Drabo, Maxime Koiné
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Knowledge, Attitude, and Practice of Health Care Workers in the Management of Peptic Ulcer at the Paul VI and the Bogodogo District Hospitals, in Burkina Faso Somé, Eric Nagaonlé; Zongo, Issaka; Guinganné, Alice Nanelin; Congo, Estelle; Drabo, Maxime Koiné; Sombié, Roger
Journal of Epidemiology and Public Health Vol. 7 No. 4 (2022)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/jepublichealth.2022.07.04.08

Abstract

Background: In 2015, peptic ulcer disease (PUD) was cause of 52.3% and 17% of digestive bleeding and death in respectively among in-hospital patients at the gastroenterology units of the main hospital in Ouagadougou. We aimed to assess the knowledge, attitudes and practices of the health care workers in the management of PUD.Subjects dan Method: It was a descriptive cross-sectional study with a prospective data collection implemented at the Paul VI and the Bogodogo District Hospitals in Ouagadougou (Burkina Faso) from December 15, 2015 to January 25, 2016. A questionnaire was administered to 134 health care workers including medical doctors, nurses and midwives.Results: The mean age was 33 years (Mean= 33.6; SD= 5.84). Females represented 61.9%. Knowledge levels were good to excellent for general knowledge, symptoms and treatment of PUD. Depending on the agent's qualification, knowledge levels were excellent in all areas for two-thirds to three-quarters of the general practitioners, except for knowledge of additional investigation analyses, where only 47.8% had an excellent knowledge. Depending on the level of education, the level of knowledge was at least good for more than 50% of the agents except for the knowledge of additional investigation analyses where only 45.2 % of the agents of secondary school level had a good knowledge. The main attitudes consisted in managing the patients in emergency and out of an emergency context in 45.8% and 42.2% of the cases, respectively. Regarding the practices, 51.5% of the HCWs systematically requested investigation analyses before starting an aetiological therapy.Conclusion: The PUD knowledge ranks from good to excellent. However, the frequent prescription of symptomatic treatments could be the cause of many complications. The promotion of continuous medical education is a good mitigation plan to resolve the issues of knowledge and competence regarding the PUD. Keywords: attitude, knowledge, peptic ulcer disease, practice Correspondence:Eric Nagaonlé Somé. Institut de Recherche en Sciences de la Santé (IRSS)/CNRST 10 BP 250 Ouagadougou 10 Burkina Faso. Email: eric.some@gmail.com. Mobile phone: +22670751333.
Evolution of Maternal Care-Associated Infections at Bogdogo University Hospital in Burkina Faso Nana, Félicité Wendin-Manegdé; BA, Absatou; SO, Abdoulaye; Ouattara, Adama; Poda, Ghislain G; Ouedraogo, Charlemagne; Drabo, Maxime Koine
Journal of Public Health for Tropical and Coastal Region Vol 8, No 2 (2025): Journal of Public Health for Tropical and Coastal Region
Publisher : Faculty of Public Health, Universitas Diponegoro, Semarang, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/jphtcr.v8i2.26880

Abstract

Introduction: Healthcare-associated infections (HAIs) are major public health issues in healthcare facilities. It is one of the main causes of maternal mortality, particularly in developing countries, where infrastructure and infection control measures are often inadequate. This study aimed to determine the prevalence, most common infections, and responsible pathogens and antimicrobial resistance patterns of maternal HAIs in a healthcare facility in Burkina Faso. Methods: This retrospective cross-sectional study was based on the patients' medical records between 1 and 30 March 2025. Data from patients who developed HAIs between 2018 and 2022 were collected, with a focus on endometritis, surgical site and urinary tract infections. The causative organisms were identified, and their resistance to antimicrobials was tested. Total sampling technique was used, based on available data. Trends and factors influencing the prevalence of HAIs were also analyzed.Results: The overall prevalence of HAIs was 4.27%. The most common infections were endometritis (2.17%), urinary tract infections (1,36%), and surgical site infections (0.74%). The main pathogens identified were Enterobacteriaceae (43.3%), yeasts of the Candida genus (30.8%), and staphylococci (11%). Antimicrobial resistance was high, particularly multidrug resistance, in E. coli and K. pneumoniae strains, as well as a notable rate of methicillin-resistant Staphylococcus aureus (MRSA) at 19.04%. Conclusion: The prevalence of HAIs is high, and multidrug-resistant pathogens are a major complication. There is an urgent need to strengthen infection prevention strategies, improve microbiological surveillance, and promote rational use of antibiotics to control the spread of resistance.
Surgical Site Infections at the General Referral Hospital of Niamey, Niger Nana, Félicité Wendin-manegdé; Soumana Zataou, Abdourahamane; BA, Absatou; Hien, Herve; Poda, Gislain Gnimbar; Belemsaga, Danielle Yugbare; Drabo, Maxime Koine
Journal of Public Health for Tropical and Coastal Region Vol 8, No 3 (2025): Journal of Public Health for Tropical and Coastal Region
Publisher : Faculty of Public Health, Universitas Diponegoro, Semarang, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/jphtcr.v8i3.28549

Abstract

Introduction: Surgical site infections (SSIs) are a significant cause of morbidity, driven by surgical practices and the increasing prevalence of antimicrobial-resistant pathogens. This study aimed to estimate the prevalence of SSIs at the General Referral Hospital of Niamey in 2023, characterize the affected patients, and analyze the isolated pathogens and their antimicrobial resistance profiles.Methods: A retrospective descriptive study was conducted on 1,625 medical records from digestive surgery, trauma orthopedics, neurosurgery, and intensive care units in 2023. SSI cases were identified using the national clinical criteria, and microbiological data were extracted from laboratory reports. Data were extracted from registers, medical records, nursing care files, and laboratory databases. Data validation and reliability assurance were performed through double data entry, completeness and consistency checks, and data collector training.Results: The SSI prevalence was 1.7% (28 cases), predominantly in trauma orthopedics and neurosurgery (36%). Among the 26 isolates, gram-negative bacilli represented 69%, mainly Escherichia coli (27%) and Pseudomonas spp. (15%). Gram-positive cocci accounted for 31% of cases, with Staphylococcus aureus (27%). Antimicrobial susceptibility testing (24 isolates) showed high resistance to third-generation cephalosporins (40–80%), presence of ESBL-producing Enterobacterales, and one MRSA isolate. Carbapenems remained highly effective (>90%), whereas fluoroquinolones exhibited moderate activity (40–60%).Conclusion: The predominance of multidrug-resistant gram-negative bacteria underscores the need to strengthen infection prevention and control measures, optimize antibiotic prophylaxis, and enhance microbiological surveillance within surgical units