Pub Date : 2023-05-23DOI: 10.59657/2837-2565.brs.23.041
I. Grewal, Omar Elsemary, Saifullah Nasim, N. Mukhtar
Spinal cord infarctions are a form of stroke characterized by ischemia originating within the spinal cord or its supplying arteries. Presentation of spinal cord infarctions vary greatly due to its diverse pathologies, but can include bladder dysfunction, paraplegia, quadriplegia, etc. The average age of people with this disease tends to be older adults, with very few reported cases in the younger demographic. Here, we report a case of spinal infarction in a young 25-year-old adult male with no predisposing risk factors.
{"title":"Spinal Infarction in a Young Adult without Predisposing Risk Factors: A Case Report","authors":"I. Grewal, Omar Elsemary, Saifullah Nasim, N. Mukhtar","doi":"10.59657/2837-2565.brs.23.041","DOIUrl":"https://doi.org/10.59657/2837-2565.brs.23.041","url":null,"abstract":"Spinal cord infarctions are a form of stroke characterized by ischemia originating within the spinal cord or its supplying arteries. Presentation of spinal cord infarctions vary greatly due to its diverse pathologies, but can include bladder dysfunction, paraplegia, quadriplegia, etc. The average age of people with this disease tends to be older adults, with very few reported cases in the younger demographic. Here, we report a case of spinal infarction in a young 25-year-old adult male with no predisposing risk factors.","PeriodicalId":10345,"journal":{"name":"Clinical Case Studies and Reports","volume":"14 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-05-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82662377","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-05-23DOI: 10.59657/2837-2565.brs.23.037
Rock Vomer, Rayghan S Larick, Emma York, Chris Fungwe, Abigail Bent, D. Narducci, Kristin Terry
We present a case report of a 20-year-old cis female division 1 collegiate basketball athlete who presented to her team physician with concerns for bilateral temporal, throbbing headache and sudden-onset, non-traumatic, right eye irritation and blurred vision. She was found to have optic neuritis and ultimately diagnosed with multiple sclerosis (MS). Although MS is the most common progressive neurologic disease of young adults there is limited research on athletes with MS. While the pathogenesis of MS remains unknown, current science identifies MS as a multifactorial condition influenced by both environmental and genetic factors. MS has a female predominance and presents most often between the ages of 20 to 45 years old. Since musculoskeletal and/or neurological symptoms are often the first sign of MS it is necessary for healthcare professionals caring for athletes to be familiar with the diagnosis, management and prognosis of MS. This case presents several key themes that aim to assist clinicians caring for athletes with MS. MS can present similar to sports-related injuries (e.g., concussions, overtraining, psychosocial stressors, musculoskeletal injuries) therefore diagnosis in the athletic population is easily missed. Without a healthcare team familiar with the immediate and future needs of the athlete, subpar preliminary and continuous treatment may result in devastating health changes and career ending consequences in athletes. Treatment goals must also align with the patient's athletic goals. Additionally, this case highlights unforeseen ethical and clinical obstacles including the repercussions of the COVID-19 pandemic that must be considered by clinicians involved in the medical care of athletes.
{"title":"Loss of Vision in a Division I Basketball Player","authors":"Rock Vomer, Rayghan S Larick, Emma York, Chris Fungwe, Abigail Bent, D. Narducci, Kristin Terry","doi":"10.59657/2837-2565.brs.23.037","DOIUrl":"https://doi.org/10.59657/2837-2565.brs.23.037","url":null,"abstract":"We present a case report of a 20-year-old cis female division 1 collegiate basketball athlete who presented to her team physician with concerns for bilateral temporal, throbbing headache and sudden-onset, non-traumatic, right eye irritation and blurred vision. She was found to have optic neuritis and ultimately diagnosed with multiple sclerosis (MS). Although MS is the most common progressive neurologic disease of young adults there is limited research on athletes with MS. While the pathogenesis of MS remains unknown, current science identifies MS as a multifactorial condition influenced by both environmental and genetic factors. MS has a female predominance and presents most often between the ages of 20 to 45 years old. Since musculoskeletal and/or neurological symptoms are often the first sign of MS it is necessary for healthcare professionals caring for athletes to be familiar with the diagnosis, management and prognosis of MS. This case presents several key themes that aim to assist clinicians caring for athletes with MS. MS can present similar to sports-related injuries (e.g., concussions, overtraining, psychosocial stressors, musculoskeletal injuries) therefore diagnosis in the athletic population is easily missed. Without a healthcare team familiar with the immediate and future needs of the athlete, subpar preliminary and continuous treatment may result in devastating health changes and career ending consequences in athletes. Treatment goals must also align with the patient's athletic goals. Additionally, this case highlights unforeseen ethical and clinical obstacles including the repercussions of the COVID-19 pandemic that must be considered by clinicians involved in the medical care of athletes.","PeriodicalId":10345,"journal":{"name":"Clinical Case Studies and Reports","volume":"1012 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-05-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77171493","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-05-23DOI: 10.59657/2837-2565.brs.23.040
Edgar R. Eslit
This article aimed to explore the experiences of deluge victims in Iligan City following Typhoon Sending using Interpretative Phenomenological Analysis (IPA). Semi-structured interviews were conducted with 10 participants, and the data were analyzed using IPA. The study found that the flood had a significant psychological and emotional impact on the participants, with several key themes and patterns emerging from the IPA analysis. These included the impact on emotional well-being, coping strategies, and patterns of adaptation and adjustment among Iligan City’s Sending Survivors. The coping strategies employed by the participants highlighted the importance of social support and community engagement in disaster recovery. The patterns of adaptation and adjustment observed among the participants suggest the potential for personal growth and development following a traumatic event. The study has implications for practitioners and policymakers involved in disaster response and recovery, and highlights the need for continued research and support for individuals and communities affected by natural disasters.
