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Hemangioendothelioma of the Forehead – A Rare Case Report 额头血管内皮瘤--罕见病例报告
Pub Date : 2023-12-06 DOI: 10.36348/sjpm.2023.v08i12.004
Shainaz Begum, Balina Lakshmi Nirmala, Srikanth Shastry
Hemangioendothelioma is the term used to name those vascular neoplasms that show a borderline biological behavior, intermediate between entirely benign hemangiomas and highly malignant angiosarcomas. Although originally spindle cell hemangioendothelioma was proposed as a specific clinicopathologic variant of hemangioendothelioma, currently, it is considered as an entirely benign lesion, and thus, the name spindle cell hemangioma seems to be the most accurate for this lesion. Authentic hemangioendotheliomas involving the skin and soft tissues include Papillary intralymphatic angioendothelioma (also known as Dabska tumor), Retiform hemangioendothelioma, Kaposiform hemangioendothelioma, Epithelioid hemangioendothelioma, Pseudomyogenic hemangioendothelioma (also known as epithelioid sarcoma-like hemangioendothelioma), and Composite hemangioendothelioma. Each of these neoplasms exhibit characteristic histopathologic features.
血管内皮瘤是一个术语,用于命名那些表现出边缘生物学行为的血管肿瘤,介于完全良性的血管瘤和高度恶性的血管肉瘤之间。尽管纺锤形细胞血管内皮瘤最初被认为是血管内皮瘤的一种特殊临床病理变异,但目前它被认为是一种完全良性的病变,因此,纺锤形细胞血管瘤的名称似乎对这种病变最为准确。真正累及皮肤和软组织的血管内皮瘤包括乳头状淋巴内血管内皮瘤(又称达布斯卡瘤)、网状血管内皮瘤、卡波状血管内皮瘤、上皮样血管内皮瘤、假肌生成性血管内皮瘤(又称上皮样肉瘤样血管内皮瘤)和复合血管内皮瘤。这些肿瘤在组织病理学上各具特色。
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引用次数: 0
Management of Carbapenem-Resistant Enterobacteriaceae Bloodstream Infections: An Experience from a Tertiary Care Centre in Oman 耐碳青霉烯类肠杆菌科细菌血流感染的管理:阿曼一家三级医疗中心的经验
Pub Date : 2023-12-05 DOI: 10.36348/sjpm.2023.v08i12.002
Rahma Said Al-Owaisi, Dhanya Jayaraj, Manoj N. Malviya, Amal Al-Jabri
The emergence of Carbapenem-resistant Enterobacteriaceae (CRE)is a public health concern worldwide. It is associated with increased mortality due to limited antibiotics available to treat CRE infections. The aim of this study was to understand the epidemiology of CRE infections, associated mortality, and available treatment options. All patients with CRE isolated in blood culture were identified between December 2011 and October 2019. Risk factors and mortality associated with each risk factor at 14 and 30 days were determined.55 cases of CRE bloodstream infections were isolated, with a median age of 56 years. Eighty-four percent of patients received treatment in the ICU. All cases were caused by Klebsiella pneumonia. The rate of resistance to the tested antibiotics was as follows: meropenem 92% (50/54), imipenem 75% (40/53), etrapenam 95% (19/20), Amikacin 71% (37/52), cotrimoxazole 73% (40/53), Gentamicin 47% (25/53) and colistin 7% (3/41). Major risk factors associated were the presence of a urinary catheter (84%), central venous catheter (78%), mechanical ventilation (74%) and post-surgery (67%). Mortality at 14 days and 30 days was 41%, and 52%, respectively. Univariate analysis showed that 14 days mortality was higher in patients with central venous catheter (P=0.01). Charlson's comorbidity index was associated with an increased risk of death at 30 days (P=0.04). There was no statistically increased survival in those treated with combination therapy at 30 days (P=0.5). The mortality of CRE infections seems to be high and optimal therapy is not yet well defined. Combination therapy is not associated with increased survival in this cohort of patients.
