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Nasibi S, Mojarrab S, Lashkarizadeh MR, Shafiei M, Saedi Dezaki E, Mahmoudvand H, Alizadeh A, Mohammadzadeh A, Adnani Sadati SJ, Mirbadie SR, Keighobadi M, Gholami S, Raeghi S, Abbasi M, Mohtasham F, Ravari MS, Dabirzadeh M, Mosavi Anari SA, Mirjalali H, Aliakbarian M, Abbasifard M, Fasihi Harandi M. Iranian Hydatid Disease Registry: Establishment and Implementation of a Neglected Tropical Disease Registry. Arch Iran Med 2023; 26:358-364. [PMID: 38301093 PMCID: PMC10685822 DOI: 10.34172/aim.2023.54] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/20/2022] [Accepted: 09/06/2022] [Indexed: 02/03/2024]
Abstract
BACKGROUND Cystic echinococcosis (CE) or hydatid disease is a global public health concern which imposes considerable economic costs on the communities in endemic regions. CE surveillance data are not adequately reliable. The present study reports the development and outcomes of a CE registry in Iran. METHODS Hydatid Registry (HydatidReg) was initially established as a single-center registry in 2014 after the ethical approval of KMU. Following a call from MoHME to promote registry of different diseases and health outcomes, a call for participation was announced and all the Iranian Universities of Medical Sciences were requested to contribute to the registry. Subsequently, a nation-wide registry of hydatid disease was established in 2016. With a global perspective, HydatidReg joined the European Register of Cystic Echinococcosis (ERCE). A data collection form based on minimum dataset was designed and standard operating procedures (SOPs) were prepared to ensure standardized patient enrolment in the registry. A biobank system with two-dimensional barcoding was established along with HydatidReg for management and organization of biological specimens. RESULTS As of March 2021, a total of 690 patients were enrolled in the registry. HydatidReg registered 362 (17.3%) out of the total 2097 patients enrolled in ERCE. Quality control (QC) of the data demonstrated 91.2% completeness and 80% timeliness. In the biobank, 322 biological specimens from 184 CE patients have been deposited including 70 blood, 96 sera and 156 parasite materials. CONCLUSION High-quality data in the HydatidReg registry provided opportunities for health professionals to improve quality of care and organize meaningful research.
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Affiliation(s)
- Saeid Nasibi
- Research Center for Hydatid Disease in Iran, Kerman University of Medical Sciences, Kerman, Iran
| | - Shahnaz Mojarrab
- Deputy of Research, Ministry of Health and Medical Education, Tehran. Iran
| | | | - Mohammad Shafiei
- Research Center for Hydatid Disease in Iran, Kerman University of Medical Sciences, Kerman, Iran
| | - Ebrahim Saedi Dezaki
- Department of Parasitology, School of Medicine, Shahrekord University of Medical Sciences, Shahrekord, Iran
| | - Hossein Mahmoudvand
- Department of Laboratory Sciences, School of Allied Medicine, Lorestan University of Medical Sciences, Khorramabad, Iran
| | - Ardeshir Alizadeh
- Disease and Health Outcomes Registry Department, Qazvin University of Medical Sciences, Qazvin, Iran
| | - Alireza Mohammadzadeh
- Disease and Health Outcomes Registry Department, Qazvin University of Medical Sciences, Qazvin, Iran
| | - Seyed Jafar Adnani Sadati
- Department of Medical Microbiology and Immunology, Faculty of Medicine, Qom University of Medical Sciences, Qom, Iran
| | | | - Masoud Keighobadi
- Toxoplasmosis Research Center, Communicable Diseases Institute, Iranian National Registry Center for Toxoplasmosis (INRCT), Mazandaran University of Medical Sciences, Sari, Iran
| | - Shirzad Gholami
