Objective : Describe the bacteriological aspects of surgical site infections (SSI) at the regional hospital centre Borgou. Methods : From a descriptive, prospective study from february 2013 to july 2014, about 603 patients operated during the recrutment period(six mounths), the bacteriological data of 44 cases of SSI diagnosed according to the criteria CDC/NHSN have been analysed. Results : The frequency of SSI was 7.3% of the operated (44/603). The superficial incisional infections were 6, the deep infections were 34 and the organ infections or infections of space were 4. The sampling culture of the liquid was negative with 12 cases (27.3%) and positive with 32 cases (72.7%). Two germs were isolated in two cases. The negative Gram germs were the most isolated with 22 cases (64.7%) of Escherichia coli. The multiresistance was noted with 14 cases out of 34 (41.2%). Conclusion : The negative Gram germs were those which predominate in the infections of the operating site at the regional hospital center Borgou. The high rate of resistance to usual antibiotics must raise preventive and hard actions in order to inflect the graph of frequency and protect the antibiotics.
Introduction: Acute renal failure (ARF) post-operative is a specific form of acute deficiencies causing multiple declining factors. Objective: This survey aims to study the incidence and risk factors associated with acute renal failure (ARF) in post-operative surgical intensive care units to University Hospital of Borgou (UH-B): during 2015. Patients and Methods this study is a cross sectional, descriptive and analytical ones with the prospective data collection from March 1st to European Scientific Journal November 2016 edition vol.12, No.33 ISSN: 1857 -7881 (Print) e -ISSN 1857 189 August 31th, 2015. The research has involved all patients admitted to the operating room for surgery and motherhood whatever reason and then transferred respectively to the intensive care areas at UH-B. The postoperative ARF has been investigated inner patients following inclusion criteria and classification according to RIFLE score. The socio-demographic, clinical and biological variables monitoring, even support and evolution are experimented. A questionnaire is designed for data collection. Data are analyzed by Epi-Info means with 5% of significance level. Results: 130 patients are registered. The mean age is 27.68 ± 12.87 years. The sex ratio is 0.66. The frequency of post-operative ARF reaches 12.31%. The associated risk factors are: hypertension (p = 0.0018), diabetes (p = 0.002), heart failure (p = 0.0104), severe sepsis (p = 0.006) hypovolemic shock (p = 0.002), ASA class ≥ 3 (p = 0.0014), preeclampsia-eclampsia (p = 0.012), the Altémier class classification ≥ 3 (p = 0.0164), a pathological urinary sediment like a proteinuria (p=0.006), haematuria (p= 0.001) and nitrituria (p=0.007). Consequently, three (03) subjects out of sixteen (16) have died (18.75%). Conclusion:The post-operative ARF is a reality in University Hospital Borgou , with a higher mortality rate. Thus, the prevention strategy is the best treatment through the screening and monitoring promotion towards risk factors. er Mars au 31 Août 2015. Tous les patients opérés (de la chirurgie et de la maternité) et transférés dans les secteurs de la réanimation chirurgicale étaient concernés. Le score de RIFLE a permis de diagnostiquer l'IRA post opératoire. Les variables socio démographiques, clinico-biologiques celles de prise en charge de suivi et d'évolution ont été étudiées. Un questionnaire a été établi pour la collecte des données. Les données collectées ont été analysées avec le logiciel Epi-Info 7.1.1.14 avec un seuil de significativité de 5%. Résultats : Au total, 130 patients ont été enregistrés. L'âge moyen était de 27,68 ± 12,87 ans. La sex-ratio était de 0,66. La fréquence de l'IRA post European Scientific Journal November 2016 edition vol.12, No.33 ISSN: 1857 -7881 (Print) e -ISSN 1857 190 opératoire était de 12,31%. Les facteurs de risque associés étaient : l'hypertension artérielle (p=0,0018),le diabète (p=0,002), l'insuffisance cardiaque(p=0,0104), le sepsis sévère(p=0,006), l' état de choc hypovolémique(p=0,002), la classe ASA ≥3 (p=0,0014), l...
Bacground: The urachus is a fibrous remnant of the allantois. That connects the bladder dome to the anterior abdominal wall. After birth it is obliterated in general. In some cases it may persist as cyst , fistula , sinus or diverticulum. This persistence of the urachus often is signaled by a complication. Infection is the most common complication and the most dangerous is his degeneration. The infection can be misunderstood and confused with other pathologies of the navel. Methods: Our study reports three clinical cases of infected urachal cyst. Result: these report cases illustrate the need to think of this diagnosis before the painful of the navel and abdomen. The ultrasound examination can help for the diagnosis.
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