碳青霉烯耐药肠杆菌科(CRE)的出现是全世界关注的公共卫生问题。由于可用于治疗CRE感染的抗生素有限,它与死亡率增加有关。本研究的目的是了解CRE感染的流行病学、相关死亡率和可用的治疗方案。2011年12月至2019年10月期间,所有在血培养中分离的CRE患者均被发现。测定14天和30天各危险因素的危险因素和死亡率。分离出55例CRE血流感染病例,中位年龄56岁。84%的患者在ICU接受治疗。所有病例均由肺炎克雷伯氏菌引起。耐药率依次为:美罗培南92%(50/54)、亚胺培南75%(40/53)、伊曲培南95%(19/20)、阿米卡星71%(37/52)、复方新诺明73%(40/53)、庆大霉素47%(25/53)、粘菌素7%(3/41)。相关的主要危险因素是存在导尿管(84%)、中心静脉导管(78%)、机械通气(74%)和术后(67%)。14 d和30 d死亡率分别为41%和52%。单因素分析显示,中心静脉置管组14天死亡率较高(P=0.01)。Charlson合并症指数与30天死亡风险增加相关(P=0.04)。联合治疗组30天生存率无统计学差异(P=0.5)。CRE感染的死亡率似乎很高,最佳治疗方法尚未明确。在该队列患者中,联合治疗与增加生存率无关。
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引用次数: 0
Incidental Finding of Leishmania Donovani Bodies in Bonemarrow Aspiration in a Case of Pancytopenia 在一例全血细胞减少症病例的骨髓抽吸中意外发现多诺万利什曼病菌体
Pub Date : 2023-12-05 DOI: 10.36348/sjpm.2023.v08i12.001
Bhargavi V, Jyothi Swaroopa
Leishmaniasis is a tropical infection transmitted to humans by the female sandfly (Phlebotomus argentipes). Leishmaniasis is widely prevalent in the Eastern states of India namely Bihar, Jharkhand, Uttar Pradesh and West Bengal having a hot and humid climate.
利什曼病是一种由雌性白蛉(阿根廷白蛉)传播给人类的热带感染。利什曼病在印度东部各邦广泛流行,即比哈尔邦、贾坎德邦、北方邦和西孟加拉邦,这些地区气候炎热潮湿。
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引用次数: 0
Examining Antimicrobial Resistance in Enterococcus Species: A Single-Center Cross-Sectional Study 肠球菌耐药性检测:单中心横断面研究
Pub Date : 2023-10-25 DOI: 10.36348/sjpm.2023.v08i10.004
Md Suzaul Alam, Md Jakaria, Rashedur Rahman
Background: Antimicrobial resistance in Enterococcus species is a growing global concern. These bacteria, commonly found in the human gut, have resisted multiple antibiotics, making infections harder to treat. This poses a significant challenge for healthcare as it limits treatment options and highlights the urgent need for responsible antibiotic use and the development of new therapies. Aim of the study: The study aimed to determine the antimicrobial resistance pattern of Enterococcus Species at a tertiary care hospital in Bangladesh. Methods: This cross-sectional research occurred at Sample collected from deferent laboratories situated in rangpur and test/research perform, Department of Microbiology in prime institute of science and medical technology (PRISMET), Rangpur During March’ 2022 to March’ 2023. It spanned one year from [start date] to [end date]. The primary goal was to evaluate the antimicrobial susceptibility patterns of enterococci. Throughout the study, 1,450 samples were collected from various sources, including urine, blood, pus, swabs, and fluids. However, only 62 Enterococci isolates were successfully obtained. Standard microbiological protocols, such as microscopy and culture, were rigorously followed during sample processing. All clinical samples received at the Microbiology laboratory during the study were considered for inclusion. Data analysis was conducted using Microsoft Excel and presented with tables and graphs, while SPSS was employed for statistical analysis. Result: The study population primarily consisted of patients aged 36-75 (77.42%), averaging 52.01 years. Gender distribution was skewed towards males (59.68%). Enterococcus spp. They have dominated the microbial species (64.52%), with E. faecalis (14.52%) and E. faecium (11.29%) being prevalent. Urine samples were the most common (66.13%), followed by pus (11.29%) and swab (9.68%). Antibiotic susceptibility analysis showed varying results, with amoxicillin being sensitive in 87.10% of cases, while Cefixime, Ceftazidime, Ceftriaxone, and Cefotaxime exhibited over 96% resistance. Conclusion: This study highlights the rise of antimicrobial resistance (AMR) in Enterococcus species at a Bangladeshi tertiary care hospital. Once harmless, these bacteria now pose a severe risk to public health. Our research shows that E. faecalis and E. faecium have become resistant to many common antibiotics, particularly cephalosporins, urging immediate antibiotic stewardship and infection control. To combat this global health threat, we must explore novel treatments and employ a multidisciplinary approach to protect patients and healthcare systems from Enterococcus infections.
