A retrospective case study of laryngeal edema causing airway obstruction immediately post COVID-19 vaccination

Background: Laryngeal edema is defined as abnormal accumulation of fluid and swelling in the tissues of the larynx commonly associated with laryngeal injuries and allergic causes. The objective of this study is for the prompt recognition and management of laryngeal edema caused by an anaphylaxis reaction after receiving the COVID-19 vaccination from Pfizer-BioNTech, which is extremely important in view of its high morbidity and mortality rate.Methods: A retrospective case reviews was conducted for all health care workers in Sabah who were administered COVID-19 vaccination from Pfizer-BioNTech from February 2021-April 2021.Results: The mean age of study population in present study was found to be 33 years. Total of 42 patients were admitted during the period of 6 weeks out of 5000 health care workers who were vaccinated. Females constituted 64.3% of the study population while males constituted 35.7%. The clinical signs of laryngeal edema were dysphagia; the sensation of a lump in the throat; a feeling of tightness in the throat; voice changes, including hoarseness and roughness; and dyspnea within the period of 3 to 5 minutes post Pfizer COVID-19 vaccination. All patients received appropriate management using standard guidelines.Conclusions: The administration of the COVID-19 vaccination from Pfizer-BioNTech is life-threatening, however, its identification may aid in prompt emergency management in the future. Referral to an otorhinolaryngologist is necessary for patients who experience immediate or severe reactions.

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The management of Elephant's Ear poisoning

Human & Experimental Toxicology ◽

10.1191/096032701678766822 ◽

2001 ◽

Vol 20 (4) ◽

pp. 189-192 ◽

Cited By ~ 10

Author(s):

D Tagwireyi ◽

D E Ball

Keyword(s):

Health Care ◽

Developing Countries ◽

Health Care Workers ◽

Case Series ◽

Developed Countries ◽

Limited Resources ◽

Retrospective Case ◽

Inappropriate Use ◽

Care Workers ◽

Symptomatic Plant

The Araceae family of plants is the major cause of symptomatic plant ingestions in some developed countries (Dieffenbachia and Philodendron) and in Zimbabwe (Elephant's Ear), especially in children. A retrospective case series was carried out to evaluate the management of poisoning due to Elephant's Ear at the largest referral hospital in Zimbabwe for the period January 1995-December 1999. The study revealed inappropriate use of antibiotics, atropine, and antihistamines in the treatment of Elephant's Ear poisoning. This article also reviews the management of poisoning due to the Araceae family of plants as exemplified by Elephant's Ear. There is a need to educate health care workers on the clinical management of Elephant's Ear poisoning especially in developing countries where there are limited resources.

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Seroprevalence of SARS-CoV-2 (COVID-19) among Health Care Workers in Three Health Facilities of Yaounde, Center Region of Cameroon

European Journal of Medical and Health Sciences ◽

10.24018/ejmed.2021.3.6.1109 ◽

2021 ◽

Vol 3 (6) ◽

pp. 89-94

Author(s):

Philippe Salomon Nguwoh ◽

Akenji Blaise Mboringong ◽

Joseph Fokam ◽

Christian Ngounouh Taheu ◽

Ibrahima Halilou ◽

...

Keyword(s):

