Libya: Migrants and Refugees Suffering from Disease and Malnutrition in Detention Centers
Field newsLibya: Migrants and Refugees Suffering from Disease and Malnutrition in Detention CentersMay 19, 2017In Libya, Doctors Without Borders/M édecins Sans Frontières (MSF) continues to provide lifesaving and primary health care to refugees and migrants detained in the capital Tripoli.During the first quarter of 2017, more than 4,000 medical consultations took place in seven different detention centers nominally under the control of the Directorate for Combating Illegal Migration (DCIM). Around 1,300 people in detention were treated every month via mobile clinics for conditions including skin disease, diarrheal disease, respiratory tract infections, and urinary tract infections.
ConclusionsThese data suggest that by combining symptoms, medical history and signs, that could be measured without the need for invasive urodynamics, it may be possible to identify men with DU in a non‐invasive way. By doing so, men with DU could be separated from men with both DU+BOO, with sufficient specificity to allow the use of any new non‐surgical treatment modalities, such as new and effective medical therapy.
CONCLUSIONS Despite the negative pre-operative urine culture, frequent incidence of leukocyturia and symptomatic urinary infections were detected in a fairly high number of cases. Therefore, we recommend asking the patients during the hospital admission process specifically about the urinary infection symptoms. The results of our study show that antibiotic prophylaxis during the removal of indwelling urinary catheters placed for a short-term is unnecessary. Key words: endoprosthesis, urinary catheter, bacteriuria, urinary tract infection. PMID: 29351538 [PubMed - in process]
CONCLUSIONS: Long-term treatment of adults with CIC demonstrated that plecanatide was safe and well tolerated, with low TEAE and discontinuation rates. Patients indicated satisfaction and a desire to continue with plecanatide treatment. PMID: 29343131 [PubMed - as supplied by publisher]
Authors: Gas J, Liaigre-Ramos A, Beauval JB, Roumiguié M, Tostivint V, Patard PM, Huyghe E, Soulié M, Charpentier S, Gamé X Abstract INTRODUCTION: Acute urinary retention (AUR) is a common reason for emergency consultation. It may be spontaneous or precipitated and affects both men and women. The purpose of this study was to determine the profile of men visiting emergency departments for an AUR. MATERIEL AND METHODS: A retrospective monocentric study including all men who consulted the emergency department between January 2014 and December 2016 for AUR was conducted. RESULTS: In 3 years...
An 80-year-old woman presented with gross hematuria and flank pain. She also complained of asthenia and severe weight loss lasting for 1 month. The patient had been treated 10 years prior for a bladder carcinoma by radical cystectomy and continent skin diversion. She then experienced multiple urinary tract infections and had a chronic left ureteral stenosis that required repetitive ureteral stent. Her past medical history was also remarkable for diabetes mellitus. Her physical examination was normal, blood pressure was 170/70 mm Hg, and temperature was 35.9°C.
CONCLUSIONS: Novel BL/BLIs are not inferior to other available antibiotics for the treatment of cIAI, and they have advantages in patients with cUTI. Simultaneously, they are sensitive to Gram-negative pathogens, especially E.coli and K.pneumoniae. PMID: 29343141 [PubMed - as supplied by publisher]
This study aimed at evaluating the appropriateness of ceftriaxone use in medical and emergency wards of Gondar university referral hospital (GURH), Northwest Ethiopia. A prospective, cross‐sectional study design was employed to evaluate the use of ceftriaxone. The medical records of patients who received ceftriaxone were reviewed prospectively between January 1 and March 30, 2017. Appropriateness of ceftriaxone use was evaluated as per the protocol developed from current treatment guidelines. A total of 390 patients’ medical records were reviewed. The utilization rate of ceftriaxone was found to be high with a poin...
Urinalysis is highly sensitive and specific in diagnosing urinary-tract infection (UTI) in febrile infants, according to findings from a large study.Reuters Health Information
Urine culture is the gold standard for the diagnosis of urinary tract infection (UTI), one of the most common causes of bacterial infection. As such, urine specimens are responsible for a major share of the workload in clinical microbiology laboratories. The inclusion of metrics, such as the catheter-associated UTI (CAUTI) rate, that factor into hospital reimbursements and concerns surrounding the attrition of clinical laboratory personnel have prompted scrutiny of urine culture utilization in many organizations.
This study elucidates an unappreciated functional role for the molecular spring-like property of type 1 pilus rods in host-pathogen interactions and carries important implications for other pilus-mediated diseases.