Implementing flexible bronchoscopy in least developed countries according to international guidelines is feasible and sustainable: example from Phnom-Penh, Cambodia

BMC Pulmonary Medicine

Research Article

Virginie Avrillon¹  Pierre-Jean Souquet²  Martin Veaudor³  Sébastien Couraud⁴  Pisethmorokoth Keo⁵  Sophors Chan⁵  Chanty Ny⁵  Chanraksmey Choun⁵ 

[1] Association PRUPET, Centre Hospitalier de Moulin Yzeure, Moulins, France;Service de Pneumologie Aigue Spécialisée et Cancérologie Thoracique, Centre Hospitalier Lyon Sud, Institut de Cancérologie des Hospices Civils de Lyon, 69495, Pierre Bénite, France;Service de Pneumologie Aigue Spécialisée et Cancérologie Thoracique, Centre Hospitalier Lyon Sud, Institut de Cancérologie des Hospices Civils de Lyon, 69495, Pierre Bénite, France;Association PRUPET, Centre Hospitalier de Moulin Yzeure, Moulins, France;Service de Pneumologie Aigue Spécialisée et Cancérologie Thoracique, Centre Hospitalier Lyon Sud, Institut de Cancérologie des Hospices Civils de Lyon, 69495, Pierre Bénite, France;Association PRUPET, Centre Hospitalier de Moulin Yzeure, Moulins, France;EMR 3738 Ciblage thérapeutique en oncologie, Faculté de médecine et de maïeutique Lyon Sud Charles Mérieux, Université Lyon 1, Villeurbanne, France;Service de pneumologie, Hôpital Preah Kossamak, Phnom Penh, Cambodia;

关键词: Bronchoscopy;    Cambodia;    Guidelines;    Least Developed Countries;    Pulmonary medicine;   

DOI  :  10.1186/s12890-016-0354-6

 received in 2016-08-05, accepted in 2016-12-16,  发布年份 2017

来源: Springer

【 摘 要 】

BackgroundFlexible bronchoscopy is pivotal for the diagnosis of most respiratory diseases. A flexible bronchoscopy unit (FBU) was created in 2008 in the Preah Kossamak university hospital (Phnom Penh, Cambodia) through a cooperation program between a French and a Cambodian team. In 2009 we conducted an assessment of the compliance of the FBU to international standards and found that most of French and British guidelines were fully applied or adapted to local practice.The aim of the current work was to assess FBU again 6 years later, in order to determine if compliance to international guidelines was sustainable.MethodsThe 2015 evaluation was conducted identically to 2009. All recommendation items from the French and the British Thoracic Societies guidelines were assessed individually. Each recommendation was assigned a status expressing the level at which it was respected in Cambodia: applied, adapted, not applied and not evaluable.An endoscope microbial sampling was performed as recommended by the French Ministry of Health.ResultsBetween 2009 and 2015, the pattern of international recommendations in the Cambodian FBU did not change. Notably the rates of applied French evaluable recommendations remained stable: respectively 58% vs 57%. Main changes in French guidelines occurred in adapted items that became applied (n = 5/15) while 4 previously adapted/applied items became not applied. Furthermore, all microbial analyses showed sterile results.ConclusionsOur results show that implementation of a high quality FBU in a least-developed country is feasible. In addition, the performance is maintained in the long-term.

【 授权许可】

CC BY   
© The Author(s). 2017