scholarly journals Low usage of government healthcare facilities for acute respiratory infections in guatemala: implications for influenza surveillance

2011 ◽  
Vol 11 (1) ◽  
Author(s):  
Kim A Lindblade ◽  
April J Johnson ◽  
Wences Arvelo ◽  
Xingyou Zhang ◽  
Hannah T Jordan ◽  
...  
2015 ◽  
Vol 14 (4) ◽  
pp. 36-40
Author(s):  
Z. Sh. Nurmatov

Introduction: Review of official reports for the last 10 years revealed that up to 5% of the country population suffers from acute respiratory infections (ARI) annually. The study aimed to research the actual incidence by analyzing the prevailing behaviors in populations with respiratory symptoms.Methods: The prospective behavioral study was conducted at the outpatient clinic No 1 in Bishkek, with the number of catchment population aged above 18 totaling 25,057. Selection of respondents was based on systematic sampling. Every hundredth resident was selected from the electronic database of the catchment population. 224 people above 18 were actually enrolled in the study. The survey continued from November 2012 to April 2013. Except for the first interview, all follow-up interviews were done over the phone. For the purposes of the study, individuals in the study group were considered cases if they exhibited symptoms of ARI, according to the WHO Regional Office for Europe guidance for sentinel influenza surveillance in humans (2011). The survey results data analysis was performed using the Epi Info statistical software.Results: From November 2012, to April 2013, 61.2% (224) of the observed population became ill. 46.7% were ill with ARI once, 40.1% – 2 – 3 times, 11.7% – 4 – 7 times, as a result 137 people got sick a total of 307 times (136,161 per 100,000 population), only 75 cases sought medical attention (24.6%). The incidence rates in the observed group of patients with ARI (75/305) who sought medical care per 100,000 population comprised 33,482.1. According to the routine surveillance in 2012 – 2013 epidemic season, there were 34,637 cases of ARI (3,826.9 per 100,000 population). In the fall, the incidence totaled 36.8%, in winter – 20.2% and in spring 29.1%. The incidence rates by age group, gender, and presence of children in the family did not have statistically significant differences. The most frequent symptoms were as follows: cough (64.6%), rhinitis (61.0%), headache (58.1%), and sore throat (50.1%).Conclusions: In the 2012 – 2013 epidemic season, the incidence of ARI in the observed population was 35.6 times higher than the registered incidence in Bishkek, which indicates the low rate of seeking care. 


2003 ◽  
Vol 7 (16) ◽  
Author(s):  
W J Paget ◽  
M Zambon ◽  
H Upphoff ◽  
A I M Bartelds

Influenza activity in the 22 networks (19 countries) that participate in the European Influenza Surveillance Scheme (EISS, http://www.eiss.org/) in the week ending 6 April 2003 (week 14/2003) was regional in Italy, local in nine networks and sporadic in eight networks (1). One network – Portugal – reported no influenza activity, indicating that the overall level of clinical activity was at baseline levels. Compared to week 13/2003, clinical morbidity rates declined in thirteen networks and remained stable in two (France and Slovenia).


Author(s):  
Prince K Parbie ◽  
Julius AA Mingle ◽  
Michael Ntiri ◽  
Michael Adjabeng ◽  
Kofi Bonney ◽  
...  

Background: Acute respiratory infections (ARI) remain a leading cause of morbidity, mortality, and economic loss globally. Until recently, human coronaviruses (HCoVs) have been mainly associated with mild respiratory tract infections. The 2003 outbreak of severe acute respiratory syndrome coronavirus (SARS-CoV) and cases of Middle East respiratory syndrome coronavirus (MERS-CoV), since 2012, illustrate the potential of coronaviruses to cause severe disease. Objective: This study investigated the presence of human coronaviruses in acute respiratory illness in Ghana. Methods: As part of routine influenza surveillance, nasopharyngeal and oropharyngeal (NP/OP) swabs obtained from 200 patients (100 hospital inpatients and 100 outpatients) with Influenza-like-illness from sentinel health facilities in Ghana from January 2013 to March 2014, were screened for the presence of HCoVs at the National Influenza Center using real-time reverse transcriptase polymerase chain reaction assays. Results: Human CoVs were detected in 7(3.5%) out of 200 cases investigated: HCo V HKU1 in 3 patient, HCo V 229E in 2 patients, HCo V OC43 in 1patient, and HCo V NL63 in 1 patient. No co-infection with HCoV types was detected. Out of 7 patients with HCoV infections, 6 were aged 5 yr. or greater.Also, HCoVs were detected more frequently in outpatients (5/100) than in hospitalized patients (2/100) with acute respiratory tract infections, though statistically insignificant (p>0.005). None of the respiratory specimens tested were positive for MERS-CoV, indicating the absence of MERS-CoV infection in Ghana between January 2013 and March 2014. Conclusion: This work provides an important reference point for coronavirus infections in humans in Ghana noting the current concern on the 2019 novel coronavirus.


