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Spinal deformities among professional load porters in a Nigerian urban market 尼日利亚城市市场的专业搬运工脊柱畸形
Pub Date : 2014-01-01 DOI: 10.5455/jeos.20140328035014
B. Adegoke, Regina O. Anyakudo, A. Odole
Aim: Individuals who earn their living by carrying marketers’ heavy groceries on their heads (professional load porters) are very common in Nigerian markets. The possible link between habitual carrying of heavy load on the head and spinal deformity has however not been investigated. This study was aimed at documenting the impact of load-carrying on the head on professional load porters’ spine by comparing the prevalence of spinal deformities among them and sex and age matched controls. Methods: Participants were 52 (23 male, 29 female) load porters and 52 (24 male, 28 female) age and sex-matched controls. The plumb line method was used to screen all participants for spinal deformity in the saggital and frontal planes. Data analysis involved descriptive statistics of mean, frequency and percentages and Chi-square test at α; = 0.05. Results: No significant difference between load porters’ age (31.52 ± 7.8 years, range = 20-50 years) and that of the controls (30.10 ± 8.1 years, range = 20-50 years) but controls had significantly higher body mass index and weight. No significant difference between prevalence of spinal deformity in load porters (28.8%) and controls (25.5%); and between male (39.1%) and female (20.9%) load porters. Scoliosis (23.1%) was the most common deformity in load porters while lordosis (15.4%) was most common among controls. Conclusion: There was no significant difference in spinal deformity prevalence between load porters and controls though the prevalence was higher in load porters. However, we could not conclude that carrying heavy loads on the head causes spinal deformities among professional load porters.
目的:在尼日利亚市场上,以头顶着商人的沉重杂货为生的个人(专业搬运工)非常普遍。然而,习惯性头部负重与脊柱畸形之间的可能联系尚未被调查。本研究旨在通过比较头部负重对专业搬运工脊柱的影响,并将其与性别和年龄相匹配的对照组进行比较。方法:52名负重搬运工(男23名,女29名)和52名年龄和性别匹配的对照组(男24名,女28名)。使用铅垂线法筛查所有参与者矢状面和额平面的脊柱畸形。资料分析采用均值、频率、百分比描述性统计和χ 2检验;= 0.05。结果:负重搬运工年龄(31.52±7.8岁,范围= 20 ~ 50岁)与对照组(30.10±8.1岁,范围= 20 ~ 50岁)差异无统计学意义,但对照组的体质指数和体重明显高于对照组。负重搬运工(28.8%)和对照组(25.5%)脊柱畸形患病率无显著差异;男性搬运工占39.1%,女性搬运工占20.9%。脊柱侧凸(23.1%)是负重搬运工中最常见的畸形,而前凸(15.4%)是对照组中最常见的畸形。结论:负重组与对照组脊柱畸形发生率无显著差异,但负重组脊柱畸形发生率较高。然而,我们不能得出结论,在专业搬运工中,头部携带重物会导致脊柱畸形。
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引用次数: 2
Exploring the scope of participatory ergonomics in the health care industry 探索参与式人体工程学在医疗保健行业的应用范围
Pub Date : 2014-01-01 DOI: 10.5455/JEOS.20140924105053
S. Shrivastava, P. Shrivastava, J. Ramasamy
Ergonomics is the “science of work” that includes different strategies to ensure fitting the equipment and the workplace environment to the needs of the worker. Ergonomics consider worker’s capabilities and limitations so that their safety, comfort, job satisfaction, and efficiency can be enhanced. In the last decade or so, other than the industrial sector, the principles of ergonomics have been employed in different dimensions of the health care sector. The ergonomists have advocated to pay due interest to the needs of all the stakeholders and even agreed for the formulation of a multifaceted and comprehensive approach in health sector to minimize the burden of the occupational hazards. In conclusion, as proved in industrial sector, ergonomics has a definite potential to improve the health related aspects of both the health professionals and the patients in the modern era.
