Background: Developing countries have an increased burden of communicable diseases which are influenced by poor personal hygiene practices. Hand washing, especially with soap and water as an effective intervention to prevent the spread of communicable diseases. Despite the proven effectiveness, the practice of effective hand washing is found to be poor in developing countries. This study is aimed at assessing the knowledge and practice of hand washing among school students Methods Design and Setting: An institution-based cross sectional study was carried out among 440 students in a school in South India. A validated semi-structured questionnaire containing 36 questions was used to collect the required data after getting a consent. Place of study: Schools around Saveetha medical college hospital, a tertiary care teaching hospital in Chennai. Results: The study was conducted among 440 students among which 255 were boys and 186 were girls. Majority of children in the population have general know the importance of hand washing in day to day life as 88.18% (n= 388). The awareness about the substance that they use for washing their hands, the time at which they washed their hands, the reason for hand washing, the awareness about infections prevented by hand washing, the awareness about hand washing technique and the steps involved, the availability of soap or sanitizer in the school were all studied and children showed good knowledge and practice about hand washing. Conclusions: To conclude, the knowledge regarding hand washing is good, but the practice of hand washing and hand washing with soap and water after using the toilet is poor.
{"title":"A DESCRIPTIVE CROSS-SECTIONAL STUDY TO ASSESS THE KNOWLEDGE AND IMPORTANCE OF HAND WASHING AND ITS TECHNIQUE AMONG SCHOOL CHILDREN IN A SEMI URBAN PLACE IN SOUTH INDIA","authors":"S. Kamalakannan, K. Narayan","doi":"10.51546/jsum.2022.9302","DOIUrl":"https://doi.org/10.51546/jsum.2022.9302","url":null,"abstract":"Background: Developing countries have an increased burden of communicable diseases which are influenced by poor personal hygiene practices. Hand washing, especially with soap and water as an effective intervention to prevent the spread of communicable diseases. Despite the proven effectiveness, the practice of effective hand washing is found to be poor in developing countries. This study is aimed at assessing the knowledge and practice of hand washing among school students Methods Design and Setting: An institution-based cross sectional study was carried out among 440 students in a school in South India. A validated semi-structured questionnaire containing 36 questions was used to collect the required data after getting a consent. Place of study: Schools around Saveetha medical college hospital, a tertiary care teaching hospital in Chennai. Results: The study was conducted among 440 students among which 255 were boys and 186 were girls. Majority of children in the population have general know the importance of hand washing in day to day life as 88.18% (n= 388). The awareness about the substance that they use for washing their hands, the time at which they washed their hands, the reason for hand washing, the awareness about infections prevented by hand washing, the awareness about hand washing technique and the steps involved, the availability of soap or sanitizer in the school were all studied and children showed good knowledge and practice about hand washing. Conclusions: To conclude, the knowledge regarding hand washing is good, but the practice of hand washing and hand washing with soap and water after using the toilet is poor.","PeriodicalId":237621,"journal":{"name":"Journal of School and University Medicine","volume":"11 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128453748","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}
Attachment is a complex system that provides the proximity and care necessary for the child’s survival and fulfills the child’s innate need for safety. From the earliest interactions when parents (attachment figures) comfort the child when she/he feels in danger, each new experience helps her/him to develop secure attachment, and thus the child learns to regulate his emotions and acquire strategies to cope with fear or suffering. If an insecure attachment style (preoccupied/avoidant/disorganized) is acquired, in adulthood people may face difficulties in regulating emotions and stress or may have difficulties in establishing and maintaining relationships. Empirical evidence from cross-sectional, longitudinal and review studies support the assumption that insecure attachment is a risk factor for addictions, but also for other psychopathological disorders. There is growing evidence that addictive disorders can be viewed as a possible expression of an attachment disorder, and the development of secure attachment can lead to better results in the prevention and early interventions of drug-related disorders. Recommended interventions include efficient parenting styles (authoritative/ permissive) training for parents, strengthening the parent-child relationship, ameliorating psychological dysregulation in mid-adolescence, developing adolescents’ abilities to self-regulate emotions and to resist to peer pressure.
