Risk factors, clinical outcome and complications of Common Gynecological Surgeries at Zagazig University Hospital, Egypt

Mapping Intimacies ◽

10.21203/rs.3.rs-170186/v1 ◽

2021 ◽

Author(s):

Safaa A. Ibrahim ◽

Mena M. Abdalla

Keyword(s):

Pulmonary Embolism ◽

Postoperative Complications ◽

Tract Infection ◽

Respiratory Tract ◽

Respiratory Tract Infection ◽

Individual Characteristics ◽

Health Care Facilities ◽

University Hospital ◽

Number Of Patients ◽

Septic Wound

Abstract In present era, with the availability of better health care facilities and understanding of health issues, women are experiencing longer life expectancy and using more gynecological services, so obviously there is increase in gynecological surgeries. Any surgical procedure carries risks of complications. The risk of postoperative complications depends on individual characteristics, including age, medical comorbidities, and functional status. The aim of study was to reduce rates of mortality/morbidity among women who undergo surgical gynecological intervention at Zagazig University Hospital. This study included 212 cases were retrived prospectively in a cross sectional study. They underwent gynecological interventions. Our study group was 212 cases 24 cases ended with morbidity with percentage of 11.3% and 2 cases ended by death with percentage of 0.9% . This study shows that the most frequent complications among the studied group were septic wound infection (2.4%), bladder injury (2.4%), respiratory tract infection (1.9%),Venous thromboembolism(VTE) (1.9%) and GIT injury (1.4%). This study explains that there were two mortality cases the first case died on table due to primary hemorrhage during hysterectomy operation as a result of great vessel injury and the other case died during hysterectomy operation due to venous thromboembolic catastrophe (Pulmonary embolism). During post-operative period, she developed hypoxia; therefore, she was referred to ICU. Unfortunately, the patient was diagnosed as pulmonary embolism; thus, she was admitted at ICU for 3 days, but she finally died. Conclusion With the availability of highly skilled personnel with improved surgical expertise, safe anesthesia and collaboration of other specialized medical personnel, the major complications and mortality rate will decrease, but the postoperative complications like, fever, respiratory tract infection, septic wound and DVT still frequent in a significant number of patients in our community, which brings about much distress to the patients.

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Incidence of nosocomial respiratory tract infection in pediatric intensive care unit of University Hospital Center (UHC) of Tirana

International Journal of Infectious Diseases ◽

10.1016/j.ijid.2010.02.2053 ◽

2010 ◽

Vol 14 ◽

pp. e254

Author(s):

I. Kasmi ◽

G. Kasmi ◽

S. sallabanda ◽

E. Kola ◽

F. Zavalani ◽

...

Keyword(s):

Intensive Care Unit ◽

Intensive Care ◽

Tract Infection ◽

Respiratory Tract ◽

Respiratory Tract Infection ◽

Pediatric Intensive Care Unit ◽

Pediatric Intensive Care ◽

University Hospital ◽

Hospital Center

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Gram Positive Bacteria causing Lower Respiratory Tract Infections and their Resistance Patterns in Kathmandu University Hospital

Nepal Medical College Journal ◽

10.3126/nmcj.v22i1-2.30028 ◽

2020 ◽

Vol 22 (1-2) ◽

pp. 22-26

Author(s):

Jatan Bahadur Sherchan ◽

S Humagain

Keyword(s):

