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Igere BE, Onohuean H, Iwu DC, Igbinosa EO. Polymyxin sensitivity/resistance cosmopolitan status, epidemiology and prevalence among O1/O139 and non-O1/non-O139 Vibrio cholerae: A meta-analysis. INFECTIOUS MEDICINE 2023; 2:283-293. [PMID: 38205176 PMCID: PMC10774663 DOI: 10.1016/j.imj.2023.11.004] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 07/06/2023] [Revised: 09/12/2023] [Accepted: 11/11/2023] [Indexed: 01/12/2024]
Abstract
Resistance/sensitivity to polymyxin-B (PB) antibiotic has been employed as one among other epidemiologically relevant biotyping-scheme for Vibrio cholerae into Classical/El Tor biotypes. However, recent studies have revealed some pitfalls bordering on PB-sensitivity/resistance (PBR/S) necessitating study. Current study assesses the PBR/S cosmopolitan prevalence, epidemiology/distribution among O1/O139 and nonO1/nonO139 V. cholerae strains. Relevant databases (Web of Science, Scopus and PubMed) were searched to retrieve data from environmental and clinical samples employing the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA). Random-effect-model (REM) and common-effect-model (CEM) of meta-analysis was performed to determine prevalence of PBR/S V. cholerae strains, describe the cosmopolitan epidemiological potentials and biotype relevance. Heterogeneity was determined by meta-regression and subgroup analyses. The pooled analyzed isolates from articles (7290), with sensitive and resistance are 2219 (30.44%) and 5028 (69.56%). Among these PB-sensitive strains, more than 1944 (26.67%) were O1 strains, 132 (1.81%) were nonO1 strains while mis-reported Classical biotype were 2080 (28.53) respectively indicating potential spread of variant/dual biotype. A significant PB-resistance was observed in the models (CEM = 0.66, 95% CI [0.65; 0.68], p-value = 0.001; REM = 0.83 [0.74; 0.90], p = 0.001) as both models had a high level of heterogeneity (I2 = 98.0%; d f = 33 2 = 1755.09 , Q p = 2.4932 ). Egger test (z = 5.4017, p < 0.0001) reveal publication bias by funnel plot asymmetry. The subgroup analysis for continents (Asia, Africa) and sources (acute diarrhea) revealed (98% CI (0.73; 0.93); 55% CI (0.20; 0.86)), and 92% CI (0.67; 0.98). The Epidemiological prevalence for El tor/variant/dual biotype showed 88% CI (0.78; 0.94) with O1 strains at 88% CI (0.78; 0.94). Such global prevalence, distribution/spread of phenotypes/genotypes necessitates updating the decades-long biotype classification scheme. An antibiotic stewardship in the post antibiotic era is suggestive/recommended. Also, there is need for holistic monitoring/evaluation of clinical/epidemiological relevance of the disseminating strains in endemic localities.
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Affiliation(s)
- Bright E. Igere
- Department of Biological Sciences, Microbiology Unit, Dennis Osadebay University, Asaba 320242, Nigeria
- Biotechnology and Emerging Environmental Infections Pathogens Research Group (BEEIPREG), Department of Biological Sciences, Microbiology Unit, Dennis Osadebay University, Asaba 320242, Nigeria
| | - Hope Onohuean
- Biopharmaceutics unit, Department of Pharmacology and Toxicology, School of Pharmacy, Kampala International University Ishaka-Bushenyi Campus, Ishaka-Bushenyi 10101, Uganda
| | - Declan C. Iwu
- Department of Microbiology, University of Pretoria, Pretoria 0002, South Africa
| | - Etinosa O. Igbinosa
- Department of Microbiology, Faculty of Life Sciences, University of Benin, Benin 300213, Nigeria
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Fattahi R, Attiya N, FIlali-Zegzouti A, El Haidani A, Bouya S, El Jaafari S, Amarouch M, Filali-Zegzouti Y. Le burnout parmi le personnel des structures de santé publique de la région de Drâa-Tafilalet au Maroc. ARCH MAL PROF ENVIRO 2023. [DOI: 10.1016/j.admp.2023.101809] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 03/28/2023]
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Aloui A, Kalboussi H, Maoua M, Maatoug J, Ghammem R, Chouchene A, Bouhoula M, Kacem I, Brahem A, El Maalel O, Chatti S, Ghannem H, Mrizek N. Burnout chez les médecins généralistes de libre pratique de la région du centre tunisien. ARCH MAL PROF ENVIRO 2022. [DOI: 10.1016/j.admp.2022.08.005] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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Khechine W, Ezzaairi F, Sahli J, Belaid I, Daldoul A, Zaied S, Chabchoub I, Ammar N, Hochlaf M, Ben Fatma L, Ben Ahmed S. Burn-out of the Medical Oncology Health Care Professionals
and Associated Factors in Tunisia. PSYCHO-ONCOLOGIE 2021. [DOI: 10.3166/pson-2020-0134] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
Abstract
Introduction: Burn-out is defined as a syndrome of emotional exhaustion, depersonalization and diminished self-achievement that affects individuals exposed to chronic occupational stress. Physicians and caregivers faced with the death of their patients, such as oncology, are particularly vulnerable to this syndrome.