{"title":"ATTACHMENT STYLES & SUSCEPTIBILITY TO ADDICTIONS AND OTHER MENTAL HEALTH PROBLEMS","authors":"Corina Demian","doi":"10.51546/jsum.2022.9402","DOIUrl":"https://doi.org/10.51546/jsum.2022.9402","url":null,"abstract":"Attachment is a complex system that provides the proximity and care necessary for the child’s survival and fulfills the child’s innate need for safety. From the earliest interactions when parents (attachment figures) comfort the child when she/he feels in danger, each new experience helps her/him to develop secure attachment, and thus the child learns to regulate his emotions and acquire strategies to cope with fear or suffering. If an insecure attachment style (preoccupied/avoidant/disorganized) is acquired, in adulthood people may face difficulties in regulating emotions and stress or may have difficulties in establishing and maintaining relationships. Empirical evidence from cross-sectional, longitudinal and review studies support the assumption that insecure attachment is a risk factor for addictions, but also for other psychopathological disorders. There is growing evidence that addictive disorders can be viewed as a possible expression of an attachment disorder, and the development of secure attachment can lead to better results in the prevention and early interventions of drug-related disorders. Recommended interventions include efficient parenting styles (authoritative/ permissive) training for parents, strengthening the parent-child relationship, ameliorating psychological dysregulation in mid-adolescence, developing adolescents’ abilities to self-regulate emotions and to resist to peer pressure.","PeriodicalId":237621,"journal":{"name":"Journal of School and University Medicine","volume":"22 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125919324","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: Worldwide maternal and perinatal mortality have continued to remain unchanged over the past 20 years, and strategies are being sought to decrease the same. An important determinant of the maternal and neonatal mortality is the health of the mother and the care that she receives it during the antenatal period. The maternal and neonatal outcomes are influenced by inter pregnancy interval. It has been demonstrated that interpregnancy interval plays a key role determining the health status of the mother. Aim: We conducted a study to evaluate the possible association between inter-pregnancy interval and the occurrence of adverse maternal and perinatal outcomes in our hospital. Methods: We conducted a retrospective study where the obstetrical and perinatal records in a hospitals obstetrics and neonatal database between 2017 and 2018 were studied. A total of 244 records of women who delivered singleton infants at Saveetha medical college hospital, a tertiary care teaching hospital were included in the study. Gestational outcomes in mother and child according to inter-pregnancy interval were studied. Results: During the period of the study, 68.5% of records referred to women with an inter-pregnancy interval <18 months. After the adjustment performed for confounding factors and assuming an inter-pregnancy interval of 18–23 months as reference, short intervals (<6 months) were observed to be associated with a greater risk of jaundice and respiratory distress. Conclusions: Short inter-pregnancy intervals are associated with a higher risk of anaemia and abortion in mother while jaundice and respiratory distress being main association in children.
{"title":"The Associations between Inter-Pregnancy Interval and Maternal and Neonatal Outcomes in Chennai","authors":"D. Kumar","doi":"10.51546/jsum.2022.9203","DOIUrl":"https://doi.org/10.51546/jsum.2022.9203","url":null,"abstract":"Background: Worldwide maternal and perinatal mortality have continued to remain unchanged over the past 20 years, and strategies are being sought to decrease the same. An important determinant of the maternal and neonatal mortality is the health of the mother and the care that she receives it during the antenatal period. The maternal and neonatal outcomes are influenced by inter pregnancy interval. It has been demonstrated that interpregnancy interval plays a key role determining the health status of the mother. Aim: We conducted a study to evaluate the possible association between inter-pregnancy interval and the occurrence of adverse maternal and perinatal outcomes in our hospital. Methods: We conducted a retrospective study where the obstetrical and perinatal records in a hospitals obstetrics and neonatal database between 2017 and 2018 were studied. A total of 244 records of women who delivered singleton infants at Saveetha medical college hospital, a tertiary care teaching hospital were included in the study. Gestational outcomes in mother and child according to inter-pregnancy interval were studied. Results: During the period of the study, 68.5% of records referred to women with an inter-pregnancy interval <18 months. After the adjustment performed for confounding factors and assuming an inter-pregnancy interval of 18–23 months as reference, short intervals (<6 months) were observed to be associated with a greater risk of jaundice and respiratory distress. Conclusions: Short inter-pregnancy intervals are associated with a higher risk of anaemia and abortion in mother while jaundice and respiratory distress being main association in children.","PeriodicalId":237621,"journal":{"name":"Journal of School and University Medicine","volume":"37 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131669599","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}
