scholarly journals Diagnosis and Management of Uterine Fibromyomas in the Obstetric Gynecology Department of the Regional Hospital of Labe. Guinea

2021 ◽  
Vol 5 (06) ◽  
pp. 01-04
Author(s):  
Boubacar Siddi Diallo ◽  
Boubacar Alpha Diallo ◽  
Mamadou Samba Camara ◽  
Abdourahamane Diallo ◽  
Daniel Leno ◽  
...  
Keyword(s):  
Pregnant Women ◽  
Average Length ◽  
Data Entry ◽  
Regional Hospital ◽  
Continuous Series ◽  
Vaginal Route ◽  
Average Length Of Stay ◽  
Abdominal Route ◽  
Power Point ◽  
Epidemiological Profile

Objectives: To calculate the frequency of uterine fibromyomas, to describe the epidemiological profile, to describe the management and to establish the prognosis of women with uterine fibromyomas in the gynaecology-obstetrics department of the Regional Hospital of Labé. Methodology: This was a retrospective descriptive study lasting three (3) years from 1 January 2017 to 31 December 2019. All patients admitted and operated on in the department for uterine fibromyomas during the study period were included. Patients who were not operated for uterine fibromyomas in the department and incomplete records were not included. Our data were collected and analysed using Epi-Info software version 7.2.2.6. Word, Excel and Power point software from Pack office 2016 were used for data entry and presentation. The study involved a continuous series of 115 anaemic pregnant women. We proceeded with an exhaustive recruitment of pregnant women according to the criteria defined above. Results: The frequency of uterine fibromyomas among gynaecological pathologies was 44.75%. The epidemiological profile was that of a 30-39% (40.87%), housewife (53.91%) and nulliparous (40%) woman. Pelvic pain was the dominant reason for consultation (75.65%) and 46.08% of patients had no particular history. Intramural or interstitial uterine fibromyomas were the most common (49.57%) and ultrasound was performed in all patients. The surgical indications were dominated by large polymyomatous uterus 37.39%, followed by haemorrhagic fibroid 26.09%. Myomectomy was performed in 75.65% of cases, exclusively via the abdominal route (100%), while hysterectomy was performed via the abdominal route in 17.39% of cases and vaginal route in 6.96%. The postoperative course was simple in 75.65% of cases and complicated in 24.35%. Complications were dominated by anaemia (13.04). The average length of stay was 6.05 days with extremes of 3 and 13 days. Conclusion: The frequency of the uterine fibromyomas is raised in the region of Labé and the hold in charge is often surgical

scholarly journals Anemia during pregnancy: Epidemiological, clinical and therapeutic aspects at the obstetric gynecology department of Labe Regional Hospital, Guinee

2021 ◽  
Vol 3 (2) ◽  
pp. 001-005
Author(s):  
Boubacar Siddi Diallo ◽  
Boubacar Alpha Diallo ◽  
Aguibou Barry ◽  
Fatoumata Binta Sow ◽  
Oumar Diawara ◽  
...  
Keyword(s):  
Pregnant Women ◽  
Rural Areas ◽  
Average Length ◽  
Regional Hospital ◽  
Average Length Of Stay ◽  
Prenatal Consultation ◽  
Mosquito Nets ◽  
Anemia During Pregnancy ◽  
Iron Folic Acid ◽  
Epidemiological Profile

Objectives: Calculate the frequency of anemia during pregnancy, describe the epidemiological profile and describe the management of anemia during pregnancy in the gynecology-obstetrics Department of the Labé regional hospital. Methodology: This was a prospective, descriptive study lasting six (6) months from September 1, 2020 to February 28, 2021 All pregnant women who developed anemia and treated were considered for the study in the service. All pregnant women without anemia were included. Our data were analyzed by Epi-Info version 7.2.2.6 software, entered and presented by Pack office 2016 software. Results: The frequency of anemia in pregnant women was 27.61% in the department. The epidemiological profile of anemia in pregnant women at the Labé regional hospital was that of: a woman aged 25-29 (30.63%), housewives (72.97%), women not attending school (66, 67 %.), those Coming from the rural areas (76.58%), married women (100%), pauciparous (29.73%) and only 14.42% did not carry out an antenatal consultation. The anemia occurred in the 3rd trimester (76.58 %,). The main reason for consultation was paleness of the conjunctivae and integuments (92.79%) and malaria the dominant antecedent (60.36%). Severe anemia was the most dominant clinical form (54.96%). Transfusion was performed in 54.95% of women with anemia. The average length of stay was 4.9 days with extremes of 1 and 10 days. The maternal prognosis was favorable in 96.40% with a maternal death rate of 3.60%. Conclusion: Anemia is a major problem for pregnant women in the Gynecology-Obstetrics department at the Labé regional hospital. The improvement of the maternal prognosis would pass by chemoprophylaxis of malaria, the use of impregnated mosquito nets with long-lasting insecticide (LLINs), the prevention of intestinal parasitoses, the regular administration of iron, folic acid and the provision of quality prenatal consultation.