{"title":"Deluge, Pain, Agony, and Survival: Decoding Disaster’s Adversities","authors":"Edgar R. Eslit","doi":"10.59657/2837-2565.brs.23.040","DOIUrl":"https://doi.org/10.59657/2837-2565.brs.23.040","url":null,"abstract":"This article aimed to explore the experiences of deluge victims in Iligan City following Typhoon Sending using Interpretative Phenomenological Analysis (IPA). Semi-structured interviews were conducted with 10 participants, and the data were analyzed using IPA. The study found that the flood had a significant psychological and emotional impact on the participants, with several key themes and patterns emerging from the IPA analysis. These included the impact on emotional well-being, coping strategies, and patterns of adaptation and adjustment among Iligan City’s Sending Survivors. The coping strategies employed by the participants highlighted the importance of social support and community engagement in disaster recovery. The patterns of adaptation and adjustment observed among the participants suggest the potential for personal growth and development following a traumatic event. The study has implications for practitioners and policymakers involved in disaster response and recovery, and highlights the need for continued research and support for individuals and communities affected by natural disasters.","PeriodicalId":10345,"journal":{"name":"Clinical Case Studies and Reports","volume":"107 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-05-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85578357","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-05-23DOI: 10.59657/2837-2565.brs.23.036
I. Grewal, Omar Elsemary, Saifullah Nasim, Ameer Almullahassani
Factor V Leiden is a genetic disorder that results in the elimination of the cleavage site on the clotting factor V and Va. This increases the risk for clotting events, such as a stroke, in affected individuals. Factor V Leiden is often overlooked due to a lack of screening measures. Our case report outlines a patient who suffered from a stroke with no abnormalities on diagnostic testing until further genetic testing revealed Factor V Leiden.
{"title":"Early Recognition of Signs of Hypercoagulability to Prevent Adverse Health Outcomes","authors":"I. Grewal, Omar Elsemary, Saifullah Nasim, Ameer Almullahassani","doi":"10.59657/2837-2565.brs.23.036","DOIUrl":"https://doi.org/10.59657/2837-2565.brs.23.036","url":null,"abstract":"Factor V Leiden is a genetic disorder that results in the elimination of the cleavage site on the clotting factor V and Va. This increases the risk for clotting events, such as a stroke, in affected individuals. Factor V Leiden is often overlooked due to a lack of screening measures. Our case report outlines a patient who suffered from a stroke with no abnormalities on diagnostic testing until further genetic testing revealed Factor V Leiden.","PeriodicalId":10345,"journal":{"name":"Clinical Case Studies and Reports","volume":"70 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-05-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89795644","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-05-23DOI: 10.59657/2837-2565.brs.23.034
D. Awasthi
Leukemia is cancer of the blood. It’s the most common form of cancer in childhood. The cancer cells grow in bone marrow and go into the blood. The bone marrow is the soft, spongy centre of some bones. It makes blood cells. When a child has leukemia, the bone marrow makes abnormal blood cells that don’t mature. The abnormal cells are usually white blood cells (leukocytes). The bone marrow also makes fewer healthy cells. The abnormal cells reproduce very quickly. Children with leukaemia can need treatment for up to 3 years.
