[Attitude and beliefs of healthcare workers toward influenza vaccination in Internal Medicine: A cross-sectional survey]. / Attitude et croyances du personnel soignant en Médecine Interne vis-à-vis de la vaccination antigrippale saisonnière : étude transversale descriptive.

INTRODUCTION: The rate of vaccination in HCWs in France remains low. We aimed to analyze the attitude and beliefs of HCWs toward influenza vaccination in Internal Medicine wards. METHODS: We conducted a cross-sectional survey of HCWs in the departments of Internal Medicine of two tertiary hospitals in France. An anonymous questionnaire designed for this study was used to collect demographic, health beliefs and attitudes, and medical knowledge related to the influenza and influenza vaccine. The survey started shortly prior the 2019 influenza season. RESULTS: The surveys were completed by 158 (29[18-62] years-old ; 75.9% female ; 69.6% non-medical workers) of 187 (84.5%) HCWs. Overall, influenza vaccination coverage rate was 50.6% (n=80/158). Higher vaccination coverage was found in physician and in HCWs who had a better knowledge about the virus transmission. The reason to fulfill vaccination recommendations was to protect the patients, their relatives and themselves for more than 80% of HCWs compliant to vaccination recommendation. More than a third of HCWs (n=59/158; 37.3%) refused to be vaccinated or hesitated. Among them, 12 (12/59, 20.3%) believed that influenza vaccine could cause flu. The main reasons for reluctant HCWs to eventually accept to be vaccinated were a mandatory vaccination program and the demonstration of a better vaccine efficacy to prevent the disease. CONCLUSION: Influenza vaccination coverage among HCWs in Internal Medicine remains low. Education campaigns targeting in priority nurses and nurse assistants is mandatory to improve the compliance of HCWs to vaccination recommendation.

[Multicenter study of Helicobacter pylori infection prevalence in patients with chronic gastroduodenal disease. Various epidemiologic features]. / Estudio multicéntrico de prevalencia de infección por Helicobacter Pylori en pacientes con patología gastroduodenal crónica. Algunos aspectos epidemiológicos.

The aim of this study was to establish the prevalence of H. Pylori infection in patients with chronic gastroduodenal pathology, who were treated in the gastroenterology units of four hospitals located in the Federal Capital and its neighbouring areas. 398 patients were studied by means of clinical assessment and epidemiology data. Upper endoscopy was carried out two biopsies were taken of the gastric antrum for a quick ureasa test and histological assessment of the H. pylori state by means of giemsa's stain. The prevalence of infection on the total of the studied population was 75.6%. In patients with gastric ulcer was 70%; in patients with duodenal ulcer it was 77.2% and 78.5% in patients with chronic gastritis. The prevalence of H. Pylori infection on the population according to age groups was: 61.54% in patients between 21 and 40 years; 76.14% in patients between 41 and 60 years, and 68.22% in patients over 60 year. We have tried to obtain a correlation between the prevalence of the infection and some sanitary characteristic (Running water and sewers) on the studied population. It was seen that 225 patients who lived in dwellings with running water and sewers showed a prevalence of infection of 69.34% and in 129 patients who did not have running water or sewer the rate of prevalence of infection was 83.72; a difference which was statistically significant, (with P < 0.01) for the patients who lived in poor sanitary conditions. These data may be important when the design of therapeutic schemes for the eradication of the bacteria is made.

Estudio multicentrico de prevalencia de infeccion por Helicobacter pylori en pacientes con patologia gastroduodenal cronica: algunos aspectos epidemiologicos / Multicenter study of Helicobacter pylori infection prevalence in patients with chronic gastroduodenal disease: some epidemiologic features

El objetivo de este trabajo fue establecer la prevalencia de infección por H. Pylori en pacientes con patología gastroduodenal crónica, atendidos en las unidades de gastroenterología de cuatro hospitales de Capital Federal y conurbano. Se estudiaron 398 pacientes con evaluación clínica y datos epidemiológicos, se efectuó endoscopía alta con toma de dos biopsias de antro gástrico para test rápido con ureasa y evaluación histológica, con coloración de giemsa, del estado de infección con H. Pylori. La prevalencia de infección en la población total estudiada fue de 75,6 por ciento. En los pacientes con úlcera gástrica la tasa de prevalencia de infección por H.P. fue 70 por ciento en úlcera duodenal 77,2 por ciento y en gastritis crónica fue 78,5 por ciento. La prevalencia de infección por H.P. en la población según grupos etarios para pacientes menores de 20 años fue 61,54 por ciento; entre 21 y 40 años: 80,39 por ciento; entre 41 y 60 años 76,41 por ciento y en mayores de 60 años fue 68,22 por ciento. se ha intentado obtener de una correlación entre prevalencia de la infección y algunas características sanitarias (agua corriente y cloacas) de la población estudiada. Se observó ue 225 pacientes que residen en viviendas con agua corriente y cloacas, tuvieron una prevalencia de infección de 69,345 y en 129 pacientes sin agua corriente ni cloacas se observó una tasa de prevalencia de infección de 83,72 por ciento una diferencia estadísticamente significativa con un p< 0,01 para los pacientes con pobres condicones sanitarias. Estos datos puedem ser importantes cuando se efectua el diseño de los esquemas terapéuticos de erradicación de la bacteria.