scholarly journals The epidemiological profile of Pediatric Intensive Care Center at Hospital Israelita Albert Einstein

2012 ◽  
Vol 10 (1) ◽  
pp. 16-21 ◽  
Author(s):  
Camila Sanches Lanetzki ◽  
Carlos Augusto Cardim de Oliveira ◽  
Lital Moro Bass ◽  
Sulim Abramovici ◽  
Eduardo Juan Troster
Keyword(s):  
Intensive Care ◽  
Respiratory Diseases ◽  
Average Length ◽  
Care Center ◽  
Pediatric Intensive Care ◽  
Albert Einstein ◽  
Average Length Of Stay ◽  
Patient Gender ◽  
Common Ailment ◽  
Epidemiological Profile

OBJECTIVE: This study outlined the epidemiological profiles of patients who were admitted to the Pediatric Intensive Care Center at Albert Einstein Israelite Hospital during 2009. METHODS: Data were retrospectively collected for all patients admitted to the PICC during 2009. A total of 433 medical charts were reviewed, and these data were extracted using the DATAMARTS System and analyzed using the statistical software package STATA, version 11.0. RESULTS: There were no statistically significant differences in regards to patient gender, and the predominant age group consisted of patients between the ages of 1 to 4 years. The average occupancy rate was 69.3% per year, and there was a greater number of admissions during April, August, and October. The average length of stay at the hospital ranged from 9.7 to 19.1 days. Respiratory diseases were the main cause for admission to the Pediatric Intensive Care Center, and the mortality rate of the patients admitted was 1.85%. CONCLUSIONS: Respiratory diseases were the most common ailment among patients admitted to the Pediatric Intensive Care Center, and the highest mortality rates were associated with neoplastic diseases.

scholarly journals Clinical-epidemiological profile of patients hospitalized with Multiple Sclerosis in the state of Sao Paulo

2021 ◽  
Author(s):  
Elton Marcio Marques Coelho ◽  
Mônica Cardoso do Amaral ◽  
João Mário Abrantes Aguiar Dourado ◽  
Carla Jamile Jabar Menezes
Keyword(s):  
Multiple Sclerosis ◽  
Average Length ◽  
Sao Paulo ◽  
The State ◽  
High Morbidity ◽  
São Paulo ◽  
Average Length Of Stay ◽  
The Central Nervous System ◽  
Epidemiological Profile ◽  
Age Range

Introduction: Multiple Sclerosis (MS) is an autoimmune disease of the central nervous system that consists of the development of autoantibodies against the myelin sheath in neuronal axons causing demyelinating inflammatory sites. It is a disease currently incurable. Objectives: The objective was to describe the epidemiological clinical profile of patients hospitalized with MS in the State of São Paulo, in the period from 2011 to 2021. Methods: This is an epidemiological, descriptive and retrospective study, with quantitative analysis, whose source of data was the Information System for Notifiable Diseases, from the Ministry of Health. The data were tabulated in graphs and tables using Microsoft Excel 2010. Results: 10,386 admissions of MS were reported in the state. Of the total cases, 67.4% occurred in females and 80.3% in race white. 43.5% of patients in the age group between 30 and 39 years. 94.4% were hospitalized on an elective basis. The average length of stay is between 3.3 days, with mortality rate representing 0.64% of the total. Conclusion: A higher prevalence was observed in the age range between 30 and 39 years and a predominance of hospitalizations among women. Although it is a disease with high morbidity and mortality, the mortality was low. It suggests that there are variables to be analyzed, such as a possible underreporting of this disease and also the advent of early diagnosis strategies and treatments that can modify the course of the disease, mitigating mortality.

scholarly journals Epidemiological overview of epilepsy by Brazilian macro-regions

