scholarly journals Working with Respiratory Illness: Presenteeism Among Healthcare Personnel at Tertiary-Care Hospitals in Bangladesh, 2008–2016

2021 ◽  
Vol 1 (S1) ◽  
pp. s76-s76
Author(s):  
Syeda Mah-E-Muneer ◽  
Md. Zakiul Hassan ◽  
Mejbah Uddin Bhuiyan ◽  
Kamal Hussain ◽  
Zubair Akhtar ◽  
...  
Keyword(s):  
Tertiary Care ◽  
Influenza Virus Infection ◽  
Respiratory Illness ◽  
Pathogen Transmission ◽  
Public Hospitals ◽  
Self Report ◽  
Healthcare Personnel ◽  
Respiratory Illnesses ◽  
Epidemic Period

Background: Healthcare personnel (HCP) in crowded and resource-poor countries (eg Bangladesh), might be at risk of exposure to and transmission of respiratory illnesses to coworkers, patients, and caregivers. The infection control practices in public hospitals are inadequate in Bangladesh. We estimated the incidence of respiratory illness episodes among HCP, and proportion of HCP who worked during respiratory illnesses, including influenza virus infection, at 2 tertiary-care public hospitals in Bangladesh. Methods: From May 2008 to February 2016, HCP (defined as physicians, nurses, interns, patient care assistant, cleaners, and administrative staff working in adult and pediatric medicine wards) were asked to self-report to study physicians when they experienced new onset of cough, rhinorrhea, difficulty breathing, or fever during the April–September influenza epidemic period each year. Study physicians followed HCP throughout their respiratory illness episodes and recorded respiratory symptoms, onset dates, duration of illness, and days of presenteeism and absenteeism during illness. Nasopharyngeal and oropharyngeal swabs were collected after informed written consent and were tested for influenza by rRT-PCR. We used hospital records to enumerate total HCP working in the study wards during influenza season and multiplied by 6-months follow-up per year to calculate person-time contribution for estimating respiratory illness incidence. Results: HCP self-reported 107 episodes of respiratory illness during 656 person years of follow-up, for an estimated incidence of 16.3 per 100 person years (95% CI, 13–20). Of 107 episodes, 33 (31%) included fever and cough. The mean illness length was 3.9 days (SD, ±1.8). HCP worked an average of 3.4 days (SD, ±1.4) while ill. HCP missed work for a median of 1 day (IQR, 1–2) during 29 (27%) of 107 illness episodes. HCP consented to collect swabs during 56 (52%) episodes, and among them 8 (14%) of 56 tested positive for influenza (flu-A, n = 5; flu-B, n = 3). Also, 63% of HCP with influenza reported fever and cough. HCP experiencing either respiratory illness or influenza worked for similar periods of days while ill: mean, 4 (SD, ±2.2) versus mean, 3.3 (SD, ±1.4) (P = .257). HCP worked during 105 (98%) of 107 respiratory illness and 7 (88%) of 8 influenza episodes. Conclusions: Most HCP in Bangladesh, including those with influenza, worked during respiratory illnesses. The potential value of stay-at-home policies, compensation for sick days, and influenza vaccination in reducing HCP-associated respiratory pathogen transmission could be assessed in Bangladesh and similar settings.Funding: NoDisclosures: None

Assessing the need for a nurse-led breast cancer telephone follow-up clinic in Alberta, Canada.

