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1.
Med. Afr. noire (En ligne) ; 66(10): 485-492, 2019.
Artigo em Francês | AIM (África) | ID: biblio-1266324

RESUMO

La lombalgie constitue un problème majeur de santé en milieu de travail. Objectif : Décrire les caractéristiques épidémiologiques des lombalgies chez le personnel soignant du centre hospitalier universitaire de Yopougon. Matériel et méthodes : Une étude rétrospective et descriptive des dossiers médicaux de soignants du CHU de Yopougon ayant consulté pour lombalgie entre 2012 et 2018 a été réalisée. Elle s'est déroulée dans le service de médecine du travail et pathologies professionnelles dudit centre. Elle a porté sur les caractéristiques sociodémographiques (l'âge, le sexe, la profession, l'ancienneté professionnelle) et les données relatives à la lombalgie (signes fonctionnelle, examens clinique et paraclinique, conséquences). Résultats : Nous avons colligé 186 dossiers du personnel soignant souffrant de lombalgie. Ces agents étaient essentiellement de sexe féminin (sex-ratio : 0,22). La moyenne d'âge était de 42,3 ans ± 9,2 avec des extrêmes de 20 et 58 ans. La classe d'âge 30-49 ans était majoritaire (69,9%). Généralement, les fonctions occupées par les travailleurs lombalgiques étaient celles d'aide-soignant, de sage-femme et d'infirmier. Ceux-ci provenaient des services de chirurgie (49,5%) dont environ plus de la moitié était issu du service de gynécologie. Les principales causes des lombalgies observées étaient la hernie discale (42,2%) et l'arthrose (37,8%). Par ailleurs, environ 63% des cas de lombalgie ont nécessité la prescription d'arrêt de travail dont la durée moyenne était d'environ 5 jours. Dans 15,6% des cas les lombalgies présentées par le personnel soignant étaient des maladies professionnelles indemnisables. Conclusion : Les services hospitaliers exposent les travailleurs au risque de lombalgie. Celles-ci ont des répercussions sur le salarié et sur la qualité des prestations. Il s'avère donc nécessaire de mettre en place de mesures préventives telle que la formation sur les gestes et postures à adopter lors des opérations de manutentions


Assuntos
Côte d'Ivoire , Feminino , Dor Lombar , Recursos Humanos em Hospital
2.
Med. Afr. noire (En ligne) ; 66(6): 313-322, 2019.
Artigo em Francês | AIM (África) | ID: biblio-1266333

RESUMO

Introduction : Un Equipement de Protection Individuelle (EPI) est un dispositif ou moyen destiné à être porté ou tenu par une personne en vue de la protéger contre un ou plusieurs risques susceptibles de menacer sa sécurité ou sa santé, principalement au travail. Objectif : Etudier les équipements de protection individuelle proposés au personnel soignant du CHU de Bouaké. Méthode : Nous avons mené une étude transversale durant un mois (novembre 2017), portant sur les équipements de protection individuelle chez le personnel soignant du CHU de Bouaké. Les données socioprofessionnelles des travailleurs et les informations sur les EPI ont été recueillies au moyen d'un questionnaire adressé au personnel soignant. Le personnel administratif et les Surveillants d'Unité de Soins (SUS) ont été interrogés sur la gestion des EPI. Une observation du cadre de travail a permis de recenser les nuisances professionnelles en présence et de vérifier le port effectif de ces équipements. Résultats : Cent cinquante et un soignants ont participé à l'étude dont 96 hommes et 55 femmes. La moyenne d'âge était de 35,82 ± 6,64 ans avec des extrêmes de 23 et 59 ans. La profession la plus représentée était celle des infirmiers (19,9%). Les travailleurs ayant moins de 5 ans d'ancienneté représentaient 64,9% de l'échantillon. La majorité des soignants provenait des services de gynéco-obstétrique (20,5%) et des urgences (17,9%). Les nuisances retrouvées étaient biologiques, physiques et chimiques. Les risques d'accident étaient représentés par les piqûres (79,5%) et les coupures (46,3%). Les EPI retrouvés étaient le calot (12,3%), les lunettes (8,5%), la combinaison blouse-pantalon (53,6%), les sabots (75,5%) et le tablier de plomb. Les blouses et les gants étaient retrouvés chez tous les travailleurs. Conclusion : Notre étude a montré quelques insuffisances dans la disponibilité, et le port des EPI. Pour être efficace et fiable, la gestion de ces équipements devrait être basée sur une stratégie englobant l'évaluation des risques, un mécanisme d'acquisition et d'entretien. Le Comité de Santé et Sécurité au Travail (CSST) devrait intervenir dans la gestion des EPI