Health Care ◽

Health Care Workers ◽

Clinical Signs ◽

Rapid Test ◽

Cross Sectional Study ◽

Health Facilities ◽

Cross Sectional ◽

Face To Face ◽

Care Workers ◽

History Of

Introduction: Coronavirus Disease 2019 (COVID-19) caused by Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) first appeared in December 2019 in Wuhan, China and has subsequently become a worldwide pandemic. During the pandemic, health care workers (HCWs) were very exposed to COVID-19 infected patients. The aim of this study was to determine seroprevalence of SARS-CoV-2 (COVID-19) among HCWs in three health facilities of Yaounde. Methods: A cross-sectional study involving 368 HCWs was conducted from January 18th to February 13th, 2021, in three health facilities located in city of Yaounde. Data of study participants were collected by face-to-face interviews using standard questionnaire. Blood samples were collected in labelled dry tubes and analyzed using Rapid Diagnostic Test (RDT) cassettes (Abbott PanbioTMCOVID-19 IgG/IgM Rapid Test Device). The data collected was analyzed using Epi info version 7. Any value of p <0.05 was considered statistically significant. Results: The average age was 30.25 (SD±10.43) years old, range from 21 to 72 years old. Overall, the positivity rates of IgM, IgG and IgM+IgG were 6.79% (n=25), 17.93% (n=66) and 1.09% (n=4) respectively. Multivariate analysis showed that, the rate of IgM positivity was highest in laboratory personnel (χ2= 7.99, p=0.3) and IgG (χ2= 8.50, p=0.29), IgM+IgG (χ2= 1.92, p=0.26) respectively in pharmacy and clinical personnel. The clinical signs such as fever (˃38°C) or history of fever was statistically significant with IgM (χ2=11.71, p= 0.0006) while, sore throat was statistically significant associated with IgM (χ2= 14.3, p= 0.0008) and IgG (χ2= 6.33, p= 0.04). Conclusion: The results of this study reveal a high seroprevalence of circulation of the virus in hospital milieu in Yaounde suggesting the continuation of the COVID-19 « Track-Test-Treat » system to break the chain of transmission.

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Hand Hygiene Habits and Prevalence of Hand Eczema During the COVID-19 Pandemic

Journal of Primary Care & Community Health ◽

10.1177/21501327211018013 ◽

2021 ◽

Vol 12 ◽

pp. 215013272110180

Author(s):

Leelawadee Techasatian ◽

Wilairat Thaowandee ◽

Jitjira Chaiyarit ◽

Rattapon Uppala ◽

Phanthila Sitthikarnkha ◽

...

Keyword(s):

Risk Factors ◽

Health Care ◽

Atopic Dermatitis ◽

Hand Hygiene ◽

Health Care Workers ◽

Hand Eczema ◽

Care Workers ◽

Cross Transmission ◽

History Of ◽

Study Population

Purpose: This study aimed to explore the prevalence of and possible risk factors for hand eczema with respect to the dissemination of information about new hand hygiene habits to protect against ongoing COVID-19 cross-transmission. The authors conducted a survey among health care workers (HCWs) and non-HCW populations in Khon Kaen, Thailand. Results: A total of 805 participants participated. The prevalence of hand eczema in the study population was 20.87%. There were several risk factors, including working as a HCW, having a history of previous hand eczema, having underlying atopic dermatitis, wearing gloves in everyday life, and washing hands frequently (more than 10 times/day). Hand hygiene with alcohol-based products was shown to be a risk factor for hand eczema, (OR (95% CI) 1.86 (1.03-3.35), P = .04). Conclusion: In terms of hand eczema prevention, we suggest that the use of alcohol-based products should be discontinued if other handwashing methods are available. The following factors increase the risk of hand eczema: being a HCW, having previous hand eczema, and having underlying atopic dermatitis. Proper strategies in terms of hand eczema prevention should be addressed, especially in this group, since we need to continue performing hand hygiene during the ongoing COVID-19 pandemic.

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Poor knowledge of COVID-19 and unfavourable perception of the response to the pandemic by healthcare workers at the Bafoussam Regional Hospital (West Region - Cameroon)

10.1101/2020.08.20.20178970 ◽

2020 ◽

Author(s):

JOVANNY TSUALA FOUOGUE ◽

MICHEL NOUBOM ◽

BRUNO KENFACK ◽

NORBERT TANKE DONGMO ◽

MAXIME TABEU ◽

...

Keyword(s):