背景:肠球菌的抗微生物药物耐药性是一个日益受到全球关注的问题。这些常见于人类肠道的细菌对多种抗生素产生了抗药性,使感染更难治疗。这对医疗保健提出了重大挑战,因为它限制了治疗选择,并强调了负责任地使用抗生素和开发新疗法的迫切需要。研究目的:本研究旨在确定孟加拉国一家三级保健医院肠球菌物种的抗微生物药物耐药性模式。方法:本横断面研究于2022年3月至2023年3月期间从位于rangpur的不同实验室和rangpur主要科学和医学技术研究所(PRISMET)微生物学系进行的测试/研究中收集样本。从[开始日期]到[结束日期]的时间跨度为一年。主要目的是评估肠球菌的抗菌药物敏感性模式。在整个研究过程中,从各种来源收集了1450个样本,包括尿液、血液、脓液、拭子和液体。然而,仅成功分离出62株肠球菌。在样品处理过程中,严格遵循标准微生物学协议,如显微镜和培养。研究期间在微生物学实验室收到的所有临床样本都被考虑纳入。数据分析使用Microsoft Excel,以表格和图表的形式呈现,统计分析使用SPSS软件。结果:研究人群主要为36 ~ 75岁患者(77.42%),平均年龄为52.01岁。性别分布向男性倾斜(59.68%)。以肠球菌属为主(64.52%),以粪肠球菌(14.52%)和粪肠球菌(11.29%)为主。尿液样本最常见(66.13%),其次是脓(11.29%)和拭子(9.68%)。抗生素敏感性分析结果各不相同,阿莫西林敏感率为87.10%,头孢克肟、头孢他啶、头孢曲松、头孢噻肟耐药率超过96%。结论:本研究强调了孟加拉国三级保健医院肠球菌物种抗菌素耐药性(AMR)的上升。这些曾经无害的细菌现在对公众健康构成严重威胁。我们的研究表明,粪肠球菌和粪肠球菌已经对许多常见抗生素产生耐药性,特别是头孢菌素,因此迫切需要立即进行抗生素管理和感染控制。为了应对这一全球健康威胁,我们必须探索新的治疗方法并采用多学科方法来保护患者和卫生保健系统免受肠球菌感染。
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引用次数: 0
Diagnostic Interpretation and further evaluation of Extreme Hyperferritinemia (>10,000 microg/L) with reduced % Tsat (<50%) in pediatric patients in Tertiary care Hospital 三级医院儿科患者极端高铁素血症(10000微克/升)Tsat降低50%的诊断解释和进一步评价
Pub Date : 2023-10-10 DOI: 10.36348/sjpm.2023.v08i10.001
Mirza Asif Baig, Ahmed Kurdi, Suriyakala, P. C, Yasser Moshrif, Ameen Bakhsh, Ahmed Bahashwan, Mohammed M. Elgindy, Kawthar Ktea, Nabeel Almutairi, Fouad A. Alamri
Background: Ferritin is a soluble protein which provides intracellular storage of bioavailable iron. It is found primarily in Liver, bone marrow macrophages, spleen. Ferritin is measured by ELISA, RIA and Mass spectrometry. The main aim of this study is to etiologically categorise extreme hyperferritinemia (serum ferritin > 10000 microg/L). Methodology and Results: This is 05 years retrospective study (July -2018 to June 2023), conducted in hematology section, MMCH, KSA. Out of 34 cases of extreme hyperferritinemia, viral infection was the most common cause comprising 41% of all cases. Amongst the infectious etiology, 6 cases of EBV, 3 cases of ALF of suspected viral etiology, 2 cases of PIDS with secondary infection, 1 case each of Hepatitis A virus and CMV noted. 10 cases presented as Macrophage Activating syndrome comprising 29% of total cases of which 70 were Systemic Juvenile Idiopathic arthritis and remaining 30% includes SLE and juvenile rheumatoid arthritis. Discussion: Study conducted by Dondu et al., indicate that the most common causes of hyperferritinemia are rheumatologic diseases and infections, which were identified in 59.1 and 27.3%, respectively. Present study showed infective etiology as the most common cause of extreme hyperferritinemia. Reasons for differences in results are because other studies were conducted in Adult patients and in Rheumatologic department. Conclusion: Our study formulated a systematic investigating pathway for raised serum ferritin. If the laboratory screening tests, BMA and other sophisticated tests are done in systematic way, then challenging cases can be diagnosed easily.