Tract Infection ◽

Respiratory Tract ◽

Respiratory Tract Infection ◽

Lower Respiratory Tract ◽

Multidrug Resistant ◽

University Hospital ◽

Resistance Pattern ◽

Gram Positive ◽

Gram Positive Bacteria ◽

Tract Infections

Respiratory tract infection due to Gram positive bacteria is a common cause of morbidity and mortality worldwide. This study of one year duration was carried out to determine the antibiotic resistance pattern of Gram-positive bacteria from patients with lower respiratory tract infection visiting Kathmandu University Hospital. A total of 1,556 respiratory samples including sputum and endotracheal aspirates were processed following standard guidelines. Antibiotic resistance pattern was determined following Clinical Laboratory Standard Institute guidelines. Gram positive bacteria from total sample were 6.6%. Out of them 86.4% were Streptococcus pneumoniae and 13.6% were Staphylococcus aureus. Majority of S. pneumoniae, 53.9% were resistant to azithromycin, followed by cotrimoxazole 40.4%, ciprofloxacin 13.5% and Ceftriaxone 1.1% but all isolates were sensitive to penicillin. A total of 92.9% S. aureus were methicillin and Ciprofloxacin resistant, 64.3% were resistant to cotrimoxazole and 28.6% resistant to amikacin but all strains were sensitive to linezolid. Majority of multidrug resistant Staphylococcus were detected among patients of age more than 60 years. A total of 77.8% patients had lower respiratory tract infection with acute exacerbation of chronic obstructive pulmonary disease. Majority of diabetic patients had multidrug resistant organism. 70.69% patients of age above 60 had multidrug resistant isolates. Multidrug-resistant Gram positive bacteria were observed in respiratory samples. For effective management of lower respiratory tract infections detailed microbiological diagnosis and susceptibility testing is required.

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Child Acute Lower Respiratory Tract Infection in Pediatrics Intensive Care Unit at University Hospital of Brazzaville (Congo)

Open Journal of Pediatrics ◽

10.4236/ojped.2018.81005 ◽

2018 ◽

Vol 08 (01) ◽

pp. 32-41

Author(s):

Engoba Moyen ◽

Judicaël Kambourou ◽

Annie Rachelle Okoko ◽

Lori Bertrand Nguelongo ◽

Verlem Bomelefa-Bomel ◽

...

Keyword(s):

Intensive Care Unit ◽

Intensive Care ◽

Tract Infection ◽

Respiratory Tract ◽

Respiratory Tract Infection ◽

Lower Respiratory Tract Infection ◽

Lower Respiratory Tract ◽

University Hospital

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Airway Malformations and Bronchiectasis: A Pediatric Study

Ear Nose & Throat Journal ◽

10.1177/0145561319839606 ◽

2019 ◽

Vol 99 (1) ◽

pp. 44-46

Author(s):

Amrita Dosanjh

Keyword(s):

Tract Infection ◽

Respiratory Tract ◽

Respiratory Tract Infection ◽

Lower Respiratory Tract Infection ◽

Lower Respiratory Tract ◽

Pediatric Population ◽

Upper Airway ◽

Number Of Patients ◽

Pediatric Study ◽

Airway Anomalies

Congenital airway malformations are most often identified in early childhood. The development of bronchiectasis in association with malformations of the lower airway has been described, particularly among adult patients. The coexistence in a pediatric population of these conditions is not well described. This study was conducted to identify whether younger patients with airway malformations commonly develop bronchiectasis. International Classification of Diseases, Ninth revision (ICD-9 codes) were defined for airway anomalies and bronchiectasis. The electronic medical records system of a children’s hospital was then searched for the number of patients with upper airway anomalies with or without bronchiectasis. The airway database was then cross referenced with the ICD codes for bronchiectasis to identify patients with both conditions. There were 844 patients with airway anomalies and 117 with bronchiectasis in the electronic system during the time period of August 1, 2009 to September 30, 2014. There was only 3 patients identified with both bronchiectasis and airway anomalies. The coexistence of bronchiectasis is low among the pediatric population with upper airway anomalies studied. This would suggest that the children with airway anomalies have been treated with strategies that are effective in the prevention of recurrent lower respiratory tract infection. Further study may be done to define the effectiveness of various strategies in preventing aspiration and lower respiratory tract infection. In addition, this methodologic technique utilizing database integrative platforms is useful in the identification of patients for further study and to identify the coexistence of pediatric conditions.