{"title":"Childhood Leukemia: A Review","authors":"D. Awasthi","doi":"10.59657/2837-2565.brs.23.034","DOIUrl":"https://doi.org/10.59657/2837-2565.brs.23.034","url":null,"abstract":"Leukemia is cancer of the blood. It’s the most common form of cancer in childhood. The cancer cells grow in bone marrow and go into the blood. The bone marrow is the soft, spongy centre of some bones. It makes blood cells. When a child has leukemia, the bone marrow makes abnormal blood cells that don’t mature. The abnormal cells are usually white blood cells (leukocytes). The bone marrow also makes fewer healthy cells. The abnormal cells reproduce very quickly. Children with leukaemia can need treatment for up to 3 years.","PeriodicalId":10345,"journal":{"name":"Clinical Case Studies and Reports","volume":"5 5 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-05-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81225944","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-04-04DOI: 10.59657/2837-2565.brs.23.025
Sami Almuaigel
In this research, the aim is to increase the accuracy of the Global Transparency index and to use it to calculate the poverty rate.
在这项研究中，目的是提高全球透明度指数的准确性，并用它来计算贫困率。
{"title":"Enhancing Global Transparency Index for Accurate Calculation of Poverty Rate","authors":"Sami Almuaigel","doi":"10.59657/2837-2565.brs.23.025","DOIUrl":"https://doi.org/10.59657/2837-2565.brs.23.025","url":null,"abstract":"In this research, the aim is to increase the accuracy of the Global Transparency index and to use it to calculate the poverty rate.","PeriodicalId":10345,"journal":{"name":"Clinical Case Studies and Reports","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-04-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72708400","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-04-04DOI: 10.59657/2837-2565.brs.23.028
F. Mustakim, Mohammad Nazir Ahmad, Azlan Abdul Aziz, S. Jamian, A. Mahmud, Rabiah Abdul Kadir, Riza Sulaiman
Background: The challenge arises from management of big data in transportation can be identified by ontological approach. Road accidents are regarded as a significant cause of both harm to humans and financial damage in many countries. In Malaysia, there were 567,516 accidents in 2020 alone. This translates into a daily average of 13 people killed due to traffic accidents in the country. Here, our work focuses on gap patterns, critical gap analysis, gap acceptance of right-turning motorists (RTMs) and serious conflict model on Malaysia Rural Roadways at three-leg unsignalized intersections. Methods: In early stage, traffic volume, motorist turning manoeuvre and speed study are implemented to identify the traffic behaviour at selected intersection. Three unsignalized intersection (UI) was involved namely (UI2), (UI 9), and (UI10). In the development of logistic regression models, five different datasets were used in this study: right-turning motorist (RTM) at unsignalized intersection UI2 (259 dataset), right-turning motorist at UI 9 (239 dataset), right turning motorist at UI 10 (314 dataset), right turning motorist combined model (812 dataset) and serious conflict lane change (351 dataset). Determination of critical gap was carried out at each unsignalized intersection 2, 9 and 10. Meanwhile gap-pattern analysis at each intersection used visualization spatial plot. In addition, this work investigated logistic regression method, artificial neuron network and structural equation modelling. Results: Gap pattern three was discovered to be a vulnerable gap pattern. Furthermore, this research reveals that the attributes of the gap three pattern, motorcycles rider, speed limit exceeding 50 kph and RTMs where motorcycles stop near passenger cars in minor roads encourage serious conflict. Moreover, this study proposes novelty tool for identifying hazardous unsignalized intersection by using visualization spatial plot between approach speed and gap.
