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Acute and Massive Aortic Thrombosis and Embolic Occlusion in a Patient with COVID-19: A Case Report COVID-19患者急性大块主动脉血栓形成和栓塞1例
Pub Date : 2021-10-12 DOI: 10.5812/iji.110736
Seyedjavad Davarisani, J. Koushki, Saeed Moghaddamzade, Hamzeh Sherafati, M. Jamalinik, A. Abedi, Fatemeh Salaripour, M. Sarkardeh
: A 73-year-old man with a history of COVID-19 infection from two weeks ago was referred to the Emergency Department with a complaint of colicky and generalized abdominal pain in addition to prior respiratory symptoms. High-resolution Computed Tomography (HRCT) displayed the typical signs of COVID-19 pneumonia. Initially, laboratory tests showed increased C-reactive protein and severe leukocytosis. Because of generalized abdominal pain, spiral abdominal and pelvic CT scans were done, which showed massive irregular and free-floating aortic thrombosis from the carina site to the Superior Mesenteric Artery (SMA) detachment, indicative of acute and life-threatening thrombosis. Filling defects were seen in the middle and distal part of the splenic artery, indicating the embolic occlusion of the splenic artery. The patient was admitted to the Intensive Care Unit (ICU), and he became a candidate for conservative treatment because of the wide extension of thrombosis. Therefore, we should pay more attention to the indirect signs of thrombosis in patients with COVID-19 infection with gastrointestinal symptoms and consider anticoagulant therapy for high-risk patients with COVID-19. The unique feature of our case was acute and extensive arterial thrombosis.
一名73岁男性,两周前有COVID-19感染史,除既往呼吸道症状外,还主诉绞痛和全身腹痛,被转诊至急诊科。高分辨率计算机断层扫描(HRCT)显示出COVID-19肺炎的典型症状。最初,实验室检查显示c反应蛋白升高和严重的白细胞增多。由于广泛性腹痛,腹部和骨盆螺旋CT扫描显示从隆突部位到肠系膜上动脉(SMA)脱离的大量不规则和自由漂浮的主动脉血栓形成,表明急性和危及生命的血栓形成。脾动脉中远端可见充盈缺损,提示脾动脉栓塞闭塞。患者被送入重症监护病房(ICU),由于血栓的广泛扩展,他成为保守治疗的候选人。因此,我们应更加重视有胃肠道症状的COVID-19感染患者血栓形成的间接征象,并考虑对高危患者进行抗凝治疗。我们病例的独特特征是急性和广泛的动脉血栓形成。
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引用次数: 0
Operative Management and Disposal of Hospital Wastes: A Comprehensive Appraisal 医院废弃物的有效管理与处置:综合评价
Pub Date : 2021-09-15 DOI: 10.5812/iji.113601
Hindustan Abdul Ahad, Lami Singh, Haranath Chinthaginjala, Sravya Nandyala Nandyala, Reddy Haritha, Akhila Chowdary
: Health clinics are significant destinations for the creation of risky waste. Every clinic has its own profile for the management and transport of waste contingent upon its area. It is amazingly crucial to guarantee that the waste created in medical clinics is sufficiently kept away from dangers to well-being and the climate. The manuscript describes the control of clinical waste, which incorporates infectious waste, synthetic substances, lapsed medications, radioactive trash, and rough waste are the major ones in hospitals. On the off chance that the administration is not efficient, it becomes perilous, as they are pathogenic and environmentally unsafe. Inability to do so can bring about negative results; for example, genuine well-being chances and the clinic's standing. This article portrays the different ways to deal with the powerful administration of clinic squander. The authors conclude that pretreatment is basic before discarding emergency clinic squander in a hospital to minimize hazardous issues.
