scholarly journals Coinfection of Mycobacterial diseases

2021 ◽  
Vol 9 (2) ◽  
pp. 39-41
Author(s):  
Pankaj Kumar Das ◽  
Md Rajibe Mia ◽  
Md Shafiul Alam ◽  
Atia Sharmeen ◽  
Md Shahidul Islam
Keyword(s):  
Developing Countries ◽  
Cohort Study ◽  
Early Diagnosis ◽  
Control Programme ◽  
Mycobacterial Infections ◽  
Pulmonary Tb ◽  
Mycobacterial Diseases ◽  
Leprosy Control

Although both mycobacterial infections are endemic in developing countries, the coinfection has hardly been reported in the last decade. The combined National TB & Leprosy Control Programme of Bangladesh came into effect in 1994. Though the Elimination of Leprosy (<1 case / 10,000 population) was achieved nationally in 1998, Bangladesh is still endemic for Tuberculosis. A 10 years cohort study was conducted in six districts of the Northern part of Bangladesh, covered by the Damien Foundation. This cohort consisted of a total of 4,788 leprosy cases registered from 2007 to 2016. Reviewing the records of all these cases, 25 (0.52%) patients were identified as having coinfection with Tuberculosis & Leprosy. All cases were coinfected with smear positive pulmonary TB. This study concludes that duel infection with mycobacteria is uncommon. Early diagnosis is very important for better outcomes of both diseases. CBMJ 2020 July: Vol. 09 No. 02 P: 39-41

scholarly journals Early diagnosis of mortality using admission CT perfusion in severe traumatic brain injury patients (ACT-TBI): protocol for a prospective cohort study

BMJ Open ◽  
2021 ◽  
Vol 11 (6) ◽  
pp. e047305
Author(s):  
Susan Alcock ◽  
Divjeet Batoo ◽  
Sudharsana Rao Ande ◽  
Rob Grierson ◽  
Marco Essig ◽  
...  
Keyword(s):  
Traumatic Brain Injury ◽  
Cohort Study ◽  
Brain Injury ◽  
Early Diagnosis ◽  
Hospital Mortality ◽  
Brain Death ◽  
Severe Traumatic Brain Injury ◽  
Health Research ◽  
Ct Perfusion ◽  
Severe Tbi

IntroductionSevere traumatic brain injury (TBI) is a catastrophic neurological condition with significant economic burden. Early in-hospital mortality (<48 hours) with severe TBI is estimated at 50%. Several clinical examinations exist to determine brain death; however, most are difficult to elicit in the acute setting in patients with severe TBI. Having a definitive assessment tool would help predict early in-hospital mortality in this population. CT perfusion (CTP) has shown promise diagnosing early in-hospital mortality in patients with severe TBI and other populations. The purpose of this study is to validate admission CTP features of brain death relative to the clinical examination outcome for characterizing early in-hospital mortality in patients with severe TBI.Methods and analysisThe Early Diagnosis of Mortality using Admission CT Perfusion in Severe Traumatic Brain Injury Patients study, is a prospective cohort study in patients with severe TBI funded by a grant from the Canadian Institute of Health Research. Adults aged 18 or older, with evidence of a severe TBI (Glasgow Coma Scale score ≤8 before initial resuscitation) and, on mechanical ventilation at the time of imaging are eligible. Patients will undergo CTP at the time of first imaging on their hospital admission. Admission CTP compares with the reference standard of an accepted bedside clinical assessment for brainstem function. Deferred consent will be used. The primary outcome is a binary outcome of mortality (dead) or survival (not dead) in the first 48 hours of admission. The planned sample size for achieving a sensitivity of 75% and a specificity of 95% with a CI of ±5% is 200 patients.Ethics and disseminationThis study has been approved by the University of Manitoba Health Research Ethics Board. The findings from our study will be disseminated through peer-reviewed journals and presentations at local rounds, national and international conferences. The public will be informed through forums at the end of the study.Trial registration numberNCT04318665