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P34 Successful introduction of an outpatient parenteral antimicrobial therapy (opat) programme in a large uk paediatric hospital

Archives of Disease in Childhood ◽

10.1136/archdischild-2017-314585.43 ◽

2018 ◽

Vol 103 (2) ◽

pp. e2.38-e2 ◽

Cited By ~ 1

Author(s):

Claire Crouch ◽

David Sharpe ◽

David Porter ◽

Stephane Paulus

Keyword(s):

Tract Infection ◽

Respiratory Tract ◽

Respiratory Tract Infection ◽

Antimicrobial Therapy ◽

British Society ◽

Intravenous Therapy ◽

Paediatric Hospital ◽

Outpatient Parenteral Antimicrobial Therapy ◽

Audit Data ◽

Number Of Patients

IntroductionAn OPAT service was launched at large paediatric hospital in November 2014 to facilitate the safe and efficient discharge of patients from hospital into the community. The OPAT service is delivered by a multi-disciplinary team including a Consultant in Paediatric Infectious Diseases, an OPAT/Intravascular Access Nurse, an Antimicrobial Pharmacist, and involves collaborative working with community nursing teams across the region. We present an evaluation of our service based on audit data and patient feedback collected over a 12 month period.MethodsProspective audit using the BSAC p-OPAT (British Society of Antimicrobial Chemotherapy Paediatric Out-patient Parenteral Antimicrobial Therapy) database including data from 1 st January 2015 to 31 st December 2015.ResultsTwo hundred and thirteen patients were admitted to the OPAT service leading to 1749 bed-days saved for the trust. Seventy-four patients avoided admission. The most common conditions were: bronchiectasis/chronic respiratory tract infection (15.5%), bacteraemia (15%), pre-septal cellulitis (15%) and respiratory tract infection (11.2%). Complex infections were less common but they accounted for longer antibiotic courses, such as cerebral abscess (5 patients – 170 days of intravenous therapy) and endocarditis (3 patients – 75 days of intravenous therapy).Using the BSAC outcomes definitions, we reported a 90% infection cure rate with a further 6.5% showing clinical improvement. OPAT outcomes were: success in 87% and partial success in 8.5%. The remaining patients (n=6) were classified as OPAT failures due to worsening of infection, drug reactions or inability to re-establish lost vascular access.Feedback from children and parents showed overall satisfaction with the OPAT service. Completed feedback questionnaires (n=30) rated the support and care as satisfactory or better in all cases, with over 83% rating the service as excellent.ConclusionWe report a positive financial and clinical impact of a new paediatric OPAT service. The service expansion will focus on the involvement of new patient groups (oncology, general surgery) and the increase use of elastomeric devices allowing for an increase number of patients to be treated in their home environment.

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Detection and phylogenetic analysis of Human bocavirus in children diagnosed with acute respiratory tract infection

Journal of Medical Microbiology ◽

10.1099/jmm.0.001243 ◽

2020 ◽

Vol 69 (9) ◽

pp. 1197-1202

Author(s):

Rania Abozahra ◽

Sarah M. Abdelhamid ◽

Karim Khairy ◽

Kholoud Baraka

Keyword(s):

