Pub Date : 2024-05-22DOI: 10.34104/ejmhs.024.074084
Ultrasound serves as a pivotal tool in identifying and assessing masses in the right upper quadrant (RUQ) of the abdomen, crucial for determining precise organ involvement, composition, characteristics, and extension into neighboring structures. This cross-sectional prospective study conducted at various medical facilities in Dhaka enrolled 130 patients, utilizing real-time ultrasound with a 3.5MHz transducer. Among the 100 patients with abnormal sonographic findings, 40% exhibited RUQ masses, predominantly affecting males (75%). Liver masses were most common (75%), including abscesses, hepatocellular carcinomas, secondary lesions, hemangiomas, and simple cysts. Gall bladder masses (10%) mostly consisted of advanced stage carcinomas and polyp-like masses. Right renal masses (15%) comprised simple cysts, severe hydrone-phrosis, renal cell carcinoma, and angiomyolipoma. Ultrasound emerges as the preferred initial imaging modality for RUQ mass detection, offering high diagnostic accuracy, non-invasiveness, affordability, and widespread availability. While supplementary investigations like serological tests, CT scans, and histopathology may be necessary for definitive diagnoses, ultrasound aids in formulating initial patient management guidelines. Despite its limitations, ultrasound remains popular and highly preferred for RUQ imaging, emphasizing its significance in clinical practice.
{"title":"Assessment of Masses in the Right Upper Quadrant using Ultrasound Imaging: A Comprehensive Diagnostic Approach for Clinical Evaluation in Bangladesh","authors":"","doi":"10.34104/ejmhs.024.074084","DOIUrl":"https://doi.org/10.34104/ejmhs.024.074084","url":null,"abstract":"Ultrasound serves as a pivotal tool in identifying and assessing masses in the right upper quadrant (RUQ) of the abdomen, crucial for determining precise organ involvement, composition, characteristics, and extension into neighboring structures. This cross-sectional prospective study conducted at various medical facilities in Dhaka enrolled 130 patients, utilizing real-time ultrasound with a 3.5MHz transducer. Among the 100 patients with abnormal sonographic findings, 40% exhibited RUQ masses, predominantly affecting males (75%). Liver masses were most common (75%), including abscesses, hepatocellular carcinomas, secondary lesions, hemangiomas, and simple cysts. Gall bladder masses (10%) mostly consisted of advanced stage carcinomas and polyp-like masses. Right renal masses (15%) comprised simple cysts, severe hydrone-phrosis, renal cell carcinoma, and angiomyolipoma. Ultrasound emerges as the preferred initial imaging modality for RUQ mass detection, offering high diagnostic accuracy, non-invasiveness, affordability, and widespread availability. While supplementary investigations like serological tests, CT scans, and histopathology may be necessary for definitive diagnoses, ultrasound aids in formulating initial patient management guidelines. Despite its limitations, ultrasound remains popular and highly preferred for RUQ imaging, emphasizing its significance in clinical practice.","PeriodicalId":113708,"journal":{"name":"European Journal of Medical and Health Sciences","volume":"47 19","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141108701","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}
Introduction and Importance: Intramedullary spinal cord metastases (ISCM) are a rare and devastating complication of malignant disease with a poor prognosis. Prompt and accurate diagnosis is necessary for effective treatment, and magnetic resonance imaging (MRI) is the preferred imaging technique. In this article, a rare case of an ISCM presenting with motor weakness after trauma is described. Case Presentation: The patient showed progressive severe paraplegia and urinary retention, and a thoraco-abdomino-pelvic scan showed a mediastinal pulmonary process and mediastinal adenopathies with adrenal lesions. He was admitted and a total resection of the processus was performed. After surgery, the patient showed partial neurological improvement, but two weeks later, he had a consciousness impairment. A cerebral CT scan showed multiple round lesions, with perilesional edema, and the patient died one month later. Discussion: The article discusses the pathogenic mechanisms of ISCM and its diagnosis, treatment, and management, which are controversial due to the multitude of clinical circumstances and the lack of controlled studies on the efficacy of the different therapeutic approaches. Conclusion: In conclusion, this rare case of Intramedullary Spinal Cord Metastases (ISCM) offers several important take-away lessons for clinicians and researchers alike.
