Pub Date : 2013-12-23DOI: 10.4172/2329-9088.1000E110
M. Giangaspero
Since 2005, campylobacteriosis become the most important gastrointestinal infectious disease in Europe. The disease affects especially infants under 4 years of age, causing primarily gastroenteric symptoms but also responsible of different extra intestinal pathologies. The most frequent way of infection is considered to be related to contaminated poultry meat consumption. Prevention relies on general hygienic measures. Of outmost importance is the reduction of bacterial burden in raw meat, to ensure a radical decrease of clinical forms. Phytotherapy might represent a sustainable prevention strategy for the achievement of such objective.
{"title":"Phytotherapy and Prevention of Campylobacter","authors":"M. Giangaspero","doi":"10.4172/2329-9088.1000E110","DOIUrl":"https://doi.org/10.4172/2329-9088.1000E110","url":null,"abstract":"Since 2005, campylobacteriosis become the most important gastrointestinal infectious disease in Europe. The disease affects especially infants under 4 years of age, causing primarily gastroenteric symptoms but also responsible of different extra intestinal pathologies. The most frequent way of infection is considered to be related to contaminated poultry meat consumption. Prevention relies on general hygienic measures. Of outmost importance is the reduction of bacterial burden in raw meat, to ensure a radical decrease of clinical forms. Phytotherapy might represent a sustainable prevention strategy for the achievement of such objective.","PeriodicalId":90756,"journal":{"name":"Tropical medicine & surgery","volume":"1 1","pages":"1-3"},"PeriodicalIF":0.0,"publicationDate":"2013-12-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70278690","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 : 2013-12-06DOI: 10.4172/2329-9088.1000156
E. Iyidobi, Cu Nwadinigwe, Ekwunife Rt
Introduction: Tuberculosis (TB) remains the most common cause of death from infectious disease worldwide. Musculoskeletal TB accounts for about 10-15% of all TB notification in non-industrialized world. The spine is the most common site for osseous involvement, accounting for about 50% of cases. There is little or no data on the epidemiology of musculoskeletal TB in South-Eastern Nigeria. The general aim of the study is to determine the epidemiologic pattern and treatment outcome of musculoskeletal TB in Enugu, south-Eastern Nigeria. Materials and Methods: The study is a retrospective study over a ten year period. The case notes of all the patients diagnosed and treated for musculoskeletal TB were retrieved and those who met the inclusion criteria were analyzed. Results: A total of 104 patients’ case notes were retrieved but 97 patients’ case notes that met the inclusion criteria was analyzed. The incidence of musculoskeletal tuberculosis in Enugu is 1 in 250. 45.4% were males and 54.6% were females. Most of the patients presented with low back pain (61%) and inability to walk (14.4%). Spinal lesions account for 65% of cases. 86.6% of the patients had relative lymphocytosis while Mantoux test was positive in 82.5% of subjects. 82.5% had elevated ESR at diagnosis. These fell significantly at completion of anti TB drugs with 83% resulting in either complete resolution of symptoms or marked improvement of symptoms. Drugs were given for 8 months in 95% while 5% were extended for 12 months. Conclusion: Use of anti TB drugs is still the cornerstone in the management of the disease. Diagnosis is possible with simple clinical, radiological and laboratory evaluation. Once diagnosis is made patient should be immediately commenced on the first line anti TB drugs. ESR, lymphocyte count and clinical evaluation of symptoms can be used to monitor treatment successfully. We recommend high index of suspicion among physicians in developing countries for prompt diagnosis and adequate treatment of musculoskeletal TB especially that of the spine.