Objectives: To evaluate the burn-out of medical professionals in medical oncology, to research the predisposing factors and to analyze the functional complaints and the behavior of the staff associated with this syndrome.
Methods: A descriptive and analytical cross-sectional study among medical oncology professionals practicing in public hospitals in the Tunisian territory who exercise more than two years in oncology; with the Maslach Burnout Inventory (MBI).
Results: Our study population was predominantly female (81%). 53% are doctors and 47% are paramedical health care professionals. A high degree of emotional exhaustion, depersonalization and personal achievement were found in 63%, 53% and 59% in our population, respectively. With 21% global high burn-out. The female sex was associated with high emotional exhaustion and low personal accomplishment as well as global burn-out. This burn-out was attributed to factors associated with working conditions and professional climate, mainly: overwork, poor organization of service, lack of resources and time, lack of recognition, lack of communication, lack of respect, conflicts with colleagues, report unsatisfactory salary effort and aggressions by patients and their families. Functional complaints and health care professional’s behavior associated with burn-out were: feelings of sadness, blockage, and irritability, sleep disorders, unexplained pain, epigastralgia, addictive behaviors, psychotropic consumption, suicidal thoughts, decreased performance and desire for a job transfer.
Conclusions: By its impact on professionals, burn-out in medical oncology represents a major threat to the quality of health care. Its etiologies, although complex and intricate, are well known. Its prevention and its support are possible, but involve mobilization at all levels.
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Épuisement professionnel chez les intervenants de Samu/Smur. ARCH MAL PROF ENVIRO 2020. [DOI: 10.1016/j.admp.2020.04.014] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022]
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Kalboussi H, Chouchane A, Ferhi F, Nsiri L, Maoua M, El Guedri S, Aroui H, Kacem I, Brahem A, Chatti S, El Maalel O, Ben Jazia K, Mrizak N. Facteurs associés au burn-out chez les techniciens supérieurs d’anesthésie réanimation dans un centre hospitalo-universitaire au centre tunisien. ANNALES MEDICO-PSYCHOLOGIQUES 2020. [DOI: 10.1016/j.amp.2019.08.005] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
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Ndongo JM, Lélé CEB, Manga LJO, Ngalagou PTM, Ayina CNA, Tanga MYL, Guessogo WR, Barth N, Bongue B, Mandengue SH, Ngoa LSE, Ndemba PBA. Epidemiology of burnout syndrome in four occupational sectors in Cameroon-impact of the practice of physical activities and sport. AIMS Public Health 2020; 7:319-335. [PMID: 32617359 PMCID: PMC7327400 DOI: 10.3934/publichealth.2020027] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/17/2020] [Accepted: 05/25/2020] [Indexed: 01/26/2023] Open
Abstract
BACKGROUND The purpose of this study was to determine the prevalence of Burnout syndrome (BOS), risk factors and the effect of physical activity in six professions in Cameroon. METHODS 2012 participants completed questionnaires related to socio-demographic conditions and work perception. Appropriate Maslach Burnout Inventory (MBI) psychometers were used for specific professions. Level of physical activity and sports practice was determined using the Ricci and Gagnon scale. RESULTS The overall prevalence of burnout was 67.9%; with 5.3% high; 34.3% moderate; and 60.4% low degree. 42.2% of victims of BOS were in high loss of personal achievement, 39.9% in high depersonalization of and 38.2% in high emotional exhaustion. Higher prevalence of BOS was found in Army (85.3%) and educational sectors (78.5% in secondary school teachers (SET) and 68% in university teaching staff (UTS)). BOS was significantly associated (p < 0.05) with distance from home to workplace, number of children per participant, number of hospitals attended, number of guards per month, labour hours per day, conflicts with the hierarchy, conflicts with colleagues, poor working conditions, unsatisfactory salary, part time teaching in private university institutions, job seniority, sedentariness. Apart from UTS, no association was observed between the level of physical activity and occurrence of BOS. CONCLUSION Burnout is a reality in occupational environments in Cameroon.