卫生诊所是产生危险废物的重要场所。每个诊所都根据其所在地区有自己的废物管理和运输概况。确保医疗诊所产生的废物充分远离对健康和气候的危害,这一点极其重要。本文描述了医疗废物的控制,其中感染性废物、合成物质、失效药物、放射性废物和粗糙废物是医院的主要废物。如果管理效率不高,就会变得危险,因为它们具有致病性,而且对环境不安全。做不到这一点会带来负面的结果;例如,真正的幸福机会和诊所的地位。本文阐述了应对诊所浪费管理的不同方法。作者得出的结论是,在医院丢弃急诊诊所浪费之前,预处理是基本的,以尽量减少危险问题。
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引用次数: 0
Investigating the Antimicrobial Effects of Glycyrrhiza glabra and Salvia officinalis Ethanolic Extract Against Helicobacter pylori 甘草和鼠尾草乙醇提取物对幽门螺杆菌的抑菌作用研究
Pub Date : 2021-09-10 DOI: 10.5812/iji.114563
M. Valizadeh, Fazal Ur Rehman, M. Hassanzadeh, M. Beigomi, B. Fazeli-Nasab
Background: One of the most common gastrointestinal infections is Helicobacter pylori infection, which leads to gastritis, gastrointestinal ulcers, and eventually stomach cancer. Many chemical drugs are used to eradicate this bacterium; however, resistance to many drugs and recurrence of infection are some treatment problems. Among these, the role of herbal medicines is very important. Glycyrrhiza glabra and Salvia officinalis are some plants used to treat H. pylori infections. These plants grow in different regions of Iran, and it is important to study their effects on this bacterium. Objectives: Accordingly, this study aimed to isolate H. pylori strains and investigate the antimicrobial effects of G. glabra and S. officinalis ethanolic extract against this bacterium. Methods: H. pylori specimens were isolated from endometrium biopsy of the stomach of patients who referred to Sistan and Baluchestan Hospital by culture method. Then, the antimicrobial effects of the ethanolic extracts of G. glabra and S. officinalis were investigated on H. pylori isolates by microdilution method. Results: The results of this study showed that 30 (60%) cases were metronidazole-resistant, 15 (30%) were amoxicillin-resistant, 12 (24%) were tetracycline-resistant, and 2 (4%) were clarithromycin-resistant. While the lowest minimum inhibitory concentration (MIC) of G. glabra ethanolic extract against H. pylori was 3.1 mg/ml (five strains were inhibited), the highest minimum bactericidal concentration (MBC) was equal 100 mg/ml (six strains were inhibited). The lowest MIC of S. officinalis against H. pylori was equal 3.1 ppm (12 strains were inhibited), while the highest MBC was 50 ppm (one strain was inhibited). Conclusions: According to our results, G. glabra and S. officinalis ethanolic extracts had high antibacterial activity against antibiotic-resistant strains. Regarding the continuous and reckless use of chemical drugs, unfortunately, increasing drug resistance in germs is increasing compared to chemical drugs day by day, as a result, be used from medicinal herbs. On the other hand, as the environment (weather and soil area) is effective in the type and amount of phytochemical substances, therefore, it is suggested that when using a medicinal plant for the treatment of diseases, should be addressed to the location of the plant and the type of tissue of the plant to achieve the best Therapeutic effect.
