Eastern Mediterranean health journal = La revue de sante de la Mediterranee orientale = al-Majallah al-sihhiyah li-sharq al-mutawassit最新文献_第5页

The silent rise of self-prescribed semaglutide use among non-obese young adults in the Middle East. 中东地区非肥胖年轻人中自用西马鲁肽的人数悄然上升。

IF 1.9

Eastern Mediterranean health journal = La revue de sante de la Mediterranee orientale = al-Majallah al-sihhiyah li-sharq al-mutawassit Pub Date : 2026-06-28 DOI: 10.26719/2026.32.6.394

Abdullah Faisal Albukhari

引用次数: 0

Using lenacapavir to bridge HIV prevention gaps in the Eastern Mediterranean Region. 使用lenacapavir弥合东地中海区域的艾滋病毒预防差距。

IF 1.9

Eastern Mediterranean health journal = La revue de sante de la Mediterranee orientale = al-Majallah al-sihhiyah li-sharq al-mutawassit Pub Date : 2026-06-28 DOI: 10.26719/2026.32.6.392

Qais Abdullatif, Muhammad Abdullah Jamil, Muhammad Ibraheem Saqib

引用次数: 0

When patient privacy is compromised in a Libyan teaching hospital. 当病人的隐私在利比亚教学医院被侵犯时。

IF 1.9

Eastern Mediterranean health journal = La revue de sante de la Mediterranee orientale = al-Majallah al-sihhiyah li-sharq al-mutawassit Pub Date : 2026-06-28 DOI: 10.26719/2026.32.6.398

Marei Matroud Fadallah

引用次数: 0

Impact of the COVID-19 pandemic on primary health care reform in Pakistan. 2019冠状病毒病大流行对巴基斯坦初级卫生保健改革的影响

IF 1.9

Eastern Mediterranean health journal = La revue de sante de la Mediterranee orientale = al-Majallah al-sihhiyah li-sharq al-mutawassit Pub Date : 2026-06-06 DOI: 10.26719/2026.32.4.212

Emma J Hannay, Nukhba Zia, Caitlin Kennedy, A Abdul Ghaffar, David H Peters

{"title":"Impact of the COVID-19 pandemic on primary health care reform in Pakistan.","authors":"Emma J Hannay, Nukhba Zia, Caitlin Kennedy, A Abdul Ghaffar, David H Peters","doi":"10.26719/2026.32.4.212","DOIUrl":"https://doi.org/10.26719/2026.32.4.212","url":null,"abstract":"Background: Primary health care reform in low- and middle-income countries involves complex processes of prioritisation and agenda-setting. Evidence remains limited on how the COVID-19 pandemic influenced these processes at the subnational level.Aim: To examine how COVID-19 affected primary health care reform in Khyber Pakhtunkhwa, Pakistan.Methods: We conducted semi-structured interviews with 14 key informants, including provincial health leaders, provincial political leaders and their advisers, and representatives of national and international organisations, and reviewed relevant supporting documents. We analysed the data inductively through thematic coding and process tracing across data sources.Results: Most of the respondents agreed that the pandemic facilitated the implementation of reforms at the primary health care level, by strengthening advocacy and political influence. The reforms began around August 2020 and included improved financial management and allocation of resources, establishment of primary health care management committees, increased budget for essential medicines, recruitment of additional frontline clinical staff, and outsourcing of selected support services. Investments in public health increased through an almost 40% increase in the health budget between the 2019/2020 and 2022/2023 financial years.Conclusion: COVID-19 created an opportunity to advance primary health care reform at the provincial level in Khyber Pakhtunkhwa, Pakistan. There is a need to sustain and improve on these reforms to strengthen primary health care services and advance towards the longer-term health goals and Universal Health Coverage.","PeriodicalId":93985,"journal":{"name":"Eastern Mediterranean health journal = La revue de sante de la Mediterranee orientale = al-Majallah al-sihhiyah li-sharq al-mutawassit","volume":"32 5","pages":"212-218"},"PeriodicalIF":1.9,"publicationDate":"2026-06-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148355103","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Antibiotic consumption patterns in Iranian teaching hospitals. 伊朗教学医院抗生素消费模式

