A narrative review of infections associated with personal service establishments Part I: Aesthetics

2012 ◽  
Vol 55 (01) ◽  
pp. 19-26
Author(s):  
Prabjit Barn ◽  
Tina Chen
Keyword(s):  
Bacterial Infections ◽  
Fungal Infections ◽  
Burden Of Illness ◽  
Case Reports ◽  
Limited Information ◽  
Case Control Studies ◽  
Personal Service ◽  
Policy And Practice ◽  
Cross Sectional ◽  
Mycobacterium Infections

Personal service establishments (PSEs) offer a range of services to their clientele, including manicures, pedicures, facials, waxing, and hairstyling and (or) barbering services. Several key gaps exist with respect to regulations, guidelines, and best practices for PSEs. One major gap is the lack of information on infection risks associated with PSEs. To address this, we conducted a review of the scientific literature to investigate the relationship between bacterial, viral, and fungal infections and specific PSE services. Using the Ebsco database, we identified case-control studies, cross-sectional surveys, case reports, and review studies investigating this relationship. Bacterial infections, particularly, mycobacterium infections are commonly reported, while viral risks are less well characterized. No information was found on fungal infection risks. Very limited evidence is available for some services, including manicures, hair styling, and barbering. Studies related to pedicures, although few, do establish a clear link between mycobacterium infections of the lower legs and the use of re-circulating footbaths. Waxing has been implicated in bacterial infection outbreaks due to poor infection control practices. The majority of studies identified are case reports, which provide limited information on the specifics of the services, and do not allow for an assessment of the PSE-related burden of illness. Some studies, however, do point to specific risk factors, routes of transmission, and research needs that can help to better inform PSE-related policy and practice.

A narrative review of infections associated with personal service establishments Part II: Piercing and tattooing

2012 ◽  
Vol 55 (02) ◽  
pp. 46-62
Author(s):  
Prabjit Barn ◽  
Tina Chen
Keyword(s):  
Bacterial Infections ◽  
Fungal Infections ◽  
Current Knowledge ◽  
Quantitative Estimation ◽  
Case Reports ◽  
Systemic Infection ◽  
Body Modification ◽  
Health Concern ◽  
Personal Service ◽  
Outer Lining

In part II of our paper on personal service establishment services-related infections, we review bacterial, viral, and fungal infections related to piercing, tattooing, and body modification. Sixty-six studies were identified for piercing and tattooing-related viral and bacterial infections. No studies investigating fungal infections, or body modification service-related infections were identified. Bacterial infections, particularly, mycobacterium infections were commonly reported for piercing and tattooing, while viral risks were less well characterized, with the exception of tattooing related hepatitis B and C infections. Aside from localized infections at the pierced or tattooed site, a systemic infection involving the outer lining of the heart, infective endocarditis (IE), was also identified as an important health concern; those with pre-existing heart conditions are at highest risk of IE from invasive procedures. Both bacterial and viral outbreaks were linked to poor infection control procedures, and in two events, the use of municipal water to dilute tattoo ink was suspected as a source of mycobacteria leading to outbreaks of infection. The majority of studies identified were case reports; these studies provide only a limited understanding of infection pathways and do not allow for a quantitative estimation of risk. Despite important gaps in current knowledge, the available scientific literature can be used to support and inform the development of health-protective policies and practices in personal service establishments.

scholarly journals Probable Neuropsychological & Cognitive Complications due to Cytokine Storm in Patients With COVID-19

2021 ◽  
Vol 0 (0) ◽  
pp. 1-37
Author(s):  
Zahra Keshtgar ◽  
◽  
GH. Reza Chalabianloo ◽  
Niloofar Esmaeili ◽  
◽  
...  
Keyword(s):  
Nervous System ◽  
Case Reports ◽  
Case Series ◽  
Executive Dysfunction ◽  
Inflammatory Factors ◽  
Cytokine Storm ◽  
Case Control Studies ◽  
Necrosis Factor Alpha ◽  
Cross Sectional ◽  
Tnf Α