Gulsun Ayran, A. Özdemir, F. Kurt, Sibel Küçükoğlu
AIMS: This study was carried out to define the support of the grandmother during the breastfeeding process. METHODS: This study with descriptive quality was carried out between January and July 2020 with 305 mothers of six-month and younger babies. The data were collected from four Family Health Centers with high population density in Erzincan city center. The data were collected with a questionnaire form created by the researcher. Percentage, mean, independent groups t-test, analysis of variance and Pearson correlation analysis were used to analyze the data. RESULTS: It was found that the mean age for the babies of the mothers was 3.57±1.97 and the mean time of exclusive breastfeeding (EBF) was 2.95±2.24. During the breastfeeding process, it was determined that 76.1% of the mothers got support from the grandmothers during the postpartum period, 66.9% got support for breastfeeding, baby care, housework and hosting visitors during the postpartum period, 28.5% were subjected to recommendations such as breastfeeding more often, expressing their milk, resting more, eating lactogenic food to have more breast milk and staying away from stress, 36.1% did not receive any comments on breastfeeding, 56.4% got nutritional advice rather than breast milk, 32.6% was recommended on water, sherbet and 73.8% had recommended complementary food. It was found that the grandmother’s support during the puerperium and their advice and comments during the breastfeeding process were efficient variables upon the EBF period up to the present (p<0.05). It was also determined that there was a positive correlation between the duration of EBF given by mothers and duration of the grandmother’s stay during the puerperium (p<0.05). CONCLUSIONS: It was determined that majority of the mothers had support from grandmothers during the breastfeeding process, took advice, did not comment, and these had a positive effect upon the EBF period up to the present. However, it was found that grandmothers gave nutritional advice rather than breast milk and majority of mothers gave the recommended nutrition.
{"title":"THE EFFECT OF GRANDMOTHER’S SUPPORT UPON BREASTFEEDING PROCESS, IN TURKEY","authors":"Gulsun Ayran, A. Özdemir, F. Kurt, Sibel Küçükoğlu","doi":"10.51546/jsum.2022.9403","DOIUrl":"https://doi.org/10.51546/jsum.2022.9403","url":null,"abstract":"AIMS: This study was carried out to define the support of the grandmother during the breastfeeding process. METHODS: This study with descriptive quality was carried out between January and July 2020 with 305 mothers of six-month and younger babies. The data were collected from four Family Health Centers with high population density in Erzincan city center. The data were collected with a questionnaire form created by the researcher. Percentage, mean, independent groups t-test, analysis of variance and Pearson correlation analysis were used to analyze the data. RESULTS: It was found that the mean age for the babies of the mothers was 3.57±1.97 and the mean time of exclusive breastfeeding (EBF) was 2.95±2.24. During the breastfeeding process, it was determined that 76.1% of the mothers got support from the grandmothers during the postpartum period, 66.9% got support for breastfeeding, baby care, housework and hosting visitors during the postpartum period, 28.5% were subjected to recommendations such as breastfeeding more often, expressing their milk, resting more, eating lactogenic food to have more breast milk and staying away from stress, 36.1% did not receive any comments on breastfeeding, 56.4% got nutritional advice rather than breast milk, 32.6% was recommended on water, sherbet and 73.8% had recommended complementary food. It was found that the grandmother’s support during the puerperium and their advice and comments during the breastfeeding process were efficient variables upon the EBF period up to the present (p<0.05). It was also determined that there was a positive correlation between the duration of EBF given by mothers and duration of the grandmother’s stay during the puerperium (p<0.05). CONCLUSIONS: It was determined that majority of the mothers had support from grandmothers during the breastfeeding process, took advice, did not comment, and these had a positive effect upon the EBF period up to the present. However, it was found that grandmothers gave nutritional advice rather than breast milk and majority of mothers gave the recommended nutrition.","PeriodicalId":237621,"journal":{"name":"Journal of School and University Medicine","volume":"379 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116574134","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 : 1900-01-01DOI: 10.51546/jsum.2023.10102
Since the beginning of the pandemic, emerging information regarding manifestations of the infection with Sars-Cov-2 virus has been laid out, mainly involving the respiratory consequences as it impacts profoundly the global death rates. In February 2020, fi rst publications that sustain the theory the virus could also possess neuroinvasive potential, have been reported. Until present, there is consistent evidence on the consequences over the CNS (central nervous system) and PNS (peripheral nervous system). To shed light over the central nervous system implications, this paper aims to review some of the clinical entities involved.
