scholarly journals A retrospective study of demographic profile and outcome of Sever acute respiratory illness (SARI) in Iraq

Author(s):  
Haider Dawood ◽  
Sinan Ghazi Mahdi

Abstract Background Severe acute lower respiratory infection (SARI) is one of the major causes of morbidity and mortality, especially in developing countries. There is a large global variation in the epidemiology, clinical management and outcomes, including the mortality Aim of the study: To describe the demographic features, Province of residence, occupation and outcomes of patients SARI. Patients and Methods: A retrospective study of 1009 patients involved in the study, between the first of January 2019 and twenty eight of December 2019. From the medical records in Communicable Diseases Control Centre (CDC) office in Baghdad. Results: 1009 patients, 406 with positive for influenza A, and 603 with negative for influenza, the highest incidence was in the age group between 0-10 years for both positive (19.7%) and negative (25.0%) influenza A. Male higher (56.7%) than female in influenza A group, but female is higher (50.4%) in those with negative influenza group. The incidence in Baghdad is higher than other governments for both groups. Freelance is higher than other occupations (31.8%) for positive and housewife (32.2%) for negative influenza A. Death was 6.4% for positive and 1.5% for negative influenza A, the higher mortality rate was in male in age group 0-10 year for both positive (30.8%) and negative (18.9%)influenza A. Conclusion: influenza A is an important cause of SARI, childhood is a high risk for SARI who have high mortality rate especially in male. Freelance and housewife have high occupation risk for SARI. Baghdad has the higher rate than other governments for SARI In Iraq.  

Author(s):  
Dina Abdulljabbar Abdullah Al-Ademi ◽  
Abdulilah Hussein Al-Harazi ◽  
Hassan A. Al-Shamahy ◽  
Bushra Mohammed Jaadan

Influenza is a major cause of morbidity and mortality around the world. So national influenza surveillance have been important for understanding the epidemiology of influenza over time. The aims of this study were to determine the prevalence rate of influenza viruses among hospitalized patients with severe acute respiratory illness (SARI), identify circulating types and subtypes of influenza viruses among them, and determine the risk factors associated with SARI. A total of 320 hospitalized patients suffering from SARI at Al Joumhouri University hospital in Sana’a city were enrolled; and their age was ranged from < 1 year to ≥ 56 years. Both nasopharyngeal and oro-pharyngeal swabs were collected from each patient and tested by using rRT-PCR technique for the detection of influenza A, influenza B and subtypes of influenza A viruses (A/H1N1(2009) and A/H3N2). The crude prevalent rate of influenza viruses among SARI patients was 10.9%;the female rate was 12.4%, and the male rate was 9.9%. The rate of Flu A in the total SARI cases was 5.9% and for Flu B was 5%. In addition 3.8% of SARI patients were suffering from influenza A/H3N2, 2.2% from influenza A/H1N1(2009) infections; and the mortality rate for influenza infections was 17.1%. Also, a high mortality rate was occurred in influenza infections in age groups 36-45 years and 6-15 years. Also, there was a significant association between flu infection; and 46-55 years group (OR=2.8), Winter time (OR=17.5), cardiac diseases (OR=9.1), and diabetic mellitus (OR=3.7). In conclusion: both influenza A and B were represented as a causative agents of SARI, and Influenza A/H3N2 was present subtype followed by A/H1N1(2009). The frequency of influenza viruses ascertain among SARI patients in Yemen highlights the need for health authorities to develop strategies to reduce morbidity among at-risk population in the course of vaccine recommendation.


2004 ◽  
Vol 25 (11) ◽  
pp. 962-966 ◽  
Author(s):  
Mark J. Ferson ◽  
Keira Morgan ◽  
Peter W. Robertson ◽  
Alan W. Hampson ◽  
Ian Carter ◽  
...  

