RESUMEN
Background : India launched COVID-19 mass Vaccination campaign after regulatory approval of Covishield & Covaxin vaccines. However, inspite of Vaccination, cases of COVID-19 infection are being reported. Hence, this study is aimed to assess the COVID-19 infection and/or re-infection rate, including breakthrough infections, following vaccination among Health Care Workers at a Tertiary Care Dedicated COVID Hospital. This questionnaire-based survey was initiated following Institutional Ethics Committee approval. We also looked at reasons for Vaccine hesitancy and occurrence of adverse reactions following vaccination, their management and duration amongst the Healthcare Workers. Results : Of 564 Healthcare Workers (HCWs) who consented to participate, only 503 filled in the questionnaire completely. Majority of the HCWs received Covishield vaccine (78.56%). The infection rate postvaccination was 8.28% (with a median of 22 days and IQR of 8-43 days). This infection rate was significantly higher in those who were not vaccinated as compared to the Vaccinated HCWs (OR = 0.10, 95 CI% = 0.05�22, p <0.0001). Breakthrough infection rate was 2.42. Although 58.39% of the participants suffered adverse reactions after vaccination, like myalgia, Fever, Headache, these were mild in nature lasting for an average of 3-4 days. The vaccine hesitancy rate at our hospital HCWs was 6.36%, the main issue being the concerns regarding safety and effectiveness of the vaccines against the COVID-19 infection. Discussion/Conclusion : The infection and Breakthrough infection rates in our study were low and severity of COVID infection post vaccination was mild, not requiring hospitalisation
RESUMEN
The presence of retained surgical blade as a foreign body is uncommon and poses significant patient safety challenge issues. Most common etiologies for the presence of such foreign bodies are accidental, traumatic, or iatrogenic. Here, we report a successful management of the case with a rare foreign body in the abdomen, that is, surgical blade accidentally left during pigtail procedure of the liver abscess. Most of the iatrogenic injuries are preventable. In our case, a misfit of a blade in the handle might have been responsible for the complication. The use of radiological guidance for localization and removal of the foreign bodies embedded in the soft tissues is well established. With imaging guidance retrieval of a foreign body in the abdomen, laparotomy was prevented and facilitated early recovery.
RESUMEN
Intussusception is uncommon among adults. Burkitt lymphoma (BL) of the intestine is a rare entity. It is more common in lymphoid organs, tonsils, and in the midline. Here, we report the case of a 28-year-old man who presented as an ileocolic intussusception. A resection of the specimen was done which was suggestive of BL. Adjuvant treatment in the form of chemotherapy regimen R-EPOCH comprising rituximab, vincristine, cyclophosphamide, doxorubicin, and oral prednisolone was given.