المؤلفون: AlBahrani, Salma, AlBarrak, Ali, AlGubaisi, Nawal, Alkurdi, Hamoud, Alburaiki, Dalia, AlGhamdi, Abdulrahaman, AlOthaiqy, Mohammed, Tayeb, Sarah, Tayeb, Nesreen, Abdraboh, Salimah, Khairi, Amani, Alshareef, Lujain, AlHarbi, Asma, AlRabeeah, Saad, Alqahtani, Abdullah S., Alqahtani, Jaber S., Hakami, Fatimah Hassan, Al-Maqati, Thekra N., Alkhrashi, Sausan Abdulrahman, Almershad, Meshael Musaed

المصدر: Journal of Infection & Public Health; Aug2023, Vol. 16 Issue 8, p1276-1280, 5p

مستخلص: COVID-19 pandemic adversely affected healthcare workers (HCWs). Here, we evaluate the occurence of long-COVID-19 symtoms among HCWs. This is a questionnaire-based study of HCWs who had COVID-19 in two medical centers in Saudi Arabia and were mostly vaccinated. The study included 243 HCWs with a mean age (+ SD) of 36.1 (+ 7.6) years. Of them, 223 (91.8%) had three doses of COVID-19 vaccine, 12 (4.9%) had four doses, and 5 (2.1%) had two doses. The most common symptoms at the start of the illness were cough (180, 74.1%), shortness of breath (124, 51%), muscle ache (117, 48.1%), headache (113, 46.5%), sore throat (111, 45.7%), diarrhea (109, 44.9%) and loss of taste (108, 44.4%). Symptoms lasted for< one week in 117 (48.1%),> one week and< 1 month in 89 (36.6%),> 2 months and< 3 months in 9 (3.7%), and> 3 months in 15 (6.2%). The main symptoms present> 3 months were hair loss (8, 3.3%), cough (5, 2.1%), and diarrhea (5, 2.1%). A binomial regression analysis showed no relationship between persistence of symptoms for> 3 months and other demographic or clinical symptoms characteristics. The study showed a low rate of the occurence of long-COVID> 3 months during the Omicron-wave among mostly vaccinated HCWs with no significant comorbidities. Furhter studies are needed to examine the effect of different vaccines on long-COVID-19 among HCWs. [ABSTRACT FROM AUTHOR]

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المؤلفون: Alqahtani, Jaber S., Alahamri, Mohammed D., Alqahtani, Abdullah S., Alamoudi, Asma O., Alotaibi, Nawal Z., Ghazwani, Abdullah A., Aldhahir, Abdulelah M., Alghamdi, Saeed M., Obaidan, Afrah, Alharbi, Asma Falah, Sreedharan, Jithin K., Al Rabeeah, Saad M., Al Zahrani, Eidan M.

المصدر: Heart & Lung; Nov2022, Vol. 56, p167-174, 8p

مستخلص: Improved outcomes for patients on mechanical ventilation may be achieved with early mobilization (EM). However, it is not clear how widely this strategy is adopted into routine intensive care unit (ICU) practice in Saudi Arabia. This study was conducted to describe the present practices and challenges to providing EM for mechanically ventilated patients, which may drive dissemination and implementation activities. We approached 205 ICUs across Saudi Arabia using a validated tool to assess ICU characteristics, the practices of EM for mechanically ventilated patients, and the barriers to providing EM. We approached 205 ICU persons in charge and achieved a 65% response rate (133 ICUs). The prevalence of EM for mechanically ventilated patients was 47% (63 ICUs). A total of 85 (64%) of the respondents reported having no previous training in EM. The absence of a written protocol was reported by 55% of the ICU practitioners in charge, 36% started EM within 2 to 5 days of critical illness, and 35% reported that performing EM for mechanically ventilated patients was totally dependent on physicians' orders. Forty-seven percent of the ICUs that practised EM had at least one coordinator or person in charge of facilitating EM. The highest level of EM with mechanically ventilated patients was 35/63 (55%) with patients remaining in-bed and 28/63 (45%) with patient getting out of bed. A majority of the respondents (39, 64%) performed EM once daily for an interval period of more than 15 min. Previous training in EM and years of experience of the ICU person in charge were significant factors that promoted EM for mechanically ventilated ICU patients (OR: 7.6 (3.37–17.26); p < 0.001 and OR: 1.07 (1.01–1.14), p = 0.004, respectively). Existing protocols increased the odds of starting EM within 2 to 5 days of critical illness by six-fold (OR: 6.03 (1.79–20.30); p = 0.004). No written guidelines/protocols available for EM, medical instability, and limited staff were the most common hospital-, patient- and health care provider-related barriers to EM in the ICUs, respectively. The prevalence of EM for mechanically ventilated patients across Saudi Arabia was 47%, although only 36% of the ICU staff had previous training in EM. Targeting modifiable barriers to EM, including a lack of training, guidelines and protocols, and staffing, will help to promote EM in Saudi Arabian ICUs. [ABSTRACT FROM AUTHOR]

: Copyright of Heart & Lung is the property of Elsevier B.V. and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

المؤلفون: Alqahtani, Jaber S., AlAhmari, Mohammed D., Alshamrani, Khalid H., Alshehri, Abdullah M., Althumayri, Mashhour A., Ghazwani, Abdullah A., AlAmoudi, Asma O., Alsomali, Amal, Alenazi, Meshal H., AlZahrani, Yousef R., Alqahtani, Abdullah S., AlRabeeah, Saad M., Arabi, Yaseen M.

