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Adherence to stand-by emergency treatment and mosquito protection measures in short-term travellers to moderate malaria risk areas
IF 2.9 Q2 INFECTIOUS DISEASES Pub Date : 2025-02-01 DOI: 10.1016/j.nmni.2024.101561
Daniel Julien Franken , Vita Willemijn Jongen , Anna Rooyakkers , Martin Peter Grobusch , Jelte Elsinga , Margarita Boering , Maria Prins , Brigitte Antonia Geertruida Lucía van Cleef

Background

Malaria remains a threat to travellers to (sub)tropical regions. This study assessed adherence to malaria prevention measures among travellers to moderate-risk malaria areas, including the use of standby emergency treatment (SBET), healthcare-seeking behaviour during fever, and mosquito protection measures.

Methods

We analysed data from adult travellers to moderate-risk malaria areas participating in a prospective study (2018–2023) at the Public Health Service of Amsterdam, the Netherlands. Participants maintained a daily diary during travel, recording questions about adherence to mosquito protection measures, symptoms, SBET use, and seeking medical help. In case of fever, participants were instructed to measure their temperature, use SBET if in a remote area, and seek medical help. We used Poisson regression to assess determinants for adherence to mosquito protection measures.

Results

Of 686 recruited travellers, 405 (59 %) completed the diary. Of these travellers 44 % received a pre-travel SBET prescription, although presumably only a small fraction of them actually travelled remotely. None of the 25 travellers who reported fever used the prescribed SBET and five sought medical care. Thirty-five percent of participants used DEET and 5 % used a mosquito net on ≥75 % of the nights with malaria risk. Longer travel duration was associated with lower adherence to DEET use.

Conclusions

Few travellers with fever used SBET or sought medical care, despite their pre-travel advice. To reduce costs and medication spillage, SBET should only be advised to travellers who travel to very remote regions where medical help is inaccessible. Further research should focus on the behavioural concepts underlying these choices.
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引用次数: 0
How a GPT-aided survey reveals a medical student's misunderstanding of the term 'artemisinin resistance' gpt辅助调查如何揭示医学生对“青蒿素耐药性”一词的误解。
IF 2.9 Q2 INFECTIOUS DISEASES Pub Date : 2025-02-01 DOI: 10.1016/j.nmni.2024.101552
Sara M. Pereira, Martin P. Grobusch, Thomas Hänscheid
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引用次数: 0
Discover the status of invasive Aedes species and the challenges in dengue surveillance and control in Iran 了解入侵伊蚊种类的现状以及伊朗登革热监测和控制方面的挑战。
IF 2.9 Q2 INFECTIOUS DISEASES Pub Date : 2025-02-01 DOI: 10.1016/j.nmni.2024.101559
Mohammad Mehdi Sedaghat
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引用次数: 0
Climate change impacts and pandemics 气候变化影响和流行病。
IF 2.9 Q2 INFECTIOUS DISEASES Pub Date : 2025-02-01 DOI: 10.1016/j.nmni.2024.101556
Shriyansh Srivastava, Rachana Mehta, Aroop Mohanty, Prakasini Satapathy, Ranjit Sah, Vasso Apostoloopoulos
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引用次数: 0
Lame Fever Outbreak in India: A call for interdisciplinary research and public health response
IF 2.9 Q2 INFECTIOUS DISEASES Pub Date : 2025-02-01 DOI: 10.1016/j.nmni.2024.101515
Mahendra Singh , Ashok Kumar Balaraman , Rachana Mehta, Sanjit Sah
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引用次数: 0
Concerns and implications of Oropouche virus infection during pregnancy: A call for further research and public health action 妊娠期间Oropouche病毒感染的关注和影响:呼吁进一步研究和采取公共卫生行动。
IF 2.9 Q2 INFECTIOUS DISEASES Pub Date : 2025-02-01 DOI: 10.1016/j.nmni.2024.101549
Beema T Yoosuf, Rachana Mehta, Sanjit Sah
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引用次数: 0
Mystery flu-like outbreak raises another alarm in Congo: The next disease X? 神秘的流感样疫情在刚果再次拉响警报:下一种疾病是什么?
IF 2.9 Q2 INFECTIOUS DISEASES Pub Date : 2025-02-01 DOI: 10.1016/j.nmni.2024.101554
Pawan Kumar, Shubham Kumar, Rachana Mehta, Ranjana Sah
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引用次数: 0
Hantavirus pulmonary syndrome in a COVID-19 patient, Bolivia, 2022
IF 2.9 Q2 INFECTIOUS DISEASES Pub Date : 2025-02-01 DOI: 10.1016/j.nmni.2025.101564
Wilmer E. Villamil-Gomez , Rosmery Gross , Cristian D. Pacheco-Jiménez , Mariana Aza-Rivera , Alfonso J. Rodriguez-Morales
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引用次数: 0
A new viral frontier: Decoding the mystery of Uganda's Dinga Dinga virus
IF 2.9 Q2 INFECTIOUS DISEASES Pub Date : 2025-02-01 DOI: 10.1016/j.nmni.2024.101560
Rahul Singla , Manali Verma , Shubham Kumar, Rachana Mehta, Ranjana Sah, Benjamin Wafula Simiyu, Amogh Verma
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引用次数: 0
Assessment of inappropriate use of antibiotics and contributing factors in Awi Administrative Zone, Northwestern Amhara regional State, Ethiopia 埃塞俄比亚阿姆哈拉西北地区州Awi行政区抗生素不当使用及其影响因素评估
IF 2.9 Q2 INFECTIOUS DISEASES Pub Date : 2025-02-01 DOI: 10.1016/j.nmni.2024.101557
Belsti Atnkut , Atalaye Nigussie , Bekele Gebreamanule , Bulti Kumera , Tess Astatkie