2013 ◽  
Vol 31 (26_suppl) ◽  
pp. 111-111
Author(s):  
Sasha M. Lupichuk ◽  
Cindy Railton ◽  
Jenny J. Ko ◽  
Jennifer McCormick ◽  
Lihong Zhong ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Endocrine Therapy ◽  
Telephone Interview ◽  
Tertiary Care ◽  
Unmet Need ◽  
Self Report ◽  
Specialist Care ◽  
Cross Sectional ◽  
Perceived Need

111 Background: Routine follow-up of breast cancer (BC) patients is largely transferred to primary care due to limited tertiary care resources and evidence supporting the acceptability and safety of this approach. It is unknown how BC survivors are faring in the community with treatment and surveillance goals, and if there is an unmet need for access to specialist care. Objectives of this cross-sectional study of BC survivors were to examine: concordance with endocrine therapy and follow-up recommendations; perceived need for help with achieving these recommendations; and, perceived need for a telephone follow-up clinic. Methods: Eligible participants were women with stage I-III BC diagnosed June 2006-September 2009 who had been seen in consultation at a tertiary cancer centre (TCC) in Alberta, Canada. 960 potentially eligible women were invited to participate via mail-out from the Alberta Cancer Registry. Consenting participants completed a structured telephone interview. Further patient, disease, endocrine therapy and surveillance data were obtained from the electronic chart and pharmacy databases. Results: 240 participants completed the telephone interview. 68.8% had been discharged from a TCC. 87.1% reported having had a clinical breast examination, and 97.1% with remaining breast tissue reported having had a surveillance mammogram within the past year. Concordance with endocrine therapy varied between pharmacy dispensing records (95.4%) versus self-report (82.0%). Top participant-identified gaps in post-treatment services were: side effect management, achieving body weight and physical activity goals, psychosocial health, and sexual health. 71.7% of participants reported that they would have used a telephone follow-up clinic. Factors associated with telephone follow-up clinic use included younger age, no endocrine therapy, fatigue, and non-urban residence. Conclusions: Concordance with measurable follow-up goals (exam, mammography, endocrine therapy) was better than expected. Despite this, interest in a nurse-led BC telephone follow-up clinic was high. Perceived needs included management of symptoms plus support for life-style behavior change.

scholarly journals Correlates of Post-Partum Intra-Uterine Copper-T Devices (PPIUCD) Acceptability and Retention: An Observational Study from North India.

2021 ◽  
Author(s):  
Sneha Gupta ◽  
Romi Bansal ◽  
Harbhajan Kaur Shergill ◽  
Pradeep Sharma ◽  
Priyanka Garg
Keyword(s):  
Observational Study ◽  
Urban Areas ◽  
Post Partum ◽  
Low Cost ◽  
Tertiary Care ◽  
Abnormal Uterine Bleeding ◽  
North India ◽  
Healthcare Personnel ◽  
Expulsion Rate

Abstract Background: Immediate postpartum period is the most appropriate time for introducing contraception as women are more pliable and highly motivated to adopt family planning methods. We assessed the safety and efficacy of post placental IUCD insertion (Cu- T 380A) immediately after delivery of placenta in women undergoing expected vaginal delivery or caesarean section and its compliance.Material and method: This prospective observational study was conducted for a period of (exact period of study) at a tertiary care institute in North India. Patients delivering at our hospital were recruited in the study as per inclusion and exclusion criteria after taking informed consent.Results: A total of 300 women were counselled over one year. Of these, 60% of women accepted PPIUCD. The majority of the PPIUCD acceptors were primigravida (61.7%), educated (86.1%), belonging to urban areas (61.7%), between 25 to 30 years (40.6%). The Follow-up rate was 93%, 90% and 81% at six weeks, three months, and six months, while the continuation rate at six months was 80%. The most common complication during follow-up were abnormal uterine bleeding, infection and missing threads. There was no case of perforation or failure of PPIUCD. The expulsion rate was 5%, and 14% of women had removal of PPIUCD.Conclusion: PPIUCD is a safe, highly effective, low cost, long-acting and feasible method of contraception. Skill enhancement of healthcare personnel for insertion techniques, adequate antenatal counselling, and advocacy of PPIUCD can help increase the acceptability of PPIUCD.

scholarly journals Non-SARS Non-MERS Human Coronaviruses: Clinical Characteristics and Outcome

