Biomedical subjects

E O Faye

Publications and source records attributed to E O Faye.

21 records · Page 2Linked to original sources

PubMed1994

[Paroxystic complications in vasculo-renal syndromes during pregnancy and puerperium at the CHU of Dakar].

In a comparative study issued in 1989 in Gynecology in Dantec (a Medical Hospital School) in Dakar (Senegal), the authors made a retrospective analysis of 206 cases of abruptio placenta (3.3%) and 56 cases of eclampsia (0.9%). After a physiopathologic overview of the vascular renal syndromes, they point out the risk factors of paroxistic accidents represented mainly by the age and the parity, knowing that young age and primiparity appear as new risk factors for abruptio placenta. Finally, they insisted on the prevention of these accidents because of their impact on fetal and maternal mortalities.

Abruptio Placentae↗

PubMedDate not supplied

[Prevention of infection in a surgical environment in the regional hospitals of Senegal].

This study evaluated the attitudes and practices of the personnel with respect to the prevention of nosocomial infections in a hospital environment. We carried out a qualitative survey of all categories of personnel between July 1998 and March 1999, at the five regional hospitals in Senegal (Thiés, Kaolack, Saint-Louis, Diourbel, and Louga). Data were collected in two ways: using a questionnaire to evaluate knowledge and by observing the attitudes and practices of the personnel. Hands were rarely washed before and after each procedure and surgical washing was often performed in poor conditions. The decontamination of soiled equipment was ineffective. Reusable instruments were washed directly with bare hands or by individuals wearing used surgical gloves. The equipment used for sterilization was dilapidated and unsuitable and the norms for sterilization were seldom respected. Circulation in the region of the operating theatre was disorganized, if not anarchic. The personnel had a high risk of contamination from blood. Biomedical waste was not decontaminated: it was collected poorly and disposed of directly into the environment. None of the sites visited had a program of waste incineration. In conclusion, at the sites visited, there is a high risk of nosocomial contamination during care and the reuse of equipment, for both the staff and the patients treated.

Attitude of Health Personnel↗

PubMedDate not supplied

[Cesarean sections in Senegal: coverage of needs and quality of services].

A prospective longitudinal study was carried out of all women undergoing Cesarean section in the surgical maternity hospitals of Senegal between January 1 and December 31 1996. The epidemiology and quality of Cesarean sections were investigated. For each case, the following data were recorded: marital status, prenatal monitoring, conditions of hospitalization, indications for and outcome of surgery, maternal and neonatal follow-up one month after the operation. 2,436 Cesarean sections were performed. Of these, 2,269 cases were indexed and filed and 1,612 received a postnatal checkup one month after the operation. The mean age of the women involved was 26 years. The referral system is not effective, with 58% of patients being rushed to a surgical maternity unit in medically unsuitable forms of transport. Cesarean section is not widely available either geographically or economically. The mean national rate of Cesarean section was 0.6% of expected births but there were differences between regions. The main indications for Cesarean section were the fetus being too large to pass through the pelvic girdle (30%) and fetal suffering (18%). The maternal mortality rate was 3% and one third of the women who died did so immediately after the operation. Maternal morbidity occurred in 10% of cases, mainly due to postoperative infection. The rate of perinatal stress was 25%, most deaths being caused by neonatal distress (33%) or infection (18%). Thus, overall, both the availability and quality of Cesarean section in Senegal are poor.

Adult↗