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Sexually transmitted and blood-borne infections by sex, methamphetamine use, and houselessness before, at, and after HIV diagnosis in Manitoba, Canada 加拿大马尼托巴省艾滋病毒确诊前、确诊时和确诊后按性别、甲基苯丙胺使用情况和无家可归情况分列的性传播和血液传播感染情况
IF 1.5
IJID regions Pub Date : 2024-09-07 DOI: 10.1016/j.ijregi.2024.100433
{"title":"Sexually transmitted and blood-borne infections by sex, methamphetamine use, and houselessness before, at, and after HIV diagnosis in Manitoba, Canada","authors":"","doi":"10.1016/j.ijregi.2024.100433","DOIUrl":"10.1016/j.ijregi.2024.100433","url":null,"abstract":"<div><h3>Objectives</h3><p>Describe the proportion of people newly living with HIV with sexually transmitted and blood-borne infections (STBBIs) before, at, and after HIV diagnosis in Manitoba, Canada.</p></div><div><h3>Methods</h3><p>A retrospective cohort study reviewed clinical charts of all 404 people ≥18 years old newly diagnosed with HIV in Manitoba, Canada between 2018 and 2021. Syphilis, hepatitis C and B, gonorrhea, and chlamydia infections before, at, and after HIV diagnosis were recorded and analyzed by sex at birth, injection drug use status, use of methamphetamines, and housing status.</p></div><div><h3>Results</h3><p>A total of 53% of people were diagnosed with syphilis, 44.1% with gonorrhea, 42.8% with chlamydia, and 40.6% with hepatitis C at least once. Among females, 64.1% had at least one or more STBBIs diagnoses before HIV diagnosis compared with 44.8% of males. Over 70% of people experiencing houselessness had at least one STBBI diagnosis before their HIV diagnosis compared with 43.9% of people not houseless. Among people who used methamphetamines, 68.3% had one or more STBBIs before HIV diagnosis compared with 28.9% of people who do not use methamphetamines. In a multivariable analysis houselessness, methamphetamine use, and younger age were associated with increased risk of any STBBIs.</p></div><div><h3>Conclusions</h3><p>In our Manitoba cohort of people living with HIV, disproportionately more females, people experiencing houselessness, and those who use methamphetamine were diagnosed with STBBIs. The proportion of new infections before HIV diagnoses highlights a missed opportunity to provide prevention modalities, including pre-exposure prophylaxis, and the proportion after HIV diagnosis emphasizes the importance of enhancing engagement, repeated testing, and educational strategies to ameliorate ongoing exposures.</p></div>","PeriodicalId":73335,"journal":{"name":"IJID regions","volume":null,"pages":null},"PeriodicalIF":1.5,"publicationDate":"2024-09-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2772707624001048/pdfft?md5=577aee8475c6d1d740fb940c95b0a8de&pid=1-s2.0-S2772707624001048-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142164082","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The attributable mortality, length of stay, and health care costs of methicillin-resistant Staphylococcus aureus infections in Singapore 新加坡耐甲氧西林金黄色葡萄球菌感染的可归因死亡率、住院时间和医疗费用
IF 1.5
IJID regions Pub Date : 2024-09-01 DOI: 10.1016/j.ijregi.2024.100427
{"title":"The attributable mortality, length of stay, and health care costs of methicillin-resistant Staphylococcus aureus infections in Singapore","authors":"","doi":"10.1016/j.ijregi.2024.100427","DOIUrl":"10.1016/j.ijregi.2024.100427","url":null,"abstract":"<div><h3>Objectives</h3><p>We used a multi-state model, which mitigates time-dependent bias, to estimate the mortality, length of stay (LOS), and costs of methicillin-resistant <em>Staphylococcus aureus</em> (MRSA) infections in Singapore.</p></div><div><h3>Methods</h3><p>We conducted a retrospective study in a hospital in Singapore from 2018 to 2022. Patients with MRSA infections were matched 1:1:3 to patients with MRSA colonization and patients without MRSA by age, gender, specialty, and intensive care admission, respectively. A multi-state model was used to derive excess LOS and mortality hazard ratios. The attributable cost of infections was estimated in 2022 Singapore dollars (SGDs) from the health care perspective.