Introduction: COVID-19 (coronavirus disease 2019) was identified in China in December 2019 for the first time and is rapidly spreading throughout the world as a pandemic. As COVID-19 causes mild to severe acute respiratory syndrome, most studies in this context have focused on pathogenesis primarily in the respiratory system. However, evidence shows that the central nervous system (CNS) may also be affected by COVID-19. Since COVID-19 is spreading, it is imperative to study its possible cognitive effects in patients suffering and recovering from COVID-19. Methods: The articles used in this study were searched by keywords such as Cytokine storm and covid-19, covid-19 and executive dysfunction, cognitive disorder and covid-19, CNS and covid 19, Coronavirus, Neuroinvasion in science direct, Scopus, PubMed, Embase, and Web of Science databases based on Preferred Reporting Items for Systematic reviews and Meta-Analysis (PRISMA) checklist. The study will assess all observational studies published between December 2019 and April 2021 in peer-reviewed journals, including cross-sectional, cohort, case-control studies, case reports and case series. The search result was 106 articles, of which 73 articles related to Covid-19, the stages of infection by this virus, its effect on the nervous system and neurological symptoms, the cytokine storm caused by this infection, and the possible cognitive consequences caused by this virus in patients, has been reviewed. Other articles were not checked due to their limited relevance to the topic under discussion. Results: Studies show that neurons may be directly affected by SARS-CoV-1 and SARS-CoV-2. Furthermore, various studies indicate that systemic inflammation (so-called "cytokine storm") is also responsible for brain damage induced by infection with SARS-CoV-1 and SARS-CoV-2. Such a way that this patients showed elevated levels of interleukin (IL-), 6, 8, and 10 and of tumor necrosis factor-alpha (TNF- α) in their blood. Conclusion: Various cognitive defects following an increase level of cytokines such as TNF-α and IL-6,8 have been observed. Therefore, due to the increase level of these pro-inflammatory factors in the brains of these patients, cognitive deficits can be expected, which need further investigation.

Prescribing of different antibiotics, rates of sepsis-related mortality and bacteremia in the US and England, and the utility of antibiotic replacement vs. reduction in prescribing: a cross-sectional study

2019 ◽  
Author(s):  
Edward Goldstein
Keyword(s):  
Bacterial Infections ◽  
Multivariable Analysis ◽  
Age Groups ◽  
Epidemiological Data ◽  
Antibiotic Use ◽  
Antibiotic Prescribing ◽  
Limited Information ◽  
Cross Sectional ◽  
E Coli ◽  
The Us

Abstract Background Antibiotic use contributes to the rates of bacteremia, sepsis and associated mortality, particularly through lack of clearance of resistant infections following antibiotic treatment. At the same time, there is limited information on the effects of prescribing of some antibiotics vs. others on the rates of outcomes related to severe bacterial infections. Methods We looked at associations between the proportions (state-specific in the US; Clinical Commissioning Group (CCG)-specific in England) of different antibiotic types/classes among all prescribed antibiotics in the outpatient setting (oral antibiotics in the US), and rates of outcomes (mortality with sepsis, ICD-10 codes A40-41 present as either underlying or contributing causes of death on a death certificate in different age groups of US adults; E. coli as well as MSSA bacteremia in England) per unit of antibiotic prescribing (defined as the rate of outcome divided by the rate of outpatient prescribing of all antibiotics). Results In the US, prescribing of penicillins was associated with rates of mortality with sepsis for persons aged 75-84y and 85+y between 2014-2015. In England, prescribing of penicillins other than amoxicillin/co-amoxiclav was associated with rates of both MSSA and E. coli bacteremia for the period between financial years 2014/15 through 2017/18. Additionally, multivariable analysis for the US data has also shown an association between the percent of individuals aged 50-64y lacking health insurance, as well as the percent of individuals aged 65-84y who are African-American and rates of mortality with sepsis in the corresponding age groups. Conclusions Our results suggest that prescribing of penicillins is associated with rates of E. coli and MSSA bacteremia in England, and rates of mortality with sepsis in older US adults. Those results, as well as the related epidemiological data suggest that replacement of certain antibiotics, particularly penicillins in the treatment of certain syndromes should be considered for reducing the rates of outcomes related to severe bacterial infections.

Infectious and non-infectious complications in primary immunodeficiency disorders: an autopsy study from North India

2017 ◽  
Vol 71 (5) ◽  
pp. 425-435 ◽  
Author(s):  
Kirti Gupta ◽  
Amit Rawat ◽  
Parimal Agrawal ◽  
Ankur Jindal ◽  
Ritambhra Nada ◽  
...  
Keyword(s):  
Primary Immunodeficiency ◽  
Bacterial Infections ◽  
Clinical Symptoms ◽  
Fungal Infections ◽  
Wide Spectrum ◽  
Case Reports ◽  
Infectious Complications ◽  
North India ◽  
Inherited Disorders ◽  
Primary Immunodeficiency Disorders