背景:幽门螺杆菌感染是最常见的胃肠道感染之一,它会导致胃炎、胃肠道溃疡,最终导致胃癌。许多化学药物被用来根除这种细菌;然而,许多药物的耐药性和感染的复发是一些治疗问题。其中,草药的作用是非常重要的。甘草和鼠尾草是一些用于治疗幽门螺杆菌感染的植物。这些植物生长在伊朗的不同地区,研究它们对这种细菌的影响很重要。目的:本研究旨在分离幽门螺杆菌菌株,并研究光天葵和山茱萸乙醇提取物对幽门螺杆菌的抑菌作用。方法:采用培养法从锡斯坦和俾路支斯坦医院转诊患者的胃内膜活检中分离幽门螺杆菌标本。然后,采用微量稀释法研究光草和officinalis乙醇提取物对幽门螺杆菌的抑菌作用。结果:本研究结果显示,甲硝唑耐药30例(60%),阿莫西林耐药15例(30%),四环素耐药12例(24%),克拉霉素耐药2例(4%)。光草乙醇提取物对幽门螺杆菌的最低抑制浓度(MIC)为3.1 mg/ml(有5株被抑制),最高杀菌浓度(MBC)为100 mg/ml(有6株被抑制)。officinalis对H. pylori的MIC最低为3.1 ppm(12株被抑制),MBC最高为50 ppm(1株被抑制)。结论:本实验结果表明,光天葵和山茱萸乙醇提取物对耐药菌株具有较高的抑菌活性。对于化学药物的持续和不顾后果的使用,不幸的是,与化学药物相比,细菌的耐药性日益增加,因此,从草药中使用。另一方面,由于环境(天气和土壤面积)对植物化学物质的种类和数量是有效的,因此,建议在使用药用植物治疗疾病时,应针对植物的位置和植物的组织类型进行处理,以达到最佳的治疗效果。
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引用次数: 6
Mild Symptoms of SARS-CoV-2 Infection in a 3-Days-Old Newborn with Congenital Heart Disease: A Case Report 3日龄先天性心脏病新生儿SARS-CoV-2感染轻度症状1例
Pub Date : 2021-07-26 DOI: 10.5812/iji.108109
Azin Etemadimanesh, A. Ghasemi, M. Khodabandeh, H. Eshaghi
Background: SARS-CoV-2 as a member of Coronavirus family, caused a global pandemic in late 2019 and raised concerns about its morbidity and mortality among immune-deficient individuals. Till now, several pediatric cases infected with SARS-CoV-2 have been reported, and some have noted susceptibility to infection in infants and young children, especially those with congenital comorbidities. In this report, we discuss the clinical course, administered treatments, and outcomes of SARS-COV-2 infection in an infant suffering from cardiovascular comorbidity. Case Presentation: We describe a newborn referred to hospital 72 hours postpartum, diagnosed with pulmonary atresia with ventricular septal defect (PA-VSD), and subsequently found to be infected with the SARS-COV-2 virus. The patient presented with tachypnea, lethargy, and a history of recent fever and myalgia in his father. He received intravenous fluid and antibiotic therapy based on an established protocol for COVID-19 treatment by Iran health ministry and was discharged after five days of hospitalization without further complications. Two weeks after discharge, he was referred to the cardiac surgery department for surgical treatment after obtaining a negative result for nasopharyngeal sample SARS-CoV-2 RT-PCR. Conclusions: Mild symptoms and no need for excessive oxygen supports in the current case demonstrate pediatrics patients with COVID-19 have a better prognosis and fewer complications compared with adults, even at early childhood and with the presence of serious cardiac complications.