{"title":"Ontologies for Supporting Traffic Behaviour, Critical Gap, and Conflict Models at Unsignalized Intersection Routes","authors":"F. Mustakim, Mohammad Nazir Ahmad, Azlan Abdul Aziz, S. Jamian, A. Mahmud, Rabiah Abdul Kadir, Riza Sulaiman","doi":"10.59657/2837-2565.brs.23.028","DOIUrl":"https://doi.org/10.59657/2837-2565.brs.23.028","url":null,"abstract":"Background: The challenge arises from management of big data in transportation can be identified by ontological approach. Road accidents are regarded as a significant cause of both harm to humans and financial damage in many countries. In Malaysia, there were 567,516 accidents in 2020 alone. This translates into a daily average of 13 people killed due to traffic accidents in the country. Here, our work focuses on gap patterns, critical gap analysis, gap acceptance of right-turning motorists (RTMs) and serious conflict model on Malaysia Rural Roadways at three-leg unsignalized intersections. Methods: In early stage, traffic volume, motorist turning manoeuvre and speed study are implemented to identify the traffic behaviour at selected intersection. Three unsignalized intersection (UI) was involved namely (UI2), (UI 9), and (UI10). In the development of logistic regression models, five different datasets were used in this study: right-turning motorist (RTM) at unsignalized intersection UI2 (259 dataset), right-turning motorist at UI 9 (239 dataset), right turning motorist at UI 10 (314 dataset), right turning motorist combined model (812 dataset) and serious conflict lane change (351 dataset). Determination of critical gap was carried out at each unsignalized intersection 2, 9 and 10. Meanwhile gap-pattern analysis at each intersection used visualization spatial plot. In addition, this work investigated logistic regression method, artificial neuron network and structural equation modelling. Results: Gap pattern three was discovered to be a vulnerable gap pattern. Furthermore, this research reveals that the attributes of the gap three pattern, motorcycles rider, speed limit exceeding 50 kph and RTMs where motorcycles stop near passenger cars in minor roads encourage serious conflict. Moreover, this study proposes novelty tool for identifying hazardous unsignalized intersection by using visualization spatial plot between approach speed and gap.","PeriodicalId":10345,"journal":{"name":"Clinical Case Studies and Reports","volume":"34 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-04-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86478905","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-04-04DOI: 10.59657/2837-2565.brs.23.032
A. Alanzi, Samah Hakemi, S. Adeel, Fakher Hayat
Background: Awake craniotomy is a neurosurgical technique that enables the precise localization of functional neural networks through intraoperative brain mapping and real-time monitoring. This operative method has been popularized in recent years due to decreased postoperative morbidities. We present a case of 31 years old female who was presented with episodes of generalized tonic colonic seizures. She had a history of recurring seizures occurring 2 to 3 times a week. Upon further investigations, she was diagnosed with brain space-occupying lesions initially suspected as low-grade glioma. Considering lesion site, the patient was deemed a suitable candidate for an awake craniotomy. To achieve conscious sedation, the patient received infusions of Remifentanil and Propofol at varying rates. During the procedure, the patient was under sedation and regularly tested for response to predetermined commands. The tumour was successfully excised by using a combination of local anaesthesia on the scalp and the administration of propofol and boluses through a systemic infusion. This case report highlights the importance of the team work among anaesthesia and surgeons where local /regional anaesthesia can be combined with sedation to perform a surgical procedure in certain conditions.
{"title":"A Case Report: Anaesthesia for Awake Craniotomy","authors":"A. Alanzi, Samah Hakemi, S. Adeel, Fakher Hayat","doi":"10.59657/2837-2565.brs.23.032","DOIUrl":"https://doi.org/10.59657/2837-2565.brs.23.032","url":null,"abstract":"Background: Awake craniotomy is a neurosurgical technique that enables the precise localization of functional neural networks through intraoperative brain mapping and real-time monitoring. This operative method has been popularized in recent years due to decreased postoperative morbidities. We present a case of 31 years old female who was presented with episodes of generalized tonic colonic seizures. She had a history of recurring seizures occurring 2 to 3 times a week. Upon further investigations, she was diagnosed with brain space-occupying lesions initially suspected as low-grade glioma. Considering lesion site, the patient was deemed a suitable candidate for an awake craniotomy. To achieve conscious sedation, the patient received infusions of Remifentanil and Propofol at varying rates. During the procedure, the patient was under sedation and regularly tested for response to predetermined commands. The tumour was successfully excised by using a combination of local anaesthesia on the scalp and the administration of propofol and boluses through a systemic infusion. This case report highlights the importance of the team work among anaesthesia and surgeons where local /regional anaesthesia can be combined with sedation to perform a surgical procedure in certain conditions.","PeriodicalId":10345,"journal":{"name":"Clinical Case Studies and Reports","volume":"18 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-04-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77560707","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-04-04DOI: 10.59657/2837-2565.brs.23.030
Prasenjit Jana
Light can create two types of images one is dark image and another is colour image or light image. The light helps us to see and it is by its light image but we can think in the absence of light in our mind or brain by dark image. More properly in our brain or mind we create another dark image with the help of a light image which we see with our eyes.
