Determinants and outcomes associated with decisions to deny intensive care unit admission in Tunisian ICU.

Introduction: intensive care unit (ICU) beds are a scarce resource, and admissions may require prioritization when demand exceeds supply. However, there are few data regarding both outcomes of admitted patients to intensive care unit (ICU) in comparison with outcomes of not admitted patients. The aim of this study was to assess reasons and factors associated to refusal of admission to ICU as well as the impact on mortality at 28 days and patients' outcomes.

Characteristics and outcome of ill critical patients with influenza A infection.

Introduction: To describe all patients admitted to Tunisian intensive care unit with a diagnosis of influenza A/H1N1 virus infection after the 2009 influenza pandemic and to analyse their characteristics, predictors of complications and outcome.

Methods: All patients with influenza > 18-years-old hospitalized to the ICU department of Tunisian University hospital of Sousse, between December 1, 2009 and March 31, 2016, with a positive influenza A/H1N1/09 reverse transcriptase polymerase chain reaction (RT-PCR) from a nasopharyngeal specimen were included, were included.

Results: 40 cases were admitted to intensive care units.

Meningococcemia complicated by myocarditis in a 16-year-old young man: a case report.

Fulminant meningococcemia is a relatively rare life-threatening disease caused by Neisseria meningitidis. The clinical presentation is varied, but, when associated with myocarditis, it carries a particularly poor prognosis. We report a case of a patient with fulminant meningococcemia who subsequently developed severe myocardial dysfunction and successfully recovered within a period of 7 days of hospitalization.

[Incidence of device-associated infections in a Tunisian intensive care unit].

Introduction: Healthcare-associated infections represent a real public health problem. They are particularly frequent and severe in intensive care units due to the serious diseases presented by patients and the almost systematic use ofvarious medical devices. A study of the incidence of device-associated infections was conducted in the ICU of CHU Farhat Hached Sousse (Tunisia) to estimate the incidence and to identify risk factorsfor DAI METHODS: This prospective incidence study was conducted during the first quarter of 2012, with anonymous and standardized data collection for all patients hospitalized for at least 48 hours.