Résumé
Background: The scorpion envenomation is a problem of public health in Tunisia by its incidence and severity
Aim: The aim of this study is to evaluate the epidemiology of scorpion envenomation in health unit of Faouar, as well as promoting the prevention and fight against scorpion envenomation
Methods: In this study, we conducted a retrospective and descriptive analysis of scorpion envenomation cases admitted to the emergency department of the local hospital Faouar between 2010 and 2012
Results: In Total 421 cases were registered [237 men and 184 women] with no age predilection. The accident often occurs during the warm months of the year. So most of the cases were recorded from May to September with a frequency peak in July [21.1% of cases]. The outcome was favorable in 92% of cases due to early consultation, a time management of less than 60 minutes in most cases [87%], and a fast and adequate care according to the national protocol issued by the Ministry of Public Health
Conclusion: Prevention and education, especially in endemic period still remain indispensable in the fight against scorpion envenomation
Résumé
A medical audit has been carried out on a representative sample of 456 hypertensive patients followed in the health care facilities of Sousse during 2002, to evaluate the quality of management of hypertension in primary health care. The study yielded the following. the patients selected for a first line follow-up did not represent more than 79% of the studied population. The minimal recommended balance was achieved in 8% of cases only. Adequate drug therapy was prescribed in 64% of cases. 59% of patients were considered compliant. Controls of blood pressure was achieved in 5,5% of patients. The quality of management of hypertension in primary health care was considered satis factory in 28,7% of patents with a significant difference between urban and rural areas [24,9% versus 40,5%]. These results indicate that increased attention should be paid by the national program of Struggle against the Chronic Diseases to the quality of management of hypertension in primary health care institutions