{"title":"Spinal Trauma Revealing a Metastatic Medullary Lesion: A Case Report","authors":"Btissam Faham, Zaari Nahla, Jamal Oufaa, Bouhou Oumaima, Said Hilmani, Khadija Ibahioin, Abdelhakim Lakhdar","doi":"10.24018/ejmed.2024.6.3.2090","DOIUrl":"https://doi.org/10.24018/ejmed.2024.6.3.2090","url":null,"abstract":"Introduction and Importance: Intramedullary spinal cord metastases (ISCM) are a rare and devastating complication of malignant disease with a poor prognosis. Prompt and accurate diagnosis is necessary for effective treatment, and magnetic resonance imaging (MRI) is the preferred imaging technique. In this article, a rare case of an ISCM presenting with motor weakness after trauma is described.\u0000Case Presentation: The patient showed progressive severe paraplegia and urinary retention, and a thoraco-abdomino-pelvic scan showed a mediastinal pulmonary process and mediastinal adenopathies with adrenal lesions. He was admitted and a total resection of the processus was performed. After surgery, the patient showed partial neurological improvement, but two weeks later, he had a consciousness impairment. A cerebral CT scan showed multiple round lesions, with perilesional edema, and the patient died one month later.\u0000Discussion: The article discusses the pathogenic mechanisms of ISCM and its diagnosis, treatment, and management, which are controversial due to the multitude of clinical circumstances and the lack of controlled studies on the efficacy of the different therapeutic approaches.\u0000Conclusion: In conclusion, this rare case of Intramedullary Spinal Cord Metastases (ISCM) offers several important take-away lessons for clinicians and researchers alike.","PeriodicalId":113708,"journal":{"name":"European Journal of Medical and Health Sciences","volume":"8 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141126941","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: The prevention of healthcare-associated infections is central to the provision of safe, high-quality healthcare. Students are a part of the healthcare team and are at increased risk of these infections. This study seeks to assess Hospital Acquired Infections (HAIs) prevention practices among medical students in a Teaching Hospital in Jos, Plateau State, Nigeria. Methods: This was a descriptive cross-sectional study done in July 2019 among medical students using a Multistage sampling technique. Data was collected using a self-administered structured questionnaire and analyzed using the IBM SPSS 28 (Statistical Package for the Social Sciences). Results: Almost all (99.1%) of students claim that they wash their hands before and after seeing patients, 81.9% wash their hands before meals, 57.4% wash their hands before performing invasive bedside procedures, 72.7% wash before and after examining patients, 30.2% wash their hands before &after touching wounds, but not when gloved, 63.9% wash their hands between two different procedures on different patients. Concerning wearing face/nose masks 86.8% said they wore masks when transporting coughing patients out of the ward, 70.3% stated that they wore masks when irrigating septic wounds, 60.7% said they wore face masks whenever they were attending to patients with fecal incontinence, 76.3% said they wore face mask whenever they were delivering a baby of an HIV Positive woman, 51.6% said they wore face mask whenever they were visiting neonatal intensive care unit. The majority of respondents (83.6%) have never sustained a needle stick injury before, main reasons for non-use of PPE include High cost (24.7), PPE Not available (951.1%), difficulty in using (15.1%), No reason (9.1%). Conclusion: Generally, more than a third 150 (68.5%) of respondents had good practice of HAI prevention, while 69 (31.55) had a poor practice of HAIs prevention. There is also a need to ensure that the availability of PPEs, hand washing and waste disposal equipment is ensured, while medical students are also taught the importance of good equipment hygiene.