</p></div><div><h3>Results</h3><p>We matched 536 patients with MRSA infections to 536 patients with MRSA colonization, and to 1608 patients without MRSA. The excess LOS due to MRSA infection was 2.11 (95% confidence interval [CI] 2.05-2.17) days compared with MRSA colonization and 3.75 (95% CI 3.69-3.80) days compared with no MRSA, which translated to an excess cost of SGD $1825 and SGD $3238, respectively. Of the different MRSA infection types, pneumonia had the highest mortality risk (hazard ratio 4.13; 95% CI 2.28-7.50) compared with patients without MRSA.</p></div><div><h3>Conclusions</h3><p>MRSA infections increased hospital LOS and health care costs in Singapore. Our estimates can inform future economic analyses of management strategies against MRSA.</p></div>","PeriodicalId":73335,"journal":{"name":"IJID regions","volume":null,"pages":null},"PeriodicalIF":1.5,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2772707624000985/pdfft?md5=b40a8730742c477de2d288e9ce3e52fd&pid=1-s2.0-S2772707624000985-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142098761","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Inter-institutional laboratory standardization for SARS-CoV-2 surveillance through wastewater-based epidemiology applied to Mexico City 通过在墨西哥城应用基于废水的流行病学,实现 SARS-CoV-2 监测的机构间实验室标准化
IF 1.5
IJID regions Pub Date : 2024-09-01 DOI: 10.1016/j.ijregi.2024.100429
{"title":"Inter-institutional laboratory standardization for SARS-CoV-2 surveillance through wastewater-based epidemiology applied to Mexico City","authors":"","doi":"10.1016/j.ijregi.2024.100429","DOIUrl":"10.1016/j.ijregi.2024.100429","url":null,"abstract":"<div><h3>Objectives</h3><p>Wastewater-based surveillance applied to SARS-CoV-2 viral load quantification for COVID-19 has become one of the most relevant complementary tools in epidemiologic prevention programs worldwide. However, this valuable decision-making tool still requires fine-tuning to produce comparable results between laboratories, especially when applied to the surveillance of megacities.</p></div><div><h3>Methods</h3><p>Six laboratories across Mexico and one from the United States executed an interlaboratory study to set up a singular standardized protocol considering method cost, installed infrastructure, materials available, and supply availability for SARS-CoV-2 quantification from five Mexico City sampling sites across this megacity.</p></div><div><h3>Results</h3><p>Comparable data from processing outcomes in the Mexican laboratories and in the external international laboratory serve as a validating data source. The Bland–Altman comparison showed consistency, with cycle threshold values within ±1.96 SD of SARS-CoV-2 genetic copies for the standard curve quantification, with a mismatch of two laboratories. In addition, MS2 bacteriophage recovery rates varied between 35% and 67% among all participating laboratories. Finally, the efficiency of viral genetic material recovered from all participating laboratories varied between 65% and 93% for the participating laboratories.</p></div><div><h3>Conclusion</h3><p>This work lays the foundation for extensive and continuous wastewater-based surveillance application across independent Mexican laboratories in a time- and resource-effective manner.</p></div>","PeriodicalId":73335,"journal":{"name":"IJID regions","volume":null,"pages":null},"PeriodicalIF":1.5,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2772707624001000/pdfft?md5=062170e99b8cb842cc8a7a1259eba88d&pid=1-s2.0-S2772707624001000-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142122504","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Etiology of exudative pleural effusion among adults: differentiating between tuberculous and other causes, a multicenter prospective cohort study 一项多中心前瞻性队列研究:成人渗出性胸腔积液的病因:区分结核病和其他病因
IF 1.5
IJID regions Pub Date : 2024-09-01 DOI: 10.1016/j.ijregi.2024.100425