{"title":"Management of Musculoskeletal Tuberculosis in Enugu, Nigeria","authors":"E. Iyidobi, Cu Nwadinigwe, Ekwunife Rt","doi":"10.4172/2329-9088.1000156","DOIUrl":"https://doi.org/10.4172/2329-9088.1000156","url":null,"abstract":"Introduction: Tuberculosis (TB) remains the most common cause of death from infectious disease worldwide. Musculoskeletal TB accounts for about 10-15% of all TB notification in non-industrialized world. The spine is the most common site for osseous involvement, accounting for about 50% of cases. There is little or no data on the epidemiology of musculoskeletal TB in South-Eastern Nigeria. The general aim of the study is to determine the epidemiologic pattern and treatment outcome of musculoskeletal TB in Enugu, south-Eastern Nigeria. \u0000Materials and Methods: The study is a retrospective study over a ten year period. The case notes of all the patients diagnosed and treated for musculoskeletal TB were retrieved and those who met the inclusion criteria were analyzed. \u0000Results: A total of 104 patients’ case notes were retrieved but 97 patients’ case notes that met the inclusion criteria was analyzed. The incidence of musculoskeletal tuberculosis in Enugu is 1 in 250. 45.4% were males and 54.6% were females. Most of the patients presented with low back pain (61%) and inability to walk (14.4%). Spinal lesions account for 65% of cases. 86.6% of the patients had relative lymphocytosis while Mantoux test was positive in 82.5% of subjects. 82.5% had elevated ESR at diagnosis. These fell significantly at completion of anti TB drugs with 83% resulting in either complete resolution of symptoms or marked improvement of symptoms. Drugs were given for 8 months in 95% while 5% were extended for 12 months. \u0000Conclusion: Use of anti TB drugs is still the cornerstone in the management of the disease. Diagnosis is possible with simple clinical, radiological and laboratory evaluation. Once diagnosis is made patient should be immediately commenced on the first line anti TB drugs. ESR, lymphocyte count and clinical evaluation of symptoms can be used to monitor treatment successfully. We recommend high index of suspicion among physicians in developing countries for prompt diagnosis and adequate treatment of musculoskeletal TB especially that of the spine.","PeriodicalId":90756,"journal":{"name":"Tropical medicine & surgery","volume":"1 1","pages":"1-3"},"PeriodicalIF":0.0,"publicationDate":"2013-12-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70277716","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 : 2013-11-21DOI: 10.4172/2329-9088.1000155
Yu-qi Wu, Shan Hong-wei, Y. Min, Qian Min, Xin-Li Zhang, L. Xiao-ling, Qun-xia Chen, Xin-yi Yang
Objective: A case study was performed in EICU to evaluate the potential patient factors associated with hospital infections caused by gram-negative bacilli in EICU. Methods: We adopted the method of retrospective case-control study and multivariable logistic regression analysis. Results: Unvaried analysis revealed an association between numerous patient factors and multivariate analysis revealed four factors to be associated independently with hospital infections caused by gram-negative bacilli: Mechanical ventilation, Corticoid use, Length of stay, Coma. Conclusion: We must have the comprehensive preventive measures to deal with the risk factor of hospital infections in EICU.
{"title":"CASE-CONTROL STUDY FOR HOSPITAL INFECTIONS CAUSED BY GRAM-NEGATIVE BACILLI IN EMERGENCY INTENSIVE CARE UNIT","authors":"Yu-qi Wu, Shan Hong-wei, Y. Min, Qian Min, Xin-Li Zhang, L. Xiao-ling, Qun-xia Chen, Xin-yi Yang","doi":"10.4172/2329-9088.1000155","DOIUrl":"https://doi.org/10.4172/2329-9088.1000155","url":null,"abstract":"Objective: A case study was performed in EICU to evaluate the potential patient factors associated with hospital infections caused by gram-negative bacilli in EICU. Methods: We adopted the method of retrospective case-control study and multivariable logistic regression analysis. Results: Unvaried analysis revealed an association between numerous patient factors and multivariate analysis revealed four factors to be associated independently with hospital infections caused by gram-negative bacilli: Mechanical ventilation, Corticoid use, Length of stay, Coma. Conclusion: We must have the comprehensive preventive measures to deal with the risk factor of hospital infections in EICU.","PeriodicalId":90756,"journal":{"name":"Tropical medicine & surgery","volume":"79 1","pages":"1-4"},"PeriodicalIF":0.0,"publicationDate":"2013-11-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70277685","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 : 2013-11-14DOI: 10.4172/2329-9088.1000E109
P. Wilairatana, N. Tangpukdee, S. Krudsood
In management of severe malaria, aresunate is preferred antimalarial drug. It is better than quinine in reduction of mortality. Parenteral artesunate may be given either intravenous (IV) or intramuscular (IM) routes. However IV route is preferred route of administration since during severe falciparum malaria infection, capillary sequestration may delay drug absorption from muscle via IM administration to blood circulation. Artesunate can be activated by dissolving the powder of artesunic acid with sodium bicarbonate [1]. During mixing artesunic powder with sodium bicarbonate, the solution should be shaked strongly until dissolved, then the solution will be cloudy. The reconstituted solution will clear in about 1 min. If it is not clear, it should be discarded. Artesunate is poorly soluble in water and has poor stability in aqueous solutions at neutral or acid pH. Artesunic acid is sufficiently soluble in sodium bicarbonate injection (50 mg/ml) to prepare a clear solution [2]. The pH of the final solution is not greater than 8. After dissolving with sodium bicarbonate, artesunate solution in vial should be freshly used for each administration. Unused solution should be discarded and should not be stored in refrigerator for the next dose administration.