IF 1.9

Eastern Mediterranean health journal = La revue de sante de la Mediterranee orientale = al-Majallah al-sihhiyah li-sharq al-mutawassit Pub Date : 2026-06-06 DOI: 10.26719/2026.32.5.278

Azita Nabizadeh, Zahra Jahangard-Rafsanjani, Seyed Heidar Mohammadi, Mohammadreza Salehi, Neda Khoz, Fatemeh Nosrati, Arian Radfar, Arshad Altaf, Robert F Terry, Srinath Satyanarayana, Marjan Farzami, Sara Minaeian, Bobson Derrick Fofanah

{"title":"Antibiotic consumption patterns in Iranian teaching hospitals.","authors":"Azita Nabizadeh, Zahra Jahangard-Rafsanjani, Seyed Heidar Mohammadi, Mohammadreza Salehi, Neda Khoz, Fatemeh Nosrati, Arian Radfar, Arshad Altaf, Robert F Terry, Srinath Satyanarayana, Marjan Farzami, Sara Minaeian, Bobson Derrick Fofanah","doi":"10.26719/2026.32.5.278","DOIUrl":"https://doi.org/10.26719/2026.32.5.278","url":null,"abstract":"Background: There is a lack of national data on antibiotic consumption by teaching hospitals in Islamic Republic of Iran based on the WHO access, watch and reserve categorisation.Aim: To quantify antibiotic consumption by teaching hospitals in Islamic Republic of Iran.Methods: We analysed antibiotic consumption data for March 2023 to March 2024 across all 248 teaching hospitals in the 10 regions of Islamic Republic of Iran, using the WHO-defined daily dose methodology and the access, watch and reserve categorisation.Results: Median antibiotic consumption was 299 defined daily dose per 100 admissions per day. Hospitals in Region 10 had the highest overall consumption (24.3% of total consumption), while Region 7 showed the highest use of reserve group antibiotics. Across all hospitals and regions, watch antibiotics were the most used (61%), followed by access (37%) and reserve (2%). Ceftriaxone 1 g and cefazolin 1 g were the most frequently used (11% of total consumption each), followed by meropenem 1 g injection (8.8%) and vancomycin 0.5 g (7%).Conclusion: Our findings show high reliance on watch antibiotics, extensive cephalosporin use and prevalent parenteral formulations. There is a need to assess the appropriateness of antibiotic use in Iranian teaching hospitals in order to strengthen antibiotic stewardship.","PeriodicalId":93985,"journal":{"name":"Eastern Mediterranean health journal = La revue de sante de la Mediterranee orientale = al-Majallah al-sihhiyah li-sharq al-mutawassit","volume":"32 5","pages":"278-284"},"PeriodicalIF":1.9,"publicationDate":"2026-06-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148474963","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

A call for coordinated action to strengthen regional pharmacovigilance systems in the Eastern Mediterranean Region. 呼吁采取协调行动，加强东地中海区域的区域药物警戒系统。

IF 1.9

Eastern Mediterranean health journal = La revue de sante de la Mediterranee orientale = al-Majallah al-sihhiyah li-sharq al-mutawassit Pub Date : 2026-06-06 DOI: 10.26719/2026.32.5.343

Ahmed Ouaamr, Chikhaoui Mourad

引用次数: 0

The rise of multidrug-resistant organisms in Sudan and Gaza amidst health system disruptions. 在卫生系统中断的情况下，苏丹和加沙出现耐多药微生物。

IF 1.9

Eastern Mediterranean health journal = La revue de sante de la Mediterranee orientale = al-Majallah al-sihhiyah li-sharq al-mutawassit Pub Date : 2026-06-06 DOI: 10.26719/2026.32.5.249

Damilare M Akintunde, Arwa Mohamed, Faisal Hamad, Moayad Mo Ahmed, Sarah Ay Adam, Rawa Badri

引用次数: 0

Four-year analysis of antimicrobial resistance patterns in Iraq. 伊拉克抗菌素耐药性模式的四年分析。