{"title":"Etiology of exudative pleural effusion among adults: differentiating between tuberculous and other causes, a multicenter prospective cohort study","authors":"","doi":"10.1016/j.ijregi.2024.100425","DOIUrl":"10.1016/j.ijregi.2024.100425","url":null,"abstract":"<div><h3>Objectives</h3><p>Exudative pleural effusions have a broad etiology and usually necessitate further investigative workup, including invasive procedures. This study aimed to evaluate and compare the demographic, clinical, and biochemical characteristics of tuberculous, malignant, and chronic inflammatory pleural effusions.</p></div><div><h3>Methods</h3><p>This is a 2-year prospective cohort study of patients referred for medical thoracoscopy with an exudative pleural effusion.</p></div><div><h3>Results</h3><p>A total of 159 patients were enrolled in the study, with a mean age of 42.49 ± 13.8 years and the majority being males 121 (76.1%). As expected, patients with tuberculous effusions were significantly younger than those with non-tuberculous effusions (37.7 ± 10.9 vs 49.1 ± 14.9, <em>P</em> &lt;0.001). Serum analysis showed significantly lower white blood cell count (7.5 × 10<sup>9</sup>/L ± 2.7 vs 9.0 × 10<sup>9</sup>/L ± 3.3, <em>P</em> = 0.004), higher total protein (76.2 g/dL ± 10.1 vs 70.2 g/dL ± 8.9, <em>P</em> &lt;0.001), and higher median C-reactive protein (median 77.5, interquartile range 51-116 vs median 40.5, interquartile range 8-127, <em>P</em> &lt;0.001) among tuberculous compared with non-tuberculosis effusions.</p></div><div><h3>Conclusions</h3><p>Our study validates previous findings showing similar results in patients with tuberculous pleural effusions. A predictive model incorporating different demographic and clinical/laboratory characteristics may be useful in the early etiologic characterization of exudative pleural effusion.</p></div>","PeriodicalId":73335,"journal":{"name":"IJID regions","volume":null,"pages":null},"PeriodicalIF":1.5,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2772707624000961/pdfft?md5=6b130e148b2a8979b3dae312fcb64d71&pid=1-s2.0-S2772707624000961-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142098760","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Risk factors for Helicobacter pylori infection in children with gastrointestinal symptoms in Vietnam 越南有胃肠道症状的儿童感染幽门螺旋杆菌的风险因素
IF 1.5
IJID regions Pub Date : 2024-09-01 DOI: 10.1016/j.ijregi.2024.100426
{"title":"Risk factors for Helicobacter pylori infection in children with gastrointestinal symptoms in Vietnam","authors":"","doi":"10.1016/j.ijregi.2024.100426","DOIUrl":"10.1016/j.ijregi.2024.100426","url":null,"abstract":"<div><h3>Objectives</h3><p>To investigate the prevalence and risk factors associated with <em>Helicobacter pylori</em> infection in Vietnamese children.</p></div><div><h3>Methods</h3><p>Children under 16 years old with gastrointestinal symptoms underwent esophagogastroduodenoscopy and <em>H. pylori</em> infection was diagnosed using rapid urease test.</p></div><div><h3>Results</h3><p>A total of 246 children with gastrointestinal symptoms were included. The mean age was 8.4 ± 2.6 years. A total 81.3% tested positive for <em>H. pylori.</em> Children infected with <em>H. pylori</em> had a lower rate of nausea but a higher rate of lesions in the duodenal bulb and nodular lesions than children without <em>H. pylori</em> infection (26.5% vs 45.6%, <em>P</em> &lt;0.01; 40.0% vs 23.9%; <em>P</em> = 0.04; and 68.5% vs 30.3%, <em>P</em> &lt;0.0001, respectively). Compared with children aged under 5 years, children aged 11 years and older were four times more likely to be infected with <em>H. pylori</em>, with odds ratio (OR) 3.50, 95% confidence interval (CI) 1.07-11.39, <em>P</em> = 0.04. Washing hands with soap was associated with a reduced risk of <em>H. pylori</em> infection by three times (OR 0.35, 95% CI 0.17-0.69, <em>P</em> = 0.002). Children living in a family where members had a history of <em>H. pylori</em> infection were nine times more likely to be infected with <em>H. pylori</em> (OR 8.87, 95% CI 1.15-68.45, <em>P</em> = 0.04).