BackgroundPrimary immunodeficiency disorders (PID) include a wide spectrum of inherited disorders characterised by functional abnormalities of one or more components of the immune system. Recent updates from the genomic data have contributed significantly to its better understanding with identification of new entities. Diagnosis is always challenging due to their variable clinical presentation. With the evolution of molecular diagnosis, many of these children are being diagnosed early and offered appropriate therapy. However, in developing countries, early diagnosis is still not being made: as a result these patients succumb to their disease. Autopsy data on PID is notably lacking in the literature with histopathological evaluation of PID being limited to rare case reports.ObjectiveTo analyse the clinical, immunologic (including mutational) and morphologic features at autopsy in 10 proven and suspected cases of primary immunodeficiency disorders diagnosed at our Institute over the past decade.MethodsStudy includes a detailed clinico-pathological analysis of 10 proven and suspected cases of primary immunodeficiency disorders.ResultsA varied spectrum of infectious and non-infectious complications were identified in these cases of which fungal infections were found to be more frequent compared with viral or bacterial infections. Rare and novel morphological findings, like granulomatous involvement of the heart in a patient with chronic granulomatous disease, systemic amyloidosis in a teenage girl with X-linked agammaglobulinemia, are highlighted which is distinctly lacking in the literature.ConclusionsThe present study is perhaps the first autopsy series on PID. Even in the molecular era, such analysis is still important, as correlation of pathological features with clinical symptoms provides clues for a timely diagnosis and appropriate therapeutic intervention.

scholarly journals Oral Manifestations of COVID-19 in Hospitalized Patients: A Systematic Review

2021 ◽  
Vol 18 (23) ◽  
pp. 12511
Author(s):  
Giulia Orilisi ◽  
Marco Mascitti ◽  
Lucrezia Togni ◽  
Riccardo Monterubbianesi ◽  
Vincenzo Tosco ◽  
...  
Keyword(s):  
Systematic Review ◽  
Case Reports ◽  
Oral Candidiasis ◽  
Case Series ◽  
Hospitalized Patients ◽  
Oral Manifestations ◽  
Case Control Studies ◽  
Cross Sectional ◽  
Oral Ulcers ◽  
Global Pandemic

Background: COVID-19 disease first appeared in 2019 and quickly spread worldwide, causing a global pandemic. The oral cavity represents a target of SARS-CoV-2, and oral lesions are observed in both non-hospitalized and hospitalized patients. This systematic review aims to investigate the frequency of oral manifestations in COVID-19 hospitalized patients. Methods: An electronic search was conducted in PubMed, Scopus, and Web of Science databases, including articles published up to September 2021. The review protocol was based on PRISMA-P. The risk of bias of the studies was assessed using the Joana Briggs Institute. The certainty of evidence was assessed using the GRADE instrument. Results: Fifty-nine articles were included: 19 case reports, 17 case series, 2 case-control studies, 13 cross-sectional studies, 4 observational studies, and 4 retrospective studies. Oral ulcers, cheilitis, and tongue lesions were more common in patients before hospitalization, while perioral pressure ulcers, macroglossia, blisters, and oral candidiasis were more recurrent in patients during hospitalization. The first could be related directly to COVID-19, while the latter could be caused by medical devices, treatments, prone position, and immunological impairment. Conclusions: An accurate oral examination during the hospital admission of all confirmed COVID-19 cases is encouraged to recognize oral early manifestations and to apply appropriate treatments.

scholarly journals The Behavior of Patients with Obsessive-Compulsive Disorder in Dental Clinics

2021 ◽  
Vol 2021 ◽  
pp. 1-12
Author(s):  
Hala M. Elkamash ◽  
Hatem M. Abuohashish
Keyword(s):  
Obsessive Compulsive Disorder ◽  
Case Reports ◽  
Research Question ◽  
Risk Of Bias ◽  
Cochrane Library ◽  
Case Control Studies ◽  
Obsessive Compulsive ◽  
Eligibility Criteria ◽  
Cross Sectional ◽  
Compulsive Disorder

