Pandémie grippale A/H5N1 et niveau de préparation du Niger: une étude sur les connaissances des soignants et l’organisation générale des soins
Identifieur interne : 000836 ( Pmc/Checkpoint ); précédent : 000835; suivant : 000837Pandémie grippale A/H5N1 et niveau de préparation du Niger: une étude sur les connaissances des soignants et l’organisation générale des soins
Auteurs : E. D Lessandro [France] ; G. Soula [France] ; Y. Jaffré [France] ; B. Gourouza [Niger] ; E. Adehossi [Niger] ; J. Delmont [France]Source :
- Bulletin De La Societe De Pathologie Exotique (1990) [ 0037-9085 ] ; 2011.
Abstract
Dans les pays industrialisés, l’émergence de virus influenza à potentiel pandémique a suscité des réactions à la mesure de la menace que représentent ces agents infectieux. Cependant, à l’heure de la mondialisation, le contrôle des épidémies repose tout autant sur une coordination mondiale efficace des moyens de lutte que sur une préparation des systèmes de santé nationaux du Nord et du Sud, au centre desquels se trouvent les personnels soignants. Notre étude a pris place dans le principal hôpital nigérien, l’Hôpital national de Niamey. L’objectif était d’évaluer les connaissances des professionnels de soins en matière de pandémie grippale et de contrôle du risque infectieux. Sur la base d’un questionnaire, nous avons interrogé 178 soignants, médicaux et paramédicaux. Cette étude — la première à notre connaissance à explorer ces questions dans le contexte africain — a d’abord mis en lumière une certaine maîtrise des connaissances théoriques sur la grippe aviaire par les soignants. Cependant, au-delà des savoirs théoriques, l’enquête a également permis d’identifier des limites importantes compromettant les capacités de prévention et de lutte contre une pandémie grippale, notamment en termes d’organisation des soins et de contrôle du risque infectieux hospitalier.
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DOI: 10.1007/s13149-011-0179-8
PubMed: 22057928
PubMed Central: 7097124
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Adehossi</name><affiliation wicri:level="1"><nlm:aff id="Aff3"><institution-wrap><institution-id institution-id-type="GRID">grid.414237.7</institution-id><institution-id institution-id-type="ISNI">0000000406354264</institution-id><institution>Hôpital national de Niamey,</institution></institution-wrap>238 Niamey, Niger</nlm:aff><country xml:lang="fr">Niger</country><wicri:regionArea>238 Niamey</wicri:regionArea></affiliation></author><author><name sortKey="Delmont, J" sort="Delmont, J" uniqKey="Delmont J" first="J." last="Delmont">J. Delmont</name><affiliation wicri:level="1"><nlm:aff id="Aff4"><institution-wrap><institution-id institution-id-type="GRID">grid.5399.6</institution-id><institution-id institution-id-type="ISNI">0000 0001 2176 4817</institution-id><institution>faculté de médecine de Marseille,</institution><institution>CFRMST,</institution></institution-wrap>Marseille, France</nlm:aff><country xml:lang="fr">France</country><wicri:regionArea>Marseille</wicri:regionArea></affiliation></author></analytic><series><title level="j">Bulletin De La Societe De Pathologie Exotique (1990)</title><idno type="ISSN">0037-9085</idno><idno type="eISSN">1961-9049</idno><imprint><date when="2011">2011</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><title>Résumé</title><p>Dans les pays industrialisés, l’émergence de virus influenza à potentiel pandémique a suscité des réactions à la mesure de la menace que représentent ces agents infectieux. Cependant, à l’heure de la mondialisation, le contrôle des épidémies repose tout autant sur une coordination mondiale efficace des moyens de lutte que sur une préparation des systèmes de santé nationaux du Nord et du Sud, au centre desquels se trouvent les personnels soignants. Notre étude a pris place dans le principal hôpital nigérien, l’Hôpital national de Niamey. L’objectif était d’évaluer les connaissances des professionnels de soins en matière de pandémie grippale et de contrôle du risque infectieux. Sur la base d’un questionnaire, nous avons interrogé 178 soignants, médicaux et paramédicaux. Cette étude — la première à notre connaissance à explorer ces questions dans le contexte africain — a d’abord mis en lumière une certaine maîtrise des connaissances théoriques sur la grippe aviaire par les soignants. Cependant, au-delà des savoirs théoriques, l’enquête a également permis d’identifier des limites importantes compromettant les capacités de prévention et de lutte contre une pandémie grippale, notamment en termes d’organisation des soins et de contrôle du risque infectieux hospitalier.