背景：预防医疗保健相关感染是提供安全、高质量医疗保健服务的核心。学生是医疗保健团队的一员，感染这些疾病的风险也随之增加。本研究旨在评估尼日利亚高原州乔斯市一家教学医院的医学生预防医院获得性感染（HAIs）的实践情况：这是一项描述性横断面研究，于 2019 年 7 月在医科学生中进行，采用了多阶段抽样技术。采用自填式结构问卷收集数据，并使用 IBM SPSS 28（社会科学统计软件包）进行分析：几乎所有（99.1%）的学生都声称他们在看病前后洗手，81.9%的学生在饭前洗手，57.4%的学生在进行床旁侵入性操作前洗手，72.7%的学生在检查病人前后洗手，30.2%的学生在触摸伤口前后洗手，但戴手套时不洗手，63.9%的学生在对不同病人进行两种不同操作之间洗手。关于戴口罩/鼻罩，86.8% 的受访者表示在将咳嗽的病人送出病房时会戴口罩，70.3% 的受访者表示在冲洗化脓性伤口时会戴口罩，60.7% 的受访者表示在护理大便失禁的病人时会戴口罩，76.3% 的受访者表示在为艾滋病毒呈阳性的产妇接生时会戴口罩，51.6% 的受访者表示在巡视新生儿重症监护室时会戴口罩。大多数受访者（83.6%）以前从未受过针刺伤，不使用个人防护设备的主要原因包括成本高（24.7%）、没有个人防护设备（951.1%）、使用困难（15.1%）、无原因（9.1%）：总体而言，超过三分之一的 150 名受访者（68.5%）在预防 HAI 方面的做法良好，而 69 名受访者（31.55%）在预防 HAI 方面的做法较差。还需要确保个人防护设备、洗手和废物处理设备的可用性，同时向医科学生传授良好的设备卫生的重要性。
{"title":"Hospital Acquired Infections (HAIs) Prevention Practices Among Medical Students in a Teaching Hospital in Jos, Plateau State, Nigeria","authors":"Prosper Ifeanacho Okonkwo, Kingsley Chinedu Okafor, Joel Haruna Garbal, Bitrus Salome Kwaghal, Bolarinwa Boluwatito","doi":"10.24018/ejmed.2024.6.2.2020","DOIUrl":"https://doi.org/10.24018/ejmed.2024.6.2.2020","url":null,"abstract":"Background: The prevention of healthcare-associated infections is central to the provision of safe, high-quality healthcare. Students are a part of the healthcare team and are at increased risk of these infections. This study seeks to assess Hospital Acquired Infections (HAIs) prevention practices among medical students in a Teaching Hospital in Jos, Plateau State, Nigeria.\u0000Methods: This was a descriptive cross-sectional study done in July 2019 among medical students using a Multistage sampling technique. Data was collected using a self-administered structured questionnaire and analyzed using the IBM SPSS 28 (Statistical Package for the Social Sciences).\u0000Results: Almost all (99.1%) of students claim that they wash their hands before and after seeing patients, 81.9% wash their hands before meals, 57.4% wash their hands before performing invasive bedside procedures, 72.7% wash before and after examining patients, 30.2% wash their hands before &after touching wounds, but not when gloved, 63.9% wash their hands between two different procedures on different patients. Concerning wearing face/nose masks 86.8% said they wore masks when transporting coughing patients out of the ward, 70.3% stated that they wore masks when irrigating septic wounds, 60.7% said they wore face masks whenever they were attending to patients with fecal incontinence, 76.3% said they wore face mask whenever they were delivering a baby of an HIV Positive woman, 51.6% said they wore face mask whenever they were visiting neonatal intensive care unit. The majority of respondents (83.6%) have never sustained a needle stick injury before, main reasons for non-use of PPE include High cost (24.7), PPE Not available (951.1%), difficulty in using (15.1%), No reason (9.1%).\u0000Conclusion: Generally, more than a third 150 (68.5%) of respondents had good practice of HAI prevention, while 69 (31.55) had a poor practice of HAIs prevention. There is also a need to ensure that the availability of PPEs, hand washing and waste disposal equipment is ensured, while medical students are also taught the importance of good equipment hygiene.","PeriodicalId":113708,"journal":{"name":"European Journal of Medical and Health Sciences","volume":" 47","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140388065","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}
Introduction: Coronavirus is arguably the most significant pandemic in recent human history that changed the way healthcare providers understand respiratory diseases. The presented study focused on exploring the effectiveness of the strategies integrated by Saudi Healthcare professionals in mitigating and controlling the disease. Methodology: The research integrated a retrospective case series study of the King Salman Specialist Hospital. The inquiry evaluated all patients admitted to the facility for COVID-19 symptoms. The research integrated a consecutive non-random sampling in selecting the participants. Results: A total of 1,213 patients were selected for the study with an average age of 46 years. Fever, fatigue, and coughs were the main symptoms (68%), and 830 of the patients had severe symptoms. Further, 64% of the patients were male and 36.6% female. High prevalence in males was associated with old age. Conclusion: Controlling COVID-19 has been challenging, and monitoring the effectiveness of interventions helps determine the progression of the pandemic towards its eradication.
