المؤلفون: Debnath, Chitto Ranjan¹, Khan, Md Saiful Islam², Khan, Md Sakirul Islam^3,4, Nath, Proggananda⁵, Majumder, Lakshmi Narayan², Monowar, Md. Sayem⁶, Khan, Monalisa⁷, Islam, Farzana³, Nabeka, Hiroaki³, Shimokawa, Tetsuya³, Matsuda, Seiji³, Al Mahtab, Mamun⁸, Akbar, Sheikh Mohammad Fazle^9,10 sheikh_mohammad_fazle.hh@ehime-u.ac.jp

المصدر: Journal of Infection in Developing Countries. Aug2022, Vol. 16 Issue 8, p1252-1257. 6p.

مصطلحات موضوعية: *SARS-CoV-2, *COVID-19, *INHALATION injuries, *CORONAVIRUS diseases

مصطلحات جغرافية: BANGLADESH

مستخلص: Introduction: Containment of the further spread of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection and reducing fatality due to coronavirus disease 19 (COVID-19) represent a pressing challenge to global health services. Here, we present a management blueprint for both the containment of SARS-CoV-2 and treatment of COVID-19 through a comprehensive approach. Methodology: A cohort of 130 consecutive patients identified as positive for SARS-CoV-2 by testing of nasal swab by polymerase chain reaction were managed at a peripheral city of Bangladesh between 1 April and 31 May, 2020. Based on their clinical status, 64 of them were initially selected for isolation (Isolation Group) and 66 recommended for hospitalization (Hospital Group) as per the direction of the "Central COVID-19 Control" Center. Both groups of patients were allocated to receive standard of care management and oxygen inhalation, and intensive care unit management as and when necessary. Based on the conditions of the COVID-19 patients, there was an active system of patients being transferred from the "Isolation Group" to "Hospital Group" and vice versa. Results: Twelve patients of the "Isolation Group" were transferred to the hospital, as they exhibited symptoms of deterioration. Four patients of the "Hospital Group" died during the observation period of two months in the intensive care unit. However, there has been no fatality among the patients of the "Isolation Group". Conclusions: The concept of "Isolation" and "Hospital Management" with the participation of the community seems to be an effective management strategy for COVID-19 in developing countries. [ABSTRACT FROM AUTHOR]

المؤلفون: Karim, Mohammad Fazal¹ drfazalkarim@gmail.com, Brunetti, Enrico², Rahman, Salimur³, Budke, Christine M.⁴, Areef Ahsan, Abu Saleh Mohammad⁵, Ahsan, Mohammad Areef⁵, Al-Mahtab, Mamun³, Zaki, Khandaker Mahabub Jamal⁶, Alam, Mohammad Jamshed⁷, Akbar, Sheikh Mohammad Fazle⁸, Jalil, M. A.⁹

المصدر: Journal of Infection in Developing Countries. Jan2015, Vol. 9 Issue 1, p70-75. 6p.

مصطلحات موضوعية: *ECHINOCOCCOSIS, *ABDOMINAL injuries, *LIVER injuries, *TERTIARY care, *MEDICAL education, *EPIDEMIOLOGY, *RETROSPECTIVE studies

مصطلحات جغرافية: BANGLADESH

مستخلص: Introduction: Cystic echinococcosis (CE) is reported from nearly all geographic areas of Bangladesh, but little information is available on its epidemiologic and clinical features. The aim of this study was to describe the clinical manifestations of hepatic and abdominal CE cases presenting to tertiary referral hospitals in Dhaka, Bangladesh. Methodology: A retrospective study was conducted via chart reviews of hepatic and abdominal CE patients under care at tertiary referral hospitals in Dhaka, Bangladesh, between 2002 and 2011. Age, sex, education level, occupation, urban versus rural residence, drinking water source, history of dog ownership, cyst type and location, and clinical manifestations were recorded for all patients. Results: Of the 130 patients enrolled, 92 (70.8%) were female and 38 (29.2%) were male. The majority of patients were from rural (76.2%) rather than urban (23.8%) areas. All cases were from the northern part of the country, with no cases reported from the south or southeast. Most patients were between 21 and 40 years of age. A total of 119 patients (91.5%) had cysts only in the liver, with the remaining 8.5% having cysts in both the liver and lungs or in the abdominal cavity. Seventy-six (58.5%) of the hepatic cysts were stage CE1, indicating recent infection. Conclusions: Active transmission of Echinococcus granulosus appears to be occurring in Bangladesh, as indicated by the high number of CE1 hepatic cysts seen at tertiary care hospitals. Community ultrasound screening studies are warranted to better define the distribution of cases and risk factors for parasite transmission. [ABSTRACT FROM AUTHOR]