• Title/Summary/Keyword: mixed infection

Search Result 371, Processing Time 0.027 seconds

Strengthening Human Immunodeficiency Virus and Tuberculosis Prevention Capacity among South African Healthcare Workers: A Mixed Methods Study of a Collaborative Occupational Health Program

  • Liautaud, Alexandre;Adu, Prince A.;Yassi, Annalee;Zungu, Muzimkhulu;Spiegel, Jerry M.;Rawat, Angeli;Bryce, Elizabeth A.;Engelbrecht, Michelle C.
    • Safety and Health at Work
    • /
    • v.9 no.2
    • /
    • pp.172-179
    • /
    • 2018
  • Background: Insufficient training in infection control and occupational health among healthcare workers (HCWs) in countries with high human immunodeficiency virus (HIV) and tuberculosis (TB) burdens requires attention. We examined the effectiveness of a 1-year Certificate Program in Occupational Health and Infection Control conducted in Free State Province, South Africa in an international partnership to empower HCWs to become change agents to promote workplace-based HIV and TB prevention. Methods: Questionnaires assessing reactions to the program and Knowledge, Attitudes, Skills, and Practices were collected pre-, mid-, and postprogram. Individual interviews, group project evaluations, and participant observation were also conducted. Quantitative data were analyzed using Wilcoxon signed-rank test. Qualitative data were thematically coded and analyzed using the Kirkpatrick framework. Results: Participants recruited (n = 32) were mostly female (81%) and nurses (56%). Pre-to-post-program mean scores improved in knowledge (+12%, p = 0.002) and skills/practices (+14%, p = 0.002). Preprogram attitude scores were high but did not change. Participants felt empowered and demonstrated attitudinal improvements regarding HIV, TB, infection control, and occupational health. Successful projects were indeed implemented. However, participants encountered considerable difficulties in trying to sustain improvement, due largely to lack of pre-existing knowledge and experience, combined with inadequate staffing and insufficient management support. Conclusion: Training is essential to strengthen HCWs' occupational health and infection control knowledge, attitudes, skills, and practices, and workplace-based training programs such as this can yield impressive results. However, the considerable mentorship resources required for such programs and the substantial infrastructural supports needed for implementation and sustainability of improvements in settings without pre-existing experience in such endeavors should not be underestimated.

A Case of Subcutaneous Salmonella Abscess Developed on Gunshot Wound Area In Lung Cancer Patient (폐암환자의 총상부위에 발생한 피하조직 살모넬라 농양 1예)

  • Kim, Sun-Hoo;Jeong, Seok;Park, Gi-Soo;Lee, Ki-Hoon;Kwak, Seung-Min;Cho, Chul-Ho;Kim, Jin-Ju
    • Tuberculosis and Respiratory Diseases
    • /
    • v.42 no.5
    • /
    • pp.777-780
    • /
    • 1995
  • Salmonellosis is one of communicable disease and still occur in sporadic in Korea frequently. They are four main clinical manifestations in salmonellosis. They are gastrocnteritis, typhoidal or septisemia syndrome, focal manifestation and carrier state. Among them, focal manifestation is rarely seen. Saphra, et al. reported that localized salmonella infection is about 5%. Localized salmonella infection frequently occur during salmonella bacteremia, but may also occur with enteric fever or gastroenteritis. Gray, et al reported 3390 cases of minor gunshot wound infection that bacterial isolates from infected wounds consisted of Staphylococcus aureus(90%), Streptococcus sp.(6%), and mixed organisms(4%). Incresed host susceptibility to infection secondary to lowered resistance due to debilitating disease is an important determinant of Salmonella infection. Since salmonella is seldom suspected as a cause of soft tissue infections, there is usually a dangerous delay in the institution of appropriate antimicrobial therapy and isolation procedure. We experienced one case of subcutaneous salmonella abscess developed on gunshot wound area in lung cancer patient, which was confirmed by pus culture.

  • PDF

Scuticociliatosis in flounder farms of Jeju island (제주도지역 넙치양식장의 스쿠티카증 발생동향)

  • Jin, Chang-Nam;Kang, Hyun-Sil;Moon, Young-Gun;Lee, Chang-Hoon;Lee, Young-Don;Lee, Je-Hee;Song, Choon-Bok;Heo, Moon-Soo
    • Journal of fish pathology
    • /
    • v.20 no.1
    • /
    • pp.93-98
    • /
    • 2007
  • The prevalence of the scuticociliatosis in flounder farms of Jeju island was surveyed for ten years from 1995 to 2004. The occurrence ratio had maintained as less than 10% until mid 1990s, and shown increasing trends to year 1998. The ratio was equivalent to over 40% of overall disease occurrences in flounder farms since year 2000. The monthly infection rates by the scuticociliates indicated relatively higher levels from May to September, and mixed infection phenomena with bacterial disease of vibriosis were common.

