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Prevalence, Antibiotics Susceptibility Profile of Listeria Monocytogenes, and Its Associated Risk Factors Among Pregnant Women Attending Millennium Health Center 在千禧年保健中心就诊的孕妇中李斯特菌的流行率、抗生素敏感性概况及其相关风险因素
Pub Date : 2024-04-17 DOI: 10.11648/j.jgo.20241202.12
Fikru Lemma, Alegntaw Adinew, D. Reda, D. Gidebo, A. Bankere
Background: Listeria monocytogenes is a facultative intracellular pathogen that causes serious invasive infections in pregnant women, resulting in disseminated fetal infections, abortions, and still-births. Although it causes a greater burden on pregnant women and their infants, the case in Ethiopia is overlooked, and there is a scarcity of data on L. monocytogenes, particularly in the southern parts of Ethiopia. Therefore, this study aimed to determine the prevalence and, antibiotics susceptibility of L. monocytogenes and its associated risk factors among pregnant women attending the Millennium Health Center, Hawassa, Ethiopia. Method: A cross-sectional study was conducted on 203 pregnant women between May 30 and July 30, 2022. Socio-demographic data and 5 ml venous blood samples were collected from pregnant women using structured questionnaire. Data were analyzed using SPSS version 25. Bivariate logistic regression was carried out then variables with p<0.25 were further analyzed by multivariate logistic regressions, p-values <0.05 were accepted as statistically significant. Results: The overall prevalence of L. monocytogenes among pregnant women was found to be 11/203 (5.42%; 95% CI=2.88-9.38). L. monocytogenes was resistant to benzyl penicillin (90.91%) and meropenem (81.82%), but susceptible to ampicillin (90.91%). Raw meat (AOR=6.99; 95% CI=1.39-35.14), p=0.018), uncooked vegetables (AOR=6.62; 95% CI=1.04-42.30), p=0.046), unpasteurized milk (AOR=7.56; 95% CI=1.33-42.97), p=0.023) and fever (AOR=14.65; 95% CI=3.15-68.15), p=0.001) were significantly associated with L. monocytogenes infection. Conclusion: L. monocytogenes was resistant to benzyl penicillin, meropenem, erythromycin, and sulfamethoxazole but susceptible to ampicillin. Raw meat, uncooked vegetables, unpasteurized milk, and fever were significantly associated with L. monocytogenes.
背景:单核细胞增生李斯特菌是一种面性细胞内病原体,可导致孕妇严重的侵袭性感染,造成胎儿播散性感染、流产和死胎。虽然单核细胞增生症给孕妇及其婴儿造成了更大的负担,但埃塞俄比亚的情况却被忽视,有关单核细胞增生症的数据很少,尤其是在埃塞俄比亚南部地区。因此,本研究旨在确定在埃塞俄比亚哈瓦萨千年保健中心就诊的孕妇中单核细胞增多症的流行率、抗生素敏感性及其相关风险因素。研究方法2022 年 5 月 30 日至 7 月 30 日期间,对 203 名孕妇进行了横断面研究。使用结构化问卷收集了孕妇的社会人口学数据和 5 毫升静脉血样本。数据使用 SPSS 25 版进行分析。然后用 pp 值对变量进行二元逻辑回归:孕妇中单增李氏杆菌的总体流行率为 11/203(5.42%;95% CI=2.88-9.38)。单核细胞增多症杆菌对苄基青霉素(90.91%)和美罗培南(81.82%)有抗药性,但对氨苄西林(90.91%)易感性。生肉(AOR=6.99;95% CI=1.39-35.14),p=0.018)、未煮熟的蔬菜(AOR=6.62;95% CI=1.04-42.30),p=0.046)、未消毒的牛奶(AOR=7.56;95% CI=1.33-42.97),p=0.023)和发烧(AOR=14.65;95% CI=3.15-68.15),p=0.001)与单核细胞增生症感染显著相关。结论单核细胞增多症杆菌对苄青霉素、美罗培南、红霉素和磺胺甲噁唑耐药,但对氨苄西林易感。生肉、未煮熟的蔬菜、未经巴氏消毒的牛奶和发烧与单核细胞增多症有显著关联。
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引用次数: 0
Piecewise Linear Multiple Change Point Modelling for Under-Five Child Mortality 五岁以下儿童死亡率的片断线性多重变化点模型
Pub Date : 2024-04-02 DOI: 10.11648/j.jgo.20241202.11
Sukanta Chakraborty, Soma Biswas
Using a piecewise linear multiple change-point model instead of more traditional survival techniques is more beneficial when dealing with mortality data. Utilizing this technique, the hazard model is estimated and the number of cut-point locations is found. Using various covariates, such as sociodemographic, biological, and proximate co-factors, this piecewise hazard model is fitted to the Infant Mortality Data of Bangladesh Demographic and Health Survey 2014. Finding the change point and the impact of covariates on the hazard rate is done using the maximum likelihood estimation process. The parameter's significance is subsequently supported by the Wald test statistic. It turns out that the mother's educational status, religion, mother's age in years, the number of children they have ever had, currently breastfeeding, the size of the child, desire for more children, cesarean delivery, ANC visits, and birth orders are all significant factors. It is also discovered that the detected change point of the hazard rate is extremely important for the child until they reach the age of five. Through the various time cut points, it is found that a piecewise linear multiple change-point model is very important for under-five child mortality. Public health specialists, researchers, and clinicians can all benefit from this piecewise hazard model. One of the most crucial elements in lowering child mortality is time.
