Journal of infection in developing countries
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J Infect Dev Ctries · Oct 2020
Comparative StudyThe utility of chest X-ray vs. computed tomography in febrile neutropenia patients presenting to the emergency department.
Pulmonary infections are not uncommon in patients with febrile neutropenia. Physicians have agreed to perform a chest X-ray (CXR) for all febrile neutropenic patients presenting with respiratory signs/symptoms. Nevertheless, they were divided into two groups when it came to asymptomatic febrile neutropenic patients (i.e. without respiratory signs/symptoms). A superior alternative to CXR is Computed Tomography (CT). CT, in comparison to CXR, was shown to have better sensitivity in detecting pulmonary foci. The aim of our study is to compare the diagnostic performance of CT and CXR in febrile neutropenic patients presenting to the emergency department, regardless of their clinical presentation. We are also interested in the predictors of pneumonia on chest imaging. ⋯ Patients with positive findings of pneumonia on chest imaging mainly had solid tumors, profound neutropenia, a higher CCI and a longer LOS. The presence of respiratory signs is the main predictor of positive pneumonia on chest imaging. CT is superior to CXR in detecting pulmonary foci in the population studied.
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J Infect Dev Ctries · Oct 2020
No new community COVID-19 infection in four consecutive weeks: what lesson can be learned from Vietnam.
Sharing a common land border with China, Vietnam has faced a high risk of transmission of Coronavirus Disease 2019 (COVID-19). Rapid decision making and robust public health measures were established by the Vietnamese Government to control the situation. ⋯ Valuable lessons from Severe Acute Respiratory Syndrome in 2003 such as use of quarantine, early recognition and quick response to the infection, and increased awareness of its citizens have put Vietnam in a somewhat better position against COVID-19 compared to other places. Vietnam, at the current time, mulls declaring an end of the current COVID-19 outbreak.
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J Infect Dev Ctries · Oct 2020
Knowledge and attitude among healthcare workers towards COVID-19: a cross sectional study from Jeddah city, Saudi Arabia.
The emergence of the new Coronavirus disease 2019 (COVID-19) has caused a major impact on global health system. This cross-sectional study was designed to appraise the knowledge and attitude of healthcare workers towards COVID-19 and find out their understanding about clinical aspects of the infection. ⋯ This study showed that healthcare workers had sufficient knowledge and positive attitude towards COVID-19. However, hospital staff should be periodically given sufficient training to effectively cope with such outbreaks in the future.