AbstractObjective:To report on the investigation of a summer outbreak of acute respiratory illness among residents of a Sydney nursing home.Design:An epidemiologic and microbiological investigation of the resident cohort at the time of the outbreak and medical record review 5 months later.Setting:A nursing home located in Sydney, Australia, during February to July 1999.Patients:The cohort of residents present in the nursing home at the time of the outbreak.Interventions:Public health interventions included recommendations regarding hygiene, cohorting of residents and staff, closure to further admissions, and prompt reporting of illness; and virologic and serologic studies of residents.Results:Of the 69 residents (mean age, 85.1 years), 35 fulfilled the case definition of acute respiratory illness. Influenza A infection was confirmed in 19 residents, and phylogenetic analysis of the resulting isolate, designated H3N2 A/Sydney/203/99, showed that it differed from strains isolated in eastern Australia during the same period. Serologic evidence ofBordetellainfection was also found in 10 residents; however, stratified epidemiologic analysis pointed to influenza A as the cause of illness.Conclusions:The investigation revealed an unusual summer outbreak of influenza A concurrent with subclinical pertussis infection. Surveillance of acute respiratory illness in nursing homes throughout the year, rather than solely during epidemic periods, in combination with appropriate public health laboratory support, would allow initiation of a timely public health response to outbreaks of acute respiratory illness in this setting.


e-CliniC ◽  
2016 ◽  
Vol 4 (2) ◽  
Author(s):  
Cindy E. Gama ◽  
Ferra O. Mawu ◽  
Renate T. Kandou

Abstract: Pyoderma is one of the most common skin infection caused mainly by Gram-positive bacteria, Staphylococcus, Streptococcus, or both. It is closely associated with low-sosioeconomic, malnutrition, high density of population, and bad hygiene. This study was aimed to figure out the profile of pyoderma infection in adults at Department of Dermato-venereology, Prof. Dr. R. D. Kandou General Hospital Manado in the period of 2013-2015. This was a descriptive retrospective study using data of register books and medical records. The results showed that there were 164 new cases (4.59%) of pyoderma in adults, predominantly males (51,8%), age group of 45-64 years (44.5%), and folliculitis as the most clinical diagnosis. Most infections were treated with combination therapy of systemic antibiotic and topical antibiotic, clindamicyn (48.2%) and fusidic acid (59.8%) respectively.Keywords: pyoderma, adult Abstrak: Pioderma merupakan salah satu penyakit infeksi kulit yang paling sering ditemui. Penyakit ini paling banyak disebabkan oleh kuman Gram-positif, yakni Staphylococcus dan Streptococcus, atau keduanya. Pioderma erat hubungannya dengan keadaan sosial ekonomi yang rendah, malnutrisi, kepadatan penduduk, dan sanitasi yang buruk. Penelitian ini bertujuan untuk mengetahui profil pioderma pada orang dewasa di Poliklinik Kulit dan Kelamin RSUP Prof. Dr. R. D. Kandou Manado periode tahun 2013-2015. Jenis penelitian ialah deskriptif retrospektif menggunakan data dari buku register dan catatan rekam medik. Hasil penelitian menunjukkan insidensi pioderma pada orang dewasa periode tahun 2013-2015 sebanyak 164 kasus baru (4,59%). Distribusi terbanyak pada laki-laki (51,8%), usia 45-64 tahun (44,5%), dengan bentuk klinis folikulitis (38,4%). Sebanyak 95 pasien (57,9%) menggunakan terapi kombinasi antibiotik sistemik dan antibiotik topikal. Terapi antibiotik sistemik yang terbanyak digunakan ialah klindamisin (48,2%) dan antibiotik topikal yang paling banyak digunakan ialah asam fusidat (59,8%). Kata kunci: pioderma, dewasa


