Patients Undergoing Bariatric Surgery: a Special Risk Group for Lifestyle, Emotional and Behavioral Adaptations During the COVID-19 Lockdown. Lessons from the First Wave

Untreated waste water usage in agriculture is an important health-threatening issue which could affect both workers' and the public's health. In this study we researched hepatitis E infection in 46 of 57 farmers who used untreated waste water in agriculture. We compared them with 45 persons of the same socio-economic status and age. Anti-HEV seropositivity was 34·8% in the workers and 4·4% in the control group. We suggest that this type of irrigation is an important potential risk for hepatitis E infection.

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MEDICAL TECHNOLOGIES AFFECTING INFECTION OF CHILDREN WITH BACTERIA OF THE GENUS KLEBSIELLA, PREVENTION OF INFECTION

Chronos Journal ◽

10.31618/2658-7556-2020-47-8-4 ◽

2020 ◽

Author(s):

S. Kuzmenko ◽

◽

E. Brusina ◽

◽

...

Keyword(s):

Risk Factors ◽

Preventive Measures ◽

Comparison Group ◽

Risk Group ◽

Risk Identification ◽

Medical Technologies ◽

Oxygen Inhalation ◽

Newborn Child ◽

Klebsiella Spp ◽

Special Risk

Relevance. The bacteria of the genus Klebsiella are among the leading pathogens of health care-related infections (HAI). Newborn children are a special risk group for HAI and Klebsiella etiology. It is necessary to look for new approaches to the prevention of HAI of Klebsiella etiology. Purpose. To identify medical technologies that have a high risk of nosocomial infection in children, to develop a risk-oriented methodology for the prevention of Klebsiella infections. Materials and methods. In order to identify possible risk factors, an analytical epidemiological study of the "case-control" type was performed. The observation group consisted of 52 people, the comparison group - 744 people. Results and discussion. Out of 18 studied risk factors for 9 (catheterization of peripheral and central veins, intravenous infusion, catheterization of the bladder, lumbar puncture, oxygen inhalation, hygienic treatment of the oral cavity, drinking regimen and the use of drugs by mouth), the effect on the frequency of infection of patients was not established. Effective 3 preventive measures are not possible without risk identification. To solve this problem, the Ishikawa diagram was applied. The medical technologies that determine the risk in this group of patients are the technologies of respiratory support and nutrition of the newborn baby. To a large extent, the risk of Klebsiella spp. depends on how widely antibiotics of the carbapenem group are used, which determine the colonization of the intestine of a newborn child by carbapenemase-producing Klebsiella. Conclusions. The chances of infection in children with Klebsiella pneumoniae are 3.07 times higher with antibiotics and depends on the group. 9 risk factors influencing the infection of children were identified. The risk-oriented approach to the prevention of HAI is based on identifying risk factors that contribute to infection and monitoring the properties of the hospital population of Klebsiella spp

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Covid-19 with chemoradiotherapy for esophageal cancer. Clinical case

Russian Journal of Oncology ◽

10.17816/1028-9984-2020-25-2-67-71 ◽

2020 ◽

Vol 25 (2) ◽

pp. 67-71

Author(s):

А. V. Sultanbaev ◽

S. I. Musin ◽

К. V. Menshikov ◽

А. А. Izmaylov

Keyword(s):

Computed Tomography ◽

Esophageal Cancer ◽

Clinical Case ◽

Risk Group ◽

Lung Damage ◽

Malignant Neoplasms ◽

Successful Recovery ◽

Group A ◽

Ct Data ◽

Special Risk

In a pandemic of a new coronovirus infection, patients with malignant neoplasms fall into a special risk group. A clinical case of COVID-19 infection in a patient receiving chemoradiotherapy is presented. The patient received chemoradiotherapy for esophageal cancer and was suspended due to the development of leukopenia. On the 2nd day after discharge from the hospital, the patient developed symptoms of SARS. According to computed tomography signs of viral pneumonia, according to PCR smear revealed RNA of coronavirus SARS (SARS-CoV-2). The patient underwent antiviral, anticoagulant, antibacterial therapy, hematopoietic stimulants, glucocorticosteroids, and immunosuppressant. Conducted CT control in dynamics. On day 14, an improvement was noted, normalization of body temperature, according to CT data on day 14, the volume of lung damage decreased from 45% to 10%, smears on RARS coronavirus RNA (SARS-CoV-2) on 5.10, 14 days after hospitalization were negative. On the 18th day, the patient was discharged with recovery under the supervision of a therapist and continued antitumor treatment. A clinical case demonstrates a successful recovery from COVID-19 against the background of chemoradiotherapy for esophageal cancer complicated by lymphopenia and leukopenia.

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