背景:铁蛋白是一种可溶性蛋白,提供细胞内生物可利用铁的储存。主要见于肝脏、骨髓巨噬细胞、脾脏。铁蛋白采用ELISA、RIA和质谱法测定。本研究的主要目的是对极端高铁蛋白血症(血清铁蛋白)进行病因分类;10000 microg / L)。方法和结果:这是一项为期05年的回顾性研究(2018年7月至2023年6月),在KSA MMCH血液科进行。在34例极端高铁蛋白血症中,病毒感染是最常见的原因,占所有病例的41%。感染病因中,EBV 6例,疑似病毒性肝炎3例,PIDS继发感染2例,甲型肝炎病毒和巨细胞病毒各1例。10例表现为巨噬细胞激活综合征,占总病例的29%,其中系统性幼年特发性关节炎70例,其余30%包括SLE和幼年类风湿性关节炎。讨论:Dondu等人的研究表明,高铁素血症最常见的原因是风湿病和感染,分别占59.1%和27.3%。目前的研究表明,感染病因是极端高铁蛋白血症最常见的原因。结果差异的原因是其他研究是在成人患者和风湿病科进行的。结论:本研究为血清铁蛋白升高提供了系统的检测途径。如果实验室筛选测试、BMA和其他复杂的测试以系统的方式进行,那么具有挑战性的病例就可以很容易地诊断出来。
{"title":"Diagnostic Interpretation and further evaluation of Extreme Hyperferritinemia (&gt;10,000 microg/L) with reduced % Tsat (&lt;50%) in pediatric patients in Tertiary care Hospital","authors":"Mirza Asif Baig, Ahmed Kurdi, Suriyakala, P. C, Yasser Moshrif, Ameen Bakhsh, Ahmed Bahashwan, Mohammed M. Elgindy, Kawthar Ktea, Nabeel Almutairi, Fouad A. Alamri","doi":"10.36348/sjpm.2023.v08i10.001","DOIUrl":"https://doi.org/10.36348/sjpm.2023.v08i10.001","url":null,"abstract":"Background: Ferritin is a soluble protein which provides intracellular storage of bioavailable iron. It is found primarily in Liver, bone marrow macrophages, spleen. Ferritin is measured by ELISA, RIA and Mass spectrometry. The main aim of this study is to etiologically categorise extreme hyperferritinemia (serum ferritin &gt; 10000 microg/L). Methodology and Results: This is 05 years retrospective study (July -2018 to June 2023), conducted in hematology section, MMCH, KSA. Out of 34 cases of extreme hyperferritinemia, viral infection was the most common cause comprising 41% of all cases. Amongst the infectious etiology, 6 cases of EBV, 3 cases of ALF of suspected viral etiology, 2 cases of PIDS with secondary infection, 1 case each of Hepatitis A virus and CMV noted. 10 cases presented as Macrophage Activating syndrome comprising 29% of total cases of which 70 were Systemic Juvenile Idiopathic arthritis and remaining 30% includes SLE and juvenile rheumatoid arthritis. Discussion: Study conducted by Dondu et al., indicate that the most common causes of hyperferritinemia are rheumatologic diseases and infections, which were identified in 59.1 and 27.3%, respectively. Present study showed infective etiology