Health Care ◽

Health Care Workers ◽

Work Experience ◽

Vaccine Trial ◽

Clinical Signs ◽

Regional Hospital ◽

World Health ◽

Herbal Remedies ◽

Care Workers

Background The World Health Organization has warned against a dramatic impact of COVID'19 in subSaharan Africa unless adequate response strategies are implemented. Whatever the strategy, the role of health care workers is pivotal. We undertook this study to assess knowledge of COVID'19 and perception of the response to the pandemic among the staff of a regional hospital in charge of COVID'19 patients in West Cameroon. Methods We used a convenience non probabilistic sampling method to carry out a survey with a self administered questionnaire from April 14, 2020 to April 29, 2020 at the Bafoussam Regional Hospital (BRH). All the staff was invited to participate. Statistical analyses were done using Microsoft Excel 2010 and Epi Info version 7.1.5.2 software. Results Response rate was 76.1% (464/610). Mean age (SD) and average work experience (SD) were 35.0 (8.9) and 8.4 (7.4) years respectively. Sex ratio (M/F) was 101/356. Nursing and midwifery staff (56.8%) and in patients units (49.94%) were predominant. Knowledge on origin and transmission of SARS'CoV'2 was poor but knowledge of clinical signs and the role of laboratory tests were good. 53.2% of respondents said all therapeutic regimens are only supportive and only a third of them trusted drugs recommended by health authorities. For 36.9% of respondents, herbal remedies can prevent/cure COVID'19. 70% of staffs felt they were not knowledgeable enough to handle COVID'19 cases. 85.6% of respondents thought the BRH had insufficient resources to adequately respond to COVID'19 and 55.6% were dissatisfied with its response to the pandemic (weaknesses: medicines/technologies (74.5%), service delivery (28.1%), human resource (10.9%)). 68% of staff felt insufficiently protected on duty and 76.5% reported that the pandemic significantly reduced non-COVID-19 services. 85.5% said they complied with preventive measures while in the community. For 44% of respondents Cameroonian regulations on COVID'19 corpses should be made more culture sensitive. 51.2% of respondents were against vaccine trial in their community. Conclusion Knowledge of COVID'19 was poor and perception of the response to the pandemic was unfavorable. Key words Health care workers ; Bafoussam ; Knowledge ; Perception ; COVID'19

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Conditional Probabilities of HBV markers among Health Care Workers in Public Hospitals in White Nile State, Sudan; 2013

Global Journal of Health Science ◽

10.5539/gjhs.v9n5p10 ◽

2016 ◽

Vol 9 (5) ◽

pp. 10

Author(s):

Taha Ahmed Elmukashfi ◽

Siham Ahmed Balla ◽

Abdelgadir Ali Bashir ◽

Asma Abdelaal Abdalla ◽

Mawahib Ahmed Abu Elgasim ◽

...

Keyword(s):

Health Care ◽

Conditional Probability ◽

Health Care Workers ◽

Public Hospitals ◽

Conditional Probabilities ◽

Blood Samples ◽

Hbv Markers ◽

Care Workers ◽

Study Population ◽

White Nile

BACKGROUND: Health-care workers are having highest probability of being infected with HBV.OBJECTIVE: To determine conditional probability of sero-prevalence of hepatitis B virus markers among health care workers in White Nile State, Sudan.METHODS: A cross sectional study design with analytical approach was used. Three hundred eighty five health care workers were selected randomly. An interview was carried using a pre-tested questionnaire and five ml venous blood samples were consented. Blood samples were tested for Anti-HB core total, HBsAg and HBeAg. Conditional probabilities of being a carrier and highly infective were calculated regarding departments, occupation of HCWs, marital status and working duration in hospital.RESULTS: Out of the total study population, 230 (59.7%) were positive for anti-HB core total. Out of 230 HCWs, 62 (27.1%) were positive for HBsAg. Out of 62 HCWs, 29 (46.8%) were positive for HBeAg. In overall, 16% of study population was carriers and 7.5% were highly infective. HCWs in surgical and Obstetrics & gynaecology had 0.50 conditional probability of being carriers and highly infective. Laboratory technicians had 0.64 conditional probability of being carriers and highly infective. HCWs with working duration in hospitals up to 5 years had 0.63 probability of being carriers and highly infective.CONCLUSION: Prevalence and conditional probabilities of HBV markers among health care worker in White Nile State were high. HCWs in Surgical and Obstetrics & gynaecology, Laboratory technicians and HCWs with working duration up to 5 years are carriers and highly infective. Periodical screening and vaccination of HCWs are recommended.

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Correlates of COVID-19 vaccination drop-out among health care workers in a tertiary Care hospital of West Bengal

The Journal of Community Health Management ◽

10.18231/j.jchm.2021.036 ◽

2022 ◽

Vol 8 (4) ◽

pp. 156-162

Author(s):

Mausumi Basu ◽

Ripan Saha ◽

Subhra Samujjwal Basu ◽

Vineeta Shukla ◽

Ankita Mishra ◽

...