{"title":"THE IMPACT OF COVID-19 CONCERNING THE CENTRAL NERVOUS SYSTEM","authors":"","doi":"10.51546/jsum.2023.10102","DOIUrl":"https://doi.org/10.51546/jsum.2023.10102","url":null,"abstract":"Since the beginning of the pandemic, emerging information regarding manifestations of the infection with Sars-Cov-2 virus has been laid out, mainly involving the respiratory consequences as it impacts profoundly the global death rates. In February 2020, fi rst publications that sustain the theory the virus could also possess neuroinvasive potential, have been reported. Until present, there is consistent evidence on the consequences over the CNS (central nervous system) and PNS (peripheral nervous system). To shed light over the central nervous system implications, this paper aims to review some of the clinical entities involved.","PeriodicalId":237621,"journal":{"name":"Journal of School and University Medicine","volume":"86 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122661831","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}
N. Tohǎnean, Laura Grosu, Andreea Dit-Filipas, L. Perju-Dumbravă
BACKGROUND AND AIM: Parkinson’s disease (PD) was initially seen as a neurodegenerative process of the basal ganglia but clinical and pathological evidence revealed its strong systemic as well as peripheral nervous system involvement. The current review aims to present the recent data in the association of polyneuropathy (PN) and PD. METHODS: We performed a systematic literature search in the most important international databases. We report the results of most recent studies in a narrative way. RESULTS: Several recent studies have shown the presence of PN as a small fiber disease in the early stages of PD. Also there seems to be a link between acquired axonal neuropathy and chronic Levo-Dopa intake. We present the possible pathogenesis of this association, also a summary of the evaluation of PN in PD patients and the main management approaches. CONCLUSION: The association of PN in PD patients is an important phenomenon that significantly decreases their quality of life, underlining the value of clinical and paraclinical assessment the all stages of the disease.
{"title":"ANOTHER FACE OF PARKINSON’S DISEASE: PERIPHERAL INVOLVEMENT","authors":"N. Tohǎnean, Laura Grosu, Andreea Dit-Filipas, L. Perju-Dumbravă","doi":"10.51546/jsum.2022.9304","DOIUrl":"https://doi.org/10.51546/jsum.2022.9304","url":null,"abstract":"BACKGROUND AND AIM: Parkinson’s disease (PD) was initially seen as a neurodegenerative process of the basal ganglia but clinical and pathological evidence revealed its strong systemic as well as peripheral nervous system involvement. The current review aims to present the recent data in the association of polyneuropathy (PN) and PD. METHODS: We performed a systematic literature search in the most important international databases. We report the results of most recent studies in a narrative way. RESULTS: Several recent studies have shown the presence of PN as a small fiber disease in the early stages of PD. Also there seems to be a link between acquired axonal neuropathy and chronic Levo-Dopa intake. We present the possible pathogenesis of this association, also a summary of the evaluation of PN in PD patients and the main management approaches. CONCLUSION: The association of PN in PD patients is an important phenomenon that significantly decreases their quality of life, underlining the value of clinical and paraclinical assessment the all stages of the disease.","PeriodicalId":237621,"journal":{"name":"Journal of School and University Medicine","volume":"7 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130498007","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}
AIMS: The study was carried out for determining fathers’ sensitivity towards violence against children. METHODS: The study in descriptive quality was carried out with 534 fathers with children aged 0-18 between November and December 2020. The “Descriptive Question Form” and “Violence Sensitivity towards Children Scale” were used to collect the data. The data were collected online from fathers. Percentage, average, independent T-test, Mann-Whitney U-test and multiple regression analysis were used to interpret the data. RESULTS: The mean age of the fathers participating in the study was 36.95±6.66, 61.6% had a university degree or higher, 67.2% had an income equal to their expenses, 71.7% lived in the city center, 84.6% had a nuclear family, and 38.8% It was found that ten had only one child. It was determined that 51.1% of the fathers had witnessed violence before, 70.2% had not been exposed to violence before, 55.6% did not smoke, 86.9% did not use alcohol, and 57.9% perceived their family relations as normal. In the study, it was found that there was a statistically signifi cant relationship between the variables of educational status, employment status, fathers’ place of residence and family type, and the mean scores of the Susceptibility to Violence Against Child Scale (p<0.05). It was determined that 53.2% of the fathers showed moderate sensitivity to violence and the mean score of the Susceptibility to Violence against Child Scale was 43.70±5.07. It was determined that 53.2% of the fathers were sensitive towards moderate violence and the average score of the Violence Sensitivity towards Children Scale was 43.70±5.07. CONCLUSIONS: As a result of the study, it was determined that fathers showed moderate sensitivity to violence against children, education status, employment status, place of residence of fathers and family type were effective variables on the level of sensitivity to violence against children.