{"title":"Practical Aspects of Artesunate Administration in Severe Malaria Treatment","authors":"P. Wilairatana, N. Tangpukdee, S. Krudsood","doi":"10.4172/2329-9088.1000E109","DOIUrl":"https://doi.org/10.4172/2329-9088.1000E109","url":null,"abstract":"In management of severe malaria, aresunate is preferred antimalarial drug. It is better than quinine in reduction of mortality. Parenteral artesunate may be given either intravenous (IV) or intramuscular (IM) routes. However IV route is preferred route of administration since during severe falciparum malaria infection, capillary sequestration may delay drug absorption from muscle via IM administration to blood circulation. Artesunate can be activated by dissolving the powder of artesunic acid with sodium bicarbonate [1]. During mixing artesunic powder with sodium bicarbonate, the solution should be shaked strongly until dissolved, then the solution will be cloudy. The reconstituted solution will clear in about 1 min. If it is not clear, it should be discarded. Artesunate is poorly soluble in water and has poor stability in aqueous solutions at neutral or acid pH. Artesunic acid is sufficiently soluble in sodium bicarbonate injection (50 mg/ml) to prepare a clear solution [2]. The pH of the final solution is not greater than 8. After dissolving with sodium bicarbonate, artesunate solution in vial should be freshly used for each administration. Unused solution should be discarded and should not be stored in refrigerator for the next dose administration.","PeriodicalId":90756,"journal":{"name":"Tropical medicine & surgery","volume":"1 1","pages":"1-1"},"PeriodicalIF":0.0,"publicationDate":"2013-11-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70278648","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 : 2013-11-11DOI: 10.4172/2329-9088.1000E108
Fan Ck, Lin Hc, C. Liao, Ying-Chieh Huang, Choung Cm, S. daCostaÂdos
{"title":"Angiostrongylus Cantonensis Infection: Potential Threats to Inhabitants through Consumption of Giant African Land Snail in Democratic Republic of Sao Tome E Principe, West Africa","authors":"Fan Ck, Lin Hc, C. Liao, Ying-Chieh Huang, Choung Cm, S. daCostaÂdos","doi":"10.4172/2329-9088.1000E108","DOIUrl":"https://doi.org/10.4172/2329-9088.1000E108","url":null,"abstract":"","PeriodicalId":90756,"journal":{"name":"Tropical medicine & surgery","volume":"2013 1","pages":"1-2"},"PeriodicalIF":0.0,"publicationDate":"2013-11-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70278608","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 : 2013-11-06DOI: 10.4172/2329-9088.1000154
Morteza Saeedi, A. Taghizadieh, A. Ala, P. Moharamzadeh, M. Zamani
Objective: To evaluate admission predictors in asthmatic patients who come to emergency department (ED) with asthma exacerbation. Background: Considering the increasing cases of asthmatic patients referring to ED we aimed to evaluate the factors effecting the prognosis and treatment to forecast the need for hospitalization or discharge. Material and methods: 103 asthmatic patients with acute exacerbation of asthma were enrolled in the study and went under treatment. Spirometry was done before and during treatment on the basis of GINA principles. Pulse oximetry, PImax, PEmax was done and documented at arrival and 30, 60, 120 minutes after arrival. Results: In admitted patients respiratory distress, intercostals retraction, function class (FC), pulse rate (PR), respiratory rate (RR), were significantly higher than discharged patients. Forced expiratory flow rate (FEV1%) (p<0.001), forced vital capacity (FVC) (p<0.001), FVC% (p<0.001), FEV1/FVC (p<0.001), peak expiratory flow rate (PEFR%) (p<0.001), saturation of peripheral oxygen SaO2 (p<0.001), maximal inspiratory pressure (PImax) (p<0.002) and maximal expiratory pressures (PEmax) (p<0.001) were significantly lower in admitted patients in comparison with discharged patients. Conclusion: In addition to FEV1 and PEF that have role in admission criteria, FEV1/FVC at arrival to ED and PEmax after an hour after treatment can also be used to forecast the need for admission.
