4.7 Article

Generalized, non-neonatial tetanus is a highly fatal disease in Afghanistan: A case series study

Journal

INTERNATIONAL JOURNAL OF INFECTIOUS DISEASES
Volume 103, Issue -, Pages 568-572

Publisher

ELSEVIER SCI LTD
DOI: 10.1016/j.ijid.2020.12.019

Keywords

Afghanistan; Tetanus; Mortality; Vaccination

Ask authors/readers for more resources

A retrospective study of 24 severe tetanus cases in Kabul, Afghanistan found a high mortality rate, suggesting an urgent need for vaccination policies and facilities for adult tetanus treatment.
Objectives: To describe the clinical features and outcomes of a case series of adult tetanus and illustrate inadequacies in confronting this preventable disease. Design and Methods: This study retrospectively evaluated 24 relatively severe, confirmed cases of tetanus, diagnosed between March 2017 and December 2018, in Kabul Antani Hospital, Afghanistan. Results: Regarding the source of the infection: 18 patients (75%) had a history of injuries, 1 had a history of a dog bite and 1 was an intravenous drug user; 4 patients had no external injuries or wounds. Dysphagia was the main clinical manifestation for which patients sought medical treatment (50%). Of the 12 patients who died, 7 presented with confusion and seizure, 1 with acute kidney injury, and 2 with pneumonia. Conclusions: Mortality due to tetanus is high in Afghanistan (Case Fatality Rate (CFR) 50%)), suggesting an urgent need for vaccination policy and programs, post-exposure protocols, and facilities equipped for the treatment of adult tetanus. The Ministry of Public Health of Afghanistan should seek to improve the accessibility, distribution and recording of tetanus immunization through vaccination. (C) 2020 Published by Elsevier Ltd on behalf of International Society for Infectious Diseases.

Authors

I am an author on this paper
Click your name to claim this paper and add it to your profile.

Reviews

Primary Rating

4.7
Not enough ratings

Secondary Ratings

Novelty
-
Significance
-
Scientific rigor
-
Rate this paper

Recommended

Article Medicine, General & Internal

Post-mortem Histopathologic Findings of Vital Organs in Critically Ill Patients with COVID-19

Farahnaz Bidari Zerehpoosh, Shahram Sabeti, Hooman Bahrami-Motlagh, Majid Mokhtari, Seyed Sina Naghibi Irvani, Parham Torabinavid, Farzad Esmaeili Tarki, Mahdi Amirdosara, Omidvar Rezaei, Babak Mostafazadeh, Mohammadreza Hajiesmaeili, Mohammad Mahdi Rabiei, Ilad Alavi Darazam

Summary: This study reviewed autopsy tissue samples from five patients who died from severe COVID-19 and found that diffuse alveolar damage and micro-thrombosis were the most common histologic findings in lung tissues, while acute tubular necrosis was observed in renal samples and sinusoidal dilation and hepatic steatosis were found in all liver samples. The findings suggest that clinical pathology results from autopsy tissue samples could provide more insights into the pathogenesis and management of severe COVID-19 patients.

ARCHIVES OF IRANIAN MEDICINE (2021)

Article Public, Environmental & Occupational Health

Community Behavioral and Perceived Responses in the COVID-19 Outbreak in Afghanistan: A Cross-Sectional Study

Sayed Hamid Mousavi, Mohammad Hossein Delshad, Cecilia Acuti Martellucci, Divya Bhandari, Akihiko Ozaki, Fatemeh Pourhaji, Fahimeh Pourhaji, Sayed Mohammad Reza Hosseini, Rohullah Roien, Abass Ali Ramozi, Marzia Wafaee, Shohra Qaderi, Mohammad Delsoz, Shailendra Sigdel, Yasuhiro Kotera, Toyoaki Sawano, Kuldeep Dhama, Alfonso J. Rodriguez-Morales, Jiwei Wang, Tetsuya Tanimoto, Ali Ahmad Yousefi, Ranjit Sah

Summary: This study investigated the perceived susceptibility and severity of COVID-19, as well as the practice of nonpharmaceutical interventions, among people living in Afghanistan. The findings suggest that the psychological and behavioral responses of communities in Afghanistan, particularly among young Internet users, were influenced by the early phase of the COVID-19 pandemic.