المصدر: Heart & Lung; Sep2020, Vol. 49 Issue 5, p630-636, 7p

مستخلص: Patient–ventilator asynchrony (PVA) is a prevalent and often underrecognized problem in mechanically ventilated patients. Ventilator waveform analysis is a noninvasive and reliable means of detecting PVAs, but the use of this tool has not been broadly studied. Our observational analysis leveraged a validated evaluation tool to assess the ability of critical care practitioners (CCPs) to detect different PVA types as presented in three videos. This tool consisted of three videos of common PVAs (i.e., double-triggering, auto-triggering, and ineffective triggering). Data were collected via an evaluation sheet distributed to 39 hospitals among the various CCPs, including respiratory therapists (RTs), nurses, and physicians. A total of 411 CCPs were assessed; of these, only 41 (10.2%) correctly identified the three PVA types, while 92 (22.4%) correctly detected two types and 174 (42.3%) correctly detected one; 25.3% did not recognize any PVA. There were statistically significant differences between trained and untrained CCPs in terms of recognition (three PVAs, p < 0.001; two PVAs, p = 0.001). The majority of CCPs who identified one or zero PVAs were untrained, and such differences among groups were statistically significant (one PVA, p = 0.001; zero PVAs, p = 0.004). Female gender and prior training on ventilator waveforms were found to increase the odds of identifying more than two PVAs correctly, with odds ratios (ORs) (95% confidence intervals [CIs]) of 1.93 (1.07–3.49) and 5.41 (3.26–8.98), respectively. Profession, experience, and hospital characteristics were not found to correlate with increased odds of detecting PVAs; this association generally held after applying a regression model on the RT profession, with the ORs (95% CIs) of prior training (2.89 [1.28–6.51]) and female gender (2.49 [1.15–5.39]) showing the increased odds of detecting two or more PVAs. Common PVAs detection were found low in critical care settings, with about 25% of PVA going undetected by CCPs. Female gender and prior training on ventilator graphics were the only significant predictive factors among CCPs and RTs in correctly identifying PVAs. There is an urgent need to establish teaching and training programs, policies, and guidelines vis-à-vis the early detection and management of PVAs in mechanically ventilated patients, so as to improve their outcomes. [ABSTRACT FROM AUTHOR]

: Copyright of Heart & Lung is the property of Elsevier B.V. and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

المؤلفون: Asiri, Bader I., Alshehri, Ali A., Alqahtani, Abdullah S., Albishi, Abdullah M., Assiri, Yahia I., Asmiri, Esam A.

المصدر: Journal of Taibah University Medical Sciences; Apr2020, Vol. 15 Issue 2, p148-152, 5p

الملخص (بالإنجليزية): Abdominal actinomycosis, one of the causes of ileocaecal disorders, is usually considered when other more common clinical conditions have been excluded. Actinomycosis is a rare infectious bacterial disorder caused by the Actinomyces species. We present the case of a 38-year male Saudi soldier who presented with pain in the right iliac fossa since 4 days prior to presentation. This stabbing pain started gradually. Based on clinical examination and abdominal ultrasound findings, an appendectomy was performed. Histological examination revealed appendicular actinomycosis with lymphoid hyperplasia, serosa congestion, and filamentous bacteria in the appendicular lumen. The patient was treated with amoxicillin. During follow-up, contrast-enhanced abdominal computed tomography (CT) and magnetic resonance imaging (MRI) revealed a 4.3 × 2.9 cm thickened caecal wall. Thereafter, the patient underwent laparoscope-assisted ileocaecal resection with ileocolic anastomosis. The histological report revealed calcified food material in the diverticulum, with chronic inflammation without actinomycosis, which may have been eradicated by the previous antibiotic treatment. [ABSTRACT FROM AUTHOR]

الملخص (بالعربية): داء الشعيات البطني، أحد أسباب اضطرابات اللفائفي الأعوري، وعادة ما يتم التفكير فيه عند استبعاد الحالات السريرية الأخرى الأكثر شيوعا. داء الشعيات هو اضطراب جرثومي نادر ينجم عن أنواع الإكتينوميسات. نقدم جنديًا سعوديًا يبلغ من العمر ٣٨ عاما تعرض لألم في الحفرة الحرقفية اليمنى لأربعة أيام. بدأ هذا الألم على شكل طعن تدريجيا. بناء على الفحص السريري للمريض والموجات فوق الصوتية للبطن، تم إجراء عملية استئصال الزائدة الدودية. وأظهر الفحص النسيجي داء الشعيات الزائدي مع تضخم اللمفاوية، واحتقان المصلية والبكتيريا الخيطية في تجويف الزائدة الدودية. تم علاج المريض بالأموكسيسيلين. وأظهرت الأشعة المقطعية مع الصبغة للبطن، وأظهر التصوير بالرنين المغناطيسي ارتفاع سماكة جدار الأعور ٤.٣ × ٢.٩ سم. خضع المريض أخيرا لاستئصال اللفائفي الأعوري بمساعدة التنظير مع مفاغرة اللفائفي القولوني. أظهر التقرير النسيجي مواد غذائية متكلسة في الرتج مع التهاب مزمن دون داء الشعيات التي كان يمكن علاجها والقضاء عليها من خلال العلاج بالمضادات الحيوية السابقة. [ABSTRACT FROM AUTHOR]

: Copyright of Journal of Taibah University Medical Sciences is the property of Elsevier B.V. and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)