scholarly journals Child malnutrition in Toamasina hospital: the determining role of the socio economic conditions of the mother

Author(s):  
Emile Kasy ◽  
Arthur Ratsimbazafy ◽  
Judicael Andriafanjanomenjanahary ◽  
Andry Maharo Andrianarivelo ◽  
Van Cuong Miora Anissa ◽  
...  

Background: The severe malnutrition is the background of infant mortality in Toamasina region. In spite of the efforts given to the care of those undernourished, this medical scourge always clamps down in national scale. A wider look shows that it is not only a health problem but also socio economic. Our study has as goal to detect the degree of influence of socio economic conditions of mothers about nutritional and weights condition of the childrenespecially in hospitals.Methods: We led a cross descriptive retrospective study based on hospitalized children records in Intensive Nutritional Recovery Center (INRC) of the University Hospital Center (UHC) of Toamasina during 2017.Results: 150 children have been included in the study. The average age of children is 11 months and there is no particular difference found concerning their gender. The breastfeeding was found in most of the case (90%). Concerning the mother, the average age is 21, 5. Those mothers were singles in 76.67% of the cases and practiced informal activities in 62% of the cases. We have deplored 3 deaths during our study period.Conclusions: The poor socio economic condition of the mothers influences considerably the risk to expose the children less than 5 years to the malnutrition. A combined action between health workers and economists is compulsory so as to get through this scourge.

Author(s):  
Agron Dogjani ◽  
Arben Gjata Gjata ◽  
Kastriot Haxhirexha ◽  
Sindi Shandro ◽  
Seimir Laqja

Introduction; The University Hospital of Trauma, Tirana, Albania, is the only National referent center for trauma in Albania. As the primary care center for trauma, often operating over capacity of trauma patient, limiting access to Emergency surgical care for non-trauma patients. For non-traumatic surgical emergencies are instructions to inform the patient selection for transfer to another institution such as a University Hospital Center “Mother Theresa” in Tirana, Albania. Such decisions can be particularly difficult for severely ill patients when transferring benefits are uncertain. Material and Methods: To point out the role of surgeons in different hospital levels, for transfer, we took a qualitative analysis of cases that are transferred from a regional or municipal hospital to the University Hospital of Trauma... Results: Surgeons in the regional or municipal hospitals require transfer when the ability to care for the traumatized patient is limited by the lack of necessary staff or equipment, and when the needs of surgical treatment of patients or comorbid conditions are not available at the level local. Surgeons (non-primary centers) sometimes transfer patients who can be selected at home (second or third level hospitals ...) or with fatal safety progress, in order to try all treatment options or to satisfy families by thus reducing the possibility of benefiting from the treatment of other patients. Conclusion: Decisions on the transfer of surgical patients are complex and require good recognition of traumatized patient assessment protocols, knowledge and capacity coordination both local and central as well as in logistics, personnel, and scientific and professional levels.


2017 ◽  
Vol 06 (05) ◽  
Author(s):  
Lokossou MSHS ◽  
Bagnan Tonato JA ◽  
Ogoudjobi OM ◽  
Tognifode V ◽  
Obossou AAA ◽  
...  

2020 ◽  
Vol 21 (4) ◽  
pp. 304-310
Author(s):  
I. Kara Terki ◽  
H. Hassaine ◽  
A. Kara Terki ◽  
B. Nadira ◽  
N. Kara Terki ◽  
...  

Background: Staphylococcus aureus is one of the species of bacteria most frequently isolated from medical devices. The ability to produce biofilm is an important step in the pathogenesis of these staphylococci infection, and biofilm formation is strongly dependent on environmental conditions as well as antibiotics and disinfectants used in the treatment and prevention of infections.Methodology: In this study, 28 S. aureus isolated from medical devices at the University Hospital Center of Sidi Bel Abbes in Northwestern Algeria were tested for biofilm formation by culture on Red Congo Agar (RCA). The tube method (TM) and tissue culture plate (TCP) techniques were also used to investigate the effect of penicillin, ethanol and betadine on pre-formed biofilm.Results: Nineteen S. aureus isolates produced biofilm on the RCA and 7 produced biofilms by the tube method, 2 of which were high producer. In addition, 9 S. aureus isolates produced biofilm on polystyrene micro-plates, and in the presence of penicillin and ethanol, this number increased to 19 and 11 biofilm producing S. aureus isolates respectively. On the other hand, no biofilm was formed in the presence of betadine.Conclusion: It is important to test for biofilm formation following an imposed external constraint such as disinfectants and antibiotics in order to develop new strategies to combat bacterial biofilms but also to better control their formation. Keywords : Staphylococcus aureus, biofilm, medical device, disinfectant, antibiotic French Title: Effets de certains désinfectants et antibiotiques sur la formation de biofilms par Staphylococcus aureus isolé à partir de dispositifs médicaux au Centre Hospitalier Universitaire de Sidi Bel Abbès, Algérie Contexte: Staphylococcus aureus est l'une des espèces de bactéries les plus fréquemment isolées des dispositifs médicaux. La capacité de produire du biofilm est une étape importante dans la pathogenèse de ces infections à staphylocoques, et la formation de biofilm dépend fortement des conditions environnementales ainsi que des antibiotiques et des désinfectants utilisés dans le traitement et la prévention des infections. Méthodologie: Dans cette étude, 28 S. aureus isolés à partir de dispositifs médicaux au Centre hospitalier universitaire de Sidi Bel Abbès dans le nord-ouest de l'Algérie ont été testés pour la formation de biofilm par culture sur gélose rouge du Congo (RCA). La méthode des tubes (TM) et les techniques de plaques de culture tissulaire (TCP) ont également été utilisées pour étudier l'effet de la pénicilline, de l'éthanol et de la bétadine sur le biofilm préformé. Résultats: Dix-neuf isolats de S. aureus ont produit un biofilm sur le RCA et 7 ont produit des biofilms par la méthode des tubes, dont 2 étaient très productifs. De plus, 9 isolats de S. aureus ont produit du biofilm sur des microplaques en polystyrène, et en présence de pénicilline et d'éthanol, ce nombre est passé à 19 et 11 isolats de S. aureus producteurs de biofilm respectivement. En revanche, aucun biofilm ne s'est formé en présence de bétadine. Conclusion: Il est important de tester la formation de biofilm suite à une contrainte externe imposée comme les désinfectants et les antibiotiques afin de développer de nouvelles stratégies pour lutter contre les biofilms bactériens mais aussi pour mieux contrôler leur formation. Mots-clés: Staphylococcus aureus, biofilm, dispositif médical, désinfectant, antibiotique  


