Antimicrobial-associated anaphylaxis at a tertiary care medical city

Background.Controlling tuberculosis (TB) infection among occupationally exposed healthcare workers (HCWs) may be challenging.Methods.We retrospectively reviewed clinical records of HCWs who were exposed to patients diagnosed with infectious TB at King Abdulaziz Medical City, Riyadh, Saudi Arabia, between 2008 and 2010. The collected data included baseline tuberculin skin test (TST) status, potential predictors of TST positivity, postexposure diagnosis of latent TB infection (LTBI), and postexposure compliance with LTBI therapy.Results.Thirteen patients were diagnosed with infectious pulmonary TB during the study period. A total of 298 HCWs met our definition for exposure. Exposed HCWs tended to be female (62.9%), non-Saudi (83.9%), nurses (68.6%), or respiratory therapists (24.0%) working in critical care locations (72.8%). Baseline (preemployment) TST documentation existed for 41.3% (123/298). Among those with documented baseline TSTs, 51.2% (63/123) were positive, representing 21.1% (63/298) of all HCWs. Only 48.9% (115/235) of exposed HCWs who had negative or unknown preexposure TST status had their TST tested after exposure. Approximately 46.1% (53/115) of them were diagnosed with postexposure LTBI, and 92.5% (49/53) of them were prescribed LTBI therapy. Among those, 93.9% (46/49) started LTBI therapy; however, 82.6% (38/46) failed to complete the recommended course.Conclusions.We found low rates of baseline TST documentation and postexposure screening among exposed HCWs. Compliance with initiating postexposure isoniazid prophylaxis among HCWs was fair, but only a small fraction of those who started prophylaxis completed the recommended course of therapy. These findings suggest substantial opportunities to implement administrative measures to enhance LTBI management among HCWs.

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Local experience for managing oncology services during COVID-19 pandemic in a tertiary care hospital in Saudi Arabia

Global Journal of Medical Therapeutics ◽

10.46982/gjmt.2020.105 ◽

2020 ◽

Vol 2 (3) ◽

Author(s):

Nagwa Ibrahim ◽

Mohamed Almeziny ◽

Abdulaziz Alhamad ◽

Ashraf Farrag

Keyword(s):

Saudi Arabia ◽

Cancer Treatment ◽

Cancer Patients ◽

Active Treatment ◽

Tertiary Care Hospital ◽

Tertiary Care ◽

Care Hospital ◽

Risk Of Infection ◽

Local Experience ◽

Medical City

The COVID-19 pandemic led to several critical challenges that impacted the healthcare system worldwide. Many guidelines have been developed internationally and nationally aiming to minimize the risk of infection and its sequential complications. Cancer patients on active treatment are at higher risk to get infected either due to the disease itself or the cancer treatment and other comorbid diseases. In this manuscript we share our local experience while delivering oncology services during the COVID-19 pandemic at Prince Sultan Military Medical City in Riyadh, Saudi Arabia.

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Prevalence and intraoperative characteristics of Florid Xanthogranulomatous Cholecystitis mimic Gallbladder Cancer in a single tertiary care medical city in Saudi Arabia.

European Journal of Surgical Oncology ◽

10.1016/j.ejso.2019.11.297 ◽

2020 ◽

Vol 46 (2) ◽

pp. e117-e118

Author(s):

Maram Alawad

Keyword(s):

Saudi Arabia ◽

Gallbladder Cancer ◽

Tertiary Care ◽

Xanthogranulomatous Cholecystitis ◽

Medical City

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Prevalence and determinants of distress among oncology patients at a tertiary care medical city in Riyadh, Saudi Arabia

Saudi Medical Journal ◽

10.15537/smj.2021.42.7.20210121 ◽

2021 ◽

Vol 42 (7) ◽

pp. 761-768

Author(s):

Luluh Y. Alsughayer ◽

Lamees A. Altamimi ◽

Futoon S. Alsaleh ◽

Lamya Alsaghan ◽

Ibrahim Alfurayh ◽

...

Keyword(s):

Saudi Arabia ◽

Tertiary Care ◽

Oncology Patients ◽

Medical City

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Frequency of Anemia among Primary School Children Visiting the Paediatrics OPD of a Tertiary Care Hospital

10.53350/pjmhs211571650 ◽

2021 ◽

Vol 15 (7) ◽

pp. 1650-1652

Author(s):

Misbah Nargis ◽

Nosheen Iftikhar ◽

Shabir Ahmed ◽

Waheed Ahmad ◽

Mohammad Akram ◽

...

Keyword(s):