2019 ◽  
Vol 11 (2) ◽  
pp. 79-86
Author(s):  
Cindy Ayustin Noya ◽  
Angkit Kinasih ◽  
Venti Agustina ◽  
R.Rr Maria Dyah Kurniasari

Infeksi saluran pernafasan akut atau yang sering disebut ISPA merupakan infeksi pada saluran pernafasan baik saluran pernafasan atas atau bawah.ISPA juga kebanyakan terjadi pada anak balita karena daya tahan tubuh mereka tidak kuat dalam menghadapi penyakit ISPA. ISPA mengakibatkan kematiansekitar15%-20% per tahun pada usia balita di Negara berkembang. Tujuan penelitian ini adalah untuk mengetahui dan menganalisa peran ibu dalam meningkatkan sistem imun anak dengan ISPA.Metode penelitian yang digunakan dalam penelitian ini adalah kualitatif deskriptif dengan sampel purposive sampling.Populasi dan sampel penelitian ini adalah ibu yang mempunyai anak dengan riwayat dan saat ini menderita penyakit ISPA di Batu Gajah Kota Ambon.Partisipan dalam penelitian ini berjumlah 5 orang. Hasil dari penelitian mendapati 4 kategori yaitu pemberian nutrisi pada anak untuk memenuhi kebutuhan agar sistem imunnya terjaga, kebersihan lingkungan, peran ibu dalam melakukan pencegahan pada anaknya yang mengalami ISPA, dan  peran ibu dalam menjaga dan mempertahankan kesehatan anaknya.   Kata kunci: peran ibu, sistem imun, ispa THE ROLE OF MOTHERS IN INCREASING IMMUNE SYSTEM OF CHILDREN WITH ACUTE RESPIRATORY INFECTION    ABSTRACT Acute respiratory infections or often called ARI is an infection of the upper or lower respiratory tract. ARI occurs mostly in children under the age of five because their endurance is not strong in dealing with ARI. ARI results in deaths of around 15%-20% per year at the age of under-five in developing countries. The purpose of this study was to determine and analyze the role of mothers in improving the immune system of children against ARI. The research method used in this study was qualitative descriptive with a purposive sampling sample. Respondents and samples of this study were five mothers who had children with a history of ARI and currently suffering from the disease in Batu Gajah, Ambon City. The results of the study found 4 categories, namely providing nutrition to children to meet their needs so that their immune systems are maintained, clean environment, mother's role in preventing children with ARI, and mother's role to preserve and maintain the health of their children. The findings indicated that in terms of coping or improving the immune system of a child to avoid ARI, it is necessary to have role the of mothers in providing nutrition so that the immune system is boosted, besides that the mother can prevent and protect her child from various diseases, especially ARI. Keywords: role of mothers, immune system, acute respiratory infections


2016 ◽  
Vol 77 (5) ◽  
pp. 34-39
Author(s):  
G.V. Beketova ◽  
◽  
O.V. Soldatova ◽  
R.Z. Gan ◽  
◽  
...  

Author(s):  
Olga L. Chugunova ◽  
◽  
Еlena V. Melekhina ◽  
Anna D. Muzyka ◽  
◽  
...  

В статье рассматриваются вопросы терапии острых респираторных заболеваний у детей на основании обсуждения современных особенностей этиологии, патогенеза, клинических проявлений. Изменение классической клинической картины течения острых респираторных инфекций в за-висимости от этиологии возбудителя, а также увеличивающаяся с каждым годом доля сочетанных инфекций диктует необходимость этиологиче-ской расшифровки случаев острых респираторных заболеваний у детей. Наиболее быстрым тестом (получение результата в течение нескольких часов), обладающим высокой чувствительностью и специфичностью, является обнаружение нуклеиновых кислот респираторных вирусов в мате-риале мазков из ротоглотки. Особенности взаимодействия герпесвирусов с клетками хозяина, длительное течение инфекционного процесса и изменение иммунологической реактивности вследствие этого определяют целесообразность назначения противовирусной терапии пациентам с клиническими проявлениями острых респираторных вирусных инфекций (ОРВИ) и активными формами герпесвирусных инфекций. На основании обследования более 1500 детей в возрасте от 1 года до 17 лет нами было показано, что до 90% инфицированы хотя бы одним герпесвирусом, наиболее часто встречающимся является вирус герпеса человека 6А/В. Указаны проблемные вопросы терапии ОРВИ, в том числе преобладание сочетанных инфекций, развитие вторичной иммунологической недостаточности и синдрома послевирусной астении. Результаты метаанализа, опубликованного в 2017 г., на основании 531 клинического исследования, продемонстрировали, что применение меглюмина акридонацетата в ка-честве профилактического и лечебного средства при острых респираторных заболеваниях, ОРВИ и гриппе у детей и взрослых более чем в 5 раз повышает шансы предотвратить развитие заболевания или перенести его в более легкой форме. Ключевые слова: ОРВИ, острые респираторные заболевания, герпесвирусные инфекции, меглюмина акридонацетат, дети. Для цитирования: Чугунова О.Л., Мелёхина Е.В., Музыка А.Д. Рациональный подход к выбору противовирусной терапии острых респираторных заболеваний у детей. Педиатрия. Consilium Medicum. 2020; 1: 52–57. DOI: 10.26442/26586630.2020.1.200082


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