ABSTRACT
Introducción: En Cuba, la lucha contra la COVID-19 ha sido tarea de todos los que están relacionados a la atención sanitaria, con su consagración continúa, exponiendo sus capacidades y habilidades profesionales en el tratamiento y atención especializadas a los pacientes hospitalizados. Objetivo: Valorar las principales vivencias del personal de salud que trabajó en las zonas rojas, en los centros de aislamiento con casos sospechosos y positivos a la COVID-19. Métodos: Estudio descriptivo. Para realizar el análisis de las vivencias se aplicaron las técnicas de entrevista y observación. Se trabajó con una muestra de 43 sujetos, de ellos se seleccionaron 17 médicos, 10 enfermeras, siete técnicos y nueve del personal de servicio que participaron en los centros de aislamiento. Resultados: Las vivencias del personal de salud que laboraron en las zonas rojas se basaron en la expresión de los sentimientos, emociones, relaciones interpersonales, percepción de riesgo y vivencias únicas durante la labor realizada. Los principales sentimientos y emociones fueron: alegría, cooperación, altruismo, apoyo, gratitud, admiración, compromiso y las negativas fueron: miedo, ansiedad, estrés, depresión, rechazo y desesperanza en menor medida. Las relaciones interpersonales se desarrollaron en colaboración y aprendizaje grupal, la percepción de riesgo fue alto por la carga viral de la enfermedad. Conclusiones: Las vivencias de los sujetos investigados se expresaron en manifestaciones negativas al principio del tratamiento con los pacientes y evolucionaron hasta la conversión a estados positivos que permitieron elevar la calidad del trabajo realizado(AU)
Introduction: In Cuba, the fight against COVID-19 has been a task for everyone related to healthcare, with their continuous consecration, showing their professional capacities and skills in the specialized treatment of and care for hospitalized patients. Objective: To assess the main experiences of the health personnel who worked in red zones, in isolation centers, with suspected or positive cases of COVID-19. Methods: A descriptive study was carried out. The interview and observation techniques were used to analyze the experiences. The sample consisted of 43 subjects, of whom 17 physicians, 10 nurses, 7 technicians and 9 service employees who participated in isolation centers were selected. Results: The experiences of the health personnel who worked in the red zones were based on the expression of feelings, emotions, interpersonal relationships, perception of risk, and unique experiences during the work performed. The main feelings and emotions were joy, cooperation, altruism, support, gratitude, admiration, commitment; while the negative ones were fear, anxiety, stress, depression, rejection, and hopelessness to a lesser extent. Interpersonal relationships were developed in collaboration and group learning, while the perception of risk was high due to the viral load of the disease. Conclusions: The experiences of the studied subjects were expressed through negative events at the beginning of involvement with patients, and evolved until conversion to positive states that allowed raising the quality of the work performed(AU)
Subject(s)
Humans , Male , Female , Attitude of Health Personnel , Hospitals, Isolation , COVID-19/epidemiology , Epidemiology, Descriptive , CubaABSTRACT
Malaria and coronavirus disease 2019 (COVID-19) share several characteristics that could lead to cross-infection, particularly in malaria-endemic areas. Early COVID-19 symptoms might be misdiagnosed for malaria in clinical settings. Also, both diseases can cause fatal complications. So, laboratory testing for both diseases was recommended by the World Health Organization. To study the clinical characteristics and outcomes of Adult Sudanese patients with COVID-19 and malaria coinfection. This retrospective cross-sectional study was conducted from January 2021 to October 2021 in Wad Medani. Total coverage of all Sudanese patients above 18 years old with a confirmed diagnosis of coinfection with COVID-19 and malaria was included, and data were collected using a data collection sheet. Data were analyzed using R software version 4.0.2. Data were described and presented as mean, standard deviation, and number (percentage). To find associated factors with in-hospital outcome, χ2 test, fisher exact test, and independent t test or Wilcoxon rank-sum test were used. In this study, 156 participants were diagnosed with COVID-19 and malaria coinfection. Most of them were between 60 and 70 years (30.8%), the majority were males (59%). Shortness of breath (76.3%) and acute respiratory distress syndrome (35.3%) were the most common symptom and complications among coinfected patients, respectively. Ground glass opacity (n = 47/49, 95.9%) is the most common result for computed tomography scan. Atrial fibrillation was the most common abnormal electrocardiogram finding (n = 6/62, 9.7%). Overall mortality among all participants was (63/156, 40.4%). High mortality rate was found among the coinfected patients. More attention is needed towards fighting COVID-19 and malaria coinfection. There may be a link between malaria and COVID-19.
