It is defined as a process of inflammation of the residual appendicular tissue after an appendectomy. CT scan of the abdomen is the most useful imaging method to demonstrate and diagnose the other ...lesions considered in the differential diagnosis. If missed, it can lead to significant morbidity and mortality with complications such as perforation and peritonitis. We report a case of appendicitis on appendicular stump in a 44-year-old patient with a history of appendicectomy in 2017.
Family medicine has not received appropriate attention in the sub-Saharan African context. In particular, family medicine is rarely recognised as a medical speciality and most African countries are ...silent on the role of family medicine in their health systems. There is, however, an emerging interest in developing family medicine as a key component of primary healthcare. Postgraduate training in family medicine is progressing and many countries have already established specific training programmes. In addition, there have been attempts to define the importance of family medicine, which, we expect, this short report contributes to. Interviews were conducted with physicians, partners and beneficiaries of two international development projects funded by the Canadian government. The one project supports training of health professionals and the other education of healthy women and girls in the community. The objective was to document the strengthening of primary healthcare through the creation and adaptation of a new family and community medicine postgraduate medical programme (which includes both family and community medicine) emphasising field training, immersion in local communities and interdisciplinary collaboration. This article underlines the importance of family medicine in Mali by documenting how what is now termed family and community medicine can promote community-orientated health services. To do so, we use the examples of initiatives and actions done through two international health development projects.
Background: Nasopharyngitis is a public health problem due to the high frequency of medical consultations involving this condition, the significant economic cost of drug prescriptions. The etiologies ...are diverse, its management, first medicinal (whose contribution of bacteriology among many others), may require for some palpating indications a surgical cure. The objective was to identify the main bacteria responsible for nasopharyngitis in children within the ENT department of the District Hospital CIV Bamako.
Methods: This was a prospective cross-sectional study, over a period of 4 months, from 1 December 2018 to 31 March 2019 involving children with nasopharyngitis seen in consultation. The samples were taken by swabbing the nasopharynx using a sterile swab in accordance with the rules of asepsis and sterility and in the absence of antibiotic intake.
Results: A total of 51 nasopharyngeal swabs were taken and analyzed using usual laboratory methods, 26 strains were isolated from 24 children. The age group of 1 to 4 years was mainly concerned. Main germs identified were Kocuria rosea 30.8%, Staphylococcus aureus 15.4%, Kocuria varians 11.5% Staphylococcus pneumoniae 7.7%. We observed a low percentage of resistance to penicillin G and tetracyclins. The majority of our strains were sensitive to macrolids.
Conclusions: Nasopharyngitis of the child initial viral pathology, but whose clinical course may involve superinfection germs promoting complications. The bacteriological study of nasopharyngeal carriage rightly allows antibiotic therapy adapted to the germs in question, in this multivariate management of the nasopharyngeal disease of the child within our department.
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