ABSTRACT
The COVID-19 pandemic has an impact on health systems, whose modes of adaptation and response on the ground are still poorly documented and are evolving. The Dakar Integrated Support Center for Addictions (CEPIAD) has been implementing risk reduction since 2014, particularly with drug users. The COVID-19 pandemic and related public health measures were an obstacle to its attendance by patients, in particular due to movement restriction. In addition to the implementation of individual and collective preventive measures in the center, CEPIAD has experimented "take-home" for methadon that is generally provided daily through directly observed treatment. The center has also taken care of amnestied incarcerated cannabis users. Several aspects of this experience, perceived positively, could be relevant outside the pandemic context.
Subject(s)
COVID-19 , COVID-19/epidemiology , Continuity of Patient Care , Humans , Methadone , Pandemics/prevention & control , SenegalABSTRACT
Résumé La pandémie de COVID-19 a eu un impact sur le fonctionnement des systèmes de santé dont les modes d’adaptation et de réponse sur le terrain sont encore peu documentés et en cours d’évolution. Le Centre de Prise en charge Intégrée des Addictions de Dakar (CEPIAD) met en œuvre depuis 2014 la réduction des risques auprès d’usagers de drogues. La pandémie de COVID-19 et les mesures de santé publique ont été un obstacle à sa fréquentation par les patients, notamment du fait de la limitation des déplacements. Outre la mise en place de mesures préventives et l’application des gestes barrières dans le centre, le CEPIAD a eu recours à l’emport à domicile de la méthadone habituellement dispensée chaque jour dans ses locaux. Le centre a aussi pris en charge des usagers de cannabis incarcérés après leur amnistie. Plusieurs aspects de l’expérience du CEPIAD, perçue positivement, pourraient être pertinents hors du contexte pandémique.
ABSTRACT
Introduction: External laryngeal trauma represents a rare medical and surgical emergency. Examination of the endolarynx as well as CT are very important for the assessment of the lesions. The surgical treatment aims to restore the permeability of the laryngeal pathway and to avoid complications. The objective of the study is to share our experience on the epidemiological, clinical, diagnostic and therapeutic aspects of these external laryngeal traumas. Materials and methods: This is a retrospective study of 34 cases of patients with external laryngeal trauma. The study period runs from September 2009 to November 2018 (10 years).