ABSTRACT
During the 2020 coronavirus pandemic, a lockdown was imposed in France during the first wave. An apparent decrease in incidence of cellulitis of odontogenic origin was noticed then. This study aimed to compare the incidence of cellulitis during this extraordinary period with the same period in 2018 and 2019, based on retrospective multicentric data. All maxillofacial surgery departments in French public hospitals were contacted. Responders were asked to include all patients admitted for the surgical drainage of a head and neck abscess of odontogenic origin during the first 2020 lockdown period, and in a similar time frame in 2018 and 2019 (control group), based on screening the French diagnostic and therapeutic classification of medical acts. We report a 44% significant nationwide decrease in the incidence of admissions for cellulitis. There were 187 patients in 2020 for 334 and 333 patients in 2018/2019 respectively. The reasons to explain this finding are hypothetical (organizational reasons leading to earlier management, patients' fear to seek for medical management, usual excess in surgical indications or concomitant decrease of non-steroidal anti-inflammatory drugs delivery). Whatever the explanation, it would be of great interest to find it out in order to improve the prevention of cellulitis.
Subject(s)
COVID-19 , Cellulitis , Cellulitis/diagnosis , Cellulitis/epidemiology , Cellulitis/etiology , Communicable Disease Control , Humans , Retrospective Studies , SARS-CoV-2ABSTRACT
Hand dermatitis (HD) is usually due to a combination of various interacting factors. It involves significant impairment of the quality of life with psychological and socioeconomic impact. A therapeutic education program in HD.was elaborated by 19 health professionals (dermatologists, occupational clinical physicians, nurses, psychologists, environmental medical advisor) with experience in therapeutic education or skills in HD, according to the recommendations of Haute Autorité de Santé. The program includes an individual medical consultation to perform educational diagnostic, two collective workshops and a medical evaluation consult. Two group workshops "the disease, irritant factors and its treatments" and "the experiences and feelings" were elaborated with learning objectives and educative tools. Different scores were proposed to evaluate the program and acquired skills. Therapeutic education is an efficient way to help patients to adopt skin protection measures essential to healing. We propose a guideline of therapeutic education in HD including skills and educative tools and intended for health professionals to serve as working basis.
Subject(s)
Hand Dermatoses/therapy , Patient Education as Topic , Allergens/adverse effects , Appointments and Schedules , Chronic Disease , Dermatologic Agents/therapeutic use , Gloves, Protective , Hand Dermatoses/diagnosis , Hand Dermatoses/prevention & control , Hand Dermatoses/psychology , Hand Disinfection , Health Behavior , Humans , Irritants/adverse effects , Patient Care Team , Patient Compliance , Practice Guidelines as Topic , Surveys and QuestionnairesABSTRACT
301 stools were collected during a period of 2 years from children aged 0-3 years, most of them presenting an acute gastro-enteritis; search for rotavirus was carried out using ELISA and latex techniques, together with coproculture. 44 stools were positive (14.61%), 18.68% of these positive cases were in the age groups 0-6 months. The rotavirus gastro-enteritis affects boys (63.63%) two times more often than girls. It is frequent in hospitals (20.51% of all cases). The coproculture shows that about 14% of diarrhoeas are of bacterial origin. Thus, our study demonstrates that viral diarrhoeas are as frequent as the bacterial ones. The combination of both has been found in two cases. Our study shows also that a high incidence of rotavirus diarrhoea is found during spring (18.18%). The latex technique is 18.51% less sensitive than ELISA; however, it has the advantages of simplicity, rapidity and low cost.