{"title":"The Pattern of COVID-19 Patients at King Salman Specialist Hospital, Hail Region, Saudi Arabia","authors":"Waffa Aswaq Al-Shammari, Khaled Fraih Al-Nuwaimees, Mousa Al-Ateeq, Saleh Al-Shammari, Suad Al-Shubrami, Safiya Moussa, Mona Aswaq Al-Shammari, Mashael Aljasir, Nora Zabin Al-Shammari","doi":"10.24018/ejmed.2024.6.1.1761","DOIUrl":"https://doi.org/10.24018/ejmed.2024.6.1.1761","url":null,"abstract":"Introduction: Coronavirus is arguably the most significant pandemic in recent human history that changed the way healthcare providers understand respiratory diseases. The presented study focused on exploring the effectiveness of the strategies integrated by Saudi Healthcare professionals in mitigating and controlling the disease.\u0000Methodology: The research integrated a retrospective case series study of the King Salman Specialist Hospital. The inquiry evaluated all patients admitted to the facility for COVID-19 symptoms. The research integrated a consecutive non-random sampling in selecting the participants.\u0000Results: A total of 1,213 patients were selected for the study with an average age of 46 years. Fever, fatigue, and coughs were the main symptoms (68%), and 830 of the patients had severe symptoms. Further, 64% of the patients were male and 36.6% female. High prevalence in males was associated with old age.\u0000Conclusion: Controlling COVID-19 has been challenging, and monitoring the effectiveness of interventions helps determine the progression of the pandemic towards its eradication.","PeriodicalId":113708,"journal":{"name":"European Journal of Medical and Health Sciences","volume":"24 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140412689","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 : 2024-02-29DOI: 10.24018/ejmed.2024.6.1.2012
Hassan S. Naji
Malaria, which affects half the globe, remains a dangerous infectious agent. A recent American study demonstrates a lack of knowledge of local epidemic causes. The main goal of this article is to investigate the Anopheles mosquito, the main vector, and to assess vector-borne disease preparation due to global warming. Overall, we wish to assess vulnerability to smaller malaria outbreaks here in the United States (US). The essay examines malaria’s prevalence globally and its implications in the US. The focus is on locally acquired malaria transmission, its effects, and preventative and control strategies. This article examines how global warming affects malaria transmission, diagnosis, and treatment within the US. Climate change affects malaria-carrying vector behavior and dispersal via changing temperature and humidity. As a result of climate change, multiple mosquito species with the potential to transmit malaria exist throughout the United States, and the vast majority of vector control groups are ill-prepared to deal with a vector-borne illness epidemic. The primary focus of this article is to evaluate our knowledge of the Anopheles mosquito vector as it is spread north of the US due to climate change. Furthermore, we will assess our ability to respond to malaria epidemics and how to reduce the susceptibility to localized malaria outbreaks and how to maintain efficient preventative and control efforts.