</p></div><div><h3>Conclusions</h3><p>The prevalence of <em>H. pylori</em> infection in Vietnamese children with gastroenteritis is high. Our results identified several risk factors and emphasize the role of handwashing with soap before eating and after using the toilet in reducing the risk of <em>H. pylori</em> infection in children.</p></div>","PeriodicalId":73335,"journal":{"name":"IJID regions","volume":null,"pages":null},"PeriodicalIF":1.5,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2772707624000973/pdfft?md5=25ffa571cb9341410d0294585e89fd6a&pid=1-s2.0-S2772707624000973-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142148427","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
A historical perspective of malaria policy and control in India 印度疟疾政策和控制的历史视角
IF 1.5
IJID regions Pub Date : 2024-09-01 DOI: 10.1016/j.ijregi.2024.100428
{"title":"A historical perspective of malaria policy and control in India","authors":"","doi":"10.1016/j.ijregi.2024.100428","DOIUrl":"10.1016/j.ijregi.2024.100428","url":null,"abstract":"<div><p>Malaria is a major public health problem in India, with ∼0.18 million cases reported in 2022 and 1,309 million population living at risk of infection. The Indian government has introduced various intervention strategies to reduce and manage the number of outbreaks with proper mechanisms. In this policy paper, we have extensively reviewed these intervention strategies using a quantitative approach. The success of the Urban Malaria Scheme, focusing on the 131 urban regions distributed across the country, along with the Intensified Malaria Control Project implemented in the seven hotspots, has been highlighted. The recently formulated National Framework for Malaria Elimination in India has resulted in declining malaria cases in hotspots like Odisha. However, states like West Bengal, Maharashtra, and Tripura have emerged as new hotspots in recent years. A systematic platform for data dissemination and active public-private partnership will expedite malaria elimination in India.</p></div>","PeriodicalId":73335,"journal":{"name":"IJID regions","volume":null,"pages":null},"PeriodicalIF":1.5,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2772707624000997/pdfft?md5=2f07ecebc7937687facebd985a6a0673&pid=1-s2.0-S2772707624000997-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142148506","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Multisystem inflammatory syndrome in children across 16 Latin American countries: A multicenter study from the REKAMLATINA Network 16 个拉丁美洲国家儿童的多系统炎症综合征:REKAMLATINA网络的一项多中心研究
IF 1.5
IJID regions Pub Date : 2024-09-01 DOI: 10.1016/j.ijregi.2024.100419
{"title":"Multisystem inflammatory syndrome in children across 16 Latin American countries: A multicenter study from the REKAMLATINA Network","authors":"","doi":"10.1016/j.ijregi.2024.100419","DOIUrl":"10.1016/j.ijregi.2024.100419","url":null,"abstract":"<div><h3>Objectives</h3><p>Our aim was to describe the epidemiology and outcomes of multisystem inflammatory syndrome in children (MIS-C) in Latin America.</p></div><div><h3>Methods</h3><p>We conducted an observational, retrospective, and prospective multicenter study that gathered information from 84 participating centers across 16 Latin American countries between August 1, 2020 and June 30, 2022.</p></div><div><h3>Results</h3><p>Of the 1239 reported children with MIS-C, 84.18% were previously healthy. The most frequent clinical manifestation in our studied population was abdominal pain (N = 804, 64.9%), followed by conjunctival injection (N = 784, 63.3%). The median duration of fever at the time of hospital admission was 5 days and a significant number of subjects required admission to an intensive care unit (N = 589, 47.5%). Most of the subjects (N = 1096, 88.7%) were treated with intravenous immunoglobulin, whereas 76.7% (N = 947) were treated with steroids, of whom 10.6% (N = 100) did not receive intravenous immunoglobulin. The death rate attributed to MIS-C was 4.88%, with a rate of 3.39% for those initially diagnosed with MIS-C and 8.85% for those whose admission diagnosis was not MIS-C (<em>P</em> &lt;0.001, odds ratio 2.76, 95% confidence interval 1.6-4.6).