</p></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Balicer, R D" uniqKey="Balicer R">R.D. Balicer</name></author><author><name sortKey="Omer, S B" uniqKey="Omer S">S.B. Omer</name></author><author><name sortKey="Barnett, D J" uniqKey="Barnett D">D.J. Barnett</name></author><author><name sortKey="Everly, G S" uniqKey="Everly G">G.S. Everly</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Breiman, R F" uniqKey="Breiman R">R.F. Breiman</name></author><author><name sortKey="Nasidi, A" uniqKey="Nasidi A">A. 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<front><journal-meta><journal-id journal-id-type="nlm-ta">Bull Soc Pathol Exot</journal-id><journal-id journal-id-type="iso-abbrev">Bull Soc Pathol Exot</journal-id><journal-title-group><journal-title>Bulletin De La Societe De Pathologie Exotique (1990)</journal-title></journal-title-group><issn pub-type="ppub">0037-9085</issn><issn pub-type="epub">1961-9049</issn><publisher><publisher-name>Springer-Verlag</publisher-name><publisher-loc>Paris</publisher-loc></publisher></journal-meta><article-meta><article-id pub-id-type="pmid">22057928</article-id><article-id pub-id-type="pmc">7097124</article-id><article-id pub-id-type="publisher-id">179</article-id><article-id pub-id-type="doi">10.1007/s13149-011-0179-8</article-id><article-categories><subj-group subj-group-type="heading"><subject>Anthropologie Médicale / Medical Anthropology</subject></subj-group></article-categories><title-group><article-title>Pandémie grippale A/H5N1 et niveau de préparation du Niger: une étude sur les connaissances des soignants et l’organisation générale des soins</article-title><trans-title-group><trans-title xml:lang="en">Preparedness for influenza A/H5N1 pandemic in Niger: a study on health care workers’ knowledge and global organization of health activities</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><name><surname>d’Alessandro</surname><given-names>E.</given-names></name><address><email>eugeniealessandro@hotmail.com</email></address><xref ref-type="aff" rid="Aff1">1</xref></contrib><contrib contrib-type="author"><name><surname>Soula</surname><given-names>G.</given-names></name><xref ref-type="aff" rid="Aff2">2</xref></contrib><contrib contrib-type="author"><name><surname>Jaffré</surname><given-names>Y.</given-names></name><xref ref-type="aff" rid="Aff1">1</xref></contrib><contrib contrib-type="author"><name><surname>Gourouza</surname><given-names>B.</given-names></name><xref ref-type="aff" rid="Aff3">3</xref></contrib><contrib contrib-type="author"><name><surname>Adehossi</surname><given-names>E.</given-names></name><xref ref-type="aff" rid="Aff3">3</xref></contrib><contrib contrib-type="author"><name><surname>Delmont</surname><given-names>J.</given-names></name><xref ref-type="aff" rid="Aff4">4</xref></contrib><aff id="Aff1"><label>1</label><institution-wrap><institution-id institution-id-type="GRID">grid.4444.0</institution-id><institution-id institution-id-type="ISNI">0000000121129282</institution-id><institution>CNRS,</institution></institution-wrap>UMI 3189, 13015 Marseille, France</aff><aff id="Aff2"><label>2</label><institution-wrap><institution-id institution-id-type="GRID">grid.5399.6</institution-id><institution-id institution-id-type="ISNI">0000 0001 2176 4817</institution-id><institution>faculté de médecine de Marseille,</institution><institution>CFRMST,</institution></institution-wrap>Marseille, France</aff><aff id="Aff3"><label>3</label><institution-wrap><institution-id institution-id-type="GRID">grid.414237.7</institution-id><institution-id institution-id-type="ISNI">0000000406354264</institution-id><institution>Hôpital national de Niamey,</institution></institution-wrap>238 Niamey, Niger</aff><aff id="Aff4"><label>4</label><institution-wrap><institution-id institution-id-type="GRID">grid.5399.6</institution-id><institution-id institution-id-type="ISNI">0000 0001 2176 4817</institution-id><institution>faculté de médecine de Marseille,</institution><institution>CFRMST,</institution></institution-wrap>Marseille, France</aff></contrib-group><pub-date pub-type="epub"><day>4</day><month>11</month><year>2011</year></pub-date><pub-date pub-type="ppub"><year>2012</year></pub-date><volume>105</volume><issue>1</issue><fpage>68</fpage><lpage>75</lpage><history><date date-type="received"><day>5</day><month>5</month><year>2010</year></date><date date-type="accepted"><day>17</day><month>5</month><year>2011</year></date></history><permissions><copyright-statement>© Springer Verlag France 2011</copyright-statement><license><license-p>This article is made available via the PMC Open Access Subset for unrestricted research re-use and secondary analysis in any form or by any means with acknowledgement of the original source. These permissions are granted for the duration of the World Health Organization (WHO) declaration of COVID-19 as a global pandemic.