{"title":"Locally Acquired Malaria in the United States","authors":"Hassan S. Naji","doi":"10.24018/ejmed.2024.6.1.2012","DOIUrl":"https://doi.org/10.24018/ejmed.2024.6.1.2012","url":null,"abstract":"Malaria, which affects half the globe, remains a dangerous infectious agent. A recent American study demonstrates a lack of knowledge of local epidemic causes. The main goal of this article is to investigate the Anopheles mosquito, the main vector, and to assess vector-borne disease preparation due to global warming. Overall, we wish to assess vulnerability to smaller malaria outbreaks here in the United States (US). The essay examines malaria’s prevalence globally and its implications in the US. The focus is on locally acquired malaria transmission, its effects, and preventative and control strategies. This article examines how global warming affects malaria transmission, diagnosis, and treatment within the US. Climate change affects malaria-carrying vector behavior and dispersal via changing temperature and humidity. As a result of climate change, multiple mosquito species with the potential to transmit malaria exist throughout the United States, and the vast majority of vector control groups are ill-prepared to deal with a vector-borne illness epidemic. The primary focus of this article is to evaluate our knowledge of the Anopheles mosquito vector as it is spread north of the US due to climate change. Furthermore, we will assess our ability to respond to malaria epidemics and how to reduce the susceptibility to localized malaria outbreaks and how to maintain efficient preventative and control efforts.","PeriodicalId":113708,"journal":{"name":"European Journal of Medical and Health Sciences","volume":"2015 14","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140416393","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 : 2024-02-28DOI: 10.24018/ejmed.2024.6.1.2026
Wathiq Abdul-Razzaq
The danger of inhaling some particulate matter PM is well recognized. However, these PMs could be magnetic or non-magnetic. Magnetic PM residing in our bodies can interact with electromagnetic waves emitted by devices such as cell phones causing added danger to our health. Our measurements identified the magnetic particles of magnetite coming from ordinary sources such as diesel engines, sand and dirt. We will describe the various measurements that characterize the magnetic behavior of these particles and their possible risk to our health.
{"title":"Added Health Concern from Magnetic Particulate Matter","authors":"Wathiq Abdul-Razzaq","doi":"10.24018/ejmed.2024.6.1.2026","DOIUrl":"https://doi.org/10.24018/ejmed.2024.6.1.2026","url":null,"abstract":"The danger of inhaling some particulate matter PM is well recognized. However, these PMs could be magnetic or non-magnetic. Magnetic PM residing in our bodies can interact with electromagnetic waves emitted by devices such as cell phones causing added danger to our health. Our measurements identified the magnetic particles of magnetite coming from ordinary sources such as diesel engines, sand and dirt. We will describe the various measurements that characterize the magnetic behavior of these particles and their possible risk to our health.","PeriodicalId":113708,"journal":{"name":"European Journal of Medical and Health Sciences","volume":"6 6","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140420908","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 : 2024-02-23DOI: 10.24018/ejmed.2024.6.1.2033
Clive Kelly, Carolyn Kelly, Rachael Taylor
Introduction: Attention-deficit/hyperactivity disorder (ADHD) is underrecognised and underdiagnosed in females. As a result, females often navigate years of symptoms without appropriate support, sometimes contributing to adverse outcomes for them and for those who try to support them. This review describes the experience of females with ADHD and explores and explains the main challenges they face. Methods: We distilled the most common themes expressed in the available literature on ADHD in females and used these to develop topic headings for a literature review. We then explored therapeutic options and identified future priorities for clinical research and development. Results: The commonest issues identified and explored related to the following topics: emotional development, friendships and relationships, handling conflict, self-harm and suicidality, creativity and hyperfocus, hypersensitivity, cognition and coordination, physical, psychological, and psychiatric comorbidity, and the effects of masking. We specifically considered the implications for serious self-harm, conflict, and criminal conviction among ADHD females, and explored how these risks may be mitigated with treatment. Discussion: Females with ADHD are both under-diagnosed and undersupported, despite the serious psychosocial consequences of this condition. Given that many of these carry potentially serious complications, recognition of these issues and the provision of appropriate support and intervention is of paramount importance if those who care for them professionally and/or personally are to respond effectively. Treatment mitigates adverse outcomes for many females with ADHD.