e-CliniC ◽  
2014 ◽  
Vol 2 (1) ◽  
Author(s):  
Ananias Malak

Abstract: Non-infectious skin disease is a skin disease that is not caused by pathogenic bacteria or by transmission. Many non-infectious skin diseases showed different manifestations in infants and children. This study aimed to obtain the patterns of non-infectious skin diseases in children at Dermatovenorology Department Prof. Dr. R. D. Kandou General Hospital period 2009-2011. This was a retrospective study. Data of the annual cases, gender, and ages were obtained from the medical records. From a total of 595 patients in 2009-2011 there were 323 (54.29%) children with non-infectious skin diseases, females (167 patients, 51.70%) were more frequent than males, and most commonly in the age group of 5 to 14 years (59.13%). Conclusion: Non-infectious skin diseases were still common in Dermatovenorology Department Prof. Dr. R. D. Kandou General Hospital period 2009-2011.Keywords: non-infectious skin diseases, childrenAbstrak: Penyakit kulit non-infeksi adalah penyakit kulit yang tidak disebabkan oleh kuman patogen ataupun ditularkan. Banyak penyakit kulit non-infeksi memperlihatkan manifestasi yang berbeda pada bayi dan anak-anak. Penelitian ini bertujuan untuk mengetahui pola penyakit kulit non-infeksi pada anak di Poliklinik Kulit dan Kelamin RSUP Prof. Dr. R. D. Kandou Manado periode 2009-2011.Metode Penelitian dilakukan secara retrospektif pada pasien anak dengan penyakit kulit non-infeksi yang datang ke Poliklinik Kulit dan Kelamin pada tahun 2009-2011. Data diperoleh dari rekam medik mengenai jumlah kasus pertahun, jenis kelamin, dan umur. Hasil penelitian memperlihatkan dari sejumlah 595 kunjungan pada tahun 2009-2011 terdapat 323 (54,29%) pasien anak dengan penyakit kulit non-infeksi, distribusi jenis kelamin memperlihatkan perempuan yang terbanyak 167 (51,70%), dan ter banyak pada kelompok umur 5-14 tahun (59,13%). Simpulan: Penyakit kulit non-infeksi masih sering dijumpai pada pasien anak di RSUP Prof. Dr. R. D. Kandou Manado.Kata kunci: penyakit kulit non-infeksi, anak


e-CliniC ◽  
2015 ◽  
Vol 3 (3) ◽  
Author(s):  
Aljufri Syamsudin ◽  
Marlyn G. Kapantow ◽  
Renate T. Kandou

Abstract: Candidiasis vulvovaginalis (candida vulvovaginitis) is an infection of the vagina or vulva by Candida genus, with a variety of clinical manifestations that can occur acutely, chronically, or episodically. This study aimed to determine the profile of candidiasis vuvovaginalis in the Dermatology clinic Prof. Dr. R. D. Kandou Manado during the period of January to December 2012. This was a retrospective study using the medical records of new patients with a diagnosis of candidiasis vulvovaginalis. The results showed that there were 30 patients (2.73%) with candidiasis vulvovaginalis among 1096 new patients. It was more commonly found in women with the largest age group 25-44 years, residence in Manado, and as housewives, The most frequent therapy was systemic antifungals and antihistamine. The occurence of this disease was associated with other diseases such as bacterial vaginosis.Keywords: vulvovaginaliscandidosis, candida albicansAbstrak: Kandidiasis vulvovaginalis (kandidosis vulvovaginalis, kandida vulvovaginitis) adalah infeksi vagina dan atau vulva oleh Genus Candida, dengan berbagai manifestasi klinisnya yang bisa berlangsung akut, kronis atau episodik. Penelitian ini bertujuan untuk mengetahui profil kandidiasis vuvovaginalis di poliklinik Kulit dan Kelamin RSUP Prof. Dr. R. D. Kandou Manado periode Januari – Desember 2012. Penelitian ini dilakukan secara retrospektif dari rekam medik pasien baru dengan diagnosis kandidiasis vulvovaginalis. Hasil penelitian menunjukkan bahwa terdapat 30 pasien (2,73%) kandidiasis vulvovaginalis dari 1.096 pasien baru, lebih banyak ditemukan pada perempuan dengan kelompok umur 25-44 tahun, didapatkan bahwa wilayah tempat tinggal terbanyak adalah Kota Manado, menurut pekerjaan paling banyak terjadi pada IRT (Ibu rumah tangga), terapi yang banyak digunakan adalah Antijamur sistemik+antihistamin, dan kombinasi kandidiasis vulvovaginalis dengan penyakit lain terbanyak yaitu kandidiasis vulvovaginalis + bakterial vaginosis.Kata kunci: kandidiasis vulvovaginalis, candida albican, penelitian retrospektif


2011 ◽  
Vol 5 (3) ◽  
pp. 611
Author(s):  
Moisés Kogien ◽  
Carlos Alberto Teixeira