Subject(s)
COVID-19 , Coinfection , Malaria , Adolescent , Adult , COVID-19/complications , COVID-19/diagnosis , Coinfection/epidemiology , Cross-Sectional Studies , Female , Humans , Malaria/complications , Malaria/diagnosis , Malaria/epidemiology , Male , Retrospective Studies , Sudan/epidemiologyABSTRACT
RESUMEN Introducción: en el combate actual que enfrenta Cuba contra la pandemia, se han desarrollado numerosos modelos matemáticos y aplicaciones informáticas. Estos instrumentos de análisis dependen de parámetros necesarios para estimar a partir de los datos que se generan y así obtener una información real del comportamiento de la enfermedad desde los entornos locales. Objetivo: desarrollar una aplicación web para la gestión de la información en los centros de aislamiento de pacientes con la COVID-19, en Pinar del Río. Métodos: investigación de desarrollo tecnológico para crear los procesos de análisis, diseño e implementación de una aplicación web de la información que se genera en los centros de aislamiento para atención a la pandemia. Se describen los métodos científicos utilizados durante el desarrollo de la investigación y se definen las tecnologías empleadas para la construcción de la aplicación. Resultados: se creó GICAcovid, aplicación web para la gestión de toda la información recibida en los centros de aislamiento designados en la provincia para combatir el Coronavirus. Registra datos de pacientes, acompañantes, los propios centros de aislamiento según su tipo, genera reportes y elabora gráficos que enriquecen las estadísticas que siguen el comportamiento de la enfermedad. Conclusiones: la aplicación web denominada GICAcovid favorece una gestión rápida para el estudio clínico y epidemiológico de la situación de la enfermedad en los centros de aislamiento de la provincia Pinar del Río, y la prontitud en la adopción de decisiones.
ABSTRACT Introduction: in the current battle that Cuba faces to deal with the pandemic, numerous mathematical models and computer applications have been developed. These analysis instruments depend on the necessary parameters to estimate from the data generated to obtain real-time information regarding the behavior of the disease from the local settings for the behavior of the disease and the implementation of editions. Objective: to develop a web application to manage the information in the Isolation Centers for COVID-19 patients in Pinar del Río province. Methods: technological development research, to create the processes of analysis, design and implementation of a web application of the information generated from the isolation centers for pandemic care. The scientific methods used during the development of the research are described and the technologies used to build the application are defined. Results: GICA-Covid was created, a web application for the management of all the information collected in the isolation centers opened in the province to fight Coronavirus. This web-application registers the data of patients and their companions; the isolation centers themselves according to their type, it also generates reports and creates graphs that improve the statistics that follow the behavior of the disease in Vueltabajo region. Conclusions: the development of the web application called GICA-covid favors a rapid management for the clinical and epidemiological study of the situation of the disease in the isolation centers of Pinar del Río province and timely decision-making.
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INTRODUCTION: The novel coronavirus (COVID-19) pandemic has overwhelmed health systems globally. Healthcare workers (HCWs) are faced with numerous challenges during the COVID-19 response. In this study, we aimed to describe the experiences of HCWs during the COVID-19 outbreak in Lagos, Nigeria. METHODS: We conducted a qualitative study on the experiences of frontline HCWs at the COVID-19 isolation centers in Lagos, Nigeria using purposive and snowballing sampling techniques. An in-depth interview which lasted for 25-40 minutes for each respondent was conducted among ten medical officers and four nurses between 15th June and 13th July 2020. We analyzed data using Colaizzi's phenomenological method. RESULTS: Respondents' age ranged between 29 and 51 years with a median age of 36.5 years. Four themes were identified from data analysis. In the first theme, "COVID-19 care: A call to responsibility", HCWs expressed optimism regarding COVID-19 care, and described the work conditions at COVID-19 isolation centers. In the second theme, "Challenges encountered while caring for COVID-19 patients - coping strategies", HCWs experienced difficulties working in a new environment and with limited resources. They however coped through the available support systems. Regarding the "Experiences in COVID-19 care", the feelings of HCWs varied from pleasure on patients' recovery to distress following patients' demise. On the "Necessities in COVID-19 care", HCWs identified the need for increased psychosocial support, and adequate provision of material and financial support. CONCLUSIONS: HCWs at COVID-19 isolation centers need to be assured of a safe working environment while providing them with a strengthened support system.
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Case-fatality rates in Ebola treatment centers (ETCs) varied widely during the Ebola virus disease (EVD) outbreak in West Africa. We assessed the influence of referral pathway on ETC case-fatality rates with a retrospective cohort of 126 patients treated at the Mathaska ETC in Port Loko, Sierra Leone. The patients consisted of persons who had confirmed EVD when transferred to the ETC or who had been diagnosed onsite. The case-fatality rate for transferred patients was 46% versus 67% for patients diagnosed onsite (p = 0.02). The difference was mediated by Ebola viral load at diagnosis, suggesting a survival selection bias. Comparisons of case-fatality rates across ETCs and clinical management strategies should account for potential survival selection bias.