{"title":"Review of the Psychosocial Consequences of Attention Deficit Hyperactivity Disorder (ADHD) in Females","authors":"Clive Kelly, Carolyn Kelly, Rachael Taylor","doi":"10.24018/ejmed.2024.6.1.2033","DOIUrl":"https://doi.org/10.24018/ejmed.2024.6.1.2033","url":null,"abstract":"Introduction: Attention-deficit/hyperactivity disorder (ADHD) is underrecognised and underdiagnosed in females. As a result, females often navigate years of symptoms without appropriate support, sometimes contributing to adverse outcomes for them and for those who try to support them. This review describes the experience of females with ADHD and explores and explains the main challenges they face.\u0000Methods: We distilled the most common themes expressed in the available literature on ADHD in females and used these to develop topic headings for a literature review. We then explored therapeutic options and identified future priorities for clinical research and development.\u0000Results: The commonest issues identified and explored related to the following topics: emotional development, friendships and relationships, handling conflict, self-harm and suicidality, creativity and hyperfocus, hypersensitivity, cognition and coordination, physical, psychological, and psychiatric comorbidity, and the effects of masking. We specifically considered the implications for serious self-harm, conflict, and criminal conviction among ADHD females, and explored how these risks may be mitigated with treatment.\u0000Discussion: Females with ADHD are both under-diagnosed and undersupported, despite the serious psychosocial consequences of this condition. Given that many of these carry potentially serious complications, recognition of these issues and the provision of appropriate support and intervention is of paramount importance if those who care for them professionally and/or personally are to respond effectively. Treatment mitigates adverse outcomes for many females with ADHD.","PeriodicalId":113708,"journal":{"name":"European Journal of Medical and Health Sciences","volume":"21 7","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140436450","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 : 2024-02-23DOI: 10.24018/ejmed.2024.6.1.1773
O. Amu, E. A. Affusim, O. Mbadiwe, Daniel Chukwunonso Nwachukwu, S. Anyimba
Background: Transurethral Resection of the Prostate (TURP) is the gold standard for surgical treatment of benign prostate hyperplasia (BPH). One of the postoperative complications of TURP is urinary tract infection (UTI). Symptomatic UTI occur despite preoperative sterile urine, prophylactic antibiotics and a closed drainage system. We studied the incidence of such symptomatic UTI and the microbial pattern observed. Material and Methods: This was a prospective study of 220 patients who had monopolar TURP in our centre from 2015 to 2020. All patients had sterile urine before surgery. Catheters were removed three days postoperatively. Patients presenting with symptoms of UTI were subjected to urine culture and antibiotic sensitivity. The recorded variables include patient demographics, co-morbid factors; Diabetes, hypertension, presence or absence of preoperative catheterization, duration of surgery, presence of postoperative UTI, microbial patterns and antibiotic sensitivity patterns. Results: The mean age of the patient was 66.25 years. 35.5% had preoperative catheterization. 42 (19%) patients were established to have symptomatic UTI. Age ≥ 65 years, duration of surgery ≥60 mins led to higher infection rates but preoperative catheterization, diabetes and hypertension did not influence UTI rates. The commonest organism was E. Coli and the most common sensitive antibiotic was levofloxacin (quinolone). Conclusions: Symptomatic UTI post-TURP still occurs despite preoperative sterile urine and routine prophylactic antibiotics.