ABSTRACTObjectives: to describe the most frequent causes for realization of thoracotomies and the epidemiological profile of individuals submitted of its. Method: this is about a retrospective study from quantitative approach conducted by medical records of a large general hospital of region Center-Western of Paraná (PR) were analysed in from June 2005 to july 2006. The study has been approved by the Research Ethics Committee of the Universidade Estadual do Centro-Oeste in Paraná (BR), in accordance to registration number 019/2006. Results: it were studied 50 cases, 56% were men; the age-group where the most number of cases were concentred was between 40 and 49 years old (22%), the average age was 42,5 years. Most of the case studied (50%) was closed thoracotomy drainage; 42% was thoracotomized for exhibit pleural empyema and 22% for exhibit pleural effusion. Conclusion: males aged up to 49 years old predominated among the thoracotomized patients in the study sample. The lateral thoracotomies were the main thoracic incisions made for treatment of pleural effusions and empyemas.  Descriptors: thoracotomy; thoracic surgery; epidemiology descriptive.RESUMOObjetivo: descrever as causas mais frequentes para a realização de toracotomias e traçar o perfil epidemiológico dos indivíduos submetidos a este procedimento. Método: estudo retrospectivo com abordagem quantitativa através de análise de prontuários médicos em um hospital de grande porte da região Centro-Oeste do Paraná no período entre junho/2005 e junho/2006. O trabalho foi aprovado pelo Comitê de Ética em Pesquisa da Universidade Estadual do Centro-Oeste, sob registro n.019/2006. Resultados: foram estudados 50 casos, destes, 56% constituem-se de homens; a faixa etária onde se concentraram o maior número de casos foi entre 40 e 49 anos (22%), com idade média de 42,5 anos. A maioria dos casos analisados (50%) correspondeu a toracotomias com drenagem fechada; 42% foram toracotomizados por apresentarem empiema pleural e 22% por apresentarem derrame pleural. Conclusão: indivíduos do sexo masculino na faixa etária de até 49 anos de idade predominaram entre os pacientes toracotomizados da amostra do estudo, todos procedentes da região estudada. As toracotomias laterais foram as principais incisões torácicas realizadas em indicação ao tratamento de derrames e empiemas pleurais. Descritores: toracotomia; cirurgia torácica; epidemiologia descritiva.RESUMENObjetivos: describir las causas más frecuentes para la realización de toracotomías y trazar el perfil epidemiológico de los individuos sometidos a esto procedimiento. Método: estudio retrospectivo con abordaje cuantitativa a través de análisis de archivos médicos en un hospital de gran porte de la región Centro-Oeste del Paraná en el período entre junio/2005 y junio/2006. El estudio fue aprobado por el Comité de Etica en Investigación de la Universidad Estadual del Centro-Oeste, sob protocolo n. 019/2006. Resultados: fueron estudiados 50 casos, de estos, 56% se constituyen de hombres; la faja etaria donde se concentraron el mayor número de casos fue entre 40 y 49 años (22%) con edad media de 42,5 años. La mayoría de los casos estudiados (50%) correspondió a toracotomías con drenaje cerrada; 42% fueron toracotomizados por presentaren empiema pleural y 22% por presentaren derrame pleural. Conclusión: hombres en la faja etaria hasta 49 años predominarán entre los toracotomizados en la amostrad del estudio, todos procedentes de la región estudiada. Las toracotomías laterales fueran las principales incisiones torácicas realizadas en indicación al tratamiento de derrames y empiemas pleurales.  Descriptores: toracotomía; cirúgia torácica; epidemiología descriptiva.