DISASTER MEDICINE AND PUBLIC HEALTH PREPAREDNESS (2023)

Article Infectious Diseases

Prevalence and determinants of self-medication with antibiotics among general population in Afghanistan

Rohullah Roien, Divya Bhandari, Sayed Mohammad Reza Hosseini, Sayed Hussain Mosawi, Mohammad Arif Ataie, Akihiko Ozaki, Cecilia Acuti Martellucci, Yasuhiro Kotera, Mohammad Hossien Delshad, Toyoaki Sawano, Shohra Qaderi, Ranjit Sah, Tetsuya Tanimoto, Fatemeh Pourhaji, Abbas Ali Ramoozi, Shamim Arif, Shamsullah Mehtarkhel, Shekiba Madadi, Sayed Hamid Mousavi

Summary: The research revealed a high prevalence of self-medication with antibiotics in Kabul, Afghanistan, with the majority expressing high levels of concern and citing reasons such as economic issues, lack of time to visit doctors, and ease of use. Additionally, female participants were less likely to engage in self-medication with antibiotics compared to male counterparts.

EXPERT REVIEW OF ANTI-INFECTIVE THERAPY (2022)

Article Clinical Neurology

A parasagittal sinus meningioma in young female adult in Afghanistan

Shafi Ullah Zahid, Abdul Aziz Taeeb, Jaffer Shah, Asghar Shah, Shohra Qaderi, Joseph Varney, Hani Aiash, Sayed Hamid Mousavi

Summary: This case report describes a 30-year-old female patient with parasagittal sinus meningioma, outlining the surgical technique used and the successful outcome achieved.

INTERDISCIPLINARY NEUROSURGERY-ADVANCED TECHNIQUES AND CASE MANAGEMENT (2021)

Editorial Material Virology

The daunting task of fighting HIV in Afghanistan: Current evidence and future recommendations

Sayed Hamid Mousavi, Shohra Qaderi, Attaullah Ahmadi, Sayed Ibrahim Arman, Shoaib Ahmad, Malyar Kareemzai

Summary: Afghanistan is facing a serious problem of HIV transmission, and international groups have joined forces to reduce cases and raise awareness. Further promotion of awareness campaigns and international cooperation is needed to limit the spread of HIV.

JOURNAL OF MEDICAL VIROLOGY (2022)

News Item Multidisciplinary Sciences

AFGHAN ACADEMICS DESPAIR MONTHS AFTER TALIBAN TAKEOVER

Smriti Mallapaty

NATURE (2022)

Editorial Material Critical Care Medicine

Respiratory health and critical care concerns in Afghanistan

Cassandra Barrett, Alice R. Lee, Elissa M. Abrams, Sarah J. Mayell, DanielB Hawcutt, Ian P. Sinha

LANCET RESPIRATORY MEDICINE (2022)

Editorial Material Public, Environmental & Occupational Health

Afghan women and children's health: Three main challenges under Taliban and COVID-19

Cedilia Acuti Martellucci, Shohra Qaderi, Tetsuya Tanimoto, Akihiko Ozaki

Summary: In August 2021, the Taliban took over Afghanistan while the country was battling the third wave of COVID-19, leading to a severe humanitarian and health crisis. Despite improvements in the health care system over the past 17 years, largely due to cooperation with international organizations, Afghanistan still has one of the weakest health systems in the world.

JOURNAL OF GLOBAL HEALTH (2021)

Article Medicine, General & Internal

Vaginal bleeding as a sign of Crimean-Congo hemorrhagic fever infection: a case report

Shohra Qaderi, Hossein Hatami, Ahmad Murad Omid, Jalal Sayad

Summary: Crimean-Congo hemorrhagic fever is a severe viral hemorrhagic fever with high mortality. This case report describes a previously healthy Afghan female with shepherding occupation who presented with fever, body pain, epistaxis, and vaginal bleeding. She was diagnosed with Crimean-Congo hemorrhagic fever and successfully treated with ribavirin.