背景:SARS-CoV-2作为冠状病毒家族的一员,在2019年底引发了全球大流行,并引起了人们对免疫缺陷个体发病率和死亡率的担忧。到目前为止,已有多例小儿感染SARS-CoV-2的病例报告,其中一些婴幼儿易感感染,特别是有先天性合并症的婴幼儿。在本报告中,我们讨论了患有心血管合并症的婴儿的SARS-COV-2感染的临床过程、给予的治疗和结果。病例介绍:我们描述了一个新生儿产后72小时转诊到医院,诊断为肺闭锁合并室间隔缺损(PA-VSD),随后被发现感染了SARS-COV-2病毒。患者表现为呼吸急促、嗜睡,其父亲近期有发热和肌痛史。根据伊朗卫生部制定的新冠肺炎治疗方案,患者接受了静脉输液和抗生素治疗,住院5天后出院,无进一步并发症。出院后2周,鼻咽标本SARS-CoV-2 RT-PCR阴性,转至心脏外科手术治疗。结论:本病例症状轻微,无需过度供氧支持,表明与成人相比,儿科COVID-19患者预后更好,并发症更少,即使在幼儿期和存在严重心脏并发症时也是如此。
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引用次数: 0
Once a Known Veterinary Pathogen, Now a Forgotten Zoonosis. Case Report of An Invasive Staphylococcus intermedius Group Infection 曾经是已知的兽医病原体,现在是被遗忘的人畜共患病。侵袭性中间葡萄球菌群感染1例报告
Pub Date : 2021-07-13 DOI: 10.5812/IJI.110411
L. Ubiergo, M. Castro
Introduction: Staphylococcus intermedius group (SIG), a known veterinary pathogen with the potential for zoonotic human infections, comprises S. intermedius, S. pseudintermedius, and S. delphini, which are not easily distinguishable. Without the proper equipment and procedures, it cannot be distinguished from Staphylococcus aureus (SAu), which causes underestimation of its true incidence. Case Presentation: A 52-year-old male with diabetes presented with complaints of fever and malaise. He developed respiratory failure and altered mental status; hence, intensive care was provided to him. Blood cultures and bronchoalveolar lavage culture developed methicillin-resistant SIG. Despite rapid adjustment of empiric antibiotic therapy, he died of multiple organ failure. Conclusions: Incorporating knowledge about this new pathogen and its aggressiveness into daily clinical practice can, through a high index of suspicion and detailed anamnesis, reduce misdiagnoses.
简介:中间葡萄球菌群(SIG)是一种已知的兽医病原体,具有人畜共患感染的潜力,包括中间葡萄球菌、假中间葡萄球菌和德尔菲尼葡萄球菌,它们不易区分。如果没有适当的设备和程序,就无法将其与金黄色葡萄球菌(SAu)区分开来,这导致了对其真实发病率的低估。病例介绍:52岁男性糖尿病患者,主诉发热和不适。他出现呼吸衰竭和精神状态改变;因此,对他进行了重症监护。血液培养和支气管肺泡灌洗培养显示甲氧西林耐药SIG。尽管经验性抗生素治疗迅速调整,但他死于多器官衰竭。结论:将对该新型病原体及其侵袭性的认识纳入日常临床实践中,通过高度的怀疑和详细的记忆,可以减少误诊。
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引用次数: 1
Epidemiological Characteristics of Human Brucellosis During 2014 - 2017 in Salmas, Iran 2014 - 2017年伊朗萨尔马斯人布鲁氏菌病流行病学特征
Pub Date : 2021-07-12 DOI: 10.5812/IJI.110175
Javid Taghinejad, A. Sadeghi, B. Barati, Mehdi Roshdi, Morteza Najafi, Maqsoud Abdollahi, Mehdi Jahantab
Background: Despite substantial efforts to control the disease, brucellosis remains one the most rampant zoonotic infections among agricultural and rural populations. It is still considered a major public health challenge in endemic areas, including Iran. Objectives: Regarding the high prevalence rate of brucellosis in northwest of Iran and the occupational nature of the disease, this study intends to describe the epidemiological pattern of brucellosis in Salmas, Iran, during 2014 - 2017. Methods: This cross-sectional study was conducted using the data collected using a checklist designed to investigate the personal health records of patients available at Urmia University of Medical Sciences from 2014 to 2017. Data analyses were conducted using SPSS, version 19. Chi-square, t-test, and the Cochran-Armitage χ2 test for trend were performed. Results: Among 417 brucellosis cases, the total incidence rate was 52.73 cases/100,000 inhabitants over the four-year study. The prevalence rate of brucellosis was higher in men, and the male to female ratio was 1.38. The 31 - 45 years age group was the most infected. Summer season showed a higher prevalence. Brucellosis was more common among housewives-stockbreeders. Cheese was the most frequently consumed unpasteurized dairy product. The majority of patients were from rural regions. Conclusions: The study shows a significant increase in the prevalence of human brucellosis in Salmas, hence the disease has to be regarded as a public health priority. Educating farmers and inhabitants of endemic areas to take preventive measures can play a significant role in controlling brucellosis.