IF 1.9

Eastern Mediterranean health journal = La revue de sante de la Mediterranee orientale = al-Majallah al-sihhiyah li-sharq al-mutawassit Pub Date : 2026-06-06 DOI: 10.26719/2026.32.5.261

Riyadh Alhilfi, Ali Azeez Al-Jumaili, Basma AbdulRazzaq AlJoori, Rana Abdul Mahdi, Doaa Adnan Shakir, Firas Al-Khafaji

{"title":"Four-year analysis of antimicrobial resistance patterns in Iraq.","authors":"Riyadh Alhilfi, Ali Azeez Al-Jumaili, Basma AbdulRazzaq AlJoori, Rana Abdul Mahdi, Doaa Adnan Shakir, Firas Al-Khafaji","doi":"10.26719/2026.32.5.261","DOIUrl":"https://doi.org/10.26719/2026.32.5.261","url":null,"abstract":"Background: This is the first nationwide assessment of resistance patterns among WHO target pathogens in Iraq.Aim: To analyse antimicrobial resistance patterns over 4 years in Iraq, based on data from the national surveillance system.Methods: Using the WHONET software, we collected and analysed 238 973 clinical specimens from the 106 antimicrobial resistance surveillance sites across Iraq, for 2020-2023, from the Iraqi national surveillance system. The data were analysed using SPSS version 26.Results: Resistance to carbapenem by Acinetobacter baumannii increased markedly, reaching 80% in 2023. Resistance to third-generation cephalosporins was notably high among Acinetobacter baumannii (88.5-92%) and Escherichia coli (88.0%) while methicillin-resistant Staphylococcus aureus was at 74.0%. Multidrug resistance and extensively drug-resistant profiles for Acinetobacter spp. and Klebsiella pneumoniae increased, particularly extensively drug-resistant Acinetobacter spp. (66%). Resistance to last-line reserve antibiotics, such as colistin and tigecycline, increased significantly in 2023, suggesting an increasing threat to the efficacy of these critical agents.Conclusion: These findings indicate that several key pathogens in Iraq have surpassed the critical resistance thresholds, thus limiting the effectiveness of commonly used empirical therapies and narrowing treatment options. Strengthening antimicrobial stewardship and prescription practices is essential to curb resistance and protect the efficacy of treatment regimens.","PeriodicalId":93985,"journal":{"name":"Eastern Mediterranean health journal = La revue de sante de la Mediterranee orientale = al-Majallah al-sihhiyah li-sharq al-mutawassit","volume":"32 5","pages":"261-269"},"PeriodicalIF":1.9,"publicationDate":"2026-06-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148474837","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Readiness of national reference laboratories in the Eastern Mediterranean Region for antimicrobial resistance surveillance systems. 东地中海区域国家参考实验室对抗菌素耐药性监测系统的准备情况。

IF 1.9

Eastern Mediterranean health journal = La revue de sante de la Mediterranee orientale = al-Majallah al-sihhiyah li-sharq al-mutawassit Pub Date : 2026-06-06 DOI: 10.26719/2026.32.5.253

Mona El-Shokry, Dana Itani, Mohamed Sarhan, Basma M Saleh, Maha Talaat, Nevin Wilson, Benedetta Allegranzi, Shaffi Fazaludeen Koya

