P343 Pompes externes à insuline : première expérience en Algérie

Benharrats, K.; Ayad, F.; Rahou, A.; Zenaki, Amel; Aribi, S.; Bachaoui, M.; Cherrak, A.; Belhadj, M.

doi:10.1016/s1262-3636(14)72634-5

Cited by 1 publication

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“…Slight differences with international results may be explained by the fact that syringes continue to be the preference in some countries, such as Brazil [ 7 ] and India [ 9 ], and by the relatively recent introduction of insulin pumps in Algeria. The use of these devices is still limited to specific departments of the largest Algerian hospitals and are not reimbursed, as well as their consumables [ 23 ]. Patients´ habits around the world have been challenged by the 2010 introduction of the 4 mm needle associated with lower risks of IM injection and hypoglycemia, as well as by most recent recommendations for its advocacy for reducing the risk of muscle injury [ 5 ].…”

Section: Discussionmentioning

confidence: 99%

Insulin injection technique in Western region of Algeria, Tlemcen

Hacene¹,

Saker²,

Youcef³

et al. 2020

Pan Afr Med J

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Introduction Algeria has more than 1.7 million diabetic patients on to whom a descriptive assessment particularly on the insulin usage behaviors has not yet been initiated, although is needed. This study aims to provide a descriptive analysis of how Algerian diabetic patients perceive and apply insulin injection techniques. Methods using the “patient” questionnaire within the Injection Technique Questionnaire (ITQ) 2016 survey, this study assessed the insulin injection practices of 100 patients recruited over a seven-month period in western Algeria at the Tlemcen University Hospital Center. The results of this study are compared to those of the ITQ 2016 survey. Results pens are the instruments of injection for 98% of Algerians who continue to use mostly long needles of 6- and 8-mm, although 4mm needles are the recommended safer option. Insulin analogues (fast and basal) are plebiscite. Arms and thighs are the preferred injection sites; the abdomen (the preferred site elsewhere) is neglected for reasons to be investigated. The correct re-suspension technique for cloudy insulin is unknown. Extensive pen needle re-use (10+ times) for over half of the patients exposes them to both higher intramuscular (IM) injection risk and lipohypertrophy (LH). Injection training is performed in Algeria by the diabetologist. Conclusion this study describes for the first time Algerian patients´ insulin injection technique. It highlights their skills and identifies many deficiencies which patients and professionals must correct given the issues in this area.

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