Publications by authors named "Houyem Said-Latiri"

Electronic Health Records (EHR) have been adopted to improve the quality of care. Despite the growing use of health information technology, nursing documentation remains a challenge. In Tunisia, the implementation of the Electronic Medical Record (EMR) system is gaining momentum as part of national initiatives to modernize healthcare.

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  • * A self-administered questionnaire revealed that 64% of staff had incorrect responses about the order of pre-sterilization steps, while direct observations highlighted confusion between pre-disinfection and washing steps in 82% of cases.
  • * The results indicate a significant gap in knowledge and adherence to proper sterilization protocols among staff, emphasizing the need for improved training and practices in the central sterilization process.
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Purpose: Right-sided diverticulitis is a rare entity in North Africa. Therefore, it is usually misdiagnosed, and the management of cecal diverticulitis is aggressive in most cases, whereas nowadays, most studies recommend a conservative approach with promising results. This study aims to describe the presentation, management, and outcomes of right-sided diverticulitis (RSD) and to present the experience of one surgical center in Tunisia.

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Introduction: Public primary healthcare facilities, the cornerstone of the Tunisian health system, were impacted by the Covid 19 crisis as all health systems in the world.

Aim: This study aims to assess this impact of the pandemic.

Methods: We analyzed the budgetary evolution of the basic healthcare group (BHG) of Medenine and Djerba between 2019 and 2020.

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Background: According to recent studies, thrombotic complications frequently occur in Coronavirus Disease-19 (COVID-19) and are associated with increasing disease severity and poor prognosis. However, conventional coagulation assays are unable to identify these patients' hypercoagulable states, raising questions about the appropriate assessment tool. We aimed to evaluate coagulation abnormalities in patients with different severity of CO-VID-19 using viscoelastic tests.

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Background: Routine assessments of patient safety culture within hospitals have been widely recommended to improve patient safety. Experts suggested that mixed-methods studies can help gain a deeper understanding of the concept. However, studies combining quantitative and qualitative approaches exploring patient safety culture are still lacking.

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Aim Of The Study: To describe the results of a therapeutic education program (cessation rate and success factors) among smoking coronary patients followed in the smoking cessation clinic at Sahloul University Hospital in Sousse during the period from 2015 to 2020.

Patients And Methods: A descriptive cross-sectional study was conducted among smokers with coronary artery disease who presented to the smoking cessation clinic at Sahloul University Hospital during the period from 2015 to 2020. The data collection was done by reviewing the records of smokers.

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  • The study investigates trends in healthcare-associated infections (HAIs) at a Tunisian university hospital over nine years, focusing on data from annual point prevalence surveys conducted from 2012 to 2020.
  • It found that although there was an increase in the prevalence of HAIs from 12.3% to 15.5%, the rise in the percentage of infected patients was not statistically significant.
  • Key risk factors identified for HAIs included previous antibiotic use, length of hospital stay, and the presence of invasive devices, with young age being a protective factor.
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Background: Emergency departments (EDs) are considered a high-risk environment because of the high frequency of adverse events that occur within. Measuring patient safety culture is an important step that assists healthcare facilities in planning actions to improve the quality of care provided to patients. This study aims to assess patient safety culture within EDs and to determine its associated factors.

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  • - Critical care nurses are essential for improving patient safety and care quality in ICUs, where adverse events often occur, highlighting the need for a strong patient safety culture (PSC) in these settings.
  • - A study assessed Tunisian ICU nurses' perceptions of PSC using a validated questionnaire, finding low scores across various dimensions, with significant factors influencing PSC including hospital type and nurse-to-patient ratios.
  • - Results indicated that nurses in private and certified hospitals had higher PSC levels, and a better nurse-to-patient ratio positively impacted PSC, highlighting areas for potential improvement in patient care practices.
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Background: Hand hygiene (HH) is considered the most important measure to tackle the transmission of healthcare-associated pathogens. However, compliance with recommendations is usually low and effective improvement strategies are needed. We aimed to assess the effectiveness of an intervention targeting hand hygiene promotion among healthcare workers (HCWs).

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Objective: To determine the incidence and risk factors of adverse events (AE) in a Tunisian university hospital.

Method: We carried out a longitudinal observational study in 2016 over a period of 3 months in the Sahloul university hospital of Sousse, Tunisia. Data were collected using a pretested form filled by doctors previously trained in the collection methodology, upon each visit to all hospitalized patients.

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Background: Smokers with comorbid anxio-depressive disorders are more prone to progress to a more severe level of dependence and to experience more severe nicotine withdrawal symptoms than smokers without anxio-depressive disorders.

Aim Of The Study: To determine the relationship between tobacco dependence and anxio-depressive disorders as well as assessing their impact on the withdrawal.

Methods: We conducted a cross-sectional study among attendees of the smoking cessation clinic of Sahloul University Hospital, Sousse, Tunisia, from December 2009 to May 2015.

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Background: Zoonotic visceral leishmaniasis (ZVL) caused by Leishmania infantum is endemic with an epidemiological profile of a paediatric disease in Tunisia. In the context of a high fatality rate, identifying risk factors for in-hospital mortality in children treated for ZVL is of major epidemiological importance.

Design: A retrospective (case-control) study included 230 immuno-competent children diagnosed and confirmed with primary ZVL in the paediatric department of the University Hospital of Kairouan between 2004 and 2014.

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Background: Nosocomial infections are public health issues that are associated with high mortality in intensive care units. This study aimed to determine nosocomial infection-associated mortality in Tunisian intensive care units and identify its risk factors.

Methods: A prospective cohort study was carried out in intensive care units of a Tunisian University Hospital.

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