Internal parasites of cats in Iri and its vicinity (이리지방 고양이의 장내기생충 감염상황)

  • 양홍지;박태욱;천상진;윤여백;김남주;박배근;김종승
    • Korean Journal of Veterinary Service
    • /
    • v.18 no.1
    • /
    • pp.33-40
    • /
    • 1995
  • As a series of basic study for the prevention of zoonotic parasites, fecal samples and internal organs of cats in Iri and its vicinity were examined for helminth and their ova or protozoan oocysts from November 1994 to March 1995. The results obtained were summarized as follows; Out of the 133 samples, 101(75.9%) were positive and 135(101.5%) were cumulative positive for parasites. The following were identified in the samples and positive numbers of each species detected were ; Toxocura cari, 51;Isospora spp., 27;Spirometra erinacei, 26;Tasnka taentaeformis, 24;Diphyllobothrium latum, 4;and Capillaria spp., 3, respectively. In analyzing the state of infection, 64.9%(61 heads) of all the cats inspected had a single infection, while the rest(excluding the 32 uninfected cats) had mixed infections : 27.6%(26 heads), 6.4%(6 heads) and 1.1%(1 heads) had double, triple, quadruple Infections, respectively. From these results, it can be concluded that since the helminth, zoonotic parasites, in Korean autochthonal cats cause not only various disorders, but also can be very harmful to human beings, they are considered to be of great significance to public health.

  • PDF

Prevalence of parasite infection of chickens in Jeonbuk province (전북지방 닭의 내부기생충 감염상황)

  • Choi Eun-Young;Jang Sae-Gun;Jo Young-Suk;Kim Ji-Young;Im Jeong-Cheol;Chon Hee-Woong;Yang Hong-Ji
    • Korean Journal of Veterinary Service
    • /
    • v.29 no.1
    • /
    • pp.65-70
    • /
    • 2006
  • In order to detection of the intestinal parasites, fecal samples were taken from broiler (n=290), parent stock (n=168) and laying hen (n=114) in Jeonbuk province. The prevalence and identification of intestinal parasites were determined by the fecal examination using the floatation method and microscopical examination, respectively. The detection rate of parasite-eggs from 3 flocks (total=572) was 44.9%. In the breed and type of breeding, infection rate of parasite-eggs was detected 65.5% as broiler (floor breeding, 290 chickens), 20.2% as parent stock (floor breeding, 168 chickens) and 28.9% as laying hen (cage breeding, 114 chickens), in order. In the concern of mixed infection such as single and double, the rate were 40.7% and 4.2%, respectively. Six kinds of infective eggs were isolated 257 fecal sample from 3 flock. They were classified 74.7% as Eimeria spp, 18.1% as Ascaridia galli and 6.0% as Capillaria spp and 0.4% as Heteratkis gallinarum, Railleina spp or Trichostrongylus spp, single or in combination.

A survey on the prevalence of internal parasites in the Korean indigenous goats of Kyungbuk area (경북지역의 흑염소 내부기생충 감염률 조사)

  • 박노찬;도재철;김수웅;송해범
    • Korean Journal of Veterinary Service
    • /
    • v.20 no.4
    • /
    • pp.349-358
    • /
    • 1997
  • From December 1995 to July 1997, a total of 546 Korean indigenous goats were examined for the presence of internal parasites by parenchymal organs and fecal examinations. Four hundreds seventy eight(87.5%) of the goats were infected with 4 classes and 12 parasitic species. The nematodes were Haemonchus contortus(57.5%), Oesophagostomun venulosum (52.6%), Strongyloides papillosus(48.4%), Ostertagia sp(28.4%), Trichostrongylus colubriformis(17.0%), and Trichuris ovis(13.2%). The trematodes were Paramphistomum sp(17.6%), Fasciola hepatica(15.4%), and Eurytrema Pancreaticum (8.8%). The cestode was Moniezia expansa(16.7%), and the protozoa were Eimeria sp(74.9%) and Toxoplasma gondii(8.6%). The incidence of single or mixed infections among 12 parasitic species were one species infection (6.2%), 2 species(11.5%), 3 species(19.6%), 4 species(24.9%), 5 species(17.8%), 6 species(5.9 %), and 7 species(1.6), respectively. The level of infection according to the age was considerably higher under one year(97.2%) than between one and two years(89.7%), and over two years(69.3%) Among 12 parasites, seasonal pattern was remarkably observed. Most paracites were detected at the highest level in the Winter, whereas Strongyloides papillosus and Paramphistomum sp were in the Spring, and Ostertagia sp and Fasciola hepatica were in the Autumn. Infection rates of Anaplasma sp were 8.6% of 210 goats by blood smear method, and 51.0% by complement fixation test.