人体工程学是一门“工作科学”,包括确保设备和工作环境符合工人需求的不同策略。人体工程学考虑工人的能力和限制,以提高他们的安全、舒适、工作满意度和效率。在过去十年左右的时间里,除了工业部门,人体工程学的原则也被应用于医疗保健部门的不同领域。人类工效学家主张对所有利益攸关方的需求给予应有的关注,甚至同意在卫生部门制定多方面和综合的办法,以尽量减少职业危害的负担。总之,正如工业部门所证明的那样,人体工程学在改善现代卫生专业人员和患者的健康方面具有明确的潜力。
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引用次数: 1
Genotoxic potential of pirimiphos-methyl organophosphate pesticide using the mouse bone marrow erythrocyte micronucleus and the sperm morphology assay - 用小鼠骨髓红细胞微核和精子形态测定哌啶磷-甲基有机磷农药的遗传毒性
Pub Date : 2014-01-01 DOI: 10.5455/JEOS.20140303015734
O. Alabi, K. Ogunwenmo, Tolulope T. Adebusuyi, Olubunmi D. Shobowale
Background: Pirimiphos-methyl is a potent organophosphate (OP) pesticide used worldwide for the control of pests in stored grains and various insects in domestic, public, agricultural, commercial and industrial settings. However, its pervasive use and broad-spectrum nature could have adverse effects on non-target organisms and the environment which require constant monitoring and assessment. Materials and Methods: In this study, the acute toxicity of pirimiphos-methyl, injected intraperitoneally at concentrations of 833.33, 416.67, 166.67 and 83.33 mg/kg was evaluated. Also, the genotoxic and mutagenic potentials of pirimiphos-methyl were assessed using two eukaryotic assays: The micronucleus and sperm morphology assays in mice, at concentrations of 83.33, 41.67, 20.83, and 8.33 mg/kg. Results: Administration of 416.67 mg/kg pirimiphos-methyl caused 100% mortality in exposed mice under 24 h. Fifty percent mortality resulted from the administration of 166.67 mg/kg dose. There were dose dependent significant increases (P < 0.05) in bone-marrow micronucleated polychromatic and normochromatic erythrocytes as well as aberrant sperms (wrong angle hook, amorphous, banana, no-hook heads, double-tailed and folded sperms) equivalent to the cyclophosphamide induced aberrations. Conclusion: These results indicate that pirimiphos-methyl induced genotoxic damage in exposed mice with consequences for environmental health and safety. These erythropoietic and reproductive changes could be used as biomarkers for monitoring OP pesticide exposed environment.
背景:甲基吡虫磷是一种强效有机磷农药,在世界范围内用于控制储粮中的害虫和家庭、公共、农业、商业和工业环境中的各种昆虫。然而,它的广泛使用和广谱性质可能对非目标生物和环境产生不利影响,需要不断监测和评估。材料与方法:以833.33、416.67、166.67和83.33 mg/kg浓度的甲基哌啶磷腹腔注射,观察其急性毒性。此外,在浓度为83.33、41.67、20.83和8.33 mg/kg时,采用两种真核实验评估甲基哌利米磷的遗传毒性和致突变潜力:小鼠微核和精子形态实验。结果:给药剂量为416.67 mg/kg的甲基哌啶磷24 h内死亡率为100%,给药剂量为166.67 mg/kg时死亡率为50%。骨髓微核多染红细胞和正染红细胞以及异常精子(错误角钩、无定形、香蕉头、无钩头、双尾和折叠精子)与环磷酰胺诱导的畸变呈剂量依赖性显著增加(P < 0.05)。结论:甲基哌啶磷对暴露小鼠造成遗传毒性损伤,并对环境健康和安全产生影响。这些红细胞和生殖变化可作为有机磷农药暴露环境监测的生物标志物。
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引用次数: 8
Leukemia and cardiovascular diseases in the Techa river cohort: New interpretation required - 特查河队列中的白血病和心血管疾病:需要新的解释
Pub Date : 2014-01-01 DOI: 10.5455/JEOS.20140512124549
Sergei V. Jargin
The relatively large discharges of radioactive materials into the Techa River in the Southern Urals occurred between the years 1949 and 1956. The most exposed individuals were residents of villages along the river. On the author’s opinion, certain studies tended to exaggerate the relationship between the radiation exposure and enhanced risks e.g. of cardiovascular diseases or leukemia in the Techa River cohort. The study on the cardiovascular diseases was commented previously. The cohort members must have been generally aware of their dose estimates calculated on the basis of their age and residence history. Individuals with higher dose estimates were probably on average more motivated to undergo medical examinations, being at the same time given on average more attention. Accordingly, a detection probability of chronic disease would be probably higher in people with higher dose estimates. One of the mechanisms explaining for correlations between the low-dose radiation exposure and health risks is apparently a dose-dependent difference in the quality and frequency of medical examinations. The dose-effect relationships after low-dose exposures should be studied in animal experiments with exactly known doses and dose rates, possibly shielded from biases and confounding factors.
