Management of trauma White weapons penetrating Head and Neck in the anesthesia department of the national hospital of Zinder in Niger: About five reported cases.

We report five cases of craniocervical trauma with knives. The occurrence circumstances were common to all injuries. The trauma was caused by a knife during a fight or an intentional injury. All the victims were farmers or ranchers. Their average age was 17 years, with extremes of 13 and 22 years. The cause was most often community conflict. Pre-hospital transport was non-medical for all patients. The average admission time was 3 h and the average management time was 4 h. General anesthesia with orotracheal intubation was the anesthetic technique used. The average length of hospital stay was seven days. The prognosis was overall favorable and the patients returned home without any sequels.

[Digestive surgical emergencies in Sub-Saharan Africa: a prospective study of a series of 622 patients at the National Hospital of Zinder, Niger]. / Urgences chirurgicales digestives en Afrique subsaharienne : étude prospective d'une série de 622 patients à l'Hôpital national de Zinder, Niger.

The purpose of this study was to describe the epidemiologic, therapeutic, and prognostic aspects of surgical acute abdomen at the National Hospital of Zinder (HNZ). This was a prospective study of patients undergoing digestive surgical emergencies in HNZ over 24 months (January 2013-December 2014). During the study period, 622 digestive surgical emergencies were operated. The mean age was 22.91 ± 18.14 years old, with a sex-ratio of 3:1. The average admission time was 64.31 ± 57.90 h. Abdominal pain was the main reason for admission in 61.90% (N = 385) of the cases, with or without fever throughout the course in 26.05% (N = 162) of the cases. The average time before surgery was 9.13 ± 5.97 h. Acute peritonitis accounted for 51.61% (N = 321) of cases, led by ileal perforation maybe from typhoid (N = 175). The acute intestinal obstruction and acute appendicitis accounted for 27.49% (N = 171) and 9.65% (N = 60) of the cases, respectively. Abdominal trauma had affected 53 patients (8.52%). The average length of hospital stay was 8.71 ± 5.29 days. Postoperative morbidity was 38.10% (N = 237). Septic complications (N = 187) were predominant. Overall lethality of 13.67% (N = 85), was associated with the delay of diagnosis and treatment (P < 0.001). The incidence and the high morbidity and lethality of digestive surgical emergencies in the Sub-Saharan context, could be avoided through prevention, early consultation, and adequate intra-hospital management.

Methicillin resistant S. aureus (MRSA) and their antibiotic sensitivity pattern in Kano, Nigeria

Background: Nosocomial infection caused by methicillin resistant S. aureus (MRSA) presents with management difficulties in infected patients due to their resistance to a number of other frontline antibiotics and constitutes significant epidemiological problems. This study was undertaken to determine the prevalence of methicillin resistant S. aureus and antibiotic sensitivity pattern in clinical isolates in Kano. There is dearth of information on this subject in Kano. Method: One hundred and eighty five (185) S. aureus isolates from various clinical specimens obtained over a 12-month period in the Microbiology Department of Aminu Kano Teaching Hospital (AKTH) were subjected to methicillin susceptibility testing; while including susceptibility testing to other antibiotics by the disc diffusion methods. Result: Out of 185 S. aureus isolates tested; 53(28.6) were found to be methicillin resistant. While 38(62) isolates were obtained from in-patients; 15(28) were from out-patients. Surgical wound infection had the highest prevalence of 32(60) isolates. Antibiotics sensitivity results of methicillin susceptible staphylococcus aureus MSSA) and MRSA with the third generation cephalosporins and the quinilones were encouraging. All MRSA isolates were sensitive to vancomycin. Conclusion: A prevalence of 28.6MRSA in this environment calls for urgent intervention strategies due to its possible rapid spread and therapeutic problem