Pathogens ◽  
2021 ◽  
Vol 10 (12) ◽  
pp. 1549
Author(s):  
Israa Saib ◽  
Saud Aleisa ◽  
Husam Ardah ◽  
Ebrahim Mahmoud ◽  
Ahmad O. Alharbi ◽  
...  
Keyword(s):  
Respiratory Infections ◽  
Care Center ◽  
Tertiary Care ◽  
Respiratory Illness ◽  
Study Cohort ◽  
Invasive Ventilation ◽  
Respiratory Illnesses ◽  
Co Detection ◽  
The Common ◽  
Human Coronaviruses

Human coronaviruses (HCoVs) have become evident sources of human respiratory infections with new emerging HCoVs as a significant cause of morbidity and mortality. The common four coronaviruses (229E, HKU1, NL63, and OC43) are known to cause respiratory illness in humans, but their clinical impact is poorly described in the literature. We analyzed the data of all patients who tested positive for at least one of the four HCoVs from October 2015 to January 2020 in a tertiary care center. HCoVs were detected in 1062 specimens, with an incidence rate of 1.01%, out of all documented respiratory illnesses. Detection of these viruses was reported sporadically throughout the years, with a peak of occurrence during winter seasons. OC43 had the highest incidence (53.7%), followed by NL63 (21.9%), HKU1 (12.6%), and 229E (11.8%). Most of these infections were community-acquired, with symptoms of both upper and lower respiratory tract. Co-detection with other viruses were observed, mostly with rhinovirus. 229E was the most frequent (26.4%) HCoV in patients requiring intensive care, while NL63 and 229E were the most common in patients requiring invasive ventilation. The highest 30-day mortality rate was observed in patients infected with 229E (6.4%). HCoVs are common circulating pathogens that have been present for decades, with 229E being the most virulent in this study cohort.

scholarly journals Detection of Influenza Virus Infection Using Two PCR Methods

2014 ◽  
Vol 2014 ◽  
pp. 1-3 ◽  
Author(s):  
Richard K. Zimmerman ◽  
Charles R. Rinaldo ◽  
Mary Patricia Nowalk ◽  
G. K. Balasubramani ◽  
Mark G. Thompson ◽  
...  
Keyword(s):  
Influenza A ◽  
Influenza Virus Infection ◽  
Cost Effective ◽  
Respiratory Illness ◽  
Influenza B ◽  
Chi Square ◽  
Respiratory Illnesses ◽  
Comparable Method ◽  
Pcr Method ◽  
Tract Infections

Rapid, accurate, and cost-effective methods to identify the cause of respiratory tract infections are needed to maximize clinical benefit. Outpatients with acute respiratory illness were tested for influenza using a singleplex reverse transcriptase polymerase chain reaction (SRT-PCR) method. A multiplex RT-PCR (MRT-PCR) method tested for influenza and 17 other viruses and was compared with SRT-PCR using chi-square tests. Among 935 patients, 335 (36%) tested positive for influenza A and influenza B using SRT-PCR. Using MRT-PCR, 320 (34.2%) tested positive for influenza A and influenza B. This study supports MRT-PCR as a comparable method for detecting influenza among patients seeking outpatient care for acute respiratory illnesses.

scholarly journals Respiratory Viral Testing and Influenza Antiviral Prescriptions During Hospitalization for Acute Respiratory Illnesses

2016 ◽  
Vol 3 (1) ◽  
Author(s):  
Melissa A. Rolfes ◽  
Kimberly M. Yousey-Hindes ◽  
James I. Meek ◽  
Alicia M. Fry ◽  
Sandra S. Chaves
Keyword(s):  
Rate Ratio ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Respiratory Illness ◽  
Care Hospital ◽  
Acute Respiratory Illness ◽  
Respiratory Illnesses ◽  
Testing Rate ◽  
Viral Testing

Abstract We examined respiratory viral testing and influenza antiviral prescriptions at a US tertiary care hospital. During the 2010–11 to 2012–13 influenza seasons, antiviral prescriptions among acute respiratory illness (ARI) hospitalizations were associated with viral testing (rate ratio = 15.0), and empiric prescriptions were rare (<1% of ARI hospitalizations).