{"title":"Colour images and dark images","authors":"Prasenjit Jana","doi":"10.59657/2837-2565.brs.23.030","DOIUrl":"https://doi.org/10.59657/2837-2565.brs.23.030","url":null,"abstract":"Light can create two types of images one is dark image and another is colour image or light image. The light helps us to see and it is by its light image but we can think in the absence of light in our mind or brain by dark image. More properly in our brain or mind we create another dark image with the help of a light image which we see with our eyes.","PeriodicalId":10345,"journal":{"name":"Clinical Case Studies and Reports","volume":"49 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-04-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87808573","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Background: Bacterial pathogens continued to be the major causes of foodborne gastroenteritis in humans and remained public health important pathogens across the globe. As regards, housemaids operating inside a kitchen could be the source of infection and may transmit disease-inflicting pathogens through infected hands. Profiles of bacteria isolates and their antimicrobial resistance patterns among housemaids employed in dwellings in Ethiopia; particularly in the study area haven’t been underexplored yet. Objective: A study aimed to assess the profiles of bacteria isolates and antimicrobial resistance patterns among housemaids working in communal living residences in Jimma City, Ethiopia. Methods: Laboratory-based cross-sectional study design was employed among 230 housemaids from April-June 2022. Hand swabs samples from the dominant hand of the study participants were collected under sterile conditions for the segregation of commensal microbes following standard operating procedures. Then in the laboratory, the swabs were inoculated aseptically using streak-plating methods on mannitol salt agar, MacConkey agar, Salmonella-shigella agar, and Eosin Methylene Blue Agar. Then inoculated samples were incubated at 37°C for 24 hours for bacterial isolation. In addition, a set of biochemical tests was applied to examine bacterial species. Data was entered into Epidata version 3.1. All statistics were performed using SPSS® statistics version 26. Descriptive analyses were summarized using frequency and percentage. Results: The response rate of respondents was 97.8%. The prevalence of bacterial contaminants in the hands of housemaids who tested positive was 72% (95%CI: 66.2-77.8%). The isolated bacterial were Staphylococcus aureus (31.8%), Coagulase-Negative Staphylococci (0.9%), Escherichia coli (21.5%), Salmonella (1.3%), Shigella (6.7%), Klebsiella species (23.3%) and Proteus species (14.8%). The isolation rate of bacteria was significantly associated with the removal watch, ring, and bracelet during hand washing. Most isolated bacteria were sensitive to Chloramphenicol while the majority of them were resistant to Tetracycline, Gentamycin, Vancomycin, and Ceftazidime. Conclusion: Hands of housemaids are important potential sources of disease-causing bacterial pathogens that would result in the potential risk of foodborne diseases. Most isolated bacteria were resistant to tested antimicrobial drugs. Everybody responsible should work practice of good hand hygiene.
背景:细菌性病原体仍然是人类食源性胃肠炎的主要原因，并且仍然是全球公共卫生的重要病原体。在厨房内工作的女佣可能是感染源，并可能通过受感染的手传播致病病原体。埃塞俄比亚住家女佣的细菌分离株及其抗微生物药物耐药性特征特别是在尚未被充分开发的研究区域。目的:了解埃塞俄比亚吉马市公共住宅家政人员的细菌分离情况和耐药模式。方法:采用基于实验室的横断面研究设计，于2022年4 - 6月对230名家政服务人员进行调查。根据标准操作程序，在无菌条件下收集研究参与者惯用手的拭子样本，用于分离共生微生物。然后在实验室，用条纹法无菌接种于甘露醇盐琼脂、麦康基琼脂、沙门氏菌-志贺氏菌琼脂和伊红亚甲基蓝琼脂上。接种后的样品于37℃孵育24小时进行细菌分离。此外，还应用了一套生化试验来检查细菌种类。数据录入Epidata 3.1版本。所有统计数据均使用SPSS®statistics version 26进行。描述性分析用频率和百分比进行总结。结果:被调查者的回复率为97.8%。检测呈阳性的女佣手中细菌污染物的患病率为72% (95%CI: 66.2-77.8%)。分离出的细菌为金黄色葡萄球菌(31.8%)、凝固酶阴性葡萄球菌(0.9%)、大肠杆菌(21.5%)、沙门氏菌(1.3%)、志贺氏菌(6.7%)、克雷伯氏菌(23.3%)和变形杆菌(14.8%)。细菌的分离率与洗手时取下手表、戒指和手镯的次数显著相关。多数分离菌对氯霉素敏感，多数对四环素、庆大霉素、万古霉素和头孢他啶耐药。结论:女佣的手是重要的致病菌潜在传染源，具有潜在的食源性疾病风险。大多数分离的细菌对所测试的抗菌药物具有耐药性。每个负责的人都应该养成良好的手卫生习惯。
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