- Molecular and Cell Biology Research Center, Mazandaran University of Medical Sciences, Sari, Iran
| | - Saber Raeghi
- Department of Laboratory Sciences, Maragheh University of Medical Sciences, Maragheh, Iran
| | - Masoumeh Abbasi
- Department of Health Information Technology, Kermanshah University of Medical Sciences, Kermanshah, Kermanshah, Iran
| | - Fatemeh Mohtasham
- Research Center for Hydatid Disease in Iran, Kerman University of Medical Sciences, Kerman, Iran
| | - Mehrnaz Sadat Ravari
- Research Center for Hydatid Disease in Iran, Kerman University of Medical Sciences, Kerman, Iran
| | - Mansour Dabirzadeh
- Department of Parasitology and Mycology, School of Medicine, Zabol University of Medical Sciences, Zabol, Iran
| | - Seyed Alireza Mosavi Anari
- Infectious and Tropical Diseases Research Center, Shahid Sadoughi University of Medical Sciences, Yazd, Iran
| | - Hamed Mirjalali
- Foodborne and Waterborne Diseases Research Center, Research institute for Gastroenterology and Liver Diseases, Shahid Beheshti University of Medical Sciences, Tehran, Iran
| | - Mohsen Aliakbarian
- Surgical Oncology Research Center, Imam Reza Hospital, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran
| | - Mitra Abbasifard
- Department of Internal Medicine, Ali-Ibn-Abi-Talib Hospital, Rafsanjan University of Medical Sciences, Rafsanjan, Iran
| | - Majid Fasihi Harandi
- Research Center for Hydatid Disease in Iran, Kerman University of Medical Sciences, Kerman, Iran
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Salehi M, Khalili H, Seifi A, Davoudi H, Darazam IA, Jahangard‐Rafsanjani Z, Mohammadnejad E, Heydari B, Siahkaly SJM, Tabarsi P, Kalantari S, Menshadi SAD, Babamahmoodi F, Khorvash F, Davarpanah MA, Soltani R, Yaghoobi MH, Anari SAM, Khodadadi J, Aliramezani A, Hantooshzadeh S, Naderi HR, Hajiabdolbaghi M, Elyasi S, Firouzabadi D, Kasgari HA, Roshanzamiri S, Ebrahimpour S. Antibiotic use during the first 6 months of COVID-19 pandemic in Iran: A large-scale multi-centre study. J Clin Pharm Ther 2022; 47:2140-2151. [PMID: 36054303 PMCID: PMC9538430 DOI: 10.1111/jcpt.13761] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/06/2022] [Revised: 07/21/2022] [Accepted: 08/02/2022] [Indexed: 12/24/2022]
Abstract
WHAT IS KNOWN AND OBJECTIVE Although antibiotics are ineffective against viral infections, epidemiological studies have revealed that the COVID-19 pandemic resulted in the overuse of antibiotics and disruption of antimicrobial stewardship programmes. We investigated the pattern of antibiotic use during the first 6 months of the COVID-19 pandemic in Iran. METHODS A multi-centre retrospective study was designed to investigate the use of 16 broad-spectrum antibiotics in 12 medical centres. The rate of antibiotic use was calculated and reported based on the Defined Daily Dose (DDD) per 100 hospital bed-days. The bacterial co-infection rate was also reported. RESULTS AND DISCUSSION Totally, 43,791 hospitalized COVID-19 patients were recruited in this study. It was found that 121.6 DDD of antibiotics were used per 100 hospital bed-days, which estimated that each patient received approximately 1.21 DDDs of antibiotics every day. However, the bacterial co-infections were detected only in 14.4% of the cases. A direct correlation was observed between the rate of antibiotic use and mortality (r[142] = 0.237, p = 0.004). The rate of antibiotic consumption was not significantly different between the ICU and non-ICU settings (p = 0.15). WHAT IS NEW AND CONCLUSION In this study, widespread antibiotic use was detected in the absence of the confirmed bacterial coinfection in COVID-19 patients. This over-consumption of broad-spectrum antibiotics may be associated with increased mortality in hospitalized COVID-19 patients, which can be an alarming finding.