{"title":"Evaluation of Predictors of Admission in Asthmatic Patients in Emergency Department","authors":"Morteza Saeedi, A. Taghizadieh, A. Ala, P. Moharamzadeh, M. Zamani","doi":"10.4172/2329-9088.1000154","DOIUrl":"https://doi.org/10.4172/2329-9088.1000154","url":null,"abstract":"Objective: To evaluate admission predictors in asthmatic patients who come to emergency department (ED) with asthma exacerbation. Background: Considering the increasing cases of asthmatic patients referring to ED we aimed to evaluate the factors effecting the prognosis and treatment to forecast the need for hospitalization or discharge. Material and methods: 103 asthmatic patients with acute exacerbation of asthma were enrolled in the study and went under treatment. Spirometry was done before and during treatment on the basis of GINA principles. Pulse oximetry, PImax, PEmax was done and documented at arrival and 30, 60, 120 minutes after arrival. Results: In admitted patients respiratory distress, intercostals retraction, function class (FC), pulse rate (PR), respiratory rate (RR), were significantly higher than discharged patients. Forced expiratory flow rate (FEV1%) (p<0.001), forced vital capacity (FVC) (p<0.001), FVC% (p<0.001), FEV1/FVC (p<0.001), peak expiratory flow rate (PEFR%) (p<0.001), saturation of peripheral oxygen SaO2 (p<0.001), maximal inspiratory pressure (PImax) (p<0.002) and maximal expiratory pressures (PEmax) (p<0.001) were significantly lower in admitted patients in comparison with discharged patients. Conclusion: In addition to FEV1 and PEF that have role in admission criteria, FEV1/FVC at arrival to ED and PEmax after an hour after treatment can also be used to forecast the need for admission.","PeriodicalId":90756,"journal":{"name":"Tropical medicine & surgery","volume":"1 1","pages":"1-5"},"PeriodicalIF":0.0,"publicationDate":"2013-11-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4172/2329-9088.1000154","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70277678","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 : 2013-10-27DOI: 10.4172/2329-9088.1000152
S. Mehra, S. Khurana, J. Cahill, J. Efird
Noncompaction of the left ventricular myocardium (LVNC) is a rare cardiomyopathy believed to be caused by intrauterine arrest of normal embryogenesis of the endocardium and myocardium. Noncompaction is characterized by presence of prominent trabeculae, deep intertrabecular recesses and thickening of the myocardium in two distinct layers: compacted and noncompacted. LVNC may or may not be associated with other congenital cardiac defects. Studies in heart failure patients of Afro-Caribbean (black) origin reveal a high prevalence (up to 30%) of myocardial trabeculations and the potential diagnosis of left ventricular noncompaction. It is unclear whether the myocardial morphology is representative of LVNC or whether it represents an ethnicity related epiphenomenon to increased cardiac preload. With increasing phenomenon of immigration from tropical countries to the United States, it is important to identify potential cardiovascular risks that can be attributed to ethnic background. Clinical presentation of LVNC may vary from an incidental finding on an echocardiogram with no symptoms to symptoms attributable to congestive heart failure, cardiac arrhythmias, and systemic thromboembolic phenomenon. Echocardiography is the initial modality of choice for diagnosis [1-5].