{"title":"Readiness of national reference laboratories in the Eastern Mediterranean Region for antimicrobial resistance surveillance systems.","authors":"Mona El-Shokry, Dana Itani, Mohamed Sarhan, Basma M Saleh, Maha Talaat, Nevin Wilson, Benedetta Allegranzi, Shaffi Fazaludeen Koya","doi":"10.26719/2026.32.5.253","DOIUrl":"https://doi.org/10.26719/2026.32.5.253","url":null,"abstract":"Background: National reference laboratories are central to antimicrobial resistance surveillance, yet their capacities vary widely across the Eastern Mediterranean Region.Aim: To assess the readiness of national reference laboratories in the Eastern Mediterranean Region for antimicrobial resistance surveillance.Methods: From November 2019 to June 2020 and from December 2024 to February 2025 we collected and analysed data relating to antimicrobial resistance surveillance capacities of national reference laboratories from the 22 countries and territories in the WHO Eastern Mediterranean Region. We compared the paired binary indicators using the 2-sided exact McNemar test (P < 0.05) and analysed the secondary Global Antimicrobial Resistance and Use Surveillance System data for 2017-2023.Results: Only 3 national reference laboratories had the full public health capacity. Limited confirmatory and reference testing, poor data integration and use, shortage of skilled workforce, and suboptimal quality assurance mechanisms were the major gaps identified. Fungal diagnostic capacity was a critical and largely neglected gap. There were no statistically significant within-country changes among the 9 countries included in the longitudinal comparison. The Global Antimicrobial Resistance and Use Surveillance System data suggest gradual strengthening of surveillance infrastructure.Conclusion: There is an urgent need to strengthen the core functions of national reference laboratories in the Eastern Mediterranean Region to better support antimicrobial surveillance systems.","PeriodicalId":93985,"journal":{"name":"Eastern Mediterranean health journal = La revue de sante de la Mediterranee orientale = al-Majallah al-sihhiyah li-sharq al-mutawassit","volume":"32 5","pages":"253-260"},"PeriodicalIF":1.9,"publicationDate":"2026-06-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148474922","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Resurgence of measles in Bosnia and Herzegovina amid declining vaccination coverage. 在疫苗接种覆盖率下降的情况下，麻疹在波斯尼亚和黑塞哥维那卷土重来。

IF 1.9

Eastern Mediterranean health journal = La revue de sante de la Mediterranee orientale = al-Majallah al-sihhiyah li-sharq al-mutawassit Pub Date : 2026-06-06 DOI: 10.26719/2026.32.4.219

Anes Jogunčić, Asaf Salčinović, Aida Pošković-Bajraktarević, Agnesa Porović-Hodžić, Anisa Bajramović, Alma Bungur, Emina Kurtagić Pepić, Snežana Bursač Aranđelović, Zlatan Hamza

{"title":"Resurgence of measles in Bosnia and Herzegovina amid declining vaccination coverage.","authors":"Anes Jogunčić, Asaf Salčinović, Aida Pošković-Bajraktarević, Agnesa Porović-Hodžić, Anisa Bajramović, Alma Bungur, Emina Kurtagić Pepić, Snežana Bursač Aranđelović, Zlatan Hamza","doi":"10.26719/2026.32.4.219","DOIUrl":"https://doi.org/10.26719/2026.32.4.219","url":null,"abstract":"Background: Sarajevo Canton reported large measles outbreaks in 2019 and 2024, highlighting the impact of the persistent gaps in immunisation coverage.Aim: To analyse 2 measles outbreaks in Sarajevo Canton in Bosnia and Herzegovina, identify populations at risk and assess the impact of vaccination coverage on disease transmission.Methods: We collected publicly available weekly case counts data for 45 weeks from the Public Health Institute of Sarajevo Canton and examined the vaccination coverage for 5 years to assess the impact of immunisation on outbreak dynamics. We conducted descriptive analyses using RStudio version 2024 and evaluated the differences between outbreaks using Mann-Whitney U test. P < 0.05 was considered statistically significant.Results: A total of 869 cases were reported in 2019 and 4505 in 2024, and children aged 1-4 years were mostly affected (42.1%). Most of the cases were either unvaccinated or had unknown vaccination status; 92.3% of cases in 2019 were unvaccinated, and 87.7% in 2024 were unvaccinated, while 9.9% had unknown vaccination status. The 2024 outbreak had a higher and longer peak (416 vs 91 cases) occurence than 2019, and one death was reported in each year.Conclusion: The declining vaccination coverage in Sarajevo Canton contributed to increased measles incidence. Strengthening mandatory immunisation, targeted catch-up campaigns and public communication are essential to achieve herd immunity, prevent future outbreaks and progress towards Universal Health Coverage.","PeriodicalId":93985,"journal":{"name":"Eastern Mediterranean health journal = La revue de sante de la Mediterranee orientale = al-Majallah al-sihhiyah li-sharq al-mutawassit","volume":"32 5","pages":"219-224"},"PeriodicalIF":1.9,"publicationDate":"2026-06-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148355066","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0