scholarly journals Social Disadvantage, Access to Care, and Disparities in Physical Functioning Among Children Hospitalized with Respiratory Illness

2020 ◽  
pp. 211-218
Author(s):  
Arti D Desai ◽  
Chuan Zhou ◽  
Wren Haaland ◽  
Jakobi Johnson ◽  
K Casey Lion ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Access To Care ◽  
Low Income ◽  
Physical Functioning ◽  
Tertiary Care ◽  
Respiratory Illness ◽  
Social Disadvantage ◽  
Sensitivity Analyses

BACKGROUND AND OBJECTIVES: Understanding disparities in child health-related quality of life (HRQoL) may reveal opportunities for targeted improvement. This study examined associations between social disadvantage, access to care, and child physical functioning before and after hospitalization for acute respiratory illness. METHODS: From July 1, 2014, to June 30, 2016, children ages 8-16 years and/or caregivers of children 2 weeks to 16 years admitted to five tertiary care children’s hospitals for three common respiratory illnesses completed a survey on admission and within 2 to 8 weeks after discharge. Survey items assessed social disadvantage (minority race/ethnicity, limited English proficiency, low education, and low income), difficulty/delays accessing care, and baseline and follow-up HRQoL physical functioning using the Pediatric Quality of Life Inventory (PedsQL, range 0-100). We examined associations between these three variables at baseline and follow-up using multivariable, mixed-effects linear regression models with multiple imputation sensitivity analyses for missing data. RESULTS: A total of 1,325 patients and/or their caregivers completed both PedsQL assessments. Adjusted mean baseline PedsQL scores were significantly lower for patients with social disadvantage markers, compared with those of patients with none (78.7 for >3 markers versus 85.5 for no markers, difference −6.1 points (95% CI: −8.7, −3.5). The number of social disadvantage markers was not associated with mean follow-up PedsQL scores. Difficulty/delays accessing care were associated with lower PedsQL scores at both time points, but it was not a significant effect modifier between social disadvantage and PedsQL scores. CONCLUSIONS: Having social disadvantage markers or difficulty/delays accessing care was associated with lower baseline physical functioning; however, differences were reduced after hospital discharge.

scholarly journals OUTCOMES OF SURGICAL MANAGEMENT OF FRACTURE PENIS: EXPERIENCE FROM A TERTIARY CARE HOSPITAL IN BANGLADESH

2019 ◽  
Vol 5 (4) ◽  
pp. 122-130
Author(s):  
Md. Selim Morshed ◽  
AKM Musa Bhuyian ◽  
Mohammad Saruar Alam ◽  
Md. Towhid Belal ◽  
Sayem Hossain ◽  
...  
Keyword(s):  
Erectile Dysfunction ◽  
Erectile Function ◽  
Surgical Repair ◽  
Tunica Albuginea ◽  
Tertiary Care ◽  
Self Report ◽  
Care Hospital ◽  
Penile Fracture ◽  
Uncommon Presentation

Background: Penile fracture is an emergency and uncommon presentation to the urology department. Immediate surgical repair can be a standard of care for patients with penile fracture. Objective: The study was conducted to evaluate the outcome of surgical repair of the fractured penis.Methods: This quasi-experimental study was conducted from Jan 2017 to Dec 2018 in the urology department of Dhaka Medical College Hospital, Bangladesh. Thirty-five patients with fractures of the penis were included in this study. After proper evaluation, surgery was performed under spinal anesthesia. Follow up was scheduled at 6th week, 3rd month, and 6th month. We used validated questionnaires of the ‘International index of erectile function (IIEF-5)’ for married and ‘Single question self-report (SQSR)’ for unmarried patients to evaluate postoperative erectile function.Results: Total 35 patients completed three follow up. The mean age of patients was 36.4 years, and 88% of them were married. The most common triggers were for vigorous sexual intercourse (68.5%) followed by history of rolling over in bed with erect penis (20.0%). Per-operative findings were: rupture of tunica albuginea (100%); rupture of corpora cavernosa on the right (65.7%). After 6th month, 28 patients (80%) were able to maintain their normal erectile function. However, seven patients developed erectile dysfunction, of which 4 had a mild form, and 3 had mild to moderate form erectile dysfunction. All patients complained of pain during or after intercourse, but the pain has gradually subsided with time.Conclusion: Immediate surgical exploration and repair of fracture penis can offer complete recovery of sexual and voiding functions.