{"title":"Left Ventricular Noncompaction in a Patient of Afro-Caribbean Descent: A Call for Risk Assessment in Immigrants from Tropical Regions","authors":"S. Mehra, S. Khurana, J. Cahill, J. Efird","doi":"10.4172/2329-9088.1000152","DOIUrl":"https://doi.org/10.4172/2329-9088.1000152","url":null,"abstract":"Noncompaction of the left ventricular myocardium (LVNC) is a rare cardiomyopathy believed to be caused by intrauterine arrest of normal embryogenesis of the endocardium and myocardium. Noncompaction is characterized by presence of prominent trabeculae, deep intertrabecular recesses and thickening of the myocardium in two distinct layers: compacted and noncompacted. LVNC may or may not be associated with other congenital cardiac defects. Studies in heart failure patients of Afro-Caribbean (black) origin reveal a high prevalence (up to 30%) of myocardial trabeculations and the potential diagnosis of left ventricular noncompaction. It is unclear whether the myocardial morphology is representative of LVNC or whether it represents an ethnicity related epiphenomenon to increased cardiac preload. With increasing phenomenon of immigration from tropical countries to the United States, it is important to identify potential cardiovascular risks that can be attributed to ethnic background. Clinical presentation of LVNC may vary from an incidental finding on an echocardiogram with no symptoms to symptoms attributable to congestive heart failure, cardiac arrhythmias, and systemic thromboembolic phenomenon. Echocardiography is the initial modality of choice for diagnosis [1-5].","PeriodicalId":90756,"journal":{"name":"Tropical medicine & surgery","volume":"82 1","pages":"1-3"},"PeriodicalIF":0.0,"publicationDate":"2013-10-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4172/2329-9088.1000152","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70277631","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 : 2013-10-27DOI: 10.4172/2329-9088.1000153
M. Giangaspero
Bovine Viral Diarrhea virus species of the genus Pestivirus, important pathogens affecting zootechnics worldwide, have been reported as adventitious contaminants of biological products for veterinary and human use. The Bovine Viral Diarrhea virus 1 species showed potential for an emerging zoonosis. According to World Organization for Animal Health (Office International des Epizooties: OIE), Bovine Viral Diarrhea is a notifiable disease of importance to international trade. Recently, Bovine Viral Diarrhea virus 3 tentative species have been isolated from Brazil and Thailand. The virus has been diffused from South America to other countries probably through the commercialization of contaminated fetal bovine serum.
{"title":"Pestivirus Species Potential Adventitious Contaminants of Biological Products","authors":"M. Giangaspero","doi":"10.4172/2329-9088.1000153","DOIUrl":"https://doi.org/10.4172/2329-9088.1000153","url":null,"abstract":"Bovine Viral Diarrhea virus species of the genus Pestivirus, important pathogens affecting zootechnics worldwide, have been reported as adventitious contaminants of biological products for veterinary and human use. The Bovine Viral Diarrhea virus 1 species showed potential for an emerging zoonosis. According to World Organization for Animal Health (Office International des Epizooties: OIE), Bovine Viral Diarrhea is a notifiable disease of importance to international trade. Recently, Bovine Viral Diarrhea virus 3 tentative species have been isolated from Brazil and Thailand. The virus has been diffused from South America to other countries probably through the commercialization of contaminated fetal bovine serum.","PeriodicalId":90756,"journal":{"name":"Tropical medicine & surgery","volume":"1 1","pages":"1-4"},"PeriodicalIF":0.0,"publicationDate":"2013-10-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70277643","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 : 2013-10-20DOI: 10.4172/2329-9088.1000151
D. Hammond, S. Parmar
Resorbable materials have been used for many different procedures in cranio-maxillofacial surgery. However, they have had varying rates of success. The use of resorbable for oncological reconstruction is a relatively new area, compared with paediatric trauma and orthognathic surgery.
