Grossesse et risques d’irradiations en radiodiagnostic : état des connaissances des usagers au CHU de Yopougon (Abidjan, Côte d’Ivoire)

Kouamé, N.; N’goan-Domoua, Anne-Marie; Setchéou, A.; Nezou, B.J.P.; Konan, KP; Rd, N’Gbesso; Kéita, A.K.

doi:10.1051/radiopro/2012023

Cited by 5 publications

(4 citation statements)

References 9 publications

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“…The overall suboptimal radiation protection among South African radiographers is similar to radiographer radiation protection practices reported globally (Okeji et al 2010; Reagan & Slechta, 2010; Kouamé 2012; Adambounou et al 2015; Awosan 2016; Karami et al 2016; Talab et al 2016; Hayre et al 2018). Studies reveal that radiographers are setting exposures higher than necessary (Hayre, 2016; Lewis et al 2019a; Farzanegan et al 2020).…”

Section: Discussionsupporting

confidence: 63%

“…However, despite the establishment of these radiation protection measures, there is still evidence of limited awareness and practice of radiation protection (WHO 2012; Faggioni et al 2017; van der Merwe et al 2017; Rose et al 2018). Guidelines, legislation, and regulations establish practice standards and standards for accountability but do not guarantee optimization and evolution (Pronovost & Hudson, 2012), as evidenced by studies in California, England, Khuzestan-Iran, Iran, Ivory Coast, Northern Nigeria, and Togo, where radiographers’ radiation protection practices were reported as poor (Okeji et al 2010; Reagan & Slechta, 2010; Kouamé et al 2012; Adambounou et al 2015; Awosan et al 2016; Karami et al 2016; Talab et al 2016; Hayre et al 2018). Noncompliant radiation protection practice was evidenced in the study by Tarkiainen et al (2020), where incidents of using the wrong protocols and imaging the wrong site and side of patients were reported.…”

Section: Introductionmentioning

confidence: 99%

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Radiation Protection among South African Diagnostic Radiographers—A Mixed Method Study

Lewis¹,

Downing

Hayre

2023

Health Physics

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Worldwide, radiographers’ radiation protection practices vary. In South Africa, evidence of diagnostic radiographers’ suboptimal radiation protection practices has been reported, but the reasons for these practices and suggestions to improve practices were lacking. Therefore, this study explored radiation protection among South African diagnostic radiographers. This study used an explanatory, sequential, mixed-method approach. Data were collected in three phases. Phase I, the quantitative phase, used an online questionnaire and respondents from Phase I interested in participating in Phase II, the qualitative phase, were interviewed, yielding 13 in-depth semi-structured telephone interviews. In Phase III, eight radiography managers co-constructed change strategies to optimize radiation protection in South Africa in two focus group interviews. Radiation protection was suboptimal despite diagnostic radiographers having a good attitude, subjective norm and perceived behavioral control toward radiation protection and optimal radiation protection knowledge. Varying attitudes to radiation protection, lack of resources, and support from radiography management and healthcare teams contributed to suboptimal radiation protection practices. Radiography managers suggested increasing radiation protection awareness, ameliorating the diminished stature of the radiographer in the healthcare team, and increasing the availability of optimal quality resources. South African diagnostic radiographers’ radiation protection knowledge was optimal, but the implementation of radiation protection varied and was influenced by multiple factors. A radiation protection culture supported by management is advocated to optimize radiation protection. However, ultimately radiation protection practices are incumbent on the individual radiographers’ choice to practice radiation protection.

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Section: Discussionsupporting

confidence: 63%

Section: Introductionmentioning

confidence: 99%

Radiation Protection among South African Diagnostic Radiographers—A Mixed Method Study

Lewis¹,

Downing

Hayre

2023

Health Physics

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“…À notre connaissance, aucune étude portant sur ce thème n'a été réalisée en Centrafrique. (Gervaise et al, 2011 ;Kouamé et al, 2012). Les manipulateurs de radiologie ayant librement consenti à répondre au questionnaire après une séance d'information ont été retenus pour l'étude.…”

Section: Introductionunclassified

Connaissances en matière de radioprotection des manipulateurs de radiologie de Bangui et de Bimbo (Centrafrique)