scholarly journals The double-sided effects of Mycobacterium Bovis bacillus Calmette–Guérin vaccine

npj Vaccines ◽  
2021 ◽  
Vol 6 (1) ◽  
Author(s):  
Junli Li ◽  
Lingjun Zhan ◽  
Chuan Qin
Keyword(s):  
Literature Review ◽  
Experimental Evidence ◽  
Mycobacterium Bovis ◽  
Virus Disease ◽  
Bcg Vaccine ◽  
Bacillus Calmette Guerin ◽  
Mycobacterial Infections ◽  
Specific Effects ◽  
Mycobacterial Diseases ◽  
Protection Mechanisms

AbstractBacillus Calmette–Guérin (BCG), the only vaccine proven to be effective against tuberculosis (TB), is the most commonly used vaccine globally. In addition to its effects on mycobacterial diseases, an increasing amount of epidemiological and experimental evidence accumulated since its introduction in 1921 has shown that BCG also exerts non-specific effects against a number of diseases, such as non-mycobacterial infections, allergies and certain malignancies. Recent Corona Virus Disease 2019 (COVID-19) outbreak has put BCG, a classic vaccine with significant non-specific protection, into the spotlight again. This literature review briefly covers the diverse facets of BCG vaccine, providing new perspectives in terms of specific and non-specific protection mechanisms of this old, multifaceted, and controversial vaccine.

scholarly journals RELATIONSHIP BETWEEN PSYCHOLOGICAL, INCENTIVES AND AVAILABILITY OF FACILITIES WITH PERFORMANCE OF THE TUBERCULOSIS CONTROL PROGRAMME

2018 ◽  
Vol 3 (2) ◽  
pp. 86
Author(s):  
Dian Rosadi ◽  
Fauzie Rahman ◽  
Sasikarani Sasikarani
Keyword(s):  
Quantitative Research ◽  
Sampling Technique ◽  
Control Programme ◽  
Cross Sectional ◽  
Pulmonary Tb ◽  
Tuberculosis Control Programme ◽  
Work Area ◽  
Officer Performance ◽  
Cross Sectional Design ◽  
The Relationship

Tuberculosis (TB) is an infectious disease caused by Mycobacterium tuberculosis. The achievement of Pulmonary TB CDR in the working area of Banjarmasin City Health Office is still 49% in 2015 and increased by 52% in 2016. The low achievement of pulmonary TB CDR in Banjarmasin became a health problem related to the performance of P2TB officers in the Health Service Working Area City of Banjarmasin. This study aims to explain factors related to the performance of Proram Control Officers Tuberculosis in the Work Area of Banjarmasin City Health Office. This research is a quantitative research using cross sectional design. The population is all officers of P2TB in the working area of Banjarmasin City Health Office. The sample taken is a population of 57 people using total sampling technique. The results showed that the availability factor of the facility was related to the performance of the Proram Control Officer Tuberculosis (ρ-value = 0.049). While factors unrelated to officer performance are psychological factor (ρ-value = 1.000) and incentive (ρ-value = 0.260). The Conclusion of this study is the relationship between the availability of facilities with the performance of Proram Control Officers Tuberculosis, but there is no relationship between the psychological and incentives with the Proram Control Officer Tuberculosis in the Work Area of Banjarmasin City Health Office.

scholarly journals Role of Serial C-reactive Protein (CRP) in Relation to Total Leucocyte Count, Platelet Count & Blood Culture for early Diagnosis of Neonatal Septicemia in Developing Countries