</license-p></license></permissions><abstract id="Abs1"><title>Résumé</title><p>Dans les pays industrialisés, l’émergence de virus influenza à potentiel pandémique a suscité des réactions à la mesure de la menace que représentent ces agents infectieux. Cependant, à l’heure de la mondialisation, le contrôle des épidémies repose tout autant sur une coordination mondiale efficace des moyens de lutte que sur une préparation des systèmes de santé nationaux du Nord et du Sud, au centre desquels se trouvent les personnels soignants. Notre étude a pris place dans le principal hôpital nigérien, l’Hôpital national de Niamey. L’objectif était d’évaluer les connaissances des professionnels de soins en matière de pandémie grippale et de contrôle du risque infectieux. Sur la base d’un questionnaire, nous avons interrogé 178 soignants, médicaux et paramédicaux. Cette étude — la première à notre connaissance à explorer ces questions dans le contexte africain — a d’abord mis en lumière une certaine maîtrise des connaissances théoriques sur la grippe aviaire par les soignants. Cependant, au-delà des savoirs théoriques, l’enquête a également permis d’identifier des limites importantes compromettant les capacités de prévention et de lutte contre une pandémie grippale, notamment en termes d’organisation des soins et de contrôle du risque infectieux hospitalier.</p></abstract><trans-abstract xml:lang="en" id="Abs2"><p>In industrialized countries, the emergence of potentially pandemic influenza virus has invited reactions consistent with the potential threat represented by these infectious agents. However, with globalization, controlling epidemics depends as much on an effective global coordination of control methods as on preparedness of northern and southern national health care systems, at the core of which are health care workers. Our study was conducted in the National Hospital of Niamey, the main Nigerian hospital. Its objective was to evaluate the knowledge of health care professionals regarding flu pandemic and control of infection. We interviewed 178 nursing staff, doctors and paramedics on the basis of a survey. This study — the first to our knowledge to explore these issues in the African context-revealed that caregivers have a rather good mastery of theoretical knowledge. Nevertheless, beyond theoretical knowledge, miscellaneous factors compromise the effectiveness of the health care structure. Some of them seem to occupy a critical position, particularly the absence of shared references among sanitary authorities and health care professionals, and the weaknesses of global coordination of preventive activities and case management.</p></trans-abstract><kwd-group xml:lang="fr"><title>Mots clés</title><kwd>Pandémie grippale</kwd><kwd>Professionnels de santé</kwd><kwd>Risque infectieux</kwd><kwd>Connaissances</kwd><kwd>Évaluation de terrain</kwd><kwd>Hôpital</kwd><kwd>Niger</kwd><kwd>Afrique intertropicale</kwd></kwd-group><kwd-group xml:lang="en"><title>Keywords</title><kwd>Influenza pandemic</kwd><kwd>Health care workers</kwd><kwd>Risk of infection</kwd><kwd>Knowledge</kwd><kwd>Field assessment</kwd><kwd>Hospital</kwd><kwd>Niger</kwd><kwd>Sub-Saharan Africa</kwd></kwd-group><custom-meta-group><custom-meta><meta-name>issue-copyright-statement</meta-name><meta-value>© Springer Verlag France 2012</meta-value></custom-meta></custom-meta-group></article-meta></front></pmc><affiliations><list><country><li>France</li><li>Niger</li></country><region><li>Provence-Alpes-Côte d'Azur</li></region><settlement><li>Marseille</li></settlement></list><tree><country name="France"><region name="Provence-Alpes-Côte d'Azur"><name sortKey="D Lessandro, E" sort="D Lessandro, E" uniqKey="D Lessandro E" first="E." last="D Lessandro">E. D Lessandro</name></region><name sortKey="Delmont, J" sort="Delmont, J" uniqKey="Delmont J" first="J." last="Delmont">J. Delmont</name><name sortKey="Jaffre, Y" sort="Jaffre, Y" uniqKey="Jaffre Y" first="Y." last="Jaffré">Y. Jaffré</name><name sortKey="Soula, G" sort="Soula, G" uniqKey="Soula G" first="G." last="Soula">G. Soula</name></country><country name="Niger"><noRegion><name sortKey="Gourouza, B" sort="Gourouza, B" uniqKey="Gourouza B" first="B." last="Gourouza">B. Gourouza</name></noRegion><name sortKey="Adehossi, E" sort="Adehossi, E" uniqKey="Adehossi E" first="E." last="Adehossi">E. Adehossi</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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