Gastrointestinal Norovirus Infections at the Mohammed V Military Teaching Hospital, Morocco

2024-11-13T00:34:57+00:00

Background: Viral gastroenteritis is a major cause of morbidity and mortality. In Morocco, epidemiological data on Norovirus remain scarce. This study aims to assess the prevalence of Norovirus and identify potential risk factors associated with infection.

Patients and Methods: From February 1 to June 13, 2024, 94 stool samples were tested for Norovirus using real-time RT-PCR. Epidemiological and clinical data were collected via a structured information sheet.

Results: The overall Norovirus infection rate was 8.5%. Most cases were among individuals aged 25-40 years, with a male-to-female ratio of 1.67. Predominant symptoms included diarrhea (100%), abdominal pain (100%), nausea (75%), fever (62%), vomiting (61.5%), and dehydration (37.5%). Key risk factors included consuming non-homemade meals (75%) and poor hygiene, such as irregular hand washing (25%).

Conclusion: This study highlights that Norovirus is a common cause of acute gastroenteritis in Morocco, highlighting the need to include other enteric viruses in the surveillance system.

Effect of Implementation of Care Bundles on Emergency Abdominal Surgery Outcomes: A Systematic Review and Meta-Analysis

2024-12-04T17:16:17+00:00

Background: Care bundles, comprising a set of evidence-based practices, have been widely adopted to improve patient outcomes in various clinical settings. However, their specific impact on mortality and complication rates in emergency abdominal surgical settings remains to be thoroughly quantified. Study Aim: This meta-analysis aims to evaluate the efficacy of care bundles in reducing mortality and complication rates in patients undergoing emergency abdominal surgeries. Methodology: A comprehensive literature search was conducted across PubMed, Embase, and Cochrane Library databases to identify studies evaluating the impact of care bundles on emergency abdominal surgical outcomes. Studies were included if they reported on mortality or complication rates in patients undergoing emergency surgery with and without the implementation of care bundles. Data were extracted and pooled using a fixed-effects model to calculate the overall odds ratios (ORs) and 95% confidence intervals (CIs) for mortality and complication rates. Results: Fifteen studies were included in the meta-analysis. The pooled analysis revealed a significant reduction in mortality rates in the bundle group compared to the control group, with an OR of 0.76 (95% CI: 0.68 to 0.85). Similarly, the complication rates were significantly reduced in the bundle group, with a pooled OR of 0.77 (95% CI: 0.68 to 0.89). The heterogeneity for mortality (I² = 33%) and complication rates (I² = 29%) was low, indicating consistent findings across the studies. Conclusion: The implementation of care bundles in emergency abdominal surgical settings is associated with a significant reduction in both mortality and complication rates. These findings support the broader adoption of care bundles to enhance patient outcomes in high-risk emergency surgeries. Future research should focus on conducting randomized controlled trials and evaluating the cost-effectiveness of care bundles in diverse healthcare settings.

International Journal of Medical Science and Clinical Invention

Gastrointestinal Norovirus Infections at the Mohammed V Military Teaching Hospital, Morocco

Effect of Implementation of Care Bundles on Emergency Abdominal Surgery Outcomes: A Systematic Review and Meta-Analysis