Objectives. – The present study aimed to assess the prevalence of symptoms of anxiety and depression among health professionals in the three most affected regions in Cameroon. Materials and methods . – The study was a descriptive cross-sectional type. Participants were health care professionals working in the three chosen regions of Cameroon. The non_probability convinient sample technique and that of the snowball were valued via a web questionnaire. The non-exhaustive sample size was 292. The diagnosis of anxiety and depression was made by the HAD (Hospital Anxiety and Depression scale). Results . – The prevalence of symptoms of anxiety ranging from mild to severe and those of depression were 42.20% and 43.50% respectively. Anxiety symptoms were associated with the age of the participants (P = 0.006), fear of contamination (P = 0.019), fear of death (P = 0.000), and depressive symptoms associated to the fear of death (P = 0.000). Conclusion. – It is important that the improvement of working conditions and in particular the provision of protective equipment, the increase of staff, and the establishment of special accompaniment units for health personnel are taken into account in the fight against COVID-19 in Cameroon.
Objectif: La pandémie de la COVID-19 a eu un retentissement important dans le monde, à différents niveaux. La littérature consultée indique que les travailleurs de santé, en première ligne de la riposte, sont généralement ceux qui paient le plus lourd tribut. La présente étude évalue l’importance des symptomatologies anxieuses et dépressives chez ces acteurs de la riposte à la COVID-19, dans le contexte du Cameroun. Méthode: La Hospital Anxiety and Depression Scale (HADS) a été mise à contribution pour évaluer les symptomatologies anxieuses et dépressives. La collecte des données a eu recours à la construction d’un web questionnaire sur la plateforme Google Forms. Le lien du questionnaire a été envoyé à des groupes professionnels dans les 10 Régions du pays, au préalable de leur consentement éclairé. Au total, 331 professionnels de santé ont été interrogés sur la période du 05 au 19 Avril 2020. Résultats: Les résultats montrent un taux important d’anxiété (41,8%) et de dépression (42,8%). On observe une plus forte susceptibilité à la dépression chez les sujets jeunes (30-39 ans). La peur de la contamination et la peur de la mort sont des facteurs modulateurs de la dépression et de l’anxiété. La comorbidité anxiété-dépression dans l'échantillon est de14,73%. Les taux de prévalence du trouble dépressif majeur et du trouble de l’adaptation dans l’échantillon est respectivement de 8,2% et 3,3%. Les données présentées confirment les tendances enregistrées dans la littérature, concernant l’impact des épidémies mortelles sur la santé mentale des travailleurs de santé. Discussion: Les résultats indiquent, comme c’est le cas dans la plupart des travaux consultés dans la littérature, que la pandémie de de la Covid 19 affecte de manière importante la santé mentale des travailleurs de santé. Ceci souligne l’urgence de mettre en place un dispositif d’aide et/ou d’accompagnement spécialisé, dans le contexte de l’actuelle pandémie, comme celui des crises sanitaires de même nature. Un tel dispositif n’existe pas au Cameroun, où la réponse de santé mentale reste faible. Conclusion: Ces résultats suggèrent que les personnels de santé engagés dans la riposte contre le COVID-19 au Cameroun sont affectés de manière significative dans leur santé mentale. Ce qui souligne la nécessité d’une aide psychologique spécialisée pour le personnel soignant.
Introduction viral hepatitis B remains a major public health problem around the world, especially in underdeveloped and developing countries. Cameroon shows a grate variability in prevalence of this infection in the country and even within different populations groups. The aim of this study was to determine the prevalence and factors associated with viral hepatitis B infection in the rural area of Dschang. Methods we conducted a cross-sectional community-based study, involving 551 participants of both genders recruited by a voluntary sampling technique. The biological diagnosis of HBsAg was done by the Immunochromatographic method (PKL® kit of PARAMEDICAL srl laboratories). Positive cases were confirmed by ELISA method (reagent Kit from DIALAB Laboratories). Results results show a Viral Hepatitis B prevalence of 5.08% (95% CI: 3.2-6.9). University students were the most infected (11/88) with a positivity rate of 12.50% (95%CI: 5.6-19.4). Only 29/551 participants (5.26%) had received at least one dose of vaccine against the disease and were less infected (3.44%) than the others (5.17%). Age (p=0.000), level of education (p=0.013), occupation (p = 0.002), belief in the traditional healing of hepatitis B (p=0.000) and knowledge about the disease and its contamination roads (p=0.049) were associated with viral hepatitis B. Conclusion there is a need of intensifying awareness, education, routine screening and vaccination of the population, especially in schools and university milieu to better counteract the infection with hepatitis B virus in our local Communities.
Background: Genital Mycoplasmas play a key etiological role in several urogenital diseases among both Men and Women. Just to mention the few, they are often responsible of non-gonococcal urethritis, spontaneous abortion, preterm birth, low birth weight, infertility and perinatal mortality. Aim: The study aimed to assess the prevalence of genital infections with Mycoplasma hominis, Ureaplasma urealyticum and their co-infection, as well as the susceptibility profiles to antibiotics commonly prescribed in Dschang, Cameroon. Study Design: This was a 5-years retrospective cross-sectional study (including data from January 1, 2015 to December 31, 2019) conducted at Saint Vincent de Paul Hospital in Dschang, Cameroon. Methods: Data of 338 participants received at the Gyneco-obstetric and Internal Medicine units, properly recorded, were collected from the Hospital Microbiology Laboratory records. Results: The overall prevalence to genital Mycoplasmas was 57.4%, with 44.4% attributed to Ureaplasma urealyticum, 5.9% to Mycoplasma hominis and 7.1% to the Co-infection with the two bacteria isolates. Josamycin was the most sensitive antibiotic against Ureaplasma urealyticum (85.3%) and the co-infection (91.7%). Mycoplasma hominis isolates were more susceptible to three fluoroquinolones and tetracyclines with an equal sensitivity rate of 80.0%. Emphasis is on the increasing resistance of co-infection towards Macrolides (83.3%). Summarily, Josamycin was the antibiotic to which genital Mycoplasmas showed the lowest resistance rate (6.2%) while the highest (62.9%) was attributed to Acetylspyramycin. Conclusion: The implementation of health policies in Cameroon should optimize on mechanisms of diagnosis, proper treatment and monitoring the antibiotic resistance of commonly isolated genital Mycoplasmas, regarding their impact on reproductive health.
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