Keyword(s):

Health Care ◽

Health Care Workers ◽

Tertiary Care Hospital ◽

Tertiary Care ◽

Demographic Factors ◽

Drop Out ◽

Care Hospital ◽

Care Workers ◽

Study Population ◽

Socio Demographic Factors

The Government of India launched “COVID-19 vaccination drive” on 16th January, 2021 and health care workers were the first to be prioritised for vaccination. However, the uncertainty regarding safety and efficacy of the vaccine was the major concern amongst them. These led to vaccine hesitancy and ultimately drop out.To estimate the proportion of drop out of COVID-19 vaccination among vaccine-hesitant health care workers (HCWs) of a tertiary care hospital and to find out their perception and other background characteristics responsible for drop out. A facility based descriptive type of observational study, cross-sectional in design was carried out among 329 HCWs of a tertiary care hospital in Kolkata from 16th March- 12thApril, 2021using a pre-designed, pre-tested, structured questionnaire. The study population selected by simple random sampling technique. Data was analysed using Microsoft Excel 2010 and SPSS v25.0 in the form of descriptive statistics and binary logistic regression. About 44.1% of the study population didn’t take the COVID-19 vaccine. Socio-demographic factors like age, gender, religion, education, occupation,perception regarding necessity of vaccination, vaccine efficacy, dose and contraindication, safety in humans and role in future infections were significantly associated with drop out. There was a high proportion of vaccine drop out among health care workers. Different modifiable perceptions with socio-demographic factors had played important roles in COVID-19 vaccination drop out. As the global threat of COVID-19 continues, greater efforts through campaigns that target HCWs are needed to improve the intention of professionals’ vaccine acceptance.

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Serological prevalence of SARS-CoV-2 infection and associated factors in health care workers in a “non-COVID” hospital in Mexico City

10.1101/2020.11.30.20241331 ◽

2020 ◽

Author(s):

Esteban Cruz-Arenas ◽

Elizabeth Cabrera-Ruiz ◽

Sara Laguna-Barcenas ◽

Claudia A. Colin-Castro ◽

Tatiana Chavez ◽

...

Keyword(s):

Health Care ◽

Mexico City ◽

Health Care Workers ◽

Sociodemographic Factors ◽

Serological Survey ◽

Rt Pcr ◽

Factors Associated ◽

Care Workers ◽

Study Population ◽

University Degree

ABSTRACTBackgroundMexico is one of the countries with the highest number of deaths from the COVID-19 pandemic. However, the number of confirmed cases and RT-PCR tests per million population are lower than for other countries, which leads to uncertainty about the actual extent of the pandemic. In Mexico City, health care workers represent an important fraction of individuals with SARS-CoV-2 infection. This work aims to estimate the frequency of antibodies to SARS-CoV-2 in health care workers at a non-COVID hospital, as well as identify factors associated with SARS-CoV-2 infection in this population.MethodsWe conducted a serological survey in a large non-COVID teaching hospital in Mexico City. The study population included all the personnel that works, in any capacity, in the hospital. From this population we selected a representative sample of 300 individuals. Blood samples were collected and questionnaires were applied between August 10th and September 9th, 2020.ResultsELISA results indicate a serological prevalence to SARS-CoV-2 infection of 13.0%. Working in the janitorial and security groups, having an educational level below a university degree, and living with larger numbers of people, were also identified as sociodemographic factors that increase the risk of having SARS-CoV-2 infection.ConclusionsEven though the rate from the official number of confirmed cases in Mexico City is substantially smaller than the seropositive rate identified in this work, even in health care workers there is still a majority of individuals that are seronegative, and thus the risk of continued epidemic waves and mortality remains high.

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COVID-19 in health care workers. A new problem in occupational medicine

Russian Journal of Occupational Health and Industrial Ecology ◽

10.31089/1026-9428-2021-61-1-40-48 ◽

2021 ◽

Vol 61 (1) ◽

pp. 40-48

Author(s):

Oleg Yu. Atkov ◽

Svetlana G. Gorokhova ◽

Viktor F. Pfaf

Keyword(s):

Health Care ◽

Literature Review ◽

Health Care Workers ◽

Occupational Medicine ◽

Clinical Signs ◽

Medical Professionals ◽

Disease Propagation ◽

Care Workers ◽

The Government

The paper contains a literature review on COVID-19 in health care workers and demonstrates that the disease is of occupational character; features, clinical signs, and complications are described to provide evidence for such interpretation. It also addresses important documents issued by the Government of Russia to support medical professionals, some aspects of occupational risk in COVID-19, and the role of interactions between patients and health care workers in disease propagation.

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