Lymphocytosis and Lymphopenia Induced by Imported Infectious Diseases: A Controlled Cross-Sectional Study of 17,229 Diseased German Travelers Returning from the Tropics and Subtropics

Background: Over 200 million under-five-children born in low-income countries are at risk of not reaching their development potential and infectious diseases are the leading cause of development deficits in these regions.Methods: A cross-sectional study was conducted to investigate personal and household hygiene practices among 154 mothers and their association with the incidence of infectious diseases among 167 children aged 6 months to 59 months in Patuakhali district, Bangladesh.Results: Only 13.6% of the mothers had proper hand washing knowledge. Besides, 14% and 53.9% of the mothers washed their hands with soap and only with water respectively before feeding their child. About 68.2% of mothers prepared food on the ground and half (49.5%) of the toilet did not have a hand washing location beside it. The risk of childhood infectious disease was significantly associated with hand washing of mothers before feeding a child (OR: 2.3, 95% CI: 1.5-4.1, p<0.05) and hand washing of child before eating (OR: 3.4, 95% CI: 1.8-5.7, p<0.05).Conclusions: Hand washing agents were inadequate and compliance to hand washing was poor. Therefore, the continuous focus is needed on the mother's awareness construction to increase the compliance to hand washing practice among mothers as well as their child with soap, especially during child feeding.

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Registered Interventional Clinical Trials for Old Populations With Infectious Diseases on ClinicalTrials.gov: A Cross-Sectional Study

Frontiers in Pharmacology ◽

10.3389/fphar.2020.00942 ◽

2020 ◽

Vol 11 ◽

Cited By ~ 1

Author(s):

Lingmin Chen ◽

Menghua Wang ◽

Yi Yang ◽

Jing Shen ◽

Yonggang Zhang

Keyword(s):

Clinical Trials ◽

Infectious Diseases ◽

Cross Sectional Study ◽

Sectional Study ◽

Cross Sectional

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458. Diagnostic Accuracy and Management of Suspected Moderate to Severe Cellulitis Referred to an Infectious Diseases Outpatient Parenteral Antibiotic Clinic: A Prospective Cross-Sectional Study

Open Forum Infectious Diseases ◽

10.1093/ofid/ofz360.531 ◽

2019 ◽

Vol 6 (Supplement_2) ◽

pp. S225-S225

Author(s):

Jolanta Piszczek ◽

Eric Partlow ◽

Shay-Anne Daniels ◽

Milena Semproni ◽

Wayne Ghesquiere

Keyword(s):

Emergency Department ◽

Infectious Diseases ◽

Diagnostic Accuracy ◽

Cross Sectional Study ◽

High Rate ◽

Sectional Study ◽

Cross Sectional ◽

Parenteral Antibiotic ◽

Intravenous Antibiotics ◽

The Impact

Abstract Background Moderate to severe cellulitis is a common reason for presentation to the emergency department and administration of intravenous antibiotics. Misdiagnosis of cellulitis occurs frequently as the disease can masquerade as a wide variety of noninfectious and infectious problems. There are currently no studies evaluating the impact of infectious diseases physicians on the diagnostic accuracy and management of cellulitis referred to an outpatient parenteral antibiotic clinic from the emergency department. The objective of this study was to quantify the prevalence of misdiagnosed moderate to severe cellulitis through an evaluation by an infectious diseases specialist, characterize the alternative diagnoses, and assess variables associated with misdiagnosis. Methods A prospective cross-sectional study of adults referred from emergency departments with presumed moderate to severe cellulitis to an outpatient parenteral antibiotic clinic staffed by infectious diseases specialists. Results 301 consecutive patients with presumed cellulitis were evaluated over a 6-month period. A concurring diagnosis of cellulitis was found in 170 patients (56.5%), for a misdiagnosis rate of 43.5% (131/301). Table 1 summarizes the alternative diagnoses. Infectious conditions other than cellulitis were the most common (63/301; 20.9%), with abscess being present in 23 (7.6%) of patients. Fifty-two of 301 (17.3%) of the diagnoses were noninfectious and 16/301 (5.3%) patients had a dual diagnosis where minor cellulitis was present, but secondary to another, predomintating condition. The presence of stasis dermatitis (OR 6.62, P = 0.013) and a history of physical trauma (OR 1.76, P = 0.046) were associated with a misdiagnosis. 31.9% (107/335) of antibiotic regimens prescribed by emergency physicians were inappropriate or sub-optimal compared with 7.9% (22/280) of those ordered by infectious disease doctors. Conclusion Moderate to severe cellulitis was incorrectly diagnosed in nearly half of the patients referred for intravenous antibiotics and resulted in a high rate of unstewardly antimicrobial use. Infectious diseases physicians at an outpatient antibiotic clinic improved the diagnostic accuracy and management of this complicated condition. Disclosures All authors: No reported disclosures.