Songrou¹,

Tapiade

Ouimon³

et al. 2019

Radioprotection

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Les rayons X, principales sources d’exposition aux rayonnements ionisants (RI) d’origine humaine ont un rôle nocif dans la genèse des affections malignes et cancéreuses. L’application des principes de radioprotection par l’ensemble du personnel utilisant les rayons X est une obligation réglementaire. L’Agence Internationale de l’Energie Atomique (AIEA) recommande que ce personnel soit formé, avec des aptitudes et compétences vérifiées avant d’effectuer les tâches spécifiques. Une enquête a été menée auprès du personnel travaillant sous RI dans les établissements de radiodiagnostic de Bangui et de Bimbo pour évaluer leurs niveaux de connaissances en radioprotection. Parmi les enquêtes, 36,8 % étaient titulaires d’un diplôme de technicien supérieur en radiologie et imagerie médicale, formés à la radioprotection et sans renouvellement de leurs connaissances. Le niveau de connaissance de l’ensemble du personnel, quel que soit le profil et l’établissement est très modeste. L’application du principe de justification des examens n’est pas effective dans tous les établissements. Aucun contrôle qualité n’a jamais eu lieu dans les établissements, ceux-ci manquent de personnel référent en radioprotection et de matériel de protection contre les rayons X. Le gouvernement et l’ANR doivent poursuivre leurs efforts pour la formation continue en radioprotection du personnel et pour le contrôle qualité des installations. La diffusion de la culture de radioprotection entre praticiens est aussi à encourager.

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“…L'observance des principes de la radioprotection n'est pas optimale lorsque 57,4% des praticiens n'informe jamais les patients sur les risques des rayons X ; aussi 42,7% du personnel interrogé affirment n'avoir jamais demandé la DDR à une femme en âge de procréer avant la prescription d'un examen radiographique et même faire un test de grossesse en cas de doute. Cette situation a été observée dans la même proportion par certains auteurs (Kouamé, 2012) où 42,1% des médecins prescripteurs d'examen radiographique n'interrogeait jamais les femmes en âge de procréer sur une éventuelle grossesse. Toutes ces situations sont des facteurs de risque d'irradiation non justifiée et abusive au scanner surtout que la majorité du personnel enquêté (83,9%) ne savent pas que le scanner est plus irradiant que la radiographie standard.…”

Section: Discussionunclassified

Connaissances des Prescripteurs en Radioprotection des Patients en Centrafrique

Francky¹,

Henri

Euloge

et al. 2019

ESJ

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The aim of this study was to assess the level of knowledge of X-ray examination prescribers before the advent of CT in Central Africa Republic. It was a descriptive study from October to December 2018 among radiology prescribers of the internal medicine and emergency departments of the Bangui Hospital and University Centers. The material used consisted of individual questionnaire cards. Each answer to just one question was scored as 1 point. An overall knowledge score of less than 10 points was rated worse; between 10 and 11, it was classified average; between 12 and 13; he was ranked fairly well and between 14 and 16 he was ranked very well. Out of a total of 85 practitioners, 68 responded to the questionnaires. The average age was 39 years (± 10), men accounted for 72%, 26.5% of the practitioners were State Graduate Nurses (FDI), 33.8% were general practitioners, 16.1% were health assistants (AS) and 11.8% were medical specialists and students in the last year of medical training. The overall average knowledge score varies by staff profile. No statistically significant relationship was observed between the level of radiation protection knowledge of staff. Almost all of the respondents (97%) said they wanted to participate in radiation protection training for the patient. The training of radiographic examination prescribers is essential, and a guide to the correct use of medical imaging examinations must also be made available to them.

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Grossesse et risques d’irradiations en radiodiagnostic : état des connaissances des usagers au CHU de Yopougon (Abidjan, Côte d’Ivoire)

Cited by 5 publications

References 9 publications

Radiation Protection among South African Diagnostic Radiographers—A Mixed Method Study

Radiation Protection among South African Diagnostic Radiographers—A Mixed Method Study

Connaissances en matière de radioprotection des manipulateurs de radiologie de Bangui et de Bimbo (Centrafrique)

Connaissances des Prescripteurs en Radioprotection des Patients en Centrafrique

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