as the most common cause of extreme hyperferritinemia. Reasons for differences in results are because other studies were conducted in Adult patients and in Rheumatologic department. Conclusion: Our study formulated a systematic investigating pathway for raised serum ferritin. If the laboratory screening tests, BMA and other sophisticated tests are done in systematic way, then challenging cases can be diagnosed easily.","PeriodicalId":471257,"journal":{"name":"Saudi journal of pathology and microbiology","volume":"52 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136359218","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
Studying the Prevalence of Multidrug Resistant Klebsiella pneumoniae in Kirkuk City 基尔库克市耐多药肺炎克雷伯菌流行病学研究
Pub Date : 2023-10-10 DOI: 10.36348/sjpm.2023.v08i10.002
Fatimah Artn Hasib, Iman Tajer Abdullah, Farooq Ibrahim Mohammad
Klebsiella pneumonia is an opportunistic pathogen causes several diseases including sepsis, pneumonia, and wound infections. There are two pathotypes of Klebsiella pneumonia: classical K. pneumoniae (cKp) and hypervirulent K. pneumonia (hvkp), which is an emerging variant of (ckp), clinically distinguished by invasive and multiple site infections. K.pneumoniae is also responsible for majority of human infections, and can infected healthy members of the community and hospitalized patients. A total 150 samples were collected from different hospitals in Kirkuk city during the period between November 2021 to June 2022. The age of patients ranged between (1– 60) years old with both sexes. These samples were highly recovered from females with a rate 66.67% compared to the males 33.33%. Thirty K. pneumonia (20%) was recovered from different clinical specimens including urine, sputum, burn and wound swabs. The current study reported that females are more likely to be infected with K. pneumoniae than man. Likewise, the most common age group infected with K.pneumoniae was between (20-40) with a rate of 63.33%. K.pneumoniae was commonly recovered from inpatients 53.33% compared with outpatients (46.67%). Antibiotic susceptibility test was conducted to all the isolates by using disc diffusion test towards 8 antimicrobial agents. Klebsiella pneumoniae isolates showed multiple resistance against 3 or more of different antibiotic groups such as gentamicin 93%, ampicillin 96% and amoxicillin –clavulanate 90%, cefotaxime 83%, ceftazidime 96%, meropenem 36%, levofloxacin 76 %and gentamicin 93 %. K. pneumoniae isolated from inpatients and from sputum samples were more resistance to various kinds of antibiotics.