Author(s):  
Stefano Sartini ◽  
Laura Massobrio ◽  
Ombretta Cutuli ◽  
Paola Campodonico ◽  
Cristina Bernini ◽  
...  

COVID-19 respiratory failure is a life-threatening condition. Oxygenation targets were evaluated in a non-ICU setting. In this retrospective, observational study, we enrolled all patients admitted to the University Hospital of Genoa, Italy, between 1 February and 31 May 2020 with an RT-PCR positive for SARS-CoV-2. PaO2, PaO2/FiO2 and SatO2% were collected and analyzed at time 0 and in case of admission, patients who required or not C-PAP (groups A and B) were categorized. Each measurement was correlated to adverse outcome. A total of 483 patients were enrolled, and 369 were admitted to hospital. Of these, 153 required C-PAP and 266 had an adverse outcome. Patients with PaO2 <60 and >100 had a higher rate of adverse outcome at time 0, in groups A and B (OR 2.52, 3.45, 2.01, respectively). About the PaO2/FiO2 ratio, the OR for < 300 was 3.10 at time 0, 4.01 in group A and 4.79 in group B. Similar odds were found for < 200 in any groups and < 100 except for group B (OR 11.57). SatO2 < 94% showed OR 1.34, 3.52 and 19.12 at time 0, in groups A and B, respectively. PaO2 < 60 and >100, SatO2 < 94% and PaO2/FiO2 ratio < 300 showed at least two- to three-fold correlation to adverse outcome. This may provide simple but clear targets for clinicians facing COVID-19 respiratory failure in a non ICU-setting.


Health ◽  
2020 ◽  
Vol 12 (02) ◽  
pp. 219-229
Author(s):  
Buambo Gauthier Régis Jostin ◽  
Eouani Max Lévy Eméry ◽  
Potokoue Mpia Samantha Nuelly ◽  
Mahoungou Tsibozi Frédine ◽  
Itoua Clautaire ◽  
...  

2012 ◽  
Vol 22 (4) ◽  
pp. 444-446
Author(s):  
S. Bamba ◽  
F. Barro-Traoré ◽  
M. Liance ◽  
O. Da ◽  
C. Sanou ◽  
...  

2021 ◽  
Vol 2 (6) ◽  
Author(s):  
Fombotioh Ndifor ◽  
Abakar Idriss Lawane ◽  
Nadjioroum Ngam-Asra ◽  
Mouktar Abaya Adoum ◽  
Brahim Boy Otchom ◽  
...  

Acute diarrhea is one of the leading causes of morbidity and mortality in children from 0-5 months old, especially in Africa and many developing countries. Rotavirus and Adenovirus have been recognized as the common pathogens for this public health problem. However, little or no investigation has been carried out on the two viruses in Chad. In view of this fact, we decided to study the prevalence of Rotavirus and Adenovirus in children suffering from acute diarrhea at the University Hospital Center of Mother and Child (UHC-MC). Fresh stool samples were collected from 440 children ages 0-5 years (225 females and 2015 males). They were brought for medical consultation from March 2019- September 2019 at the pediatric department. Specimens were analyzed and Rotavirus and Adenovirus were detected using Rapid Immunochromatographic Test kit (Vikia BioMerieux, France). Out of the 440 children examined, 228 had viral infection with a prevalence of 51.81%. Based on gender infection, females 140 (62.22%) were significantly more infected than males 88(40.93%). Prevalence of mono infection of Rotavirus in children 110 (48.24%) was higher than that of Adenovirus 74(32.45%). More males had Rotavirus infection 60(68.18%) than girls 50 (37.71%). Co-infection was found to be 44 (19.29%). Distribution of viral infection indicated that children between 6-11 months had the highest viral burden 101(77.69%). Among clinical symptoms recorded, dehydration was the highest in children 84(61.76%). Due to the high prevalence of Rotavirus and Adenovirus discovered, we suggest that vaccines for the two viruses should be included in the national immunization program.


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