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Factors Influencing Internal Medicine Resident Choice of Infectious Diseases or Other Specialties: A National Cross-sectional Study

Clinical Infectious Diseases ◽

10.1093/cid/ciw263 ◽

2016 ◽

Vol 63 (2) ◽

pp. 155-163 ◽

Cited By ~ 45

Author(s):

Erin M. Bonura ◽

Eun Sul Lee ◽

Katrina Ramsey ◽

Wendy S. Armstrong

Keyword(s):

Internal Medicine ◽

Infectious Diseases ◽

Internal Medicine Resident ◽

Cross Sectional Study ◽

Sectional Study ◽

Cross Sectional ◽

Medicine Resident ◽

Factors Influencing

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A Cross-sectional Study on Infectious Health Risks Regarding Freshwater Sport Practice in Brittany, France

10.21203/rs.3.rs-454461/v1 ◽

2021 ◽

Author(s):

Fanny Velardo ◽

Hanifa Bouziri ◽

Lucie Adélaïde ◽

Emma Oliosi ◽

Maylis Layan ◽

...

Keyword(s):

Infectious Diseases ◽

Cross Sectional Study ◽

Sectional Study ◽

Cross Sectional ◽

Logistic Regression Models ◽

Factors Associated ◽

Online Study ◽

Sport Practice ◽

Skin Symptoms ◽

Potential Risk Factors

Abstract Background: Freshwater sports can be associated with infections from pathogenic microorganisms. In French Brittany, such infections are a major concern since a leptospirosis outbreak in 2016. Objectives: We aimed to estimate the prevalence of infectious diseases related to the practice of freshwater sports and identify the factors associated with these pathologies in Brittany, France. Methods: We conducted a cross-sectional study from March 18 to May 8, 2019, among freshwater sport licensees (online study) and clubs (phone study). Licensees were 18 years old or more, and practiced at least one freshwater sport, in one of the 79 Brittany clubs. Club presidents and instructors were also surveyed. We used logistic regression models to study the association between our variables of interest and potential risk factors. Results: In total, 551 licensees (20.3% of the total number of licensees) and 38 clubs (48.1%) were surveyed. A diagnosis of leptospirosis was reported by 29 (5.3%) licensees, of which 41.3% occurred in the last five years. The most reported symptoms were skin symptoms (24.3%) and 7.1% of individuals reported at least one hospitalization in their lifetime for a disease related to freshwater sports. The occurrence of leptospirosis was negatively associated with boarding from a pontoon (OR=0.20 [0.06-0.56]), practicing for less than 4 years (OR=0.17 [0.04-0.56]) compared to more than 10 years, and the occurrence of leptospirosis was positively associated with taking a soapy shower after practice (OR=4.38 [1.90-10.51]). Eskimo roll was positively associated with the occurrence of otitis and conjunctivitis (OR=3.22 [1.82-6.03]) and skin irritations (OR=1.66 [0.99-2.84]). Conclusion: This study provides a better understanding of the proportion and factors associated with infectious diseases linked to the practice of freshwater sports in French Brittany. Complementary studies are necessary to better understand the link between these diseases and the practice of freshwater sports.

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