one year later for 52 employees. Analysis of the different variables leads us to this - AIDS is a very mediated disease. - there is a good knowledge about AIDS disease in the 2 groups studied, both before and after health educational session. - students identified better the population at risk [43%] than employees [23,2%]. This difference remain unchanged after health educational session. - the two groups know. how to prevent contamination [78% for students and 74% for employees]. This degree of knowledge improved especially in the employees group. - 5% of employees and 6% of students identified the population to which serology of HIV is indicated. This improved in the employees group to 11,6% following the educational health session. These are positive results, encouraging to enhance further awareness about AIDS which will help limit its spread