RESUMO
A nationwide outbreak of acute hemorrhagic conjunctivitis (AHC) occurred in Nepal during August to September 2003, which affected nearly half of the population. Sixty conjunctival swabs from AHC patients were collected at Tilganga Eye Center in Kathmandu. For the first time in Nepal, we demonstrated the etiologic viral agents of AHC, namely, Coxsackievirus A24 variant (CA24v) by reverse transcription real time polymerase chain reaction (PCR). Of the 60 samples, 19 were positive for CA24v. No difference in the two genders was observed. Conversely, Adenovirus (AdV) was detected in 32 samples, which suggested that the epidemic was caused by mixed infection. AdV was detected also on 10 rupee notes. Findings indicated that inadequate personal hygiene was the main cause of the spread of these highly contagious viruses in the community environment in Nepal during the summer of 2003.
Assuntos
Adenoviridae/isolamento & purificação , Infecções por Adenoviridae/complicações , Adolescente , Adulto , Criança , Pré-Escolar , Conjuntivite Hemorrágica Aguda/epidemiologia , Infecções por Coxsackievirus/complicações , Surtos de Doenças , Enterovirus Humano C/isolamento & purificação , Feminino , Humanos , Lactente , Recém-Nascido , Masculino , Pessoa de Meia-Idade , Nepal/epidemiologia , Reação em Cadeia da Polimerase Via Transcriptase ReversaRESUMO
This study was performed to determine patient's perceptions towards eye health care systems in a tertiary eye care center in Nepal. Subjects were randomly selected from the outpatient department of Tilganga Eye Centre (TEC), a tertiary eye care center in Kathmandu, Nepal. The study was performed in April 2003 with 54 patients responding to several questions concerning their satisfaction of the eye care process. Over 40 (74.1%) of the respondents expressed overall satisfaction with the service provided by the hospital staff, and 4 (7.4%) were not satisfied. In addition, a total of 40 (74.1%) respondents were dissatisfied with the extended waiting time for eye examinations and other ocular services, while 7 (13.0%) were satisfied. The study shows that the majority of patients who are treated at Tilganga Eye Centre have positive feelings about Tilganga and its service system. Some processes, however, could be altered or improved to augment the overall quality of patient care.
Assuntos
Adulto , Escolaridade , Oftalmopatias/terapia , Feminino , Pesquisas sobre Atenção à Saúde , Hospitais Especializados/normas , Humanos , Masculino , Nepal , Ocupações , Satisfação do Paciente/estatística & dados numéricos , Avaliação de Processos em Cuidados de Saúde , Indicadores de Qualidade em Assistência à Saúde , Fatores de TempoRESUMO
This rapid communication present the findings of nationwide outbreak of acute hemorrhagic conjunctivitis (AHC) epidemic occurred in Nepal during summer 2003. Only ten percent of samples showed bacterial and no fungus were grown. On the contrary, viruses were detected in 60.0% cases studied. Of the viruses detected, Adenovirus (ADV), Coxsackie virus (CA24v) and both accounted for 83.3% (30/36), 11.1% (4/36) and 5.5% (2/36), respectively. Interestingly, ADV was detected also from one of the ten a Rupees bill.