Assuntos
Atitude do Pessoal de Saúde , Côte d'Ivoire , Equipamento de Proteção Individual/história , Equipamento de Proteção Individual/estatística & dados numéricos
3.
J Clin Pathol ; 62(1): 39-41, 2009 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-19103858

RESUMO

AIMS: To report our experience of neonatal screening for sickle cell disease in Ouagadougou (Burkina Faso) and to discuss the feasibility of neonatal screening in this country. METHODS: Between the years 2000 and 2004, there were about 2,341 births in five maternity services in Ouagadougou. These babies were screened for sickle cell disease in a universal screening pilot programme. In 2006, 53 babies born to selected couples were screened. The specimens were collected either by cord blood sampling or from a dried blood spot on filter paper. The screening was performed using an isoelectric focusing technique. RESULTS: In the first stage (2000-4), the incidence of sickle cell disease was 1:57. In the second stage, six of 53 babies of selected couples were found to have major haemoglobinopathies: one was homozygous for haemoglobin S and five were compound heterozygotes for haemoglobins S and C. CONCLUSIONS: The results suggest that a national screening programme should be implemented in Burkina Faso with effective newborn and subsequent follow-up, but a methodology needs to be developed.


Assuntos
Hemoglobinopatias/diagnóstico , Triagem Neonatal/métodos , Burkina Faso/epidemiologia , Países em Desenvolvimento , Estudos de Viabilidade , Hemoglobinopatias/epidemiologia , Humanos , Recém-Nascido , Focalização Isoelétrica , Avaliação de Resultados em Cuidados de Saúde
4.
Mali Med ; 23(4): 56-9, 2008.
Artigo em Francês | MEDLINE | ID: mdl-19617172

RESUMO

AIM: To determine the hospital frequency, identify the risks factors and evaluate the mortality of the early postoperative complication. PATIENTS AND METHODS: It was about a prospective study done from January first to May 31st 2006. All children from 0 to 15 years old operated in settled or urgent surgery and follow in the service were concerned of this study. RESULT: We brought together 47 cases of complication in 40 patients on a total of 631 children operated in five months. The average age of our patients was of 51.9 months +/- 47.4. The average period of hospital stay was of 4.3 days +/-3.12. A germ was found in the pus in 13 patients. A lung opaqueness was found in three patient's and a germ was present in the urine in 3 also. The average period of appearance of complications was of 7.7 days +/-1.3. The infection of the operating site occupied 2.5%, evisceration 1.1%, haematoma 0.9%, digestive fistula 0.3% and postoperative occlusion 0.15%. The death rate was 1.9%. CONCLUSION: The type of surgery, the mode of recruitment, the duration and conditions of the hospital stay were the factors of the postoperative complications.


Assuntos
Departamentos Hospitalares/estatística & dados numéricos , Hospitais Universitários/estatística & dados numéricos , Pediatria/estatística & dados numéricos , Complicações Pós-Operatórias/epidemiologia , Adolescente , Criança , Pré-Escolar , Infecção Hospitalar/epidemiologia , Mortalidade Hospitalar , Humanos , Lactente , Tempo de Internação/estatística & dados numéricos , Mali/epidemiologia , Pneumonia Bacteriana/epidemiologia , Estudos Prospectivos , Fatores de Risco , Deiscência da Ferida Operatória/epidemiologia , Infecção da Ferida Cirúrgica/epidemiologia , Infecções Urinárias/epidemiologia
6.
AIDS Care ; 18(4): 356-65, 2006 May.
Artigo em Inglês | MEDLINE | ID: mdl-16809113