  • PDF

Prevalence and pathologic study of porcine salmonellosis in Jeju (제주도 내 돼지 살모넬라증의 발생 양상 분석 및 병리학적 연구)

  • Yang, Hyoung-Seok;Kang, Sang-Chul;Kim, Ae-Ran;Jung, Byeong-Yeal;Kim, Jae-Hoon
    • Korean Journal of Veterinary Research
    • /
    • v.57 no.4
    • /
    • pp.235-243
    • /
    • 2017
  • Salmonella (S.) Typhimurium is highly contagious, and its infection may rapidly spread within pig populations of herd. According to the survey (1,191 pigs) from 2003 to 2012, 155 pigs (13.0%) were diagnosed as salmonellosis in Jeju. Major porcine salmonellosis cases (88.4%) were concentrated in 4- to 12-week-old weaned pigs, but 6 pigs (3.9%) under 4 weeks old were also diagnosed. Based on the histopathologic examinations, ulcerative enteritis (63.9%) in the large intestine and/or paratyphoid nodules formation (57.4%) in the liver were most prevalent lesions in porcine salmonellosis. Single infection of S. Typhimurium and mixed infection with more than 2 pathogens were detected in 38 (24.5%) and 117 (75.5%) in pigs, respectively. Co-infections of Porcine reproductive and respiratory syndrome virus and Porcine circovirus type 2 were very common in porcine salmonellosis in Jeju and detected in 84 (54.2%) and 59 (38.1%) pigs, respectively. Based on the serotyping tests using 41 bacterial isolates, S. Typhimurium and S. Rissen were confirmed in 39 (95.1%) and 2 (4.9%) cases, respectively.

Prevalence of Parasite Infection of Fowls in Chonbuk Province (전북지방 닭의 기생충 감염상황)

  • 양홍지;윤여백;박태욱;김성훈;최은영;서창섭
    • Korean Journal of Veterinary Service
    • /
    • v.16 no.1
    • /
    • pp.82-89
    • /
    • 1993
  • In order to detection of the intestinal parasites, fecal samples were taken from broiler (n=262), laying hen(n=244), parent stock(n=207) and native stock(n=287) in Chonbuk province. The prevalence and identification of intestinal parasites were determined by the fecal examination using the floatation and /or sedimentation methods and microscopical examination, respectively. The results were obtained as follows : 1. The detection rate of parasite-eggs from 4 flocks(total=1,000) was 65.7%. 2. In the breed and type of breeding, infection rate of parasite-eggs was detected 84.0% as native stock (floor breeding, 241 chicken), 79.7% as parent stock (floor breeding, 165 chickens), 73.3% as broiler(floor breeding, 192 chicken) and 24.2% as laying hen(cage breeding, 59 chicken), in order. 3. In the concern of mixed infection such as single, double and triple, the rate was 55.1%, 8.7% and 1.9%, respectively. 4. Ten kinds of infective eggs were isolated from 657 fecal sample of 4 flock. They were classified 51.l% as Eimeria spp., 12.7% as Ascaridia galli, 5.1% as Capillaria spp., 4.1% as Strongyloides avium, 2.3% as Heterakis gallinarum, 0.5% as Hymenolepis spp., 0.3% as Railleina spp. and 0.2% as Syngamus spp., Trichostrongilus spp., or Choanoteania spp., single or in combination.

  • PDF

Prevalence Study on the Canine Filariasis in Korea (국내 개 사상충증 발생율에 관한 조사 연구)

  • Lee, Sang-eun;Song, Kun-ho;Kim, Duck-hwan
    • Korean Journal of Veterinary Research
    • /
    • v.43 no.3
    • /
    • pp.517-520
    • /
    • 2003
  • Prevalence of microfilariae, Dirofilaria immitis, Dirofilaria repens, Acanthocheilonema dracunculoides from 506 German Shepherd dogs reared in Korea was investigated by modified Knott's test to detect circulating microfilaria and by acid-phosphatase staining for differentiation of each microfilaria species. In the modified Knott's test, 74 of 506 dogs (14.6%) were microfilaria positive, and the prevelance of each species of microfilaria was 90.5% (67 of 74 samples) for D. immitis, 5.4% (4 of 74 samples) for duplicate infection with D. immitis and D. repens and 4.1% (3 of 74 samples) for mixed infection with D. immitis, D. repens and A. dracunculoides. It was considered that the paying attention to the existence not only D. immitis but also other microfilariae were needed in canine filariasis.

Clinical evaluation of bronchiectasis (기관지확장증의 임상적 고찰)

  • 김수성
    • Journal of Chest Surgery
    • /
    • v.17 no.1
    • /
    • pp.41-47
    • /
    • 1984
  • We experienced 48 operations in 46 surgical patients of bronchiectasis admitted to the Department of Thoracic and Cardiovascular Surgery of Jeonbug National University Hospital from January, 1975 to August, 1982. Among 46 patients, 27 patients [59%] was age group between 21 to 30 years. Common symptoms were cough with sputum, hemoptysis, dyspnea, fever and chilliness, and chest pain. The duration of the symptoms was variable between below one year and above 10 years. The most frequent associated disease, probably the cause of the bronchiectasis, was secondary bacterial infection after viral infection. The left lower lobe and lingular segment was involved most frequently, and the most frequent pathologic type was mixed type [40%]. Single lobectomy, and combined lobectomy and segmentectomy were performed in 77% of the patients. Bilateral resection was performed in three patients with good result. In those patients, the isolated pulmonary function test on each side of the lung performed 2 month later primary lung resection could make them be prevented from pulmonary insufficiency after secondary lung resection. The results were good except two patients who developed pulmonary insufficiency and chronic empyema with bronchopleural fistula.

  • PDF