2021 ◽  
Author(s):  
Natália Guerreiro Costa Neeser ◽  
Caio Lopes Pereira Santos ◽  
Gabriela Malta Coutinho ◽  
Rebeca Menezes de Oliveira Lima ◽  
Tauá Vieira Bahia
Keyword(s):  
Mortality Rate ◽  
Length Of Stay ◽  
Average Length ◽  
Secondary Data ◽  
Public System ◽  
The Public ◽  
Average Length Of Stay ◽  
The North ◽  
Epidemiological Profile ◽  
Absolute Population

Introdution: Studying the epidemiology of epilepsy is important for the knowledge of this disease in the national territory, and also to improve the Public System. Objectives: Describe the epidemiological profile of epilepsy in Brazilian regions between 2010 and 2019. Methods: Refers to an ecological study with secondary data from the Ministry of Health, through DATASUS. The period investigated was from January 2010 to December 2019, in Brazilian regions. The variables explored were region, sex, number of hospitalizations, average length of stay and mortality rate. Results: 507,443 hospitalizations were identified, with the highest numbers of cases being in the Southeast (44.34%) and the lowest in the North (5.43%). There was a predominance of hospitalizations in males (58%).The mortality rate varied between 2.97 (Northeast) and 1.44 (South). Southeast had the longest stay (6.8 days) and the shortest was in the South (4.4 days). Conclusions: After analyzing this study, males have the highest rate of hospitalization and the Southeast has the highest number of hospitalizations and average length of stay for epilepsy, which may be associated with the fact that this region has the largest absolute population. Although, the Northeast had the highest mortality rate, a situation possibly related to a lower integration of the health system compared to the other regions.

scholarly journals Epidemiological profile of TBI in children under 10 years old before and after the implementation of the child seat law in Brazil

2021 ◽  
Author(s):  
Rebeca Menezes de Oliveira Lima ◽  
Brenda Luiza de Sousa Sanches ◽  
Guilherme Ribeiro Soare ◽  
Tauá Vieira Bahia
Keyword(s):  
Traumatic Brain Injury ◽  
Mortality Rate ◽  
Traffic Accidents ◽  
Ecological Study ◽  
Average Length ◽  
Car Seat ◽  
Average Length Of Stay ◽  
Before And After ◽  
The Law ◽  
Epidemiological Profile

Background: The Car Seat Law (2008) aims to minimize the impacts of traffic accidents on children under 10 years old, including the Traumatic Brain Injury (TBI). Objectives: To compare the epidemiological profile of TBI in children under 10 years old before and after the implementation of the Child Seat Law in Brazil. Design and setting: Ecological study in Brazil. Methods: Data was collected from the Ministry of Health, through DATASUS. The decade prior (1998- 2007) and subsequent (2009-2018) to the implementation of the Law were analyzed. The data collected included children of 10 years or less, average length of stay, hospitalizations, deaths, and mortality. Results: The average mortality between 1998-2007 was 2.31, while between 2009-2018 was 1.59, reducing 30.8%. There was also a reduction of 11% in the average stay averages, which went from 3.6 to 3.2 days. There was a 30.7% decrease in the lethality rate, from 2.3 to 1.6. The median of hospitalizations before the Law was 14,230, while afterwards it was 12,851. Conclusion: There was a significant decrease in the average mortality rate, lethality rate and average stay averages since the Law. This may suggest the Law’s effectiveness in protecting children under 10 years of age.

scholarly journals Clinical-epidemiological profile of patients hospitalized with Multiple Sclerosis in the state of Sao Paulo

2021 ◽  
Author(s):  
Elton Marcio Marques Coelho ◽  
Mônica Cardoso do Amaral ◽  
João Mário Abrantes Aguiar Dourado ◽  
Carla Jamile Jabar Menezes
Keyword(s):  
Multiple Sclerosis ◽  
Average Length ◽  
Sao Paulo ◽  
The State ◽  
High Morbidity ◽  
São Paulo ◽  
Average Length Of Stay ◽  
The Central Nervous System ◽  
Epidemiological Profile ◽  
Age Range