背景:尽管为控制该疾病作出了大量努力,但布鲁氏菌病仍然是农业和农村人口中最猖獗的人畜共患传染病之一。在包括伊朗在内的流行地区,它仍然被视为一项重大的公共卫生挑战。目的:针对伊朗西北地区布鲁氏菌病的高流行率和疾病的职业性质,本研究拟描述2014 - 2017年伊朗萨尔马斯地区布鲁氏菌病的流行病学特征。方法:采用调查乌尔米娅医科大学2014 - 2017年患者个人健康记录的检查表收集数据,进行横断面研究。数据分析使用SPSS,版本19。采用χ2检验、t检验和Cochran-Armitage χ2检验趋势。结果:在417例布鲁氏菌病病例中,4年的总发病率为52.73例/10万居民。男性布鲁氏菌病患病率较高,男女比例为1.38。31 ~ 45岁年龄组感染率最高。夏季发病率较高。布鲁氏菌病在家庭主妇和家畜饲养者中更为常见。奶酪是最常被食用的未经高温消毒的乳制品。大多数患者来自农村地区。结论:该研究表明萨尔马斯地区人类布鲁氏菌病流行率显著增加,因此必须将该疾病视为公共卫生重点。教育流行地区的农民和居民采取预防措施可在控制布鲁氏菌病方面发挥重要作用。
{"title":"Epidemiological Characteristics of Human Brucellosis During 2014 - 2017 in Salmas, Iran","authors":"Javid Taghinejad, A. Sadeghi, B. Barati, Mehdi Roshdi, Morteza Najafi, Maqsoud Abdollahi, Mehdi Jahantab","doi":"10.5812/IJI.110175","DOIUrl":"https://doi.org/10.5812/IJI.110175","url":null,"abstract":"Background: Despite substantial efforts to control the disease, brucellosis remains one the most rampant zoonotic infections among agricultural and rural populations. It is still considered a major public health challenge in endemic areas, including Iran. Objectives: Regarding the high prevalence rate of brucellosis in northwest of Iran and the occupational nature of the disease, this study intends to describe the epidemiological pattern of brucellosis in Salmas, Iran, during 2014 - 2017. Methods: This cross-sectional study was conducted using the data collected using a checklist designed to investigate the personal health records of patients available at Urmia University of Medical Sciences from 2014 to 2017. Data analyses were conducted using SPSS, version 19. Chi-square, t-test, and the Cochran-Armitage χ2 test for trend were performed. Results: Among 417 brucellosis cases, the total incidence rate was 52.73 cases/100,000 inhabitants over the four-year study. The prevalence rate of brucellosis was higher in men, and the male to female ratio was 1.38. The 31 - 45 years age group was the most infected. Summer season showed a higher prevalence. Brucellosis was more common among housewives-stockbreeders. Cheese was the most frequently consumed unpasteurized dairy product. The majority of patients were from rural regions. Conclusions: The study shows a significant increase in the prevalence of human brucellosis in Salmas, hence the disease has to be regarded as a public health priority. Educating farmers and inhabitants of endemic areas to take preventive measures can play a significant role in controlling brucellosis.","PeriodicalId":13989,"journal":{"name":"International Journal of Infection","volume":"2017 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-07-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78652236","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}
引用次数: 1
The Effect of Artichoke Ethanolic Extract on Antibiotic-Resistant Clinical Strains of Staphylococcus aureus Isolated from Women 朝鲜蓟乙醇提取物对女性金黄色葡萄球菌临床耐药菌株的影响
Pub Date : 2021-07-12 DOI: 10.5812/IJI.114588
B. Fazeli-Nasab, M. Valizadeh, M. Beigomi
Objectives: This study aimed to investigate the inhibitory and lethal effect of artichoke on pathogenic strains of Staphylococcus aureus and compare it with antibiotics in vitro. Methods: Ten strains of S. aureus were isolated from the vagina of women in Amir Al-Momenin Hospital of Zabol, Iran. The resistance pattern was determined by the disk diffusion method. Finally, the effect of the extract on bacteria was determined by the 96-well microplate method. Results: The results of the antibiotic resistance pattern showed that S. aureus samples had the highest resistance to oxacillin antibiotic and were sensitive to other antibiotics, and only one sample was sensitive to vancomycin antibiotic. The lowest inhibitory concentration of artichoke against S. aureus was 3.1 mg/mL, but five strains were inhibited at a concentration of 6.25 mg/mL. Conclusions: Ethanolic extract had a significant inhibitory effect on the growth of S. aureus pathogens. Further clinical research is necessary for clinical use of these extracts.
