Journal of Clinical Surgery and Anesthesia最新文献

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Knowledge and Compliance to Hand Hygiene Among Anesthesiologists in the Operation Room in Sudan 2022 2022 年苏丹手术室麻醉师对手部卫生的了解和遵守情况

Journal of Clinical Surgery and Anesthesia Pub Date : 2024-03-31 DOI: 10.61440/jcsa.2024.v2.05

Farah Seif Aldein Ahmed Khalel, Eltayeb GareebAlla Eltayeb AbdAlla, Mohamed Ali Hassabo, Mohamed Osman Suliman Basher

{"title":"Knowledge and Compliance to Hand Hygiene Among Anesthesiologists in the Operation Room in Sudan 2022","authors":"Farah Seif Aldein Ahmed Khalel, Eltayeb GareebAlla Eltayeb AbdAlla, Mohamed Ali Hassabo, Mohamed Osman Suliman Basher","doi":"10.61440/jcsa.2024.v2.05","DOIUrl":"https://doi.org/10.61440/jcsa.2024.v2.05","url":null,"abstract":"Objectives: This study aims to assess anesthesiology registrars’ knowledge and compliance with Hand hygiene strategies in the operation room and ICU in Sudan in 2022. Materials and Methods: This was a descriptive cross-sectional study conducted among anesthesiology registrars registered in the Sudanese Council of Anaesthesia and Intensive Care. Data was collected by the researcher using a self-administered Google form questionnaire assessing knowledge about patient prevention, self-protection, alcohol-based rubbing, hand washing using soap and water, and compliance with the WHO 5 moments hand hygiene practice, then analyzed by SPSS V 28 software. Results: The study included 150 anesthesiology registrars with a mean age of 31± 4 years and a female majority of 67%. Overall, the majority 88% have a fair knowledge regarding hand hygiene, 12% have poor knowledge, and 65% were compliant with all the recommended 5 moments of hand hygiene. Analysis of Factors affecting participants’ compliance with WHO 5 moments revealed that only experience was associated with the participants’ compliance. Conclusion: Many gaps in knowledge about hand hygiene were identified regarding patients and self-protection, and hand washing and rubbing, thus, anesthesiology registrars had poor to fair knowledge regarding hand hygiene. While 65% of them are compliant with the WHO 5 Moments hand hygiene. Compliance with the WHO 5 Moments hand hygiene was associated with participants’ experience.","PeriodicalId":514617,"journal":{"name":"Journal of Clinical Surgery and Anesthesia","volume":"21 9","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140359242","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Review of Urinary Diversion (Mainz II) for Women with Irreparable Vesico-Vaginal Fistula (VVF) In Eritrea, 2022: A Retrospective Study 2022 年厄立特里亚膀胱阴道瘘（VVF）妇女尿流改道术（美因茨 II）回顾：一项回顾性研究

Journal of Clinical Surgery and Anesthesia Pub Date : 2024-03-31 DOI: 10.61440/jcsa.2024.v2.04

Yohannes Mekonen

{"title":"Review of Urinary Diversion (Mainz II) for Women with Irreparable Vesico-Vaginal Fistula (VVF) In Eritrea, 2022: A Retrospective Study","authors":"Yohannes Mekonen","doi":"10.61440/jcsa.2024.v2.04","DOIUrl":"https://doi.org/10.61440/jcsa.2024.v2.04","url":null,"abstract":"Introduction: Mainz II urinary diversion procedures are increasingly being performed in the developing world for irreparable obstetric fistulas. Our goal was to review the long-term complications of continent urinary diversion and to evaluate the feasibility of the recommended follow-up protocols in a country with limited resources. Methods: The medical records of patients who underwent urinary diversion or who are under follow-up for irreparable vesico-vaginal fistula (VVF) at National Fistula center (NFC) in Mendefera, Eritrea, between February 2004 and December 2021, were reviewed. Descriptive statistics was used to depict the complications and surgical outcomes. Results: Urinary diversions were performed in 47 patients. The average duration of stay after surgery was 18 days. Metabolic panel and arterial blood gases (ABG) were found only in 26 of the records which showed hyperchloremic acidosis in 22 (84.7%) and decreased kidney function in 8 (30.7%) of the women. Night time incontinence was found in 24 (51.1%) of the cases with 9 (19.1%) experiencing symptomatic renal infections which required admission. Three of the patients developed pouch stones and two patients developed hydronephrosis. Five patients were able to conceive after diversion. Eleven (23.4 %) of the women were lost to follow-up and 10 (21.3 %) died, with majority (70%) of them with unknown cause of death. Conclusion: On top of the long-term complications following diversion, there was substantial loss to follow-up and death after urinary diversion. Therefore, innovative approaches and continuous financial support to ensure patient return or local follow-up in residential regions need to be developed to overcome barriers to guarantee continuity of care and to decrease the morbidity and mortality of these women.","PeriodicalId":514617,"journal":{"name":"Journal of Clinical Surgery and Anesthesia","volume":"24 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140360887","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0