Standard Deviation ◽

Primary School ◽

School Children ◽

Tertiary Care Hospital ◽

Tertiary Care ◽

Hemoglobin Level ◽

Outpatient Department ◽

Primary School Children ◽

Care Hospital ◽

Medical City

Background: In young children, Anemia is a common public health issue which significantly contribute in childhood morbidity and mortality. Anemia is associated with growth retardation, impaired cognition, decreased physical activity and contributor as a high national infant mortality rate. Aim: To determine the frequency of anemia in school going children presenting to OPD of a tertiary care hospital. Methods: A Cross Sectional Study conducted at Paediatric outpatient department of Sharif Medical City Lahore from 15.02.2018 to 14.08.2018. About 150 primary school children presenting to the Paediatric outpatient department of Sharif medical city Lahore for minor acute ailments and fulfilling the inclusion criteria were approached and an informed consent was taken from their parents before enrolling in the study. Results: From 150 patients , it was observed that the minimum age was 5 years and maximum age was 11 years with mean and standard deviation of the age was 8.10 ± 1.89 years. The minimum hemoglobin level was found as 7.8 gm/dL and maximum hemoglobin level was 14 gm/dL with mean and standard deviation was 12.47±1.62 gm/dL. The minimum body mass index was found as 10 kg/m2 and maximum BMI was 20 kg/m2 with mean and standard deviation was 15.52 ± 2.91 kg/m2. Presence of anemia was found in 14% patients while anemia was not found in 86% children. Conclusion: Presence of anemia was found in 14% primary school children presenting to the outpatient department of a sharif medical city Lahore, tertiary care hospital. Effect modifiers showed significant association. Keywords: Anemia,Hemoglobin Level, Body Mass Index, Socioeconomic Status.

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Laparoscopic Management of Huge Ovarian Cysts

Obstetrics and Gynecology International ◽

10.1155/2013/380854 ◽

2013 ◽

Vol 2013 ◽

pp. 1-4 ◽

Cited By ~ 8

Author(s):

A. Alobaid ◽

A. Memon ◽

S. Alobaid ◽

L. Aldakhil

Keyword(s):

Care Center ◽

Tertiary Care ◽

Mucinous Cystadenoma ◽

Serous Cystadenoma ◽

Maximum Diameter ◽

Ovarian Cysts ◽

Laparoscopic Management ◽

Size Limitation ◽

Medical City ◽

Gynecologic Endoscopy

Objectives.Huge ovarian cysts are conventionally managed by laparotomy. We present 5 cases with huge ovarian cysts managed by laparoscopic endoscopic surgery without any complications.Materials and Methods.We describe five patients who had their surgeries conducted in a tertiary care center in Riyadh, Saudi Arabia (King Fahad Medical City).Results.Patients age ranged between 19 and 69 years. Tumor markers were normal for all patients. The maximum diameter of all cysts ranged between 18 and 42 cm as measured by ultrasound. The cysts were unilocular; in some patients, there were fine septations. All patients had open-entry laparoscopy. After evaluation of the cyst capsule, the cysts were drained under laparoscopic guidance, 1–12 liters were drained from the cysts (mean 5.2 L), and then laparoscopic oophorectomy was done. The final histopathology reports confirmed benign serous cystadenoma in four patients and one patient had a benign mucinous cystadenoma. There was minimal blood loss during surgeries and with no complications for all patients.Conclusion.There is still no consensus for the size limitation of ovarian cysts decided to be a contraindication for laparoscopic management. With advancing techniques, proper patients selection, and availability of experts in gynecologic endoscopy, it is possible to remove giant cyst by laparoscopy.

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Epidemiology of H1N1 (2009) Influenza among Healthcare Workers in a Tertiary Care Center in Saudi Arabia: A 6-Month Surveillance Study

Infection Control and Hospital Epidemiology ◽

10.1086/656241 ◽

2010 ◽

Vol 31 (10) ◽

pp. 1004-1010 ◽

Cited By ~ 14

Author(s):

Hanan H. Balkhy ◽

Aiman El-Saed ◽

Mahmoud Sallah

Keyword(s):

Saudi Arabia ◽

Healthcare Workers ◽

Care Center ◽

Tertiary Care ◽

H1n1 Influenza ◽

Surveillance Study ◽

Emerging Infections ◽

Medical City ◽

Few Data ◽

Second Wave

Background.Certain emerging infections, such as severe acute respiratory syndrome and avian influenza, represent a great risk to healthcare workers (HCWs). There are few data about the epidemiology of H1N1 influenza among HCWs.Methods.We conducted a prospective surveillance study for all HCWs at King Abdulaziz Medical City (Riyadh, Saudi Arabia) who were confirmed positive for H1N1 influenza by polymerase chain reaction (PCR) from June 1 through November 30, 2009.Results.During 6 months of surveillance, 526 HCWs were confirmed positive for H1N1 influenza. The distribution of these cases showed 2 clear outbreaks: an initial outbreak (peak at early August) and a shorter second wave (peak at end of October). Among all PCR-confirmed cases, the attack rate was significantly higher in clinical HCWs than in nonclinical HCWs (6.0% vs 4.3%; P < .001 ) and in HCWs in emergency departments than in HCWs in other hospital locations (17.4% vs 5.0%, P < .001). The percentage of HCWs who received regular influenza vaccination was greater for clinical HCWs than for nonclinical HCWs (46.2% vs 24.6%; P < .001). The majority of HCWs with confirmed H1N1 influenza were young (mean age ± standard deviation, 34.5 ± 9.5 years), not Saudi (58.4%), female (55.1%), and nurses (36.1%). Approximately 4% of women who were less than 50 years old were pregnant. Reported exposures included contact with a case (41.0%), contact with a sick household member (23.8%), and recent travel history (13.3%). Respiratory symptoms (98.0%), including cough (90.1%), were the most frequently reported symptoms, followed by muscle aches (66.2%), fever (62.5%), headache (57.9%), diarrhea (16.5%), and vomiting (9.8%). None of these HCWs died, and all recovered fully without hospital admission.Conclusions.The results confirm the vulnerability of HCWs, whether clinical or nonclinical, to emerging H1N1 influenza.

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