14th ICID - Poster Abstracts - International Society for Infectious ...

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When citing these abstracts please use the following reference: Author(s) of abstract. Title of abstract [abstract]. Int J Infect Dis 2010;14S1: Abstract number. Please note that the official publication of the International Journal of Infectious Diseases 2010, Volume 14, Supplement 1 is available electronically on http://www.sciencedirect.com Final Abstract Number: 81.016 Session: Public Health Interventions, Modeling & Training Date: Friday, March 12, 2010 Time: 12:30-13:30 Room: Poster & Exhibition Area/Ground Level Type: Poster Presentation Continuous medical education: Teaching infectology using the internet T. Zitto, A. Melamud, M. L. Arcidiacono, H. Lopez Centro de Infectologia, Capital Federal, Argentina Background: The use of new technologies in information and communication offer alternatives through e-learning, which integrates those with pedagogical and didactic resources useful for graduate and post-graduate students. Evaluate the experience of the “Actualization of infections in adults courses” delivered through the Internet during 2007 and 2008, using INTRAMED, a web medical portal in Argentina. Analyze it advantages and difficulties, the number of participants and the results obtained with this methodology, describe the demographic characteristics of the professionals and propose strategies for the training actualization and update using the distance learning. Methods: We evaluated two courses delivered trough IntraMed with free registration. We assessed age, sex, level of graduate training and participation in one or both courses. The teachers developed reading material and also selected bibliography and complimentary material. Each module had a final evaluation and clinical cases resolution. The students also had a final evaluation. A forum was provided and an organized survey and a qualitative evaluation of the 2008 course was carried out. Results: 4791 professionals carried out both courses, 3173 (66.2%) were physicians, 1149 (23.9%) medical students and 469 (9.7%) other healthcare professionals. The pass rate was of 80% per year and the desertion rate was among 52.8% and 56.9%, respectively for the years 2007 and 2008. The 34.3% of the students that completed the 2008 course answered the survey. Between 44 and 55% considered appropriate or very appropriate the contents and among the 36 and 52% valued the tutor and the technical support as adequate. 86% of the students did not considered necessary tutoring and nearly 90% expressed they have changed the management and treatment of diseases after the course. Conclusion: In both years we have provide updated and free information to 4791 professionals. This learning methodology does not intent to replace the in-person training, as it is impossible to evaluate skills and competence. However, we believe that this is an additional resource, useful to acquire or reinforce the existing ones, especially in those cases in which for different reasons professionals cannot access in-person training courses.
When citing these abstracts please use the following reference: Author(s) of abstract. Title of abstract [abstract]. Int J Infect Dis 2010;14S1: Abstract number. Please note that the official publication of the International Journal of Infectious Diseases 2010, Volume 14, Supplement 1 is available electronically on http://www.sciencedirect.com Final Abstract Number: 81.017 Session: Public Health Interventions, Modeling & Training Date: Friday, March 12, 2010 Time: 12:30-13:30 Room: Poster & Exhibition Area/Ground Level Type: Poster Presentation Measles epidemy with complications in Bosnian children during 2008- Prevention strategy A. Bajraktarevic Public Health Institution of Canton Sarajevo, Sarajevo, Bosnia and Herzegovina Background: Morbilli is a childhood viral disease manifested as acute febrile illness associated with cough, coryza, conjunctivitis, spots on the buccal mucosa, and rash starting on the head and neck and spreading to the rest of the body. Treatment for mild cases of measles is supportive. Aim