{"title":"INVESTIGATING SENSITIVITY OF FATHERS TOWARDS VIOLENCE AGAINST CHILDREN","authors":"Gulsun Ayran, Semra Köse, A. Çelebioğlu","doi":"10.51546/jsum.2022.9102","DOIUrl":"https://doi.org/10.51546/jsum.2022.9102","url":null,"abstract":"AIMS: The study was carried out for determining fathers’ sensitivity towards violence against children. METHODS: The study in descriptive quality was carried out with 534 fathers with children aged 0-18 between November and December 2020. The “Descriptive Question Form” and “Violence Sensitivity towards Children Scale” were used to collect the data. The data were collected online from fathers. Percentage, average, independent T-test, Mann-Whitney U-test and multiple regression analysis were used to interpret the data. RESULTS: The mean age of the fathers participating in the study was 36.95±6.66, 61.6% had a university degree or higher, 67.2% had an income equal to their expenses, 71.7% lived in the city center, 84.6% had a nuclear family, and 38.8% It was found that ten had only one child. It was determined that 51.1% of the fathers had witnessed violence before, 70.2% had not been exposed to violence before, 55.6% did not smoke, 86.9% did not use alcohol, and 57.9% perceived their family relations as normal. In the study, it was found that there was a statistically signifi cant relationship between the variables of educational status, employment status, fathers’ place of residence and family type, and the mean scores of the Susceptibility to Violence Against Child Scale (p<0.05). It was determined that 53.2% of the fathers showed moderate sensitivity to violence and the mean score of the Susceptibility to Violence against Child Scale was 43.70±5.07. It was determined that 53.2% of the fathers were sensitive towards moderate violence and the average score of the Violence Sensitivity towards Children Scale was 43.70±5.07. CONCLUSIONS: As a result of the study, it was determined that fathers showed moderate sensitivity to violence against children, education status, employment status, place of residence of fathers and family type were effective variables on the level of sensitivity to violence against children.","PeriodicalId":237621,"journal":{"name":"Journal of School and University Medicine","volume":"151 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116053971","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}
Nicoleta Ancuța Pintea, Simina Baciu, Gabriela Marc
INTRODUCTION: Leptospirosis is an infectious disease, a zoonosis, of bacterial origin and global spread, caused by Leptospira spp, which may have acute or chronic manifestation. OBJECTIVES: The present study checks the evolution of a few cases of leptospirosis in students from the Faculty of Veterinary Medicine. MATERIAL AND METHOD: For the current study we have used the data recorded in the medical fi les of students after anamnesis, the objective clinical exam, the epidemiological investigation, establishing the diagnosis of leptospirosis, treatment and monitoring of the case until recovery. Establishing the diagnosis of leptospirosis, analysing the initial symptoms, showcasing the complications, studying the epidemiological enquiry, showcasing the role of primary prevention and of keeping with the hygienic norms labour safety. RESULTS: The first case of leptospirosis first appeared with general symptomatology three days after coming into contact with the infected animal. The epidemiological enquiry after diagnosing the first case of human leptospirosis led to the identification of 80 cases of direct contacts. They were monitored for 21 days at the students’ medical office of the Faculty of Veterinary Medicine. The first four cases appeared three days after contact with the infected animal and had general symptomatology (fever, acute asthenia, cephalalgia, myalgia, abdominal discomfort). Of the 12 cases confirmed through specific serology testing (IgM specific), one was infected indirectly from another confirmed human case. The first diagnosed case presented renal and haematological complications 5 days after infection and 2 days after the beginning of the specific treatment; it needed hospitalisation and the evolution under treatment was favourable. All confirmed, probable and possible cases received treatment with antibiotics including 200 mg doxycycline per day for at least 10 days. The evolution under treatment was favourable. There were no violent cases or fatalities. The confirmed cases did not wear the appropriate safety equipment upon contact with the infected animal. CONCLUSIONS: Upon students’ and vets’ contact with a dog earlier diagnosed with leptospirosis, 12 cases of human leptospirosis were confirmed. After the epidemiological enquiry, 80 direct contacts were identified. All suspect cases were monitored and handled by the medical staff of the students’ medical offi ce; the cases with specific symptomatology confirmed through IgM specific testing were advised to go to the Clinic of Infectious Diseases in time. One diagnosed patient presented haematuria, anuria, renal and haematological complications, but under proper treatment the evolution was favourable. There were no violent cases of fatalities. Abiding by the labour safety regulations, cleaning and disinfecting measures, as well as interdisciplinary collaboration are essential in preventing and solving cases.