</p></div><div><h3>Conclusions</h3><p>One of the most significant findings from our study was the death rate, especially in those not initially diagnosed with MIS-C, in whom the rate was higher. This highlights the importance of increasing awareness and making an earlier diagnosis of MIS-C in Latin America.</p></div>","PeriodicalId":73335,"journal":{"name":"IJID regions","volume":null,"pages":null},"PeriodicalIF":1.5,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2772707624000900/pdfft?md5=633aafbca598cb056e02fa35a739ebc9&pid=1-s2.0-S2772707624000900-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142148508","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Guillain–Barré syndrome in a 63-year-old patient possibly triggered by ehrlichiosis. Case report 一名 63 岁患者的格林-巴利综合征可能由埃希氏菌病引发。病例报告
IF 1.5
IJID regions Pub Date : 2024-09-01 DOI: 10.1016/j.ijregi.2024.100422
{"title":"Guillain–Barré syndrome in a 63-year-old patient possibly triggered by ehrlichiosis. Case report","authors":"","doi":"10.1016/j.ijregi.2024.100422","DOIUrl":"10.1016/j.ijregi.2024.100422","url":null,"abstract":"<div><p>Guillain–Barré syndrome is an immune-mediated acute demyelinating polyradiculoneuropathy, characterized by progressive flaccid weakness, triggered mainly by respiratory and gastrointestinal infections. We present the case of a 63-year-old male patient with a history of <em>Ehrlichia</em> infection, who consulted the internal medicine emergency department for lower back pain and progressive lower limb paresthesia, accompanied by decreased lower limb strength and nerve conduction velocity test, with results compatible with acute demyelinating sensorimotor polyradiculoneuropathy. To the best of our knowledge, this is the first documented case in Honduran medical literature; in our research, no other cases were found in Latin America or Europe. The importance of the topic and its dissemination in countries where <em>Ehrlichia</em> infection exists is that when cases of Guillain–Barré syndrome that cannot be associated with previous gastrointestinal or respiratory infection, they could be attributed to <em>Ehrlichia</em> infection as a possible cause; therefore, exhaustive preventive measures can be established regarding the transmitting vector of ehrlichiosis.</p></div>","PeriodicalId":73335,"journal":{"name":"IJID regions","volume":null,"pages":null},"PeriodicalIF":1.5,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2772707624000936/pdfft?md5=08af85bb7aed9268330a1755cbaa953f&pid=1-s2.0-S2772707624000936-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142136557","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Infection prevention and control in conflict-affected areas in northeast Syria: A cross-sectional study 叙利亚东北部受冲突影响地区的感染预防与控制:横断面研究
IF 1.5
IJID regions Pub Date : 2024-09-01 DOI: 10.1016/j.ijregi.2024.100412
{"title":"Infection prevention and control in conflict-affected areas in northeast Syria: A cross-sectional study","authors":"","doi":"10.1016/j.ijregi.2024.100412","DOIUrl":"10.1016/j.ijregi.2024.100412","url":null,"abstract":"<div><h3>Objectives</h3><p>In northeastern Syria (NES), the adherence of health care facilities to infection prevention and control (IPC) standards remains underexplored. This study evaluates the IPC performance of various health facilities against World Health Organization (WHO) benchmarks using the IPC Assessment Framework (IPCAF) and the Hand Hygiene Self-Assessment Framework (HHSAF).</p></div><div><h3>Methods</h3><p>We conducted a cross-sectional survey of 33 health care facilities, including primary (PHC), secondary (SHC), and tertiary health care centres (THC). Data were collected via on-site evaluations using the IPCAF and HHSAF tools.