Objectives. This review documents published obsessive-compulsive disorder (OCD) cases with dental and oral conditions with potential impact on the dental procedure. The research question was, what are the psychiatric and behavioral features of people with OCD that might affect dental sessions? Methods. This review followed the PRISMA guidelines (PROSPERO registration No. CRD42020212371). Six databases (PubMed, Scopus, Web of Science, LILACS, Cochrane Library, and PsycINFO) were screened for published clinical studies that report dental patients with obsessions or compulsions behaviors as identified by National Institute of Mental Health (NIMH). Inclusion of the studies was performed according to the eligibility criteria. The quality evaluation was carried out using the Joanna Briggs Institute’s (JBI) Critical Appraisal Checklist. The results were qualitatively assessed for synthesis. Results. After elimination of duplication, 530 articles were screened, and 35 articles were evaluated for eligibility. 17 studies met the inclusion criteria (8 case reports, 5 cross-sectional studies, 1 longitudinal cohort study, and 3 case-control studies) and were included in the review. All case reports demonstrated symptoms of obsessions or compulsions such as fear of germs and contamination, aggressive thoughts, having things symmetric in perfect order, excessive cleaning or handwashing, repeatedly checking things, and compulsive counting. OCD-related behavior was assessed in the included clinical investigations using standardized protocols such as Florida Obsessive-Compulsive Inventory, Symptom Checklist-90-Revised, 4-item Corah Dental Anxiety Scale, Diagnostic and Statistical Manual of Mental Disorders, and the Crown Crisp Experimental Index. Quality assessment of the 17 included articles revealed 14 articles with low risk of bias and 3 articles with moderate risk of bias. Conclusion. The reported OCD symptoms may implement psychological difficulties during dental procedures without affecting the outcome. Although there was no contraindication for planning or performing dental treatments for a patient with OCD, dental-related procedures and protocols might be modified for successful dental appointments.

scholarly journals Frequency and distribution of neglected tropical diseases in Mozambique: a systematic review

2019 ◽  
Vol 8 (1) ◽  
Author(s):  
Berta Grau-Pujol ◽  
Marilia Massangaie ◽  
Jorge Cano ◽  
Carmen Maroto ◽  
Alcino Ndeve ◽  
...  
Keyword(s):  
Systematic Review ◽  
Neglected Tropical Diseases ◽  
Case Reports ◽  
Grey Literature ◽  
Case Series ◽  
Epidemiological Data ◽  
Effective Control ◽  
Tropical Diseases ◽  
Case Control Studies ◽  
Cross Sectional

Abstract Background Neglected tropical diseases (NTDs) affect more than one billion people living in vulnerable conditions. In spite of initiatives recently contributing to fill NTDs gaps on national and local prevalence and distribution, more epidemiological data are still needed for effective control and elimination interventions. Main text Mozambique is considered one of the countries with highest NTDs burden although available data is scarce. This study aims to conduct a systematic review on published available data about the burden and distribution of the different NTDs across Mozambique since January 1950 until December 2018. We identified manuscripts from electronic databases (Pubmed, EmBase and Global Health) and paper publications and grey literature from Mozambique Ministry of Health. Manuscripts fulfilling inclusion criteria were: cross-sectional studies, ecological studies, cohorts, reports, systematic reviews, and narrative reviews capturing epidemiological information of endemic NTDs in Mozambique. Case-control studies, letters to editor, case reports and case series of imported cases were excluded. A total of 466 manuscripts were initially identified and 98 were finally included after the revision following PRISMA guidelines. Eleven NTDs were reported in Mozambique during the study span. Northern provinces (Nampula, Cabo Delgado, Niassa, Tete and Zambezia) and Maputo province had the higher number of NTDs detected. Every disease had their own report profile: while schistosomiasis have been continuously reported since 1952 until nowadays, onchocerciasis and cysticercosis last available data is from 2007 and Echinococcosis have never been evaluated in the country. Thus, both space and time gaps on NTDs epidemiology have been identified. Conclusions This review assembles NTDs burden and distribution in Mozambique. Thus, contributes to the understanding of NTDs epidemiology in Mozambique and highlights knowledge gaps. Hence, the study provides key elements to progress towards the control and interruption of transmission of these diseases in the country.

Muscarinic Agonists for the Treatment of Cognition in Schizophrenia

CNS Spectrums ◽  
2008 ◽  
Vol 13 (11) ◽  
pp. 985-996 ◽  
Author(s):  
Angela K. Sellin ◽  
Mujeeb Shad ◽  
Carol Tamminga
Keyword(s):  
Current Knowledge ◽  
Case Reports ◽  
Laboratory Studies ◽  
Muscarinic Agonists ◽  
Case Control Studies ◽  
Cross Sectional ◽  
Anticholinergic Activity ◽  
Animal Trials ◽  
Pubmed Search