Estudio multicentrico de prevalencia de infeccion por Helicobacter pylori en pacientes con patologia gastroduodenal cronica: algunos aspectos epidemiologicos / Multicenter study of Helicobacter pylori infection prevalence in patients with chronic gastroduodenal disease: some epidemiologic features

El objetivo de este trabajo fue establecer la prevalencia de infección por H. Pylori en pacientes con patología gastroduodenal crónica, atendidos en las unidades de gastroenterología de cuatro hospitales de Capital Federal y conurbano. Se estudiaron 398 pacientes con evaluación clínica y datos epidemiológicos, se efectuó endoscopía alta con toma de dos biopsias de antro gástrico para test rápido con ureasa y evaluación histológica, con coloración de giemsa, del estado de infección con H. Pylori. La prevalencia de infección en la población total estudiada fue de 75,6 por ciento. En los pacientes con úlcera gástrica la tasa de prevalencia de infección por H.P. fue 70 por ciento en úlcera duodenal 77,2 por ciento y en gastritis crónica fue 78,5 por ciento. La prevalencia de infección por H.P. en la población según grupos etarios para pacientes menores de 20 años fue 61,54 por ciento; entre 21 y 40 años: 80,39 por ciento; entre 41 y 60 años 76,41 por ciento y en mayores de 60 años fue 68,22 por ciento. se ha intentado obtener de una correlación entre prevalencia de la infección y algunas características sanitarias (agua corriente y cloacas) de la población estudiada. Se observó ue 225 pacientes que residen en viviendas con agua corriente y cloacas, tuvieron una prevalencia de infección de 69,345 y en 129 pacientes sin agua corriente ni cloacas se observó una tasa de prevalencia de infección de 83,72 por ciento una diferencia estadísticamente significativa con un p< 0,01 para los pacientes con pobres condicones sanitarias. Estos datos puedem ser importantes cuando se efectua el diseño de los esquemas terapéuticos de erradicación de la bacteria. (AU)

[Esophageal achalasia: 20 years' experience with non surgical treatment]. / Acalasia del esófago: veinte años de experiencia en el tratamiento no quirúrgico.

The purpose of this paper is to report the experience acquired in pneumatic dilatation in achalasia of the esophagus up to 1990. Two hundred and six patients were studied in that period (X 50, 7 years, M/F 1:1). According to X Rays the distribution was: grade I 17.4%, grade II 54.8%, grade III 14% and grade IV 13.5%. The associated esophageal pathology was: hiatus hernia 9.7%, esophagitis 5.8%, benign stenosis 2.4%, cancer 1.4%, ulcer and diverticula 0.9% and Schatzki's ring and leiomyoma 0.4% respectively Serology for Chagas disease was positive in 23% Chagasic megacolon was more frequent than chagasic heart disease (4.3% Vs. 1.4%). Out of these, one hundred and twenty patients were treated by pneumatic dilatation. To this group we shall refer in more detail. One hundred ant two patients were dilated once and the remaining 18 twice. Esophageal manometry showed a vigorous pattern in 7.7%. The LES' pressure pre-treatment was 24.5 mm Hg and post-dilatation 13.7 mm Hg in 75.8% of the cases the result was good. The morbidity was 5% and the mortality 0.7%. Relapse was seen in 25.8% of the cases. The follow-up was X 38 months. We conclude that pneumatic dilatation is the election procedure in the treatment of achalasia since it offers good results with low morbimortality. Surgery is indicated after failure of 2 dilatations, in children, and association with esophageal neoplasms, hiatus hernia and esophageal diverticula.

Acalasia del esófago: veinte años de experiencia en el tratamiento no quirúrgico. / [Esophageal achalasia: 20 years experience with non surgical treatment]

The purpose of this paper is to report the experience acquired in pneumatic dilatation in achalasia of the esophagus up to 1990. Two hundred and six patients were studied in that period (X 50, 7 years, M/F 1:1). According to X Rays the distribution was: grade I 17.4

, grade II 54.8

, grade III 14

and grade IV 13.5

. The associated esophageal pathology was: hiatus hernia 9.7

, esophagitis 5.8

, benign stenosis 2.4

, cancer 1.4

, ulcer and diverticula 0.9

and Schatzkis ring and leiomyoma 0.4

respectively Serology for Chagas disease was positive in 23

Chagasic megacolon was more frequent than chagasic heart disease (4.3

Vs. 1.4

). Out of these, one hundred and twenty patients were treated by pneumatic dilatation. To this group we shall refer in more detail. One hundred ant two patients were dilated once and the remaining 18 twice. Esophageal manometry showed a vigorous pattern in 7.7

. The LES pressure pre-treatment was 24.5 mm Hg and post-dilatation 13.7 mm Hg in 75.8

of the cases the result was good. The morbidity was 5

and the mortality 0.7

. Relapse was seen in 25.8

of the cases. The follow-up was X 38 months. We conclude that pneumatic dilatation is the election procedure in the treatment of achalasia since it offers good results with low morbimortality. Surgery is indicated after failure of 2 dilatations, in children, and association with esophageal neoplasms, hiatus hernia and esophageal diverticula.