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- Title
AFFECTIONS CHIRURGICALES EN DETENTION PREVENTIVE AU CAMP 1 DE GENDARMERIE DE BAMAKO (MALI) : ASPECTS MEDICO-LEGAUX.
- Authors
Kéita, S.; Coulibaly, M.; Sangaré, A.; Sanou, M.; Kanté, A.; Dicko, B.; Kanikomo, D.
- Abstract
The aim of this work was to describe the epidemiological and therapeutic aspects of surgical diseases in patients in pre-trial detention at Camp 1 of Gendarmerie in Bamako (Mali) and to evaluate the medico-legal aspects of this management. Method: It was a descriptive retrospective study over a three year period (January 2014 to December 2016). Included were all detainees who had stayed at the Bamako Gendarmerie Camp 1 detention center and whose medical care had required a surgical procedure, performed or coordinated by the staff of the garrison. Results: Clinical records of 42 inmates-patients were collected. Their average age was 36.5 years varying between 24 years and 73 years and all of them were men. The average length of pre-trial detention was 17 months varying from 16 days to 39 months. On arrival, 35.7% of the detainees (15/42) benefited from an initial examination by a garrison infirmary health worker. Among them, 46.7% (7/15) required urgent surgical procedures. The average time to access care was 4 hours varying from to 6 days. Consent to care was obtained from 54.8% (23/42) of prisoners prior to any medical procedure. Traumatic conditions were the main etiologies of emergency care. Systematic screening for communicable diseases and exit visit at discharge were not performed. Over the 3 yearlong study period, no case of death was recorded. Conclusion: The medical and surgical management of these detainees has enabled the staff of the garrison infirmary at Camp 1 to acquire knowledge and skills in detention health. The impact of this acquisition is reflected as an improvement in the quality of care over the years.
- Publication
Mali Médical, 2019, Vol 34, Issue 4, p18
- ISSN
0464-7874
- Publication type
Article