The first cases of SARS-CoV-2 were diagnosed in BENIN in early March 2020. Measures have been instituted to control its spread, including barrier measures. The objective of this study is to determine the effectiveness of self-application of these measures among hospital staff at CNHU-HKM. Methods: This is a case-control study conducted from July 1, 2020 to January 1, 2021 on the risk factors of COVID-19 contamination. Included were any CNHU-HKM staff who underwent PCR testing for COVID-19 at the CNHU-HKM triage center during the study period. Data were collected using a survey form administered to respondents. Data analysis was performed with R 4.1.0 software. Results: A total of 141 patients were included in the study. The mean age was 35.5 (±11.1) years. The sex ratio (M/F) was 1.87. Fon and Mina ethnic groups were the most represented (74.5%). Workers older than 50 years were more likely to be exposed to COVID-19 (OR=4.83). Nurses in contact with patients (87.2% of the study population) had a higher risk of contamination (OR=3.6), compared to administrative staff. The FFP2 mask was a protective factor (OR=0.35) as well as long-term chemoprophylaxis with chloroquine (OR=0.44). Conclusion: Health care workers are at high risk of contamination by COVID-19. Barrier measures and chloroquine chemoprophylaxis are indeed mandatory in controlling the spread of the pandemic.
COVID-19 has been noticed in Benin since March 2020. Various measures have been put in place to curb the epidemic. The objective of the study is to evaluate the knowledge and perception of patients at the CNHU-HKM about COVID-19. This was a cross-sectional study with descriptive and analytical purposes. Data were collected from July 1, 2020 to January 1, 2021. The participants were included in the outpatient clinic of the specialized medical services of the CNHU-HKM. They answered to questions related to their knowledge and perception about COVID-19. Data analysis was done with R 4.1.0 software. A total of 353 respondents were included in the study. The sex ratio was 0.81. The mean age was 48.9±16.8 [10; 92] years. The residence was in urban places for 91.5% of them. The level of education was at least high school in 82.2% of the cases. The agent responsible for COVID-19 and the mode of transmission were not known, respectively, by 31.7% and 89.2% of the participants. Barrier measures were known by 46.2%, while clinical manifestations were known by 89.0%. Only the level of education was associated with knowledge of COVID-19 (p<0.001). Findings revealed that good knowledge of the pandemic was related to the level of education. A readjustment of communication strategies towards less educated groups would be recommended.
This study aimed to describe the knowledge of relatives of the deceased regarding forensic autopsy and to analyze their perceptions of this forensic act. The focus of the study was the relatives of deceased individuals who died in violent contexts or suffered suspicious deaths, in which case a forensic autopsy was necessary. A total of 109 people were included in the study. The majority of respondents were male (78.0%). The average age of respondents was 46 +/-11 years. A total of 56.9% of respondents had never heard the expression "medico-legal autopsy" before the death of the relative. Respondents know. that autopsies are used to identify the cause of death in 80.7% of cases. An association was found between level of education and level of knowledge concerning forensic autopsies (p=0.001). A total of 85.3% of respondents had poor perceptions of forensic autopsy. The preservation of bodily integrity was more important than the benefits of knowing the cause of death for 57.8% of respondents. Respondents claimed that family members made at least one attempt to postpone the autopsy in 94.5% of cases. Objections to the autopsy were motivated by the fear of not being able to proceed quickly with the burial (93.6%), the fear of seeing the body undergo an aesthetic alteration (74.3%), the feeling of inflicting suffering on the deceased (45.3%) and the conception of autopsy as a practice prohibited by respondents' religion (38.5%). The cultural and human dimensions of forensic autopsy should not be overlooked. For more support from the relatives of the deceased, it is essential to integrate, beyond medicine and law, social considerations and human.
Introduction: Tuberculosis is now a major public health problem worldwide and is one of the top 10 causes of death in the world. It can be associated with diabetes. According to the International Union Against Tuberculosis and Lung Disease, 16-46% of people infected with TB suffer from diabetes. In Benin, work on this association is partial. The objective of this study was to investigate the association between diabetes and tuberculosis in a hospital setting. Methods. This was a descriptive and analytical cross-sectional study with a retrospective collection conducted in the Internal Medicine Department of the CNHU-HKM of Cotonou over a 10-year period. All hospitalized and non-hospitalized patients with diabetes and tuberculosis were included, regardless of the type and location of tuberculosis. Results. Among the 273 patients hospitalized during the study period, 11 cases of diabetes-tuberculosis associations were found, representing a hospital frequency of 4.1%. The sex ratio was 0.8. The mean age was 48.6 + 6 years with extremes of 30 and 70 years. Diabetes preceded tuberculosis in 100% of cases. Chronic cough and dyspnea were the reasons for management in 72.7% and 45.5% of cases. Diabetes was type 2 in 81.8%. Sixty-three point six percent (63.6%) of patients had poor glycemic control. Eighty-one point eight percent (81.8%) of patients had pulmonary involvement. Patients were treated with antidiabetic and antitubercular drugs. The evolution was favorable in 72.7%. Twenty- even-point three percent (27.3%) died. Conclusion: The association of diabetes and tuberculosis was 4.1% in the department. It is usually a type 2 diabetes, poorly balanced. The location was pulmonary in 9 out of 11 patients.
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