目的:研究洋蓟对金黄色葡萄球菌病原菌的抑菌和致死作用,并与其他抗生素进行比较。方法:从伊朗Zabol Amir Al-Momenin医院妇女阴道分离10株金黄色葡萄球菌。采用圆盘扩散法测定了电阻分布。最后,采用96孔微孔板法测定提取液对细菌的影响。结果:耐药格局分析结果显示,金黄色葡萄球菌样品对奥西林类抗生素耐药最高,对其他抗生素均敏感,仅有1份样品对万古霉素类抗生素敏感。洋蓟对金黄色葡萄球菌的最低抑制浓度为3.1 mg/mL,但有5株菌株在浓度为6.25 mg/mL时被抑制。结论:乙醇提取物对金黄色葡萄球菌病原菌的生长有明显的抑制作用。这些提取物的临床应用还需要进一步的临床研究。
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引用次数: 2
Evaluation of the Antimicrobial Activity of Olive and Rosemary Leave Extracts Prepared with Different Solvents Against Antibiotic-Resistant Escherichia coli 不同溶剂橄榄和迷迭香叶提取物对耐药大肠杆菌的抑菌活性评价
Pub Date : 2021-07-12 DOI: 10.5812/IJI.114498
B. Fazeli-Nasab, M. Valizadeh, M. Hassanzadeh, M. Beigomi
Background: This study was done to investigate the antimicrobial activity of rosemary and olive extracts on antibiotic-resistant Escherichia coli isolated from quail feces in Zabol city. Methods: Ethanolic and methanolic extracts of rosemary (leaf) and olive (leaf) plants were prepared using a rotary apparatus. Also, E. coli strains were isolated from poultry feces samples, the minimum inhibitory concentration and the minimum bactericidal concentration were determined by the microdilution method. Results: The lowest values of MIC and MBC against E. coli were 12.5 ppm and 25 ppm for rosemary ethanolic extract and 25 ppm and 50 ppm for rosemary methanolic extract, respectively. The lowest values of MIC and MBC against E. coli were 12.5 ppm and 25 ppm for olive ethanolic extract and 6.25 ppm and 12.5 ppm for olive methanolic extract, respectively. Conclusions: In general, methanol solvent and olive extract are highly effective against E. coli. Due to the obtained results and increasing resistance of bacteria to chemical antibiotics, it is suggested that with further studies on olives and the use of methanol solvent in the extraction of plant extracts, antibacterial compounds of olives and other plants be used in the treatment of bacterial infections.