2015 ◽  
Vol 32 (2) ◽  
pp. 61-65
Author(s):  
Chiranjib Barua ◽  
Md Nurul Anwar ◽  
Md Shahidullah ◽  
Shahadat Hossain ◽  
Sharmila Barua ◽  
...  
Keyword(s):  
Developing Countries ◽  
Blood Culture ◽  
Early Diagnosis ◽  
Neonatal Sepsis ◽  
Leucocyte Count ◽  
Control Group ◽  
Total Leucocyte Count ◽  
C Reactive Protein ◽  
Neonatal Septicemia ◽  
Reactive Protein

Neonatal septicemia is a clinical syndrome of systemic illness accompanied by bacteremia occuring in the first 28 days of life. Neonatal septicemia is one of the major causes of neonatal death in developing countries. Early diagnosis and treatment can prevent neonatal mortality and morbidity. The present study includes: 1) usefulness of CRP (C-reactive protein), Total Leucocyte Count, Platelet Count and Blood Culture in early diagnosis of Neonatal Sepsis, 2) significance of serial CRP in diagnosis of neonatal sepsis. 3) the prognostic value of CRP in neonatal sepsis. This is a prospective study done in neonatal ward, Chittagong Medical College Hospital and carried out from January 2008 to January 2011. Sample size was 300. One hundred fifty neonates with suspected sepsis as cases and 150 healthy babies as control were enrolled in this study. Seventy two percent of cases neonates were preterm and low birth weight. Common risk factors for neonatal septicemia which were identified in this study; preterm (72%), low birth weight (72%), premature rupture membrane (60%), chorioamnionitis (26%) and maternal urinary tract infection (16%) . Out of 150 cases of suspected neonatal sepsis total 80.7%% had raised CRP, in initial sample 70.39% were CRP positive and in 2nd sample additional 9.31% case were CRP positive . In control group 91% were CRP negative. CRP was positive in 100% of culture proven sepsis. Sensitivity of CRP was 80.67% and specificity of CRP was 76.44%. Leucocytosis was observed in 7% of cases and leucopenia was found in 11% of cases. In 82 % cases leucocyte count was found normal. In control group, 95% had normal leucocyte count and 5% had leucocytosis but no leucopenia. Sensitivity of leucocyte count was 18% and specificity was 20.68%. Thrombocytopenia was found in 28% of case group. Out of 150 cases only 15.33% yielded growth of organisms in blood culture. Klebsiella was the most common pathogen isolated which was followed by E.coli and Strph. aureus. Sensitivity of blood culture was 15.33% and specificity was 100% Therefore serial CRP can be taken as alternative method for diagnosis of neonatal sepsis specially in developing countries where blood culture is not readily available.J Bangladesh Coll Phys Surg 2014; 32: 61-65

Mycobacterial Diseases in HIV-Positive Patients

2006 ◽  
Vol 19 (1) ◽  
pp. 10-16 ◽  
Author(s):  
Dia-Jeanette Thomas
Keyword(s):  
Highly Active Antiretroviral Therapy ◽  
Opportunistic Infections ◽  
Nontuberculous Mycobacteria ◽  
Underserved Populations ◽  
Hiv Positive ◽  
Mycobacterium Kansasii ◽  
Mycobacterial Infections ◽  
Highly Active ◽  
Mycobacterial Diseases ◽  
Mycobacterium Avium Intracellulare

Mycobacterial infections comprise the largest group of opportunistic infections in the HIV-infected population. The incidence of these and other opportunistic infections has declined significantly since the introduction of highly active antiretroviral therapy. Mortality from these illnesses has decreased as optimal combinations of antibiotics were discovered. Despite these facts, mycobacterial infections still pose a major threat to AIDS patients, particularly in underserved populations. The most common mycobacterial infections found in HIV-infected individuals are Mycobacterium tuberculosis, Mycobacterium avium intracellulare, and Mycobacterium kansasii, although other nontuberculous mycobacteria have been isolated. While established guidelines have made the task of preventing and treating opportunistic infections easier, resistance, toxicity, adherence, and drug interactions remain barriers to providing optimal therapy.

Sign in / Sign up

Export Citation Format

Share Document