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Biochemical Profile of Patients Hospitalized for COVID-19 at the Infectious Disease Management Centre in Lomé in 2020

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Open Journal of Internal Medicine 2023年第4期13卷 271-294页

作者： Lochina Feteke wemboo afiwa halatoko Mamadou Alpha Prateaux Aweréou Kotosso Fagdéba David Bara Komi Séraphin Adjoh Mounerou Salou Koumavi Didier Ekouevi Mohaman Djibril Centre National de Transfusion Sanguine Lomé Togo Département de Biochimie Médicale Université de Lomé Lomé Togo Institut National D’Hygiène Lomé Togo Centre Médico-Chirurgical Interarmé Conakry Guinée Département de Pneumologie Centre Hospitalier Universitaire Sylvanus Olympio Lomé Lomé Togo Unité de Recherche en Immunologie et Immunomodulation (UR2IM) Laboratoire de Microbiologie et de Contr&ocircle de Qualité des Denrées Alimentaires (LAMICODA) Ecole Supérieure des Techniques Biologiques et Alimentaires (ESTBA) Université de Lomé Lomé Togo Services de Laboratoire Centre Hospitalier Universitaire Campus Lomé Togo Département de Santé Publique Université de Lomé Lomé Togo

Background: COVID-19, an infectious viral disease, has caused a global health crisis. Most cases remain asymptomatic. The majority of patients have mild symptoms while about 15% develop a severe form. The clinical spectrum of SARS-CoV-2 infection appears broad, encompassing asymptomatic infection, upper respiratory tract symptoms, and severe viral pneumonia with respiratory failure that can lead to death. Laboratory tests play an important role in the management of COVID-19 patients. In addition to being essential for the diagnosis, several biological analyses make it possible to identify the inflammatory processes and the potential complications of this disease. This study attempted to identify biochemical assays that could help in the prognosis of the disease to ensure early management. Methods: This was a descriptive study. It focused on patients hospitalized for COVID-19 from March 19, 2020, to January 26, 2021, at the Infectious Disease Management Centre in Lomé (Togo). Medians were compared using the (Mann-Whitney and Wilcoxon) test and frequencies were compared using the Chi-square test or Fisher’s exact test. Results: We included 782 patients. The median age was 41 years IQR from 32 to 55. We observed several biochemical abnormalities in varying proportions for all biochemical parameters studied. Compared to non-serious patients, critically ill patients at admission had more frequently elevated urea, creatinine, transaminases, TG, GGT, CRP and blood glucose. Also, they had more frequent decreases in total cholesterol, HDL-c, blood chloride, and blood calcium. As for patients who died during hospitalization, compared with healed patients, they had more frequent elevations of urea, creatinine, AST, ALT, GGT. CRP and blood glucose. They also had a more frequent decrease in total cholesterol, HDL-c, blood chloride, blood calcium, and blood glucose (p = 0.025). Conclusion: This study shows that COVID-19 is a multi-organ systemic inflammatory viral disease that sh

关键词： COVID-19 Biochemical Anomalies Togo 2022

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Effectiveness of Disinfection in Bacteriology Laboratories in Togo, 2021

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Open Journal of Preventive Medicine 2023年第7期13卷 213-226页

作者： wemboo afiwa halatoko Bawimodom Bidjada Ghislain Emmanuel Sopoh Pirenam Kpaïkpaï Fagdéba David Bara Kokou Akpanta Zoulkarneiri Issa Koffi Akolly Yao Adodo Sadji Gnatoulma Katawa Mounerou Salou Simplice Damintoti Karou Edgard Marius Ouendo Institut National d’Hygiène (INH) Lomé Togo Institut Régional de Santé Publique (IRSP) Département de Santé et Environnement Université d’Abomey Calavi (Bénin) Abomey-Calavi Benin Unité de Recherche en Immunologie et Immunomodulation (UR2IM)/Laboratoire de Microbiologie et de Contrô le de Qualité des Denrées Alimentaires (LAMICODA)/Ecole Supérieure des Techniques Biologiques et Alimentaires (ESTBA) Université de Lomé (UL) Lomé Togo Ecole Supérieure des Techniques Biologiques et Alimentaires (ESTBA) Université de Lomé Lomé Togo Faculté des Sciences de la Santé Université de Lomé Lomé Togo

Background: Laboratory personnel is at risk of biological contamination leading to laboratory-acquired infections (LAIs). The use of disinfection products is essential in the prevention of these infections. This work aimed to evaluate the effectiveness of antimicrobial agents used in disinfection in bacteriology laboratories in Togo. Methods: This was a cross-sectional study conducted from June to December 2021 in all bacteriology laboratories in Togo. Swabs taken before and after disinfection of surfaces and staff hands were immediately plated on agar media. Counting and identification of isolated colonies were done after 24 hours of incubation. The ANOVA test was used to compare calculated means, prevalence ratio (PR) and 95% confidence intervals (CI) to compare bacterial frequencies. Results: A total of 393 samples were taken, of which 41.2% were from hands. Before disinfection, surfaces were more contaminated than hands with respectively 40.4% and 29.6% (PR = 1.3;CI 95% = [0.9 - 1.9]). After surface disinfection with 0.5% of chlorine solution, bacterial elimination was total, but partial on hands washed with soap, with residual contamination of 3.7%. A total of 108 strains were isolated before disinfection of which Klebsiella spp. 38.9% and Staphylococcus spp. 25.0%;after disinfection 4 strains were isolated of which: Staphylococcus spp. 75.0% and Klebsiella spp. 25.0%. Conclusion: Surface disinfection was more effective than hand washing with soap and water. We recommend proper hand washing.

关键词： Effectiveness Antimicrobial Agents Disinfection Hands Surfaces

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