Introduction: Multiple Sclerosis (MS) is an autoimmune disease of the central nervous system that consists of the development of autoantibodies against the myelin sheath in neuronal axons causing demyelinating inflammatory sites. It is a disease currently incurable. Objectives: The objective was to describe the epidemiological clinical profile of patients hospitalized with MS in the State of São Paulo, in the period from 2011 to 2021. Methods: This is an epidemiological, descriptive and retrospective study, with quantitative analysis, whose source of data was the Information System for Notifiable Diseases, from the Ministry of Health. The data were tabulated in graphs and tables using Microsoft Excel 2010. Results: 10,386 admissions of MS were reported in the state. Of the total cases, 67.4% occurred in females and 80.3% in race white. 43.5% of patients in the age group between 30 and 39 years. 94.4% were hospitalized on an elective basis. The average length of stay is between 3.3 days, with mortality rate representing 0.64% of the total. Conclusion: A higher prevalence was observed in the age range between 30 and 39 years and a predominance of hospitalizations among women. Although it is a disease with high morbidity and mortality, the mortality was low. It suggests that there are variables to be analyzed, such as a possible underreporting of this disease and also the advent of early diagnosis strategies and treatments that can modify the course of the disease, mitigating mortality.

scholarly journals Colonization and Infection With MRSA and CRKP and Its Result in an Increased Mortality Rate Within the Intensive Care and High-Dependency Units in Barbados

2020 ◽  
Vol 41 (S1) ◽  
pp. s173-s174
Author(s):  
Keisha Gustave
Keyword(s):  
Intensive Care ◽  
Length Of Stay ◽  
High Mortality ◽  
Average Length ◽  
Cohort Analysis ◽  
Health Concern ◽  
Queen Elizabeth Hospital ◽  
Surveillance Program ◽  
Average Length Of Stay ◽  
High Dependency

Background: Methicillin-resistant Staphylococcus aureus(MRSA) and carbapenem-resistant Klebsiella pneumoniae (CRKP) are a growing public health concern in Barbados. Intensive care and critically ill patients are at a higher risk for MRSA and CRKP colonization and infection. MRSA and CRKP colonization and infection are associated with a high mortality and morbidly rate in the intensive care units (ICUs) and high-dependency units (HDUs). There is no concrete evidence in the literature regarding MRSA and CRKP colonization and infection in Barbados or the Caribbean. Objectives: We investigated the prevalence of MRSA and CRKP colonization and infection in the patients of the ICU and HDU units at the Queen Elizabeth Hospital from 2013 to 2017. Methods: We conducted a retrospective cohort analysis of patients admitted to the MICU, SICU, and HDU from January 2013 through December 2017. Data were collected as part of the surveillance program instituted by the IPC department. Admissions and weekly swabs for rectal, nasal, groin, and axilla were performed to screen for colonization with MRSA and CRKP. Follow-up was performed for positive cultures from sterile isolates, indicating infection. Positive MRSA and CRKP colonization or infection were identified, and patient notes were collected. Our exclusion criteria included patients with a of stay of <48 hours and patients with MRSA or CRKP before admission. Results: Of 3,641 of persons admitted 2,801 cases fit the study criteria. Overall, 161 (5.3%) were colonized or infected with MRSA alone, 215 (7.67%) were colonized or infected with CRKP alone, and 15 (0.53%) were colonized or infected with both MRSA and CRKP. In addition, 10 (66.6%) of patients colonized or infected with MRSA and CRKP died. Average length of stay of patients who died was 50 days. Conclusions: The results of this study demonstrate that MRSA and CRKP cocolonization and coinfection is associated with high mortality in patients within the ICU and HDU units. Patients admitted to the ICU and HDU with an average length of stay of 50 days are at a higher risk for cocolonization and coinfection with MRSA and CRKP. Stronger IPC measures must be implemented to reduce the spread and occurrence of MRSA and CRKP.Funding: NoneDisclosures: None

scholarly journals Temporal Changes in Central-Line–Associated Bloodstream Infection Time Between Events, 2017–2018 Versus 2015–2016

2020 ◽  
Vol 41 (S1) ◽  
pp. s403-s404
Author(s):  
Jonathan Edwards ◽  
Katherine Allen-Bridson ◽  
Daniel Pollock
Keyword(s):  
Length Of Stay ◽  
Patient Care ◽  
Average Length ◽  
Bloodstream Infections ◽  
Central Line ◽  
Significant Shift ◽  
Care Hospital ◽  
Average Length Of Stay ◽  
Period 2 ◽  
Hospital Bed