肺炎克雷伯氏菌是一种机会性病原体,可引起脓毒症、肺炎和伤口感染等多种疾病。克雷伯氏菌肺炎有两种病型:经典肺炎克雷伯氏菌(cKp)和高毒力肺炎克雷伯氏菌(hvkp), hvkp是一种新出现的(cKp)变种,临床表现为侵袭性和多部位感染。肺炎克雷伯菌也是大多数人类感染的原因,可感染社区健康成员和住院患者。在2021年11月至2022年6月期间,从基尔库克市的不同医院共收集了150个样本。患者年龄在(1 - 60)岁之间,男女皆可。雌虫和雄虫的回收率分别为66.67%和33.33%。从尿、痰、烧伤和创面拭子等不同临床标本中检出肺炎克雷伯菌30例(20%)。目前的研究报告称,女性比男性更容易感染肺炎克雷伯菌。肺炎克雷伯菌感染以20 ~ 40岁年龄组最常见,感染率为63.33%。肺炎克雷伯菌在住院患者中的感染率为53.33%,在门诊患者中的感染率为46.67%。采用圆盘扩散试验对8种抗菌药物进行药敏试验。肺炎克雷伯菌对庆大霉素93%、氨苄西林96%、阿莫西林-克拉维酸90%、头孢噻肟83%、头孢他啶96%、美罗培南36%、左氧氟沙星76%、庆大霉素93%等3种及3种以上抗生素均有多重耐药。住院患者和痰液中分离的肺炎克雷伯菌对各种抗生素均有较高的耐药性。
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引用次数: 0
Ovarian Teratoma with Squamous Cell Carcinoma: A Rare Entity 卵巢畸胎瘤合并鳞状细胞癌:一种罕见的实体
Pub Date : 2023-09-28 DOI: 10.36348/sjpm.2023.v08i09.002
Vishesh Dhawan, Ayushi Kediya, Anuradha Kusum, Swati Negi
Malignant transformation in a mature cystic teratoma of the ovary is rare, occurring in only 1-2% of cases, with squamous cell carcinoma consisting of about 75% of malignant transformations. Various genomic alterations take part in this pathogenesis but due to its rare incidence, not many cases have been reported in respect to this transformation. Hence, we describe a rare case of 45-year-old female with a 7.5 cm ovarian mature teratoma with an incidental finding of squamous cell carcinoma. With this case report, we also wish to create an awareness of this entity among pathologists and physicians while dealing with dermoid cysts of large sizes in older patients.
卵巢成熟囊性畸胎瘤的恶性转化是罕见的,仅发生在1-2%的病例中,鳞状细胞癌约占75%的恶性转化。各种基因组改变参与了这种发病机制,但由于其发病率很低,关于这种转化的病例报道并不多。因此,我们描述一个罕见的病例45岁女性卵巢成熟畸胎瘤7.5厘米偶然发现的鳞状细胞癌。通过本病例报告,我们也希望在处理老年患者大尺寸皮样囊肿时,在病理学家和医生中建立对这种实体的认识。
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引用次数: 0
Acceptability of COVID-19 Vaccination by Doctors: Cross-Sectional Survey from Mohammed VI University Hospital in Marrakech 医生对COVID-19疫苗接种的可接受性:马拉喀什穆罕默德六世大学医院的横断面调查
Pub Date : 2023-09-06 DOI: 10.36348/sjpm.2023.v08i09.001
Malika Idalene, Jihane Hamdane, Noura Tassi
Covid-19 has rapidly became a major public health crisis. Several public health and containment measures were deployed to contain this epidemy; however, a return to a normal life could only be expected after the generalization of anti-Covid 19 vaccination, allowing a global collective immunity. The success of this campaign depends essentially on the acceptance of the new Covid-19 vaccines. We conducted a descriptive and analytical observational cross-sectional study to evaluate the acceptability of Covid-19 vaccines, among resident and intern doctors at the Mohammed VI University Hospital in Marrakech, to determine the factors associated with vaccine acceptance, and the reasons for hesitation or nonacceptance of vaccination. Out of 145 participants (59.1% female, mean age 26.6 years), 89.7% received the vaccine at least partially. 49% of our population did not delay their vaccination and intended to complete it, so we considered them accepting. However, 40.7% were considered hesitant because of delayed or abandoned Covid-19 vaccination. People living alone and resident physicians in medical or biological specialties were the most likely to accept vaccination. Factors influencing refusal or hesitation included: speed of vaccine development, fear of adverse effects, lack of information on vaccine efficacy, acquisition of natural immunity following previous infection with Covid-19, lack of confidence in the pharmaceutical industry. Doctors' general attitudes towards COVID-19 vaccination, in our study, are positive, but specific concerns about the COVID-19 vaccine are widespread. Addressing barriers to vaccination in these groups will be essential to avoid exacerbating the health inequalities highlighted by this pandemic.
