Médecine et santé tropicales
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To determine the bacteriological profile of burn wounds in patients hospitalized in the burn unit of the Military Hospital in Rabat and describe their sensitivity to antibiotics. ⋯ Heightened vigilance and rigorous application of hygiene rules, together with continuous epidemiological surveillance of burn wound bacteria, are essential to optimize empiric antibiotic therapy.
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Despite advances in regional anesthesia under ultrasound guidance, neurostimulation remains the primary technique in underequipped locations. ⋯ Peripheral nerve block by ICB and AXB under neurostimulation showed significant difference in terms of postoperative analgesia efficiency. Locoregional anesthesia remains too rarely practiced in underequipped countries despite its benefits and although it is particularly appropriate for these countries.
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Cutaneous bullous adverse drug eruptions are a dreaded complication of drug use. ⋯ Antibacterial sulfonamides are the leading drugs implicated in the occurrence of bullous drug eruptions in Abidjan.
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The use of the World Health Organization surgical safety checklist, mandatory in operating rooms (OR) in France, significantly reduces morbidity and mortality. Our objective was to evaluate the use of this checklist in the OR of a French military hospital in Djibouti (Horn of Africa). ⋯ The utilization and completeness rates were initially worse than those observed in metropolitan French ORs, but a simple staff information program was rapidly effective. Language difficulties are frequent but an interpreter is often available, unlike in developed countries where language problems are uncommon and the availability of interpreters difficult. Moreover, this study illustrates the ability of the checklist to detect and therefore prevent potentially serious adverse events.