背景：经尿道前列腺切除术（TURP）是手术治疗良性前列腺增生症（BPH）的金标准。尿路感染（UTI）是经尿道前列腺切除术的术后并发症之一。尽管术前无菌尿液、预防性抗生素和密闭引流系统均可引起症状性尿路感染。我们研究了此类症状性 UTI 的发生率和观察到的微生物模式：这是一项前瞻性研究，研究对象是 2015 年至 2020 年在本中心接受单极 TURP 的 220 名患者。所有患者术前尿液无菌。术后三天拔除导尿管。对出现UTI症状的患者进行尿液培养和抗生素药敏试验。记录的变量包括患者的人口统计学特征、并发症因素；糖尿病、高血压、术前有无导尿、手术持续时间、术后有无UTI、微生物模式和抗生素敏感性模式：患者平均年龄为 66.25 岁。35.5%的患者术前接受过导尿术。42（19%）名患者确诊为无症状 UTI。年龄≥65岁、手术时间≥60分钟的患者感染率较高，但术前导尿、糖尿病和高血压并不影响UTI感染率。最常见的病原体是大肠杆菌，最常见的敏感抗生素是左氧氟沙星（喹诺酮类）：结论：尽管术前无菌尿液和常规预防性抗生素治疗，TURP 术后症状性 UTI 仍有发生。
{"title":"Postoperative Incidence of Symptomatic Urinary Tract Infection (UTI) and Microbial Pattern Seen in TURP Patients with Negative Cultures Preoperatively","authors":"O. Amu, E. A. Affusim, O. Mbadiwe, Daniel Chukwunonso Nwachukwu, S. Anyimba","doi":"10.24018/ejmed.2024.6.1.1773","DOIUrl":"https://doi.org/10.24018/ejmed.2024.6.1.1773","url":null,"abstract":"Background: Transurethral Resection of the Prostate (TURP) is the gold standard for surgical treatment of benign prostate hyperplasia (BPH). One of the postoperative complications of TURP is urinary tract infection (UTI). Symptomatic UTI occur despite preoperative sterile urine, prophylactic antibiotics and a closed drainage system. We studied the incidence of such symptomatic UTI and the microbial pattern observed.\u0000Material and Methods: This was a prospective study of 220 patients who had monopolar TURP in our centre from 2015 to 2020. All patients had sterile urine before surgery. Catheters were removed three days postoperatively. Patients presenting with symptoms of UTI were subjected to urine culture and antibiotic sensitivity. The recorded variables include patient demographics, co-morbid factors; Diabetes, hypertension, presence or absence of preoperative catheterization, duration of surgery, presence of postoperative UTI, microbial patterns and antibiotic sensitivity patterns.\u0000Results: The mean age of the patient was 66.25 years. 35.5% had preoperative catheterization. 42 (19%) patients were established to have symptomatic UTI. Age ≥ 65 years, duration of surgery ≥60 mins led to higher infection rates but preoperative catheterization, diabetes and hypertension did not influence UTI rates. The commonest organism was E. Coli and the most common sensitive antibiotic was levofloxacin (quinolone).\u0000Conclusions: Symptomatic UTI post-TURP still occurs despite preoperative sterile urine and routine prophylactic antibiotics.","PeriodicalId":113708,"journal":{"name":"European Journal of Medical and Health Sciences","volume":"24 18","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140435323","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}
Proper hand hygiene is especially important in a hospital setting where patients may have weakened immune systems and are more susceptible to infections. It is essential for healthcare professionals to follow strict hand hygiene protocols to ensure the safety and well-being of both patients and staff. Hand hygiene audits should be conducted regularly to assess compliance with these protocols and identify areas for improvement. These audits can help identify any gaps in hand hygiene practices and provide opportunities for additional training or education for healthcare professionals. By consistently monitoring and reinforcing proper hand hygiene, hospitals can minimize the spread of infections and create a safer environment for everyone involved in patient care. The present study provides an overview of the hand hygiene audits conducted at a tertiary care hospital in Pune, India, and highlights the areas for improvement and implementation of best practices.