2011 ◽  
Vol 30 (10) ◽  
pp. 1454-1457
Author(s):  
Esmaeil Farzaneh ◽  
Babak Mostafazadeh ◽  
Nasim Zamani ◽  
Armen Eskandari ◽  
Mohammadali Emamhadi

Poisoning with depilatory agents is a rather uncommon entity in western countries. In this study, we describe poisoning with a corrosive arsenic-based depilatory agent (CABD) and factors related to its mortality in a poisoning center in Tehran. In a retrospective study, the medical records of all patients with CABD intoxication who attended the emergency ward of Loghman-Hakim hospital, the only poisoning center in Tehran, over a 9-year period between 2000 and 2009 were reviewed. The majority of patients were men (78.7%, n = 122 vs. women: 21.3%, n = 33). The mean age was 35.55 ± 16.68 years. Mean time of arrival to hospital was 3.63 hours (SD = 4.07). The mortality rate was 5.8% and increased significantly with higher amounts of ingestion and delay in arrival to hospital. CABD poisoning may be lethal if not treated promptly and correctly. Restriction or, if not practical, reduction of harmful components of this substance should be considered.


2015 ◽  
Vol 7 (3) ◽  
Author(s):  
Juan P. E. Febriansyah ◽  
Grace M. Kapantow ◽  
Agus Hariyanto

Abstract: Atopic dermatitis (AD) is a chronic and recurrent inflammatory disease most commonly found during infancy and childhood. This disease is very complex and has a variety of clinical manifestations. Its management depends not only on the medication, but also on skin care and avoidance of trigger factors. This study aimed to obtain the profile of atopic dermatitis at the Dermatovenerology Clinic of Prof. Dr. R. D. Kandou Hospital Manado period January 2010 to December 2012. This was a retrospective study using medical records of new registered patients at the Dermatovenerology clinic. New cases were grouped according to sex, age, occupation, treatment, and coinfection diseases. The results showed that there were 461 (16.26%) new cases of AD out of 2,835 cases, consisted of 289 (62.69%) females and 172 (37.31%) males with a ratio of 1.7:1. The most frequent age group was >12 years old (58.35%); they were commonly students (43.38%). The most frequent treatment was a combination of oral antihistamin and topical corticosteroid (49.67%). No coinfection was recorded among 332 cases (72.02%). Conclusion: Most of the atopic dermatitis cases at the Dermatovenerology Clinic of Prof. Dr. R. D. Kandou Hospital Manado for the last 3 years were females, age group >12 years old, and as students. Combination of oral antihistamin and topical corticosteroid was the most common treatment. Almost all cases had no coinfection.Keywords: atopic dermatitis, profileAbstrak: Dermatitis atopik (DA) merupakan penyakit peradangan kulit kronis dan residif yang sering terjadi pada masa bayi dan kanak-kanak. Penyakit ini sangat kompleks dengan gambaran klinis bervariasi. Penatalaksanaannya tidak hanya bergantung pada pengobatan, namun juga perawatan kulit dan menghindari faktor pencetus. Penelitian ini bertujuan untuk mendapatkan profil DA di Poliklinik Kulit dan Kelamin RSUP Prof. Dr. R. D. Kandou Manado periode Januari 2010 - Desember 2012. Metode penelitian ini retrospektif dengan menggunakan catatan medik pasien baru di Poliklinik Kulit dan Kelamin tersebut. Kasus baru dikelompokkan menurut jenis kelamin, usia, pekerjaan, pengobatan, dan penyakit penyerta. Hasil penelitian memperlihatkan 461 (16,26%) kasus baru DA dari 2.835 kasus baru, terdiri dari 289 (62,69%) perempuan dan 172 (37,31%) laki-laki dengan rasio 1,7:1. Kelompok usia terbanyak ialah >12 tahun sebesar 269 (58,35%), terbanyak pada pelajar/mahasiswa yaitu 200 kasus (43,38%). Terapi tersering ialah kombinasi antihistamin oral dan kortikosteroid topikal sejumlah 229 kasus (49,67%). Sejumlah 332 (72,02%) kasus tidak disertai penyakit lain. Simpulan: Kasus dermatitis atopik di Poliklinik Kulit dan Kelamin RSUP Prof. Dr. R. D. Kandou Manado selama 3 tahun terakhir tersering pada perempuan, kelompok usia >12 tahun, dan pada pelajar/mahasiswa. Kombinasi anti histamin oral dan kortikosteroid topikal menjadi terapi yang tersering diberikan. Sebagian besar kasus tidak disertai penyakit lain.Kata kunci: dermatitis atopik, profil


Sign in / Sign up

Export Citation Format

Share Document