JOURNAL OF MEDICAL CASE REPORTS (2022)

Article Medicine, General & Internal

Evidence-Based Prediction of COVID-19 Severity in Hospitalized Children

Shahnaz Armin, Mohammadreza Mirkarimi, Zahra Pourmoghaddas, Marjan Tariverdi, Ahmad Shamsizadeh, Mohsen Alisamir, Maryam Mohammadian, Mohammad Bagher Rahmati, Sedigheh Rafiei Tabatabaei, Roxana Mansour Ghanaiee, Seyed Alireza Fahimzad, Ayeh Yaraghi, Seyedeh Mahsan Hoseini-Alfatemi, Noushin Marhamati, Farzad Esmaeili Tarki, Armin Shirvani, Abdollah Karimi

Summary: This study aimed to predict the severity of COVID-19 in hospitalized children using clinical and paraclinical characteristics. Analyzing variables such as SGOT, CRP, ALC, LDH, WBC, O(2)sat, and ferritin can help in determining the severity of the disease in pediatric patients.

INTERNATIONAL JOURNAL OF CLINICAL PRACTICE (2022)

Article Medicine, General & Internal

A rare case of combined immunodeficiency with cytopenia whose symptoms were controlled by cyclosporine

Bazgir Narges, Eskandarzadeh Shabnam, Eslamian Golnaz, Chavoshzadeh Zahra, Shah Jaffer, Qaderi Shohra

Summary: Combined Immunodeficiency (CID) is a group of inborn error of Immunity (IEI) that can result in infectious and non-infectious complications. This case report highlights the potential beneficial role of cyclosporine in controlling cytopenia in CID patients.

OXFORD MEDICAL CASE REPORTS (2022)

Article Public, Environmental & Occupational Health

Achieving herd immunity in South America

I. I. I. Don Eliseo Lucero-Prisno, Deborah Oluwaseun Shomuyiwa, Creuza Rachel Vicente, Maria Jose Gonzalez Mendez, Shohra Qaderi, Jaifred Christian Lopez, Yidnekachew Girma Mogessie, Jason Alacapa, Lila Chamlagai, Remy Ndayizeye, Pelin Kinay

Summary: South America, once a hotspot of COVID-19, has successfully managed the pandemic through a high vaccination rate and public trust. Although herd immunity is not currently achievable, the region is moving towards it by ensuring reliable vaccine supply and promotion.

GLOBAL HEALTH RESEARCH AND POLICY (2023)

Letter Obstetrics & Gynecology

Obstetrical journal requirements for publication of systematic review and meta-analysis

Kamran Hessami, Shohra Qaderi, Alireza A. Shamshirsaz

AMERICAN JOURNAL OF OBSTETRICS & GYNECOLOGY MFM (2022)

Article Emergency Medicine

Risk Factors of Recurrent Anal Abscess in Patients with Type 2 Diabetes Mellitus; a 4-Year Retrospective study

Nasser Malekpour Alamdari, Siamak Afaghi, Farzad Esmaeili Tarki, Mohammad Fathi, Sara Besharat, Fatemehsadat Rahimi

Summary: This study aimed to determine the risk factors of recurrent anal abscess in patients with type 2 diabetes mellitus (T2DM). The results showed that metabolic syndrome, poor diabetes control, elevated white blood cell count, and increased C-reactive protein level were independent risk factors for recurrent anal abscess.

ARCHIVES OF ACADEMIC EMERGENCY MEDICINE (2022)

Article Pharmacology & Pharmacy

Ophthalmology practice in Afghanistan during the COVID-19 pandemic

M. Delsoz, P. Hollands

Summary: This communication describes the actions taken in ophthalmic practice in Kabul, Afghanistan during the COVID-19 pandemic, utilizing WHO, international, and local guidelines to effectively protect patients and staff. Implemented changes may lead to improved infection control in the hospital post-pandemic.

EUROPEAN REVIEW FOR MEDICAL AND PHARMACOLOGICAL SCIENCES (2021)

No Data Available