فهرست مطالب seyyed parham ahmadi

The COVID-19 pandemic presents a major risk to Health Care Workers (HCWs), which necessitates protective strategies. Personal Protective Equipment (PPE) and Hand Hygiene (HH) could prevent COVID-19 infections in healthcare facilities. Our study aimed to determine the level of PPE proper use among HCWs of Mashhad educational hospitals as well as their level of HH. This cross-sectional study was conducted from January 1st, 2021 to January 1st, 2022 in three educational hospitals in Mashhad. A standard checklist was arranged based on the WHO guidelines and was filled out by the supervisors. Data were analyzed using SPSS v23.0. The total HCWs included in this study were 246, including 154 women. The majority of the participating staff were nurses 135 (54.9%). The most common PPE was the N95 mask (71.1%). One hundred and eighty-four people (46.3%) washed their hands through the standard method, and there was no significant difference between men and women. Also, the level of correct PPEs donning and doffing was 42.2% and 28.4%; respectively. PPE donning was not significantly different between men and women. However, we found a significant difference in doffing PPE. It became evident that HCWs paid moderate attention to PPE and HH, demanding HCWs training to prevent infectious diseases such as the COVID-19.

 The emergence of the coronavirus disease 2019 (COVID-19) has become one of the greatest health problems of the 21st century. The current study was conducted to investigate COVID-19’s clinical manifestation, mortality factors, and their association with each other during the three devastating waves of the pandemic in Razavi-Khorasan province, Iran.

 This cross-sectional epidemiological population-based study was performed in Razavi-Khorasan province, Iran from January 21, 2020, to March 20, 2021. The data, including demographic characteristics and clinical presentations of the patients, were extracted from the Medical Care Monitoring System (MCMS), disease management portal in the Deputy of Health and hospital information system (HIS) of the medical universities/faculties of the province.

 Overall, 80499 patients were admitted to all hospitals of Khorasan-Razavi with the laboratory/ clinical COVID-19 confirmed disease. The male-to-female ratio and the mean age of our COVID-19 individuals were 1.10:1 and 55.67±23.27, respectively. The most frequently reported presenting symptoms in histories provided at the admission time were respiratory distress (58.2%), fever (36.7%), and cough (34.9%), while the less common ones were abdominal pain (2.7%) and alternation in smell/ taste (0.9%). Male gender (odds ratio [OR]=1.32, P<0.001), age over 60 (OR=2.59, P<0.001), and presence of at least one comorbidity (OR=1.32, P<0.001) were significantly associated with higher mortality rates.

 Healthcare providers and public health managers can benefit from the findings of this study to detect and emphasize patients with poor prognoses.