Phylogenetic Analysis ◽

Tract Infection ◽

Respiratory Tract ◽

Respiratory Tract Infection ◽

Acute Respiratory Tract Infection ◽

University Hospital ◽

Genetic Lineage ◽

Human Bocavirus ◽

Igm Antibodies ◽

Tract Infections

Introduction. Human bocavirus (HBoV) is a recently discovered parvovirus; it has been shown to be a common cause of respiratory infections and gastroenteritis in children. Since its identification, HBoV has been detected worldwide in nasopharyngeal swabs, serum and stool samples particularly those obtained from young children suffering from respiratory or gastrointestinal tract infections. Aim. The aim of this work was to determine HBoV prevalence among children with acute respiratory tract infection in Egypt, to detect the most prevalent HBoV genotype and to compare PCR and ELISA as diagnostic techniques for HBoV infection. Methods. Nasopharyngeal swabs and blood samples were obtained within the first day of admission from 75 children diagnosed with acute respiratory tract infection in El-Shatby University Hospital for Children in Alexandria, Egypt from October 2018 to March 2019. Conventional PCR was used to detect HBoV DNA, ELISA was used to detect HBoV IgM antibodies and sequencing of the VP1/2 genes was used for genotyping. Results. Seven (9.3%) of the 75 nasopharyngeal swabs obtained from patients with acute respiratory tract infection were positive for HBoV by PCR, while 5 (6.7 %) of the 75 serum samples were positive for HBoV IgM antibodies using ELISA. The correlation between PCR and ELISA results showed a highly significant association between PCR and ELISA techniques (X 2=52.041, P<0.01) and a highly significant agreement between the two methods (Kappa=81.9 %, P<0.01). Phylogenetic analysis showed that all positive samples were related to the HBoV-1 genotype. Conclusion. Human bocavirus was detected at 9.3 % prevalence in nasopharyngeal swabs obtained from children with acute respiratory tract infection. The HBoV-1 genotype was the only genotype detected, suggesting that a single genetic lineage of HBoV is circulating in Egypt. PCR and ELISA are two reliable methods for detection and diagnosis of HBoV.

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FAKTOR RISIKO LINGKUNGAN FISIK RUMAH DENGAN KEJADIAN ISPA BALITA DI KELURAHAN TAKATIDUNG POLEWALI MANDAR

Unnes Journal of Public Health ◽

10.15294/ujph.v5i4.13962 ◽

2016 ◽

Vol 5 (4) ◽

pp. 324

Author(s):

Patmawaty Dongky ◽

Kadrianti Kadrianti

Keyword(s):

Tract Infection ◽

Respiratory Tract ◽

Respiratory Tract Infection ◽

Middle Ear ◽

Physical Environment ◽

Acute Respiratory Tract Infection ◽

Cross Sectional ◽

Environment Quality ◽

Number Of Patients ◽

Cross Sectional Design

Infeksi saluran pernafasan akut (ISPA) merupakan penyakit yang menyerang salah satu bagian atau lebih dari saluran nafas mulai hidung sampai alveoli termasuk adneksanya (sinus, rongga telinga tengah, pleura). Aktivitas bakteri patogen penyebab ISPA berkaitan dengan kondisi lingkungan tempat tinggal penderita. Jumlah kasus ISPA di Kabupaten Polewali tercatat IR dengan tinggi pada anak usia diatas 5 tahun. Tujuan penelitian ini adalah untuk mengetahui hubungan kualitas lingkungan fisik rumah dengan kejadian ISPA balita di wilayah Polewali Mandar. Penelitian dilakukan secara analitik dengan desain cross sectional. Lokasi penelitian di Kelurahan Takatidung Kecamatan Polewali, dengan 317 sampel balita secara purposive sampling. Hasil pengukuran diperoleh terdapat hubungan antara kepadatan hunian dengan kejadian ISPA pada balita. Kesimpulan penelitian ini adalah kepadatan hunian dalam rumah memberikan kontribusi terhadap kejadian ISPA pada balita di Kabupaten Polewali Mandar. The Acute Respiratory-Tract Infection (ARTI) was a disease which attack one of chute breath from nose to alveoli, including the adnexals (sinus, middle ear cavity, pleura). Some bacteria that cause ARTI were from genus streptococcus, stafilococus, hemofilus, Bordetella and Corinebakterium. In Polewali Mandar Regency, there were 49,998 ARTI cases in 2014. The total number of patients were 21,409 cases of 0-4 ages and there were 28,579 patients above 5 ages. The aim of this research was to know the correlation between house physical environment quality toward ARTI disease on toddler. This research was analytic research with cross sectional design at Takatidung, Polewali Mandar Regency. The samples of this research consisted 317 toddlers. The measurement result found that inhabitants density correlated to ARTI disease on toddler. The conclusion of this research was inhabitants density correlated to ARTI disease on toddler at Polewali Mandar Regency.

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