RESUMO

In September 2002, an armed conflict erupted in Côte d'Ivoire which has since divided the country in the government-held south and the remaining territory controlled by the 'Forces Armées des Forces Nouvelles' (FAFN). There is concern that conflict-related population movements, breakdown of health systems and food insecurity could significantly increase the incidence of HIV infections and other sexually-transmitted infections, and hence jeopardize the country's ability to cope with the HIV/AIDS epidemic. Our objective was to assess and quantify the effect this conflict had on human resources and health systems that provide the backbone for prevention, treatment and care associated with HIV/AIDS. We obtained data through a questionnaire survey targeted at key informants in 24 urban settings in central, north and west Côte d'Ivoire and reviewed relevant Ministry of Health (MoH) records. We found significant reductions of health staff in the public and private sector along with a collapse of the health system and other public infrastructures, interruption of condom distribution and lack of antiretrovirals. On the other hand, there was a significant increase of non-governmental organizations (NGOs), some of which claim a partial involvement in the combat with HIV/AIDS. The analysis shows the need that these NGOs, in concert with regional and international organizations and United Nations agencies, carry forward HIV/AIDS prevention and care efforts, which ought to be continued through the post-conflict stage and then expanded to comprehensive preventive care, particularly antiretroviral treatment.


Assuntos
Infecções por HIV/prevenção & controle , Recursos em Saúde/provisão & distribuição , Serviços de Saúde/provisão & distribuição , Mão de Obra em Saúde/organização & administração , Guerra , Côte d'Ivoire , Infecções por HIV/terapia , Humanos , Refugiados
8.
Med Trop (Mars) ; 60(1): 67-9, 2000.
Artigo em Francês | MEDLINE | ID: mdl-10989792

RESUMO

Rabies is endemic in Sub-Saharan Africa. Control is based on vaccination of subjects at high-risk for exposure and prompt post-exposure treatment. However the severity of some animal bites and early mismanagement can lead to development of rabies despite post-exposure treatment. This danger is illustrated by the case described herein involving a 35-year-old man who was bitten by a rabid dog and treated with 5 doses of antirabies vaccine. The wound, which consisted of two deep punctures on the forearm, was promptly washed with water and disinfected. Despite this treatment, characteristic clinical manifestations of rabies appeared one month after exposure and the patient died 48 hours later. This case raises the question of the causes for failure of the preventive recommendations proposed by the WHO for category III animal bites. In our case, two possible causes of failure and subsequent lethal outcome are that serotherapy was not associated and the incubation period was short. Other possible causes of rabies after post-exposure therapy are discussed with reference to the literature.


Assuntos
Vacina Antirrábica/uso terapêutico , Raiva/terapia , Falha de Tratamento , Adulto , Burkina Faso , Evolução Fatal , Humanos , Masculino , Vacina Antirrábica/administração & dosagem
9.
Bull Soc Pathol Exot ; 91(4): 312-4, 1998.
Artigo em Francês | MEDLINE | ID: mdl-9846224

RESUMO

From December 1992 to February 1993, 104 newly diagnosed pulmonary tuberculosis patients were enrolled in a prospective cohort study to assess the response to the 6 month-short-course regimen implemented in Cote d'Ivoire. This treatment encompassed the daily intake of Rifampicin and Pyrazinamide for 2 months followed by Rifampicin and Isoniazid for the remaining 4 months. All the patients were enrolled at the Treichville Tuberculosis Treatment Centre in Abidjan, and a follow-up of 6 months was observed for each patient. All in all, 41 patients were HIV-positive whereas 63 where HIV-negative. No statistical difference was noted between HIV-positive and HIV-negative patients with regard to the completion of therapy (85% versus 87%). The cure rate after an effective 6 month-therapy was similar among HIV-positive and HIV-negative patients (83% versus 84%) as well as the treatment failure rate which was 2.4% and 3% respectively. The results clearly indicate that the 6 month-short-course regimen policy implemented in Côte d'Ivoire is as effective for the treatment of HIV-associated tuberculosis as for the treatment of tuberculosis.


Assuntos
Síndrome da Imunodeficiência Adquirida/complicações , Antituberculosos/administração & dosagem , Tuberculose/tratamento farmacológico , Adolescente , Adulto , Antituberculosos/uso terapêutico , Estudos de Coortes , Côte d'Ivoire , Feminino , Humanos , Isoniazida/administração & dosagem , Isoniazida/uso terapêutico , Masculino , Pessoa de Meia-Idade , Estudos Prospectivos , Pirazinamida/administração & dosagem , Pirazinamida/uso terapêutico , Rifampina/administração & dosagem , Rifampina/uso terapêutico , Tuberculose/complicações
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