在处理死亡率数据时,使用片断线性多重变化点模型而不是更传统的生存技术更为有利。利用这种技术,可以估算出危险模型,并找到切点位置的数量。利用各种协变量(如社会人口学、生物学和近因协整因素),这种片断危险模型适用于 2014 年孟加拉国人口与健康调查的婴儿死亡率数据。利用最大似然估计过程找到变化点以及协变量对危险率的影响。参数的显著性随后通过 Wald 检验统计量得到支持。结果表明,母亲的教育状况、宗教信仰、母亲的年龄(岁)、曾经生育过的孩子数量、目前的母乳喂养情况、孩子的大小、想要更多孩子的愿望、剖宫产、产前检查次数和分娩顺序都是重要的因素。研究还发现,危险率的检测变化点对孩子五岁前的发育极为重要。通过不同的时间切点,我们发现片断线性多重变化点模型对五岁以下儿童死亡率非常重要。公共卫生专家、研究人员和临床医生都能从这种片断危险模型中受益。降低儿童死亡率的最关键因素之一是时间。
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引用次数: 0
Malanville Women's Knowledge, Attitudes and Practices in Cervical Cancer Prevention in 2023 2023 年马兰维尔妇女对宫颈癌预防的认识、态度和做法
Pub Date : 2024-01-23 DOI: 10.11648/j.jgo.20241201.11
M. Vodouhè, A. A. Obossou, Sèdjro Raoul Atadé, Goudi Orou Bodedjo, F. M. H. Ahouingnan, Kabibou Salifou
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引用次数: 0
Placenta Accreta Spectrum: An Alarming Situation in Pakistan 胎盘早剥谱:巴基斯坦令人担忧的局势
Pub Date : 2024-01-23 DOI: 10.11648/j.jgo.20241201.12
Sadia Asghar, Sam Cheema, Najaf Asghar Cheema
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引用次数: 0
Surgical Management of Obstetrical Complications in the General Surgery Department of the Hospital National Ignace Deen, University Hospital Centre of Conakry January 2018 December 2021, Guinea 科纳克里大学医院中心伊尼亚斯-迪恩国立医院普通外科产科并发症的外科治疗 2018 年 1 月 2021 年 12 月,几内亚
Pub Date : 2023-12-11 DOI: 10.11648/j.jgo.20231106.16
Tolno Tamba Julien, Bangoura Salematou, Kourouma Kadiatou, Tolno Pascal, S. Telly, T. Aboubacar
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引用次数: 0
Hysterectomies: Indications, Approaches and Prognosis in the Gynaecology and Obstetrics Department of the Hôpital National Ignace Deen, University Hospital Centre of Conakry, Guinea 子宫切除术:几内亚科纳克里大学医院中心伊尼亚斯-迪恩国立医院妇产科的适应症、方法和预后
Pub Date : 2023-12-11 DOI: 10.11648/j.jgo.20231106.15
Tolno Tamba Julien, Diallo Abdourahamane, Balde Fatoumata Diaraye, Tolno Pascal, Bangoura Salematou, S. Telly
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引用次数: 0
Management of Precancerous Lesions of the Uterine Cervix by Loop Electrosurgical Resection at the Bogodogo University Hospital: Eight Months of Activity Report 博戈多戈大学医院通过环形电切术治疗子宫颈癌前病变:八个月的活动报告
Pub Date : 2023-12-11 DOI: 10.11648/j.jgo.20231106.19
Ouattara Adama, Akadiri Samira, Sawadogo Yobi Alexi, Kiemtoré Sibraogo, O. Issa, Ouedraogo Charlemagne Marie
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引用次数: 0
A Case Report of Umbilical Artery Thrombosis 脐动脉血栓形成病例报告
Pub Date : 2023-12-11 DOI: 10.11648/j.jgo.20231106.17
Danmin Lin, Xiaoling Guo, Xinfang Zeng, Limin Zhong
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引用次数: 0
Connecting Links Between Diminished Ovarian Reserve and Recurrent Miscarriages 卵巢储备功能减退与复发性流产之间的联系
Pub Date : 2023-12-06 DOI: 10.11648/j.jgo.20231106.14
Xinfang Zeng, Yuanfang Zhu, Danmin Lin
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引用次数: 0
Beneficial Impacts of Iron Fortification Versus Iron Supplementation During Pregnancy in Anaemia Prevention for Both Mother and Newborn in Developing Country 在发展中国家,妊娠期铁强化剂和铁补充剂对预防母亲和新生儿贫血症的有益影响
Pub Date : 2023-11-29 DOI: 10.11648/j.jgo.20231106.13
Nargis Fatema, Chhanda Majumder, Salma Lovereen, Asma Habib, Alpana Adhikary, Mala Banik, Rumana Naznin, Shamima Begum, Mehrose Alam Chowdhury, Naseem Mahmud, Nazma Siddiquee
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引用次数: 0
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Journal of Gynecology and Obstetrics
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