RESUMO
Metropolitan Santo Domingo has accounted for a majority of reported malaria cases in the Dominican Republic in recent years. To inform malaria control and elimination efforts, a cross-sectional survey of malaria knowledge, attitudes, and practices collected 489 adult household-level questionnaires across 20 neighborhoods in the city's two main transmission foci, Los Tres Brazos (n = 286) and La Ciénaga (n = 203), in December 2020. Overall, most residents (69%) were aware of the problem of malaria in Santo Domingo, but less than half knew that mosquitos transmit the disease (46%) or took any correct preventative measure (45%). More residents of Los Tres Brazos, where malaria incidence is higher than in La Ciénaga, said that they had never been visited by active surveillance teams (80% versus 66%, respectively; P = 0.001), did not link mosquitos with malaria transmission (59% versus 48%, P = 0.013), and did not know medication can cure malaria (42% versus 27%, P = 0.005). Fewer residents of Los Tres Brazos said that malaria was a problem in their neighborhoods (43% versus 49%, P = 0.021) and fewer had mosquito bed nets in their homes (42% versus 60%, P < 0.001). The majority (75%) of questionnaire respondents in both foci did not have enough mosquito nets for all household residents. These findings demonstrate gaps in malaria knowledge and community-based interventions and highlight the need to improve community engagement for malaria elimination in affected areas of Santo Domingo.
Assuntos
Conhecimentos, Atitudes e Prática em Saúde , Malária , Adulto , Humanos , República Dominicana/epidemiologia , Estudos Transversais , Malária/epidemiologia , Inquéritos e QuestionáriosAssuntos
Antibacterianos/líquido cefalorraquidiano , Cefalosporinas/líquido cefalorraquidiano , Recém-Nascido Prematuro/líquido cefalorraquidiano , Meningites Bacterianas/líquido cefalorraquidiano , Antibacterianos/farmacocinética , Antibacterianos/uso terapêutico , Cefepima , Cefalosporinas/farmacocinética , Cefalosporinas/uso terapêutico , Infecção Hospitalar/líquido cefalorraquidiano , Infecção Hospitalar/tratamento farmacológico , República Dominicana , Feminino , Humanos , Recém-Nascido , Unidades de Terapia Intensiva Neonatal , Klebsiella pneumoniae , Masculino , Meningites Bacterianas/tratamento farmacológicoRESUMO
Con el objetivo de determinar el comportamiento clínico y la evolución de los embarazos abdominales en el Hospital de Maternidad Nuestra Señora de la Altagracia se analizaron todos los casos que se presentaron en un período de ocho años (Diciembre 1988 a diciembre 1993). Ocurrieron 11 casos, representando 1 por cada 15,210 nacimientos y 1 de cada 22 embarazos ectópicos, 91// de las pacientes tenían una edad entre 15 y 35 años y 90.9// eran multíparas. La sintomatología más frecuente fue: dolor abdominal (100//), sangrado transvaginal (63.6//), y vómitos (54.5//). En todos los casos (100//) el manejo fue quirúrgico, se le extrajo la placenta a 81.8//, 7 productos (63.6//) fueron catalogados como abortos y 4 (36.4//) como productos viables, de esos 1 presentó malformación congénita. Solo una de las pacientes (9//) presentó complicaciones y falleció