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Affiliation(s)
- J Mekoulou Ndongo
- Physiology and Medicine of Physical Activities and Sports Unit, University of Douala, Cameroon
| | - CE Bika Lélé
- Physiology and Medicine of Physical Activities and Sports Unit, University of Douala, Cameroon
- Institute of Medicinal Plants, Ministry of Scientific Research and Innovation, Yaounde, Cameroon
| | - LJ Owona Manga
- Physiology and Medicine of Physical Activities and Sports Unit, University of Douala, Cameroon
- Department of Public Health, Faculty of Medicine and Pharmaceutical Sciences, University of Douala, Cameroon
| | - PT Moueleu Ngalagou
- Physiology and Medicine of Physical Activities and Sports Unit, University of Douala, Cameroon
| | - CN Ayina Ayina
- Physiology and Medicine of Physical Activities and Sports Unit, University of Douala, Cameroon
| | - MY Lobe Tanga
- Physiology and Medicine of Physical Activities and Sports Unit, University of Douala, Cameroon
| | - WR Guessogo
- Physiology and Medicine of Physical Activities and Sports Unit, University of Douala, Cameroon
- National Institute of Youth and Sport, University of Yaounde I, Cameroon
| | - N Barth
- Laboratoire EA 4607 SNA-EPIS, Université Jean Monnet, 42100 Saint-Etienne, France
| | - B Bongue
- Laboratoire EA 4607 SNA-EPIS, Université Jean Monnet, 42100 Saint-Etienne, France
| | - SH Mandengue
- Physiology and Medicine of Physical Activities and Sports Unit, University of Douala, Cameroon
| | - LS Etoundi Ngoa
- Department of Physiology, Faculty of Medicine and Biomedical Sciences, University of Yaounde I, Cameroon
| | - PB Assomo Ndemba
- Physiology and Medicine of Physical Activities and Sports Unit, University of Douala, Cameroon
- Department of Physiology, Faculty of Medicine and Biomedical Sciences, University of Yaounde I, Cameroon
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Negueu AB, Cumber SN, Donatus L, Nkfusai CN, Ewang BF, Bede F, Beteck TE, Shirinde J, Djientcheu VDP, Nkoum BA. [Burnout among caregivers in the Yaounde Central Hospital, Cameroon]. Pan Afr Med J 2019; 34:126. [PMID: 33708295 PMCID: PMC7906560 DOI: 10.11604/pamj.2019.34.126.19969] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/04/2019] [Accepted: 06/13/2019] [Indexed: 11/11/2022] Open
Abstract
Introduction Le burnout ou syndrome d'épuisement professionnel des soignants est un problème de santé publique au Cameroun. Il se manifeste par un épuisement émotionnel, une dépersonnalisation et une diminution de l'accomplissement personnel du sujet. Il touche la plupart des personnels soignants et les conséquences sont nombreuses. Au Cameroun en général et à l'Hôpital Central de Yaoundé (HCY) en particulier, toutes ces dernières années, les soignants n'ont cessés d'exprimer leur mécontentement face à leurs conditions de travail à travers des grèves et menaces de divers ordres. La prise en charge des patients se fait de façon impersonnelle et on assiste à des conséquences dramatiques et des problèmes déontologiques. Méthodes Notre étude transversale analytique avait pour objectif de déterminer les facteurs qui sont associés au burnout dans cette population des soignants de l'HCY. Pour ce faire, pendant un mois, nous avons administré auprès de ces soignants notre questionnaire conçu selon les modèles théoriques de Maslach et Siegrist. Nous avons pu obtenir des informations recherchées auprès de 104 personnels soignants; la