在1949年到1956年之间,大量放射性物质被排放到乌拉尔南部的Techa河。受影响最大的是沿河村庄的居民。在作者看来,某些研究倾向于夸大辐射暴露与特查河队列中心血管疾病或白血病等风险增加之间的关系。前文对心血管疾病的研究进行了评述。队列成员必须普遍了解根据其年龄和居住史计算的剂量估计值。估计剂量较高的个人平均而言可能更有动力接受医疗检查,同时平均得到更多的关注。因此,在剂量估计值较高的人群中,慢性病的检测概率可能更高。解释低剂量辐射照射与健康风险之间相关性的机制之一显然是医疗检查质量和频率的剂量依赖性差异。低剂量暴露后的剂量效应关系应在动物实验中进行研究,以确切已知的剂量和剂量率,尽可能避免偏差和混杂因素。
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引用次数: 6
Cryptococcosis: An Enigmatic Mycosis of Humans and Animals 隐球菌病:人类和动物的一种神秘的真菌病
Pub Date : 2014-01-01 DOI: 10.5455/JEOS.20131107122611
M. Pal, Sihin Tesfaye, P. Dave
Zoonoses with multiple etiologies affecting immunocompromised hosts have become a matter of concern presently, among the physicians and veterinarians. Among the zoonoses, cryptococcosis is considered a common and important mycozoonosis of global significance mainly affecting HIV/ AIDS patients. Cryptococcosis is primarily caused by Cryptococcus neoformans and Cryptococcus gattii, which are found in the soil contaminated with avian droppings or eucalyptus trees and decaying woods. Cryptococcus neoformans can survive in the saprobic environment for about 20 years. The respiratory tract is recognized as the principal mode of entry of the pathogen, and the source of infection is exogenous. It is believed that humans and animals acquire cryptococcal infection from saprobic reservoirs. Cryptococcosis occurs in sporadic and epidemic form resulting in high morbidity and mortality in the susceptible hosts. The disease is most often found in cats but has also been reported in cattle, dogs, horses, sheep, goat and other animals. Cryptococcosis is the first manifestation of HIV infection in 26 to 45% of patients, and recent data indicate that C. neoformans appears to potentiate HIV infection. Cryptococcal meningitis alone kills approximately 624,000 people in the world annually. The direct demonstration of the pathogen in the clinical specimens and its isolation in pure and luxuriant form remains the “gold standard” to the diagnosis of cryptococcosis. The routine application of Pal’s sunflower seed medium and Narayan stain in public health and microbiology laboratories will certainly help in the study of this enigmatic mycosis in humans as well as in animals.
