2022年10月至12月期间叙利亚西北部霍乱治疗中心收治患者的地理来源、WASH获取和临床描述

Ahmad Hmaideh, Maia C. Tarnas, Wasim Zakaria, Ahmad Oussama Rifai, Mosab Ibrahem, Yaser Hashoom, Nusaima Ghazal, Aula Abbara
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引用次数: 0

摘要

背景2022年9月10日,叙利亚宣布爆发霍乱疫情,这是十多年来旷日持久的冲突以来的第一次。截至2023年5月20日,已报告132,782例疑似病例,主要发生在叙利亚西北部和东北部。我们的目的是提供在叙利亚西北部霍乱治疗中心(CTC)看到的一组患者的水源和临床状况的详细描述。方法回顾性分析了2022年10月8日至12月18日期间在伊德利卜省向CTC报告的确诊霍乱患者。数据来自临床病例记录,并在R v4.0.4中进行分析。结果94例患者(男性55.3%)在CTC接受治疗。重度脱水35例(C方案),部分脱水54例(B方案),无脱水5例(A方案)。患者年龄以11 ~ 20岁(n = 25, 26.6%)和31 ~ 40岁(n = 19, 20.2%)居多。值得注意的是,70.2% (n = 66)的患者出现在2022年11月,其中大部分来自Harim区(n = 44, 46.8%)。公共水井(n = 46, 48.9%)和水车(n = 41, 43.6%)是最常用的水源。值得注意的是,76.6% (n = 72)的人没有使用氯处理过的水。47名患者(50%)具有5种以上与水、环境卫生和个人卫生(WASH)相关的霍乱危险因素。治疗后,6例患者转至另一治疗中心,3例死亡(病死率:3.2%),其余患者出院。结论:大多数患者报告了与WASH相关的霍乱危险因素,反映了叙利亚西北部经过十多年冲突后WASH状况不佳。这涉及城市和城市周边暴力的直接和间接影响以及资金不足的人道主义反应。加强讲卫生运动和促进健康是控制疫情的重要组成部分。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Geographical Origin, WASH Access, and Clinical Descriptions for Patients Admitted to a Cholera Treatment Center in Northwest Syria between October and December 2022
Abstract Background On September 10, 2022, a cholera outbreak was declared in Syria for the first time in over a decade of protracted conflict. As of May 20, 2023, 132,782 suspected cases had been reported, primarily in northwest and northeast Syria. We aim to provide a detailed description of water sources and clinical status of a patient cohort seen at a cholera treatment center (CTC) in northwest Syria. Methods We retrospectively identified patients with confirmed cholera who presented to the CTC in Idlib governorate between October 8 and December 18, 2022. Data were obtained from clinical case records and analyzed in R v4.0.4. Results Ninety-four patients (55.3% men) were treated at the CTC. Thirty-five patients were severely dehydrated (Plan C treatment), 54 had some dehydration (Plan B), and 5 had no dehydration (Plan A). Most patients were between 11 and 20 years old (n = 25, 26.6%) or 31 and 40 years old (n = 19, 20.2%). Note that 70.2% (n = 66) of patients were seen in November 2022 and most were from Harim district (n = 44, 46.8%). Public wells (n = 46, 48.9%) and water trucking (n = 41, 43.6%) were the most commonly used water sources. Note that 76.6% (n = 72) did not have access to chlorine-treated water. Forty-seven patients (50%) had more than five water, sanitation, and hygiene (WASH)-related cholera risk factors. Following treatment, six patients were transferred to another treatment center, three died (case fatality rate: 3.2%), and the remainder were discharged. Conclusion Most patients reported WASH-related risk factors for cholera, reflecting the poor state of WASH in northwest Syria after over a decade of conflict. This relates to the direct and indirect impacts of urban and periurban violence as well as the underfunded humanitarian response. Strengthening WASH and health promotion are important components to control the outbreak.
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