Objectives

Antibiotic misuse is regarded as the single most significant factor contributing to resistance. Thus, this study aimed to evaluate the prevalence and risk variables linked to the inappropriate use of antibiotics in urban and rural districts of the Awi administrative zone community.

Methods

A total of 1194 rural and urban families, including individuals of various ages and genders from the study area were selected by a multistage stratified random sampling method for a comparative cross-sectional study conducted between December 2022 and June 2023. SPSS version 26 was used to analyze the gathered data. Descriptive statistics and logistic regression analysis methods were used to identify the variables linked to the incorrect use of antibiotics. The adjusted odds ratio was used to calculate the statistical significance of the correlation at a significance level of 5 %.

Results

The findings revealed that, in urban and rural regions, 57.5 % and 69.5 % of the households used unsafe antibiotic practices. The logistic regression analysis showed a significant relationship between the inappropriate use of antibiotics and the household head's age, marital status, family size, monthly income, occupation, educational attainment, place of residence, knowledge of antibiotics, and practice of using antibiotics.

Conclusion

The study area has inappropriate antibiotic use, with statistically significant differences between urban and rural communities. Extensive educational (knowledge and practice) interventions are required to enhance the appropriate use of antibiotics. To guarantee that antibiotics are dispensed correctly and that the right information is provided regarding how the antibiotic functions and should be used, authorized entities should strengthen their regulatory enforcement at pharmacies.
目的:抗生素滥用被认为是导致耐药性的最重要因素。因此,本研究旨在评估Awi行政区社区城市和农村地区不适当使用抗生素的患病率和风险变量。方法:采用多阶段分层随机抽样方法,于2022年12月至2023年6月在研究区选取1194个不同年龄、性别的城乡家庭进行对比横断面研究。使用SPSS version 26对收集到的数据进行分析。使用描述性统计和逻辑回归分析方法来确定与抗生素不正确使用相关的变量。采用校正优势比计算相关性的统计学显著性,显著性水平为5%。结果:调查结果显示,在城市和农村地区,57.5%和69.5%的家庭使用不安全的抗生素做法。logistic回归分析显示,抗菌药物不恰当使用与户主年龄、婚姻状况、家庭规模、月收入、职业、文化程度、居住地、抗菌药物知识和抗菌药物使用实践存在显著相关。结论:研究区存在抗生素不合理使用,城乡社区差异有统计学意义。需要广泛的教育(知识和实践)干预措施来加强抗生素的适当使用。为了保证抗生素的正确配药,并提供关于抗生素如何发挥作用和应如何使用的正确信息,授权实体应加强其在药房的监管执法。
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引用次数: 0
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New Microbes and New Infections
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