Impact of New York State Influenza Mandate on Influenza-Like Illness, Acute Respiratory Illness, and Confirmed Influenza in Healthcare Personnel

2017 ◽  
Vol 38 (11) ◽  
pp. 1361-1363 ◽  
Author(s):  
Rachel A. Batabyal ◽  
Juyan J. Zhou ◽  
Joy D. Howell ◽  
Luis Alba ◽  
Helen H. Lee ◽  
...  
Keyword(s):  
New York ◽  
Influenza Season ◽  
New York State ◽  
Health And Safety ◽  
Respiratory Illness ◽  
Healthcare Personnel ◽  
Acute Respiratory Illness ◽  
Respiratory Illnesses ◽  
York State ◽  
Influenza Like Illness

In 2013, New York State mandated that, during influenza season, unvaccinated healthcare personnel (HCP) wear a surgical mask in areas where patients are typically present. We found that this mandate was associated with increased HCP vaccination and decreased HCP visits to the hospital Workforce Health and Safety Department with respiratory illnesses and laboratory-confirmed influenza.Infect Control Hosp Epidemiol 2017;38:1361–1363

Infection Prevention Promotion Program Based on the PRECEDE Model: Improving Hand Hygiene Behaviors among Healthcare Personnel

2012 ◽  
Vol 33 (2) ◽  
pp. 144-151 ◽  
Author(s):  
Hanan Aboumatar ◽  
Polly Ristaino ◽  
Richard O. Davis ◽  
Carol B. Thompson ◽  
Lisa Maragakis ◽  
...  
Keyword(s):  
Hand Hygiene ◽  
Program Implementation ◽  
Hand Hygiene Compliance ◽  
Infection Prevention ◽  
Tertiary Care ◽  
Healthcare Personnel ◽  
Promotion Program ◽  
Hygiene Practices ◽  
Hygiene Compliance

Background.Healthcare-associated infections (HAIs) result in significant morbidity and mortality. Hand hygiene remains a cornerstone intervention for preventing HAIs. Unfortunately, adherence to hand hygiene guidelines among healthcare personnel is poor.Objective.To assess short- and long-term effects of an infection prevention promotion program on healthcare personnel hand hygiene behaviors.Design.Time series design.SettingOur study was conducted at a tertiary care academic center.Participants.Hospital healthcare personnel.Methods.We developed a multimodal program that included a multimedia communications campaign, education, leadership engagement, environment modification, team performance measurement, and feedback. Healthcare personnel hand hygiene practices were measured via direct observations over a 3-year period by “undercover” observers.Results.Overall hand hygiene compliance increased by 2-fold after full program implementation (P<.001), and this increase was sustained over a 20-month follow-up period (P< .001). The odds for compliance with hand hygiene increased by 3.8-fold in the 6 months after full program implementation (95% confidence interval, 3.53–4.23; P< .001), and this increase was sustained. There was even a modest increase at 20 months of follow up. Hand hygiene compliance increased among all disciplines and hospital units. Hand hygiene compliance increased from 35% in the first 6 months after program initiation to 77% in the last 6 months of the study period among nursing providers (P<.001), from 38% to 62% among medical providers (P<.001), and from 27% to 75% among environmental services staff (P<.001).Conclusions.Implementation of the infection prevention promotion program was associated with a significant and sustained increase in hand hygiene practices among healthcare personnel of various disciplines.Infect Control Hosp Epidemiol 2012;33(2):144-151

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