</p></div><div><h3>Results</h3><p>A significant 91% of facilities did not meet half of the WHO IPC minimum requirements. Specifically, 57% of PHCs met 26-50% of the standards, while none exceeded 75%. Among SHCs, 71% met 26-50% of the standards, while 44% of THCs fell within this range. Notably, 81.8% of facilities were classified as ‘inadequate’ per the IPCAF, with none achieving ‘intermediate’ or ‘advanced’ levels. The HHSAF results were similarly concerning, with 34.4% deemed ‘inadequate’ and 65.6% at the ‘basic’ level. A weak positive correlation (0.137) was found between IPCAF and HHSAF scores.</p></div><div><h3>Conclusions</h3><p>NES health care facilities demonstrate substantial deficiencies in IPC compliance, with critical gaps in IPC programmes, health care–associated infection surveillance, and training. Urgent interventions are required to enhance IPC practices, leveraging local strengths and fostering international collaborations to improve patient safety and health care quality in the region.</p></div>","PeriodicalId":73335,"journal":{"name":"IJID regions","volume":null,"pages":null},"PeriodicalIF":1.5,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2772707624000833/pdfft?md5=1fc84a734fda6ca20c79639b14f4e2c2&pid=1-s2.0-S2772707624000833-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142164159","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Outbreak preparedness and response strategies in ASEAN member states: a scoping review 东盟成员国的疫情准备和应对战略:范围审查
IF 1.5
IJID regions Pub Date : 2024-09-01 DOI: 10.1016/j.ijregi.2024.100430
{"title":"Outbreak preparedness and response strategies in ASEAN member states: a scoping review","authors":"","doi":"10.1016/j.ijregi.2024.100430","DOIUrl":"10.1016/j.ijregi.2024.100430","url":null,"abstract":"<div><h3>Objectives</h3><p>The 21<sup>st</sup> century has witnessed significant disease outbreaks with severe impact in Association of Southeast Asian Nations (ASEAN) countries, including SARS, H1N1, H5N1, and COVID-19. This review aimed to compile and analyze outbreak preparedness and response strategies, highlighting the success of coordinated multi-sectoral approaches and policy responses within the ASEAN region.</p></div><div><h3>Methods</h3><p>The protocol for this review was registered on the Open Science Framework and PROSPERO. A systematic analysis of publications from the 2002-2022 period was conducted following PRISMA guidelines on 4522 records retrieved from PubMed, CINAHL, Web of Science, and Scopus. The titles and abstracts were screened, and 229 articles were selected for full-text screening. Finally, 34 articles were included in this review.</p></div><div><h3>Results</h3><p>Four preparedness pillars were identified: governance and stewardship, disease detection, disease prevention, and health care management. The pillars were crucial in preparing for and responding to the COVID-19 pandemic. Coordinated responses among the ASEAN countries and local and international stakeholders were reported.</p></div><div><h3>Conclusions</h3><p>The findings emphasize that understanding the transmission dynamics of infectious diseases is paramount for effective disease prevention, surveillance, and timely response efforts to prevent the next pandemic. A well-coordinated multi-country and multi-agency policy response and understanding the different disease management models are crucial in addressing future outbreaks in the region. Future post-pandemic publications will shed more light on lessons learned and preparedness and response plans for future pandemics.</p></div>","PeriodicalId":73335,"journal":{"name":"IJID regions","volume":null,"pages":null},"PeriodicalIF":1.5,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2772707624001012/pdfft?md5=037ba8ba0da47b68fe3af1417ee2bb06&pid=1-s2.0-S2772707624001012-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142148507","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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