{"title":"A Study to Establish the Relationship between Hand Hygiene Compliance and Hospital Associated Infections in an ICU Setup of a Tertiary Care Teaching Hospital","authors":"Vasudev Gad, Dhiraj Kumar Thakur, Satish Kamtikar, Vinodh Kumar, Radhakrishnan Venkatesh Gokul","doi":"10.24018/ejmed.2024.6.1.2014","DOIUrl":"https://doi.org/10.24018/ejmed.2024.6.1.2014","url":null,"abstract":"Proper hand hygiene is especially important in a hospital setting where patients may have weakened immune systems and are more susceptible to infections. It is essential for healthcare professionals to follow strict hand hygiene protocols to ensure the safety and well-being of both patients and staff. Hand hygiene audits should be conducted regularly to assess compliance with these protocols and identify areas for improvement. These audits can help identify any gaps in hand hygiene practices and provide opportunities for additional training or education for healthcare professionals. By consistently monitoring and reinforcing proper hand hygiene, hospitals can minimize the spread of infections and create a safer environment for everyone involved in patient care. The present study provides an overview of the hand hygiene audits conducted at a tertiary care hospital in Pune, India, and highlights the areas for improvement and implementation of best practices.","PeriodicalId":113708,"journal":{"name":"European Journal of Medical and Health Sciences","volume":"64 7","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140436899","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 : 2024-02-22DOI: 10.24018/ejmed.2024.6.1.1973
Karell Happi Tchokonte, Bérénice Déliane Dzalle Walaghue, Estelle Audrey Jidjou Lienou, Ferdinand Lanvin Edoun Ebouel, Jose Kamgang
Background: According to the WHO, obesity is an abnormal or excessive accumulation of body fat that poses a health risk. It is a major public health problem with growing numbers (1,400,000,000 overweight adults and more than 500,000,000 obese). Every year, there are at least 2,800,000 associated deaths. The prevalence of obesity in Africa is above 61% in the adult population. Despite control strategies, obesity is still a real problem in Cameroon. Methodology: This study aimed to determine the relationship between various risk factors and the prevalence of different grades of obesity in selected health areas in Yaounde. This work consisted of a descriptive cross-sectional study carried out in Yaoundé, in Central Cameroon. Data were collected via a questionnaire administered face-to-face to obese patients in the target hospitals and the anthropometric parameters of these were determined. These data were analyzed using CSPRO 7.1 and SPSS 21.0 software. Results: The total number of participants in this study was 267 patients, most of whom were women (82.4%). The predominant type of obesity was moderate obesity; its frequency was 53%, followed by severe obesity, 37%. The factors associated with all grades of obesity were female gender (73% moderate obesity, 89% severe obesity, 100% morbid obesity), and genetic factors (54.6% moderate obesity, 73.5% severe obesity, 54.6% morbid obesity). Age was associated with moderate obesity: the age group most affected by moderate obesity was 55–65 years (37.5%). Conclusion: These results show that it is of paramount importance to reeducate the population on diet and lifestyle to prevent obesity, including among genetically predisposed people and even women, whatever their conditions (Menopause, multipara).
{"title":"Prevalence and Factors Associated with Grade of Obesity in Selected Health Areas in Yaoundé: A Cross-Sectional Study","authors":"Karell Happi Tchokonte, Bérénice Déliane Dzalle Walaghue, Estelle Audrey Jidjou Lienou, Ferdinand Lanvin Edoun Ebouel, Jose Kamgang","doi":"10.24018/ejmed.2024.6.1.1973","DOIUrl":"https://doi.org/10.24018/ejmed.2024.6.1.1973","url":null,"abstract":"Background: According to the WHO, obesity is an abnormal or excessive accumulation of body fat that poses a health risk. It is a major public health problem with growing numbers (1,400,000,000 overweight adults and more than 500,000,000 obese). Every year, there are at least 2,800,000 associated deaths. The prevalence of obesity in Africa is above 61% in the adult population. Despite control strategies, obesity is still a real problem in Cameroon.\u0000Methodology: This study aimed to determine the relationship between various risk factors and the prevalence of different grades of obesity in selected health areas in Yaounde. This work consisted of a descriptive cross-sectional study carried out in Yaoundé, in Central Cameroon. Data were collected via a questionnaire administered face-to-face to obese patients in the target hospitals and the anthropometric parameters of these were determined. These data were analyzed using CSPRO 7.1 and SPSS 21.0 software.\u0000Results: The total number of participants in this study was 267 patients, most of whom were women (82.4%). The predominant type of obesity was moderate obesity; its frequency was 53%, followed by severe obesity, 37%. The factors associated with all grades of obesity were female gender (73% moderate obesity, 89% severe obesity, 100% morbid obesity), and genetic factors (54.6% moderate obesity, 73.5% severe obesity, 54.6% morbid obesity). Age was associated with moderate obesity: the age group most affected by moderate obesity was 55–65 years (37.5%).\u0000Conclusion: These results show that it is of paramount importance to reeducate the population on diet and lifestyle to prevent obesity, including among genetically predisposed people and even women, whatever their conditions (Menopause, multipara).","PeriodicalId":113708,"journal":{"name":"European Journal of Medical and Health Sciences","volume":"47 6","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140440523","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}
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