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Affiliation(s)
- Mohammadreza Salehi
- Infectious Diseases Department, Imam Khomeini Hospital ComplexTehran University of Medical SciencesTehranIran
| | - Hossein Khalili
- Department of Clinical Pharmacy, School of PharmacyTehran University of Medical SciencesTehranIran
| | - Arash Seifi
- Infectious Diseases Department, Imam Khomeini Hospital ComplexTehran University of Medical SciencesTehranIran
| | - Hamidreza Davoudi
- Department of Pharmaceutical Care, Imam Khomeini Hospital ComplexTehran University of Medical SciencesTehranIran
| | - Ilad Alavi Darazam
- Department of Infectious Disease, Loghman Hakim HospitalShahid Beheshti University of Medical SciencesTehranIran
| | | | - Esmaeil Mohammadnejad
- Department of Medical‐Surgical Nursing and Basic Sciences, Imam Khomeini Hospital ComplexTehran University of Medical SciencesTehranIran
| | - Behrooz Heydari
- Department of Clinical Pharmacy, School of PharmacyShahid Sadoughi University of Medical SciencesYazdIran
| | | | - Payam Tabarsi
- Department of Infectious Disease, School of Medicine, National Research Institute of Tuberculosis and Lung Diseases, Dr. Masih Daneshvari HospitalShahid Beheshti University of Medical SciencesTehranIran
| | - Saeed Kalantari
- Department of Infectious Disease, School of Medicine, Hazrat‐e Rasool General HospitalIran University of Medical SciencesTehranIran
| | - Seyed Ali Dehghan Menshadi
- Infectious Diseases Department, Imam Khomeini Hospital ComplexTehran University of Medical SciencesTehranIran
| | - Farhang Babamahmoodi
- Department of Infectious Diseases, Antimicrobial Resistance Research Center, Communicable Diseases Institute, Ghaem Shahr Razi HospitalMazandaran University of Medical SciencesSariMazandaranIran
| | - Farzin Khorvash
- Department of Infectious Diseases and Tropical Medicine, Nosocomial Infection Research Center, Al‐Zahra HospitalIsfahan University of Medical SciencesIsfahanIran
| | - Mohammad Ali Davarpanah
- Department of Internal Medicine, HIV/AIDS Research Center, Research Institute for Health, Namazi Teaching HospitalShiraz University of Medical SciencesShirazIran
| | - Rasool Soltani
- Department of Clinical Pharmacy and Pharmacy Practice, School of Pharmacy and Pharmaceutical SciencesIsfahan University of Medical SciencesIsfahanIran
| | - Mojtaba Hedayat Yaghoobi
- Department of Infectious Diseases, School of MedicineAlborz University of Medical SciencesKarajAlborzIran
| | - Seyed Alireza Mosavi Anari
- Department of Infectious Disease, Infectious Diseases Research Center, Shahid Sadoughi General HospitalShahid Sadoughi University of Medical SciencesYazdIran
| | - Javad Khodadadi
- Department of Infectious Disease, Kamkar‐Arabnia HospitalQom University of Medical SciencesQomIran
| | - Amir Aliramezani
- Department of Microbiology, Shohadaye Tajrish HospitalShahid Beheshti University of Medical SciencesTehranIran
| | - Sedigheh Hantooshzadeh
- Department of Obstetrics and Gynecology, School of Medicine, Family Health Research Institute, Imam Khomeini HospitalTehran University of Medical SciencesTehranIran
| | - Hamid Reza Naderi
- Department of Infectious Disease, Surgical Oncology Research Center, Imam Reza HospitalMashhad University of Medical SciencesMashhadIran
| | - Mahboobeh Hajiabdolbaghi
- Infectious Diseases Department, Imam Khomeini Hospital ComplexTehran University of Medical SciencesTehranIran
| | - Sepideh Elyasi
- Department of Clinical Pharmacy, School of PharmacyMashhad University of Medical SciencesMashhadIran
| | - Dena Firouzabadi
- Department of Clinical Pharmacy, School of PharmacyShiraz University of Medical SciencesShirazIran
| | - Hamideh Abbaspour Kasgari
- Department of Clinical Pharmacy, School of PharmacyMazandaran University of Medical SciencesSariIran
| | - Soheil Roshanzamiri
- Department of Clinical Pharmacy, School of PharmacyShahid Beheshti University of Medical SciencesTehranIran
| | - Sholeh Ebrahimpour
- Department of Clinical Pharmacy, School of PharmacyAlborz University of Medical SciencesAlborzIran
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