saisie et l'analyse des données se sont faites avec SPSS 20. Résultats Les résultats montrent auprès des soignants de quatre unités de soins de l'HCY des manifestations similaires à celles trouvées dans la littérature et une prévalence du Burnout (BO) de 63% parmi ces soignants. Sept facteurs y ont été associés de façon statistiquement significative: il s'agit du pavillon d'exercice (OR= 3.93; 1.16-13.24; p-value=0.027); le statut matrimonial (OR: 2.56; 1.22 - 5.39; p-value=0,049); le ratio effort/récompenses déséquilibré (OR: 2.31; 1.10 - 4.84; p-value=0.026 ); avoir été menacé physiquement ou verbalement (OR: 3,75; 1,49 - 9,41; 0,005); le maintien de l'équilibre entre vie privée et vie professionnelle (OR: 3,41; 1,19- 10,7; p-value=0,038); la fréquence des oublis (OR: 4,25 -1,33; 7,91; p-value=0,002) l'attribution des erreurs aux conditions de travail (OR: 2,05;1,52 - 24,0; p-value=0,011). Conclusion Le burnout est présent au sein des populations soignantes de l'HCY et risque de s'accroitre si rien n'est fait. Des stratégies de prévention et de promotion de la santé au travail sont vivement nécessaires dans les aspects de l'amélioration des conditions de travail; les prises de bonnes décisions politique et managériales; l'amélioration des relations entre soignants et soignant-hiérarchie et la recherche constante, le suivi et contrôle des facteurs de risque.
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Affiliation(s)
- Annicet Bopda Negueu
- Department of Public Health, School of Health Sciences, Catholic University of Central Africa, Yaoundé, Cameroon
| | - Samuel Nambile Cumber
- Faculty of Health Sciences, University of the Free State, Bloemfontein, South Africa.,Section for Epidemiology and Social Medicine, Department of Public Health, Institute of Medicine, The Sahlgrenska Academy at University of Gothenburg, Box 414, SE-405 Gothenburg, Sweden.,School of Health Systems and Public Health, Faculty of Health Sciences, University of Pretoria Private Bag X323, Gezina, Pretoria, South Africa
| | - Layu Donatus
- Department of Public Health, School of Health Sciences, Catholic University of Central Africa, Yaoundé, Cameroon
| | - Claude Ngwayu Nkfusai
- Yaounde Central Hospital, Cameroon.,Cameroon Baptist Convention Health Services, Yaounde, Cameroon
| | | | - Fala Bede
- Cameroon Baptist Convention Health Services, Yaounde, Cameroon
| | | | - Joyce Shirinde
- School of Health Systems and Public Health, Faculty of Health Sciences, University of Pretoria Private Bag X323, Gezina, Pretoria, South Africa
| | | | - Benjamin Alexandre Nkoum
- Department of Public Health, School of Health Sciences, Catholic University of Central Africa, Yaoundé, Cameroon
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Syndrome du burnout chez le personnel soignant paramédical au Cameroun : impact des activités physiques et sportives et des loisirs. ARCH MAL PROF ENVIRO 2018. [DOI: 10.1016/j.admp.2017.10.006] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
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Maaroufi N, Rzeigui J, Ayari L, Abid Z, Dhaouadi M, Saidi H. Assessment of Effects of Stress among Healthcare Providers at the Tabarka and Jendouba General Hospital’s Emergency Service Units in Northern Tunisia. Health (London) 2015. [DOI: 10.4236/health.2015.78107] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
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