影响免疫功能低下宿主的多种病因的人畜共患病目前已成为医生和兽医关注的问题。在人畜共患病中,隐球菌病被认为是一种常见且重要的全球性真菌共患病,主要影响HIV/ AIDS患者。隐球菌病主要由新型隐球菌和加蒂隐球菌引起,它们存在于被鸟粪污染的土壤或桉树和腐烂的树木中。新型隐球菌可在恶劣环境中存活约20年。呼吸道被认为是病原体进入的主要方式,感染源是外源性的。据信,人类和动物从腐殖质宿主获得隐球菌感染。隐球菌病以散发和流行形式发生,在易感宿主中造成高发病率和死亡率。这种疾病最常在猫身上发现,但也有在牛、狗、马、绵羊、山羊和其他动物身上发现的报告。隐球菌病是艾滋病毒感染的第一表现,在26%至45%的患者中,最近的数据表明隐球菌似乎增强了艾滋病毒感染。仅隐球菌脑膜炎一项每年就造成全世界约62.4万人死亡。病原在临床标本中的直接表现和其纯净繁茂的分离形式仍然是隐球菌病诊断的“金标准”。在公共卫生和微生物学实验室中常规应用Pal葵花籽培养基和Narayan染色剂,肯定有助于研究这种神秘的真菌病在人类和动物中的应用。
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引用次数: 8
Assessment of microbiological and physico-chemical quality of drinking water in North Gondar Zone, Northwest Ethiopia - 埃塞俄比亚西北部贡达尔北部地区饮用水微生物和理化质量评价
Pub Date : 2014-01-01 DOI: 10.5455/JEOS.20140924105123
Debasu Damtie, Mengistu Endris, Y. Tefera, Yabutani Tomoki, Yohei Yamada, A. Kassu
Introduction: Assessing the microbiological and physico-chemical quality of drinking water sources is important to protect public health. Little is known about the microbiological and physico-chemical quality of drinking water in North Gondar Zone. Therefore, this study was aimed to assess the microbiological and physico-chemical quality of drinking water sources in North Gondar Zone, Northwest Ethiopia. Methods: A cross-sectional study was conducted from April-May 2014 in seven districts (Chilga, Debark, Dabat, Dembia, Gondar Town, Gondar Zuria and Wogera) in North Gondar. The physico-chemical and microbiological quality of 71 drinking water samples were determined following the standard procedure. Turbidity, pH, and temperature were measured using turbidity meter, pH meter and thermometer respectively. Arsenic, chlorine, Cr6+, NO2, NO3 and residual chlorine were determined by the colorimetric methods and rapid kits using DPM apparatus (Kyoritsu chemical-check Lab., Corp. Japan). Coliforms and Vibrio parahemolyticus were tested by rapid microbiological test strips (Sankori coliform and SankoriVibrio parahaemolyticus) following appropriate standard procedure. Consumers assessment was also conducted using questionnaire about the water sources. Data were entered and analyzed using SPSS version 20 software. Results: The physico-chemical and microbiological quality of 71 water samples (tap n=29, spring n=15 and well n=27) were assessed. The mean turbidity of water samples was 19.35 + 5.75SD nephlometric turbidity unit (NTU), temperature 21.34+3.68 oc, pH 6.88+0.6, nitrate 10.02 + 8.72 mg/l, nitrite 0.33+0.64 mg/l, residual chlorine 0.01 + 0.06 mg/l, arsenic 0.2+0.00 mg/l and chromium 0.51+0.01 mg/l. Almost all samples were complying with the WHO acceptable range for nitrate arsenic and chromium among the physico-chemical parameters. However, turbidity was found to be unacceptably high in 21 (29.6%) samples, pH was unacceptably low in 26 (36.6%) of the samples and residual chlorine was unacceptably low in 69 (97.2%) of the samples. The majority of samples (n=46; 64.8%) had coliforms and 12 (16.9%) had Vibrio parahemolyticus. Conclusion: Most of the physical and chemical parameters measured were within the recommended range except turbidity and residual chlorine. However, the majorities of drinking water samples were found to be contaminated and are potential risk to public health. Therefore, regular quality monitoring and frequent water treatment in the study area is mandatory.
