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Infection du Site Opératoire à l'Hôpital de Sikasso by Gérald Dembele

Infection du Site Opératoire à l'Hôpital de Sikasso

by Gérald Dembele
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Book cover type: Paperback
  • ISBN13: 9789999333016
  • Binding: Paperback
  • Subject: N/A
  • Publisher: Eliva Press
  • Publisher Imprint: Eliva Press
  • Publication Date:
  • Pages: 100
  • Original Price: USD 49.5
  • Language: French
  • Edition: N/A
  • Item Weight: 146 grams
  • BISAC Subject(s): General

Choisir uneL'objectif de notre �tude �tait de d�terminer la pr�valence de l'Infection du site op�ratoire, d'identifier ses facteurs favorisants et de pr�ciser leurs �tiologies. Nous avions r�alis� une �tude r�trospective incluant les patients op�r�s sur une p�riode cons�cutive de vingt-quatre mois. Le suivi postop�ratoire a �t� fait sur au moins un douze mois. Les crit�res d'infection ont �t� ceux du CDC d'Atlanta. Sur 140 patients inclus d'�ge moyen de 39,91 ans (105 hommes et 35 femmes), l'incidence globale d'ISO �tait de 19.3%. 3 cas d'ISO ont �t� diagnostiqu�s apr�s l'hospitalisation. Parmi les ISO, 19 (55.9 %) �taient superficielles, 11 (32.4%) profondes et 4 (11.7%) d'organe. La pr�valence de l'ISO �tait de 19.3% pour la chirurgie programm�e et 43.8% pour la chirurgie d'urgence. Selon le score de NNISS le taux d'ISO �tait 100 % pour la classe 3. L'urgence, la cat�gorie d'hospitalisation, la dur�e d'hospitalisation pr�op�ratoire, l'an�mie la salle d'op�ration et le score de NNISS, ont �t� les facteurs favorisants de ces infections. Les germes retrouv�s �taient par ordre de fr�quence le S. Aur�us, le P. a�roginosa et l'acinetobacter baumannii. Ils ont �t� majoritairement r�sistants � l'ampicilline, l'amoxicilline et l'association amoxicilline et acide clavulanique. Notre taux d'ISO reste �lev� comparativement � ceux de l'occident et de certains pays africains. Il est n�cessaire de renforcer les mesures d'asepsie et de mettre en place un protocole valid� d'antiboprophylaxie.

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