{"title":"MONITORING THE OUTBREAK OF LEPTOSPIROSIS AT THE ACADEMIC MEDICAL OFFICE OF THE UNIVERSITY OF AGRICULTURAL SCIENCES AND VETERINARY MEDICINE (USAMV) IN CLUJ-NAPOCA","authors":"Nicoleta Ancuța Pintea, Simina Baciu, Gabriela Marc","doi":"10.51546/jsum.2022.9404","DOIUrl":"https://doi.org/10.51546/jsum.2022.9404","url":null,"abstract":"INTRODUCTION: Leptospirosis is an infectious disease, a zoonosis, of bacterial origin and global spread, caused by Leptospira spp, which may have acute or chronic manifestation. OBJECTIVES: The present study checks the evolution of a few cases of leptospirosis in students from the Faculty of Veterinary Medicine. MATERIAL AND METHOD: For the current study we have used the data recorded in the medical fi les of students after anamnesis, the objective clinical exam, the epidemiological investigation, establishing the diagnosis of leptospirosis, treatment and monitoring of the case until recovery. Establishing the diagnosis of leptospirosis, analysing the initial symptoms, showcasing the complications, studying the epidemiological enquiry, showcasing the role of primary prevention and of keeping with the hygienic norms labour safety. RESULTS: The first case of leptospirosis first appeared with general symptomatology three days after coming into contact with the infected animal. The epidemiological enquiry after diagnosing the first case of human leptospirosis led to the identification of 80 cases of direct contacts. They were monitored for 21 days at the students’ medical office of the Faculty of Veterinary Medicine. The first four cases appeared three days after contact with the infected animal and had general symptomatology (fever, acute asthenia, cephalalgia, myalgia, abdominal discomfort). Of the 12 cases confirmed through specific serology testing (IgM specific), one was infected indirectly from another confirmed human case. The first diagnosed case presented renal and haematological complications 5 days after infection and 2 days after the beginning of the specific treatment; it needed hospitalisation and the evolution under treatment was favourable. All confirmed, probable and possible cases received treatment with antibiotics including 200 mg doxycycline per day for at least 10 days. The evolution under treatment was favourable. There were no violent cases or fatalities. The confirmed cases did not wear the appropriate safety equipment upon contact with the infected animal. CONCLUSIONS: Upon students’ and vets’ contact with a dog earlier diagnosed with leptospirosis, 12 cases of human leptospirosis were confirmed. After the epidemiological enquiry, 80 direct contacts were identified. All suspect cases were monitored and handled by the medical staff of the students’ medical offi ce; the cases with specific symptomatology confirmed through IgM specific testing were advised to go to the Clinic of Infectious Diseases in time. One diagnosed patient presented haematuria, anuria, renal and haematological complications, but under proper treatment the evolution was favourable. There were no violent cases of fatalities. Abiding by the labour safety regulations, cleaning and disinfecting measures, as well as interdisciplinary collaboration are essential in preventing and solving cases.","PeriodicalId":237621,"journal":{"name":"Journal of School and University Medicine","volume":"62 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132723470","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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