{"title":"A Review of the Use of Resorbable Plateing Systems in Cranio-Maxillofacial Surgery","authors":"D. Hammond, S. Parmar","doi":"10.4172/2329-9088.1000151","DOIUrl":"https://doi.org/10.4172/2329-9088.1000151","url":null,"abstract":"Resorbable materials have been used for many different procedures in cranio-maxillofacial surgery. However, they have had varying rates of success. The use of resorbable for oncological reconstruction is a relatively new area, compared with paediatric trauma and orthognathic surgery.","PeriodicalId":90756,"journal":{"name":"Tropical medicine & surgery","volume":"1 1","pages":"1-2"},"PeriodicalIF":0.0,"publicationDate":"2013-10-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4172/2329-9088.1000151","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70277596","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 : 2013-10-20DOI: 10.4172/2329-9088.1000150
V. An, P. Milano, J. Allegra, Kuruvilla Thomas
Objectives: To test our hypothesis that admissions for diarrheal illness to a southern Indian hospital would be highest in the month with the most rainfall. Methods: Design: Retrospective cohort. Setting: Community hospital in Chennai, southern India. Population: All pediatric patients (less than 16 years of age) admitted to the hospital from January 1, 2001 to December 31, 2004. Protocol: We selected diagnoses associated with acute diarrhea from all admitted pediatric patients, and used Chi square and the Student's t-tests to test for statistical significance, with alpha set at 0.05. Results: Of the 3,660 pediatric admissions, there were 740 admissions for diarrheal illness. Of those 740, the average age was 1.8 years and 47% were female. There was non-uniformity by month for diarrheal illness admissions using Chi square (p<0.001). The month with the greatest rainfall, November, had the highest admissions for diarrheal illness: 2.3 times more (95% CI 2.0-2.6, p<0.001) than the mean for the other 11 months. Conclusions: The number of pediatric admissions for diarrheal illness is highest in the rainiest month. We speculate that this may be due to contamination of the water supply and recommend that an educational program targeting parents be instituted before the rainy season.
目的:验证我们的假设,即在降雨最多的月份,印度南部医院的腹泻病入院率最高。方法:设计:回顾性队列。地点:印度南部金奈的社区医院。人群:2001年1月1日至2004年12月31日住院的所有儿科患者(16岁以下)。方案:我们从所有住院的儿科患者中选择与急性腹泻相关的诊断,并使用卡方检验和学生t检验来检验统计显著性,α集为0.05。结果:在3,660名儿科住院患者中,有740名因腹泻入院。在这740人中,平均年龄为1.8岁,其中47%是女性。使用卡方分析,腹泻疾病入院的月份不均匀性(p<0.001)。降雨量最大的月份,即11月,腹泻住院率最高:是其他11个月平均值的2.3倍(95% CI 2.0-2.6, p<0.001)。结论:多雨月份儿童腹泻住院人数最多。我们推测这可能是由于供水的污染,并建议在雨季之前制定针对家长的教育计划。
{"title":"Admissions for Pediatric Diarrheal Illness in a Southern Indian Hospital Peak during the Rainiest Month of the Year","authors":"V. An, P. Milano, J. Allegra, Kuruvilla Thomas","doi":"10.4172/2329-9088.1000150","DOIUrl":"https://doi.org/10.4172/2329-9088.1000150","url":null,"abstract":"Objectives: To test our hypothesis that admissions for diarrheal illness to a southern Indian hospital would be highest in the month with the most rainfall. Methods: Design: Retrospective cohort. Setting: Community hospital in Chennai, southern India. Population: All pediatric patients (less than 16 years of age) admitted to the hospital from January 1, 2001 to December 31, 2004. Protocol: We selected diagnoses associated with acute diarrhea from all admitted pediatric patients, and used Chi square and the Student's t-tests to test for statistical significance, with alpha set at 0.05. Results: Of the 3,660 pediatric admissions, there were 740 admissions for diarrheal illness. Of those 740, the average age was 1.8 years and 47% were female. There was non-uniformity by month for diarrheal illness admissions using Chi square (p<0.001). The month with the greatest rainfall, November, had the highest admissions for diarrheal illness: 2.3 times more (95% CI 2.0-2.6, p<0.001) than the mean for the other 11 months. Conclusions: The number of pediatric admissions for diarrheal illness is highest in the rainiest month. We speculate that this may be due to contamination of the water supply and recommend that an educational program targeting parents be instituted before the rainy season.","PeriodicalId":90756,"journal":{"name":"Tropical medicine & surgery","volume":"1 1","pages":"1-3"},"PeriodicalIF":0.0,"publicationDate":"2013-10-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4172/2329-9088.1000150","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70277583","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}