0000000000085971

AUTHOR

Vincenzo Pisani

showing 3 related works from this author

Maternal caesarean section infection (MACSI) in Sierra Leone: a case-control study.

2020

Sierra Leone is the country with highest maternal mortality and infections are the underlying cause in 11% of maternal deaths, but the real burden remains unknown. This study aims to determine the incidence and risk factors of surgical site infection (SSI) post-caesarean section (CS) in women admitted to Princess Christian Maternity Hospital (PCMH) in Freetown, Sierra Leone. A prospective case-control (1:3 ratio) study was implemented from 1 May 2018 to 30 April 2019 and 11 women presenting with suspected or confirmed infection post-CS were screened for inclusion as a case. For each case, three patients undergoing CS on the same day and admitted to the same ward, but not presenting with SSI…

Adultmedicine.medical_specialtyEpidemiologymedicine.medical_treatmentSierra leoneSierra Leone03 medical and health sciences0302 clinical medicinePregnancyRisk FactorsmedicineHumansSurgical Wound InfectionCaesarean section030212 general & internal medicineProspective StudiesOriginal Paper030219 obstetrics & reproductive medicineObstetricsbusiness.industryCesarean SectionIncidence (epidemiology)IncidenceCase-control studyAntibioticOdds ratiosurgical site infectionmedicine.diseaseSurvival AnalysisConfidence intervalHospitalsInfectious Diseasesmaternal deathCase-Control StudiesMaternal deathFemalebusinessSurgical site infectionEpidemiology and infection
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Impact of Ebola outbreak on reproductive health services in a rural district of Sierra Leone: a prospective observational study

2019

ObjectivesTo assess the trends concerning utilisation of maternal and child health (MCH) services before, during and after the Ebola outbreak, quantifying the contribution of a reorganised referral system (RS).DesignA prospective observational study of MCH services.SettingPujehun district in Sierra Leone, 77 community health facilities and 1 hospital from 2012 to 2017.Main outcome measuresMCH utililization was evaluated by assessing: (1) institutional deliveries, Cesarean-sections, paediatric and maternity admissions and deaths, and major direct obstetric complications (MDOCs), at hospital level; (2) antenatal care (ANC) 1 and 4, institutional delivery and family planning, at community leve…

AdultMaleRural Populationmedicine.medical_specialtypaediatricAdolescentMaternal-Child Health Servicesviruses030231 tropical medicineSettore MED/42 - Igiene Generale E ApplicataSierra leoneDisease OutbreaksSierra LeonepaediatricsLESSONS03 medical and health sciences0302 clinical medicineEPIDEMICMedicineHumansEMERGENCY OBSTETRIC CARE030212 general & internal medicineProspective Studies15061703Reproductive healthbusiness.industryPublic healthHealth PolicyResearchMORTALITYpublic healthInfant NewbornOutbreakvirus diseasesInfantRural districtcommunity gynaecology; paediatrics; public healthGeneral MedicineHemorrhagic Fever EbolaFamily planningChild PreschoolCommunity healthObservational studyFemalecommunity gynaecologybusinessDemographyVIRUS DISEASE
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Clinical features and comorbidity pattern of HCV infected migrants compared to native patients in care in Italy: A real-life evaluation of the PITER …

2021

Background: Direct-acting antivirals are highly effective for the treatment of hepatitis C virus (HCV) infection, regardless race/ethnicity. We aimed to evaluate demographic, virological and clinical data of HCV-infected migrants vs. natives consecutively enrolled in the PITER cohort. Methods: Migrants were defined by country of birth and nationality that was different from Italy. Mann-Whitney U test, Chi-squared test and multiple logistic regression were used. Results: Of 10,669 enrolled patients, 301 (2.8%) were migrants: median age 47 vs. 62 years, (p < 0.001), females 56.5% vs. 45.3%, (p < 0.001), HBsAg positivity 3.8% vs. 1.4%, (p < 0.05). Genotype 1b was prevalent in both gro…

MaleHCV genotypesEthnic groupLinked-to-care patientComorbidityHepacivirusLogistic regressionmedicine.disease_causeComorbidities; Direct acting antivirals; HCV Cohort; Linked-to-care patients; Aged; Antiviral Agents; Coinfection; Comorbidity; Female; Hepacivirus; Hepatitis C Chronic; Humans; Italy; Male; Middle Aged; Transients and MigrantsComorbidities0302 clinical medicineMedicineComorbidities; Direct acting antivirals; HCV Cohort; Linked-to-care patientsChronicTransients and MigrantsCoinfectionGastroenterologyvirus diseasesMiddle AgedHepatitis CLife evaluationItaly030220 oncology & carcinogenesisLinked-to-care patientsCohort030211 gastroenterology & hepatologyFemaleComorbiditieHumanHepatitis C virusSettore MED/12 - GASTROENTEROLOGIAAntiviral AgentsDirect acting antivirals03 medical and health sciencesDisease severityHumansAgedAntiviral AgentHepaciviruHepatologybusiness.industrySettore MED/09 - MEDICINA INTERNAHepatitis C Chronicmedicine.diseaseComorbiditydigestive system diseasesDirect acting antiviralHCV CohortbusinessDemography
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