ABSTRACTIt is widely accepted that cholinergic activity at muscarinic receptors is required to maintain cognitive functions, including learning and memory. Memory domains are especially impaired in schizophrenia, which may explain difficulties in psychosocial rehabilitation of individuals with this illness. However, little is known about the mechanism of this impairment. To understand our current knowledge, we reviewed the literature since 1990 via a PubMed search for the terms “muscarinic”, “schizophrenia” “cognition,” “memory,” “learning,” and “agonist” in combination. We found 89 basic science/laboratory studies, case reports/series, case-control studies, cross-sectional studies, standardized controlled animal trials, standardized controlled human trials, and reviews. Although further research is required to fully understand the neuropharmacology of the cholinergic system in cognitive function in schizophrenia, we have examined the data currently available. In general, these data suggest that agonist activity at acetylcholine muscarinic type 1 (M1) receptors would enhance memory and learning in schizophrenia. We present an overview of likely side effects of muscarinic agonists. We outline the anticholinergic activity of several available antipsychotics and review the available M1 muscarinic agonists.

scholarly journals Safety of azithromycin in paediatrics: a systematic review protocol

2019 ◽  
Vol 3 (1) ◽  
pp. e000469 ◽  
Author(s):  
Peipei Xu ◽  
Linan Zeng ◽  
Tao Xiong ◽  
Imti Choonara ◽  
Shamim Qazi ◽  
...  
Keyword(s):  
Systematic Review ◽  
Quality Assessment ◽  
Case Reports ◽  
Case Series ◽  
Assessment Tools ◽  
Primary Data ◽  
Controlled Trials ◽  
Cochrane Central Register ◽  
Case Control Studies ◽  
Cross Sectional

IntroductionAzithromycin is widely used in children not only in the treatment of individual children with infectious diseases, but also as mass drug administration (MDA) within a community to eradicate or control specific tropical diseases. MDA has also been reported to have a beneficial effect on child mortality and morbidity. However, concerns have been raised about the safety of azithromycin, especially in young children. The aim of this review is to systematically identify the safety of azithromycin in children of all ages.Methods and analysisMEDLINE, PubMed, Cochrane Central Register of Controlled Trials, Embase, CINAHL, International Pharmaceutical Abstracts and adverse drug reaction (ADR) monitoring systems will be systematically searched for randomised controlled trials (RCTs), cohort studies, case–control studies, cross-sectional studies, case series and case reports evaluating the safety of azithromycin in children. The Cochrane risk of bias tool, Newcastle-Ottawa and quality assessment tools, and The Joanna Briggs Institute Critical Appraisal tools will be used for quality assessment. Meta-analyses will be conducted to the incidence of ADRs from RCTs if appropriate. Subgroup analyses will be performed in different age and azithromycin dosage groups.Ethics and disseminationFormal ethical approval is not required as no primary data are collected. This systematic review will be disseminated through a peer-reviewed publication.PROSPERO registration numberCRD42018112629

A Literature Review of Findings in Physical Elder Abuse

2013 ◽  
Vol 64 (1) ◽  
pp. 10-14 ◽  
Author(s):  
Kieran Murphy ◽  
Sheila Waa ◽  
Hussein Jaffer ◽  
Agnes Sauter ◽  
Amanda Chan
Keyword(s):  
Upper Extremity ◽  
Elder Abuse ◽  
Case Reports ◽  
Case Series ◽  
Geriatric Trauma ◽  
Case Control Studies ◽  
Accurate Identification ◽  
Cross Sectional ◽  
Socially Isolated ◽  
Culture Of Violence

Purpose To review the medical literature for reports on the types of physical injuries in elder abuse with the aim of eliciting patterns that will aid its detection. Materials and Methods The databases of PubMed, CINAHL, EMBASE, and TRIP were searched from 1975 to March 2012 for articles that contained the following phrases: “physical elder abuse,” “older adult abuse,” “elder mistreatment,” “geriatric abuse,” “geriatric trauma,” and “nonaccidental geriatric injury.” Distribution and description of injuries in physical elder abuse from case-control studies, cross-sectional studies, case series, and case reports as seen at autopsy, in hospital emergency departments, or in medicolegal reports were tabulated and summarized. Results A review of 9 articles from a total of 574 articles screened yielded 839 injuries. The anatomic distribution in these was as follows: upper extremity, 43.98%; maxillofacial, dental, and neck, 22.88%; skull and brain, 12.28%; lower extremity, 10.61%; and torso, 10.25%. Conclusion Two-thirds of injuries that occur in elder abuse are to the upper extremity and maxillofacial region. The social context in which the injuries takes place remains crucial to accurate identification of abuse. This includes a culture of violence in the family; a demented, debilitated, or depressed and socially isolated victim; and a perpetrator profile of mental illness, alcohol or drug abuse, or emotional and/or financial dependence on the victim.

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