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Usefulness of a Clinico-Biological Francois’Score in the Diagnosis of Acute Appendicitis:Experience of the University Hospital Center of Parakou,Benin

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Surgical Science 2018年第3期9卷 91-96页

作者： Montcho Adrien Hodonou Bio Tamou-Sambo Salako Alexandre Allode roméo romaric gbédolo Djifid Morel Séto Selome romaric Tobome Moise Francis Dossou Dodji Emile Mensah Department of Surgery and Specialties Teaching HospitalMedicine SchoolUniversity of ParakouParakouBenin Saint John of God Hospital Center of Tanguieta TanguietaBenin Teaching Hospital of Porto-Novo Faculty of Health ScienceUniversity of Abomey CalaviCotonouBenin

Introduction: Diagnostic wanderings of acute appendicitis are responsible for serious complications or abusive appendectomies. Existing Clinico-biological scores are efficient. objective: To determine the diagnostic efficiency of Fran?ois’ score in acute appendicitis. Methodology: over 10 months, all the patients admitted in the CHUD-Parakou Emergency Department for pain in the right iliac fossa had been examined by resident students who calculated Fran?ois’ score. After verification by the surgeon, patients were put into three categories: category 1 score ≥ 2;category 2, score between -6 and 2;category 3, score below -6. Sensitivity and specificity were calculated. Results: out of 54 patients selected (29 men and 25 women), 29 were classified as group 1;19 as group 2 and 6 as group 3. An ultrasound was performed in all patients in group 2, and signs in favor of appendicitis were found in 12 patients. of the 41 appendicectomies performed, the histologic analysis of 33 operative specimens found a pathological appendix. Sensitivity, specificity and negative predictive value per group were 100%. It has prevented almost in one every four patients (24.07%) an abusive appendectomy. Conclusion: This score would reduce diagnostic wanderings and target patient groups for imaging studies.

关键词： Acute Appendicitis Francois Score Sensitivity Specificity Resource-Limited Countries

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Surveillance of Surgical Site Infections: A Public Health Emergency in a Regional Hospital of Northern Benin. A Prospective observational Pilot Study

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Surgical Science 2023年第1期14卷 38-45页

作者： Montcho Adrien Hodonou Bio Tamou Sêmêvo romaric Tobome Thierry Hessou Robert Akpata Allassan Boukari Ulrich Parfait otchoun roméo Haoudou Gambattista Priuli Salako Alexandre Allodé Gildas Kedalo Mohamed Abbas Delphin Kuassi Mehinto Roberto Caronna Department of General Surgery Regional University Hospital of Borgou Faculty of Medicine University of Parakou Parakou Republic of Benin Department of General Surgery Saint Jean de Dieu Hospital Tanguiéta (SJDHT) Tanguiéta Republic of Benin French National Institute of Health and Medical Research (Inserm) Bordeaux France office of The Sanitary Zone of Kouandé-Kérou-Péhunco Kouandé Republic of Benin Infection Control Program Geneva University Hospital and Faculty of Medicine Geneva Switzerland Faculty of Health Sciences Cotonou Bénin Department of Surgical Sciences Sapienza University of Roma Roma Italy

Background: Surgical site infections (SSIs) are considered as result of the healthcare quality in hospitals. objective: to study SSI at Saint Jean de Dieu Hospital Tanguieta (SJDHT), prior to the implementation of a permanent monitoring system. Method: transversal, and descriptive study with prospective data collection was performed from 1 July to 31 janvier 2017 in the department of general surgery of SJDHT. The hospital lacks in a microbiology unit. All patients who underwent surgery during this period were included and the monitoring lasted one month. SSIs diagnostic was carried out according to WHo criteria as described in the Practical Guide for the Prevention of Nosocomial Infections published in 2002. Statistical tests (χ-square and Student’s t-test) were applied and p 0.05 were statistically significant. Results: of 343 patients recorded, 105 (30.6%) had SSI. Their age averaged 40.3 years and the sex-ratio (men/women) was 2.8. The emergency surgery resulted in a 50.0% rate of SSI (p = 0.00). The SSI rate for clean and clean-contaminated surgery was 6.3% against 94.6% for infected surgery (p = 0.00). The SSI rates were 100% and 66.7% for NNISS = 2 and NNISS = 1 (p = 0.00), respectively. Superficial SSI rate was 13.3%, while deep SSI and organ/space SSI were 46.7% and 40%, respectively. The hospital stay of patients with SSI was three times longer than the length of patients without SSI (p = 0.00). Conclusion: SSIs are real burden at SJDHT. Appropriate measures must be adopted to reduce its prevalence.

关键词： Surgical Site Infection Class of Surgery Emergency Benin

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