Covid-19已迅速成为一场重大公共卫生危机。采取了若干公共卫生和控制措施来控制这一流行病;然而,只有在抗新冠肺炎疫苗普及之后,才能实现全球集体免疫,才能恢复正常生活。这项运动的成功主要取决于人们是否接受新的Covid-19疫苗。我们进行了一项描述性和分析性观察性横断面研究,以评估马拉喀什穆罕默德六世大学医院的住院医生和实习医生对Covid-19疫苗的可接受性,以确定与疫苗接受度相关的因素以及犹豫或不接受疫苗接种的原因。在145名参与者中(59.1%为女性,平均年龄26.6岁),89.7%至少部分接种了疫苗。我国49%的人口没有推迟接种疫苗,并打算完成接种,因此我们认为他们可以接受。然而,40.7%的人被认为因延迟或放弃新冠疫苗接种而犹豫不决。独居者和医学或生物专业的住院医生最有可能接受疫苗接种。影响拒绝或犹豫的因素包括:疫苗开发速度、对不良反应的恐惧、缺乏疫苗功效信息、在先前感染Covid-19后获得自然免疫力、对制药行业缺乏信心。在我们的研究中,医生对COVID-19疫苗接种的总体态度是积极的,但对COVID-19疫苗的具体担忧普遍存在。解决这些群体的疫苗接种障碍对于避免加剧本次大流行突出的卫生不平等至关重要。
{"title":"Acceptability of COVID-19 Vaccination by Doctors: Cross-Sectional Survey from Mohammed VI University Hospital in Marrakech","authors":"Malika Idalene, Jihane Hamdane, Noura Tassi","doi":"10.36348/sjpm.2023.v08i09.001","DOIUrl":"https://doi.org/10.36348/sjpm.2023.v08i09.001","url":null,"abstract":"Covid-19 has rapidly became a major public health crisis. Several public health and containment measures were deployed to contain this epidemy; however, a return to a normal life could only be expected after the generalization of anti-Covid 19 vaccination, allowing a global collective immunity. The success of this campaign depends essentially on the acceptance of the new Covid-19 vaccines. We conducted a descriptive and analytical observational cross-sectional study to evaluate the acceptability of Covid-19 vaccines, among resident and intern doctors at the Mohammed VI University Hospital in Marrakech, to determine the factors associated with vaccine acceptance, and the reasons for hesitation or nonacceptance of vaccination. Out of 145 participants (59.1% female, mean age 26.6 years), 89.7% received the vaccine at least partially. 49% of our population did not delay their vaccination and intended to complete it, so we considered them accepting. However, 40.7% were considered hesitant because of delayed or abandoned Covid-19 vaccination. People living alone and resident physicians in medical or biological specialties were the most likely to accept vaccination. Factors influencing refusal or hesitation included: speed of vaccine development, fear of adverse effects, lack of information on vaccine efficacy, acquisition of natural immunity following previous infection with Covid-19, lack of confidence in the pharmaceutical industry. Doctors' general attitudes towards COVID-19 vaccination, in our study, are positive, but specific concerns about the COVID-19 vaccine are widespread. Addressing barriers to vaccination in these groups will be essential to avoid exacerbating the health inequalities highlighted by this pandemic.","PeriodicalId":471257,"journal":{"name":"Saudi journal of pathology and microbiology","volume":"54 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135204868","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
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Saudi journal of pathology and microbiology
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