摘要评价饮用水源的微生物和理化质量对保护公众健康具有重要意义。对贡达尔北部地区饮用水的微生物和理化质量了解甚少。因此,本研究旨在评价埃塞俄比亚西北部贡达尔北部地区饮用水源的微生物学和理化质量。方法:2014年4 - 5月在贡达尔北部的Chilga、Debark、Dabat、Dembia、Gondar Town、Gondar Zuria和Wogera 7个区进行横断面研究。按标准程序对71份饮用水样品的理化和微生物质量进行了测定。浊度仪、pH仪、温度计分别测定浊度、pH值、温度。砷、氯、Cr6+、NO2、NO3和余氯采用比色法和快速试剂盒,采用Kyoritsu化学检测实验室的DPM仪器进行测定。日本公司)。采用快速微生物试纸(Sankori大肠菌群和Sankori副溶血性弧菌)按照适当的标准程序检测大肠菌群和副溶血性弧菌。消费者评估亦采用水源问卷进行。使用SPSS 20版软件进行数据录入和分析。结果:对71份水样(自来水29份、泉水15份、井水27份)的理化和微生物质量进行了评价。水样平均浊度为19.35 + 5.75SD浊度单位(NTU),温度21.34+3.68 oc, pH 6.88+0.6,硝酸盐10.02 + 8.72 mg/l,亚硝酸盐0.33+0.64 mg/l,余氯0.01 + 0.06 mg/l,砷0.2+0.00 mg/l,铬0.51+0.01 mg/l。几乎所有样品的理化参数均符合世界卫生组织对硝酸盐、砷和铬的可接受范围。然而,有21个(29.6%)样品的浊度过高,26个(36.6%)样品的pH过低,69个(97.2%)样品的余氯过低。大多数样本(n=46;大肠菌群64.8%,副溶血性弧菌12例(16.9%)。结论:除浊度、余氯外,其余理化指标均在推荐范围内。然而,大多数饮用水样本被发现受到污染,对公众健康构成潜在风险。因此,在研究区域进行定期的水质监测和频繁的水处理是强制性的。
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引用次数: 6
Occupational health and safety practices among vehicle repair artisans in an urban area in Ghana 加纳城市地区汽车修理技工的职业健康和安全做法
Pub Date : 2014-01-01 DOI: 10.5455/JEOS.20140528072614
I. Monney, Bismark Dwumfour-Asare, I. Owusu-Mensah, R. Kuffour
Aim: The aim of the study was to assess the extent of work-related injuries and illnesses, access to first aid, use of Personal Protective Equipment (PPE), fire safety measures and hand hygiene practices among vehicle repair artisans. Materials and Methods: Study respondents were 100 vehicle repair artisans comprising of 28 Auto mechanics, 20 electricians, 26 welders, 18 sprayers, and 8 automobile interior designers selected by simple random sampling. Semi-structured questionnaires, extensive field observations and key informant interviews were used to collect primary data in 2013/2014 and analyzed with Minitab version 16 in 2014. Results: Close to two-thirds (64%) of the artisans have sustained work-related injuries mostly resulting from cuts and burns. Respondents’ marital status (P = 0.014) and the type of work (P = 0.037) were found to be significantly associated with the incidence of physical injury, in contrast to their level of education (P = 0.874) and work experience (P = 0.203). Seventy-eight percent of the artisans lack training in fire safety and besides, basic firefighting equipment are non-existent in the workshops visited. Self-medication after injury (55%; N = 64) and ignorance in first aid administration (92%) are common among the artisans. Further, due to the physical exertions required by their work, most artisans (N = 57) experience musculoskeletal disorders. Use of PPE (27%) and proper hand hygiene practices (28%; N = 98) are generally ignored by the artisans posing possible health risks. Conclusions: Vehicle repair workers need to be educated on the dangers associated with their work and the best practices to be adopted to curb or forestall these risks.
目的:该研究的目的是评估与工作有关的伤害和疾病的程度,获得急救,个人防护装备(PPE)的使用,消防安全措施和手卫生习惯在汽车修理技工中。材料与方法:采用简单随机抽样的方法,选取汽车修理工28人、电工20人、焊工26人、喷雾器18人、汽车内饰设计师8人,共100人作为研究对象。2013/2014年采用半结构化问卷、广泛的实地观察和关键信息访谈等方法收集了原始数据,并于2014年使用Minitab version 16进行分析。结果:近三分之二(64%)的工匠遭受了工伤,主要是由割伤和烧伤造成的。被调查者的婚姻状况(P = 0.014)和工作类型(P = 0.037)与身体伤害发生率显著相关,而受教育程度(P = 0.874)和工作经验(P = 0.203)与身体伤害发生率显著相关。78%的工匠缺乏消防安全培训,此外,在参观的车间里没有基本的消防设备。伤后自我药疗(55%;N = 64)和急救管理的无知(92%)在技工中很常见。此外,由于他们的工作需要体力劳动,大多数工匠(N = 57)经历肌肉骨骼疾病。使用个人防护装备(27%)和适当的手部卫生习惯(28%);N = 98)通常被工匠忽视,构成可能的健康风险。结论:需要对汽车修理工人进行与他们的工作有关的危险的教育,并采取最佳做法来遏制或预防这些风险。
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引用次数: 26
Wood dust particles: Environmental pollutant in Nigerian sawmill industries 木尘颗粒:尼日利亚锯木厂工业的环境污染物
Pub Date : 2014-01-01 DOI: 10.5455/JEOS.20140512123536
O. Adeoye, A. Adeomi, Adefisoye Adewole, O. Israel, A. Temitayo-Oboh, S. Olarewaju