Background: The CDC NHSN surveillance coverage includes central-line–associated bloodstream infections (CLABSIs) in acute-care hospital intensive care units (ICUs) and select patient-care wards across all 50 states. This surveillance enables the use of CLABSI data to measure time between events (TBE) as a potential metric to complement traditional incidence measures such as the standardized infection ratio and prevention progress. Methods: The TBEs were calculated using 37,705 CLABSI events reported to the NHSN during 2015–2018 from medical, medical-surgical, and surgical ICUs as well as patient-care wards. The CLABSI TBE data were combined into 2 separate pairs of consecutive years of data for comparison, namely, 2015–2016 (period 1) and 2017–2018 (period 2). To reduce the length bias, CLABSI TBEs were truncated for period 2 at the maximum for period 1; thereby, 1,292 CLABSI events were excluded. The medians of the CLABSI TBE distributions were compared over the 2 periods for each patient care location. Quantile regression models stratified by location were used to account for factors independently associated with CLABSI TBE, such as hospital bed size and average length of stay, and were used to measure the adjusted shift in median CLABSI TBE. Results: The unadjusted median CLABSI TBE shifted significantly from period 1 to period 2 for the patient care locations studied. The shift ranged from 20 to 75.5 days, all with 95% CIs ranging from 10.2 to 32.8, respectively, and P < .0001 (Fig. 1). Accounting for independent associations of CLABSI TBE with hospital bed size and average length of stay, the adjusted shift in median CLABSI TBE remained significant for each patient care location that was reduced by ∼15% (Table 1). Conclusions: Differences in the unadjusted median CLABSI TBE between period 1 and period 2 for all patient care locations demonstrate the feasibility of using TBE for setting benchmarks and tracking prevention progress. Furthermore, after adjusting for hospital bed size and average length of stay, a significant shift in the median CLABSI TBE persisted among all patient care locations, indicating that differences in patient populations alone likely do not account for differences in TBE. These findings regarding CLABSI TBEs warrant further exploration of potential shifts at additional quantiles, which would provide additional evidence that TBE is a metric that can be used for setting benchmarks and can serve as a signal of CLABSI prevention progress.Funding: NoneDisclosures: None

Comparison of Inpatient Standard-of-Care to Outpatient Oritavancin Therapy for Patients With Acute Uncomplicated Cellulitis

2021 ◽  
pp. 089719002110212
Author(s):  
Brandy Williams ◽  
Justin Muklewicz ◽  
Taylor D. Steuber ◽  
April Williams ◽  
Jonathan Edwards
Keyword(s):  
Hospital Readmission ◽  
Average Length ◽  
Hospital Readmissions ◽  
Standard Of Care ◽  
Economic Outcomes ◽  
Day Hospital ◽  
Outpatient Parenteral Antimicrobial Therapy ◽  
Average Length Of Stay ◽  
Observational Cohort ◽  
The Difference

Background: Shifting inpatient antibiotic treatment to outpatient parenteral antimicrobial therapy may minimize treatment for acute bacterial skin and skin structure infections, including cellulitis. The purpose of this evaluation was to compare 30-day hospital readmission or admission due to cellulitis and economic outcomes of inpatient standard-of-care (SoC) management of acute uncomplicated cellulitis to outpatient oritavancin therapy. Methods: This retrospective, observational cohort study was conducted at a 941-bed community teaching hospital. Adult patients 18 years and older treated for acute uncomplicated cellulitis between February 2015 to December 2018 were eligible for inclusion. Information was obtained from hospital and billing department records. Patients were assigned to either inpatient SoC or outpatient oritavancin cohorts for comparison. Results: 1,549 patients were included in the study (1,348 in the inpatient SoC cohort and 201 in the outpatient oritavancin cohort). The average length of stay for patients admitted was 3.6 ± 1.5 days. The primary outcome of 30-day hospital readmission or admission due to cellulitis occurred in 49/1348 (3.6%) patients in the inpatient SoC cohort versus 1/201 (0.5%) in the outpatient oritavancin cohort (p = 0.02). The difference between costs and reimbursement was improved in the outpatient oritavancin group (p < 0.001). Conclusion: Outpatient oritavancin for acute uncomplicated cellulitis was associated with reduction in 30-day hospital readmissions or admissions compared to inpatient SoC. Beneficial economic outcomes for the outpatient oritavancin cohort were observed. Additional studies are required to confirm these findings.

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