背景:研究迷迭香和橄榄提取物对Zabol市鹌鹑粪便中耐药大肠杆菌的抑菌活性。方法:采用旋转装置制备迷迭香(叶)和橄榄(叶)的乙醇和甲醇提取物。并从家禽粪便中分离出大肠杆菌,采用微量稀释法测定其最低抑菌浓度和最低杀菌浓度。结果:迷迭香乙醇提取物对大肠杆菌的MIC和MBC最低值分别为12.5 ppm和25 ppm,迷迭香甲醇提取物最低值分别为25 ppm和50 ppm。橄榄醇提物对大肠杆菌的MIC和MBC最低分别为12.5 ppm和25 ppm,橄榄醇提物的MIC和MBC最低分别为6.25 ppm和12.5 ppm。结论:一般情况下,甲醇溶剂和橄榄提取物对大肠杆菌有较好的抑菌效果。鉴于已获得的结果和细菌对化学抗生素耐药性的增加,建议随着对橄榄的进一步研究和甲醇溶剂提取植物提取物的使用,橄榄和其他植物的抗菌化合物可用于细菌感染的治疗。
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引用次数: 1
Coronavirus and Public Health Lessons 冠状病毒与公共卫生教训
Pub Date : 2021-06-07 DOI: 10.5812/IJI.105833
Saeed Hamzehie, P. Afzali Harsini
{"title":"Coronavirus and Public Health Lessons","authors":"Saeed Hamzehie, P. Afzali Harsini","doi":"10.5812/IJI.105833","DOIUrl":"https://doi.org/10.5812/IJI.105833","url":null,"abstract":"<jats:p />","PeriodicalId":13989,"journal":{"name":"International Journal of Infection","volume":"135 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-06-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75346951","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}
引用次数: 0
Hematological Parameters in Adult Patients with COVID-19; A Case-Control Study 成人COVID-19患者血液学指标分析病例对照研究
Pub Date : 2021-06-06 DOI: 10.5812/IJI.110359
S. Ahmed, D. Mohammed, A. Mohammed
Background: The coronavirus disease 2019 (COVID-19) pandemic is a serious public health concern worldwide. The virus mainly causes respiratory symptoms, but its manifestations might be different. Assessments showed that COVID-19 can cause various alterations in the blood parameters. Objectives: This study aimed to detect the most common changes in the blood parameters in COVID-19 patients and compare them with healthy individuals. Methods: In this study, 350 individuals were grouped into two equal groups of COVID‐19 patients and healthy controls. Results: The mean age of patients was 53.73 years, and males constituted 52.57% of them. Middle aged patients constituted about 55.43% of participants, elderly patients 26.29%, and young patients 18.29%. There was a significant correlation between COVID-19 and all the blood parameters, including Hb, MCV, WBC, neutrophils, lymphocytes, monocytes, eosinophils, and platelets (P = 0.000). Conclusions: Infection with COVID-19 is associated with multisystem symptoms and signs, as well as numerous laboratory abnormalities. An increased focus should be on changes in the blood parameters as valuable markers in suggesting the infection when the reverse transcription polymerase chain reaction (RT-PCR) is negative. These parameters can give clues about the severity of the infection and predict the admission to the intensive care unit (ICU).
背景:2019冠状病毒病(COVID-19)大流行是全球严重的公共卫生问题。该病毒主要引起呼吸道症状,但其表现可能不同。评估显示,COVID-19可引起血液参数的各种改变。目的:本研究旨在检测COVID-19患者最常见的血液参数变化,并将其与健康人进行比较。方法:本研究将350名个体分为两组,一组为COVID - 19患者,另一组为健康对照组。结果:患者平均年龄53.73岁,男性占52.57%。中年患者占55.43%,老年患者占26.29%,青年患者占18.29%。COVID-19与Hb、MCV、WBC、中性粒细胞、淋巴细胞、单核细胞、嗜酸性粒细胞、血小板等血液指标均有显著相关性(P = 0.000)。结论:COVID-19感染与多系统症状和体征以及大量实验室异常有关。当逆转录聚合酶链反应(RT-PCR)为阴性时,应更加关注血液参数的变化,将其作为提示感染的有价值的标志物。这些参数可以提供感染严重程度的线索,并预测入住重症监护病房(ICU)。
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引用次数: 2
期刊
International Journal of Infection
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