Background: Wood dust is made of wood shavings from machining wood in sawmills and it becomes potential health problem when inhaled. This study assesses concentration of wood dust particulate matter resulting from wood processing in sawmills. Methods: It is a descriptive cross-sectional study carried out in 84 sawmills in Osun State, Nigeria in January, 2013. Samples of total suspended particulate matter of sizes 0.5 μm, 1 μm, and 5 μm were measured with GT-321 Particle Counter. Two samples were taken at 1 h interval from each sawmill sites during work hours. Air sampling was also done in 84 welder workshops to compare results. A walk through survey was conducted in 10 sawmills to assess the usage of personal protective equipment (PPE). Data were analyzed using Statistical Package for Social Sciences version 16. P value was set at
背景:木尘是由锯木厂加工木材产生的木屑制成的,吸入后会成为潜在的健康问题。本研究评估了锯木厂木材加工产生的木尘颗粒物质的浓度。方法:2013年1月在尼日利亚奥松州84家锯木厂进行描述性横断面研究。用GT-321颗粒计数器测量0.5 μm、1 μm和5 μm的总悬浮颗粒物样品。在工作时间内,每隔1小时从每个锯木厂地点采集2个样本。还对84个焊工车间进行了空气采样以比较结果。在10家锯木厂进行了一次实地调查,以评估个人防护装备的使用情况。使用Statistical Package for Social Sciences version 16对数据进行分析。P值设为
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引用次数: 5
Isolation of bacterial pathogens from patients with postoperative surgical site infections and possible sources of infections at the University of Gondar Hospital, Northwest Ethiopia - 埃塞俄比亚西北部贡达尔大学医院术后手术部位感染患者细菌病原体的分离及可能的感染源
Pub Date : 2014-01-01 DOI: 10.5455/JEOS.20140512124135
A. Gelaw, S. Gebre-selassie, M. Tiruneh, Eshetu Mathios, Sisay Yifru
Background: Hospital environment is a potential reservoir of bacterial pathogens since it houses both patients with diverse pathogenic microorganisms and a large number of susceptible individuals. The increased frequency of bacterial pathogens in hospital environment is associated with a background rise in various types of nosocomial infections. The rate of nosocomial infections is markedly higher in developing countries. Of these, surgical site infection (SSI) is one of the most frequent types of infections. Aim: The aim of this study was to isolate and correlate bacterial pathogens from hospital environments to that of patients with postoperative SSIs. Methods: A cross sectional study was conducted at the University of Gondar Teaching Hospital from November 2010 to February 2011. In the study, 220 specimens of pus, nasal, hand and surfaces swabs were collected using sterile cotton tipped applicator sticks moistened with normal saline. Colony characteristics and Gram’s technique were used to differentiate the organisms. Biochemical tests were done to confirm the species of the organisms. Results: A total of 268 bacterial pathogens were recovered from all specimens processed in the study. Most of the isolates, 142 (52.9%) were from the hospital environments such as medical devices, inanimate objects and air. The rest, 77 (28.8%) and 49 (18.3%) were recovered from the health professionals and patients, respectively. Organisms associated with postoperative SSIs were Staphylococcus aureus 11 (22.4%) followed by Klebsiella species 10 (20.4%) and Proteus species 9 (18.4%), Escherichia coli 6 (12.2%), Enterobacter species and coagulase negative staphylococci each 4 (8.2%), Pseudomonas aeruginosa 3 (6.1%) and Citrobacter species 2 (4.1%). The predominant causes of postoperative SSIs were S. aureus, Klebsiella and proteus species. Conclusion and recommendation: Medical equipment, inanimate objects, air and hands of health professionals were contaminated with various types of bacterial pathogens of nosocomial importance. It is imperative that all professionals should take an active role in infection control within their organization and more resources should be provided to encourage good hygienic practice in the hospital.
背景:医院环境是细菌病原体的潜在储存库,因为它既容纳了各种病原微生物的患者,也容纳了大量的易感个体。医院环境中细菌病原体频率的增加与各种类型医院感染的背景上升有关。发展中国家的医院感染率明显较高。其中,手术部位感染(SSI)是最常见的感染类型之一。目的:本研究的目的是分离医院环境中的细菌病原体并将其与术后ssi患者的细菌病原体联系起来。方法:2010年11月至2011年2月在贡达尔大学教学医院进行横断面研究。在研究中,用无菌棉签沾取脓液、鼻拭子、手拭子和表面拭子220份。利用菌落特征和革兰氏技术进行菌落鉴定。进行了生化试验以确认这些生物的种类。结果:所有标本共检出病原菌268株。142例(52.9%)来自医院环境,如医疗器械、无生命物体和空气。其余77例(28.8%)来自卫生专业人员,49例(18.3%)来自患者。与术后ssi相关的病原菌为金黄色葡萄球菌11种(22.4%),其次为克雷伯菌10种(20.4%)和变形杆菌9种(18.4%),大肠杆菌6种(12.2%),肠杆菌和凝固酶阴性葡萄球菌各4种(8.2%),铜绿假单胞菌3种(6.1%)和柠檬酸杆菌2种(4.1%)。术后ssi的主要原因是金黄色葡萄球菌、克雷伯氏菌和变形杆菌。结论和建议:医疗设备、无生命物体、空气和卫生专业人员的手被各种具有医院重要性的细菌病原体污染。当务之急是所有专业人员都应在其组织内的感染控制中发挥积极作用,并应提供更多资源来鼓励医院的良好卫生习惯。
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引用次数: 41
Establishment and evaluation of different fever related syndromes for screening malaria patients 疟疾患者筛查中不同发热相关综合征的建立与评价
Pub Date : 2014-01-01 DOI: 10.5455/JEOS.20131105124439
Dongshan Zhu, J. Gou, Jun Ge
Abstract Objective: Analyze the clinical symptoms of feverish population and select significant symptoms to establish fever related syndromes to screen malaria patients. Method: A“Registration form for patients with fever”was designed to gather information about symptoms of feverish population and standard blood smear was made for each patient to do the microscope test. SPSS 17.0 was used to analyze the distribution of clinical symptoms between malaria patients and non-malaria patients. Then the significant symptoms were selected to establish different syndromes by manual combined method. Sensitivity, positive predictive value (PPV), likelihood ratio, Youden index and Kappa were used for selecting the optimal syndrome. Result: 1508 forms were got and 241 of them were malaria patients. 12 symptoms had different distribution between malaria population and non-malaria population. 52 fever related syndromes were established by using the 12 symptoms. Finally, No.52 syndrome(body temperature above 39℃, periodic onset of fever and no diarrhea) were selected as the optimal syndrome, its sensitivity and positive predictive value were 74.3% and 84.4%. Conclusion: The optimal malaria related syndromes can be used as a screen tool to screen malaria patients, especially in the villages where equipment and professional staff were lack.
摘要目的:分析发热人群的临床症状,选择显著症状建立发热相关综合征,筛查疟疾患者。方法:设计《发热患者登记表》,收集发热人群的症状信息,对发热人群进行标准血涂片镜检。采用SPSS 17.0统计软件分析疟疾患者与非疟疾患者临床症状分布。然后选取显著证候,采用手工组合法建立不同的证候。采用敏感性、阳性预测值(positive predictive value, PPV)、似然比、约登指数(Youden index)和Kappa等方法筛选最佳综合征。结果:共收到表格1508份,其中疟疾患者241份。12种症状在疟疾人群和非疟疾人群中分布不同。根据12种症状建立52种发热相关综合征。最终选择52号证候(体温39℃以上,周期性发热,无腹泻)为最佳证候,其敏感性为74.3%,阳性预测值为84.4%。结论:最佳疟疾相关证候可作为筛查疟疾患者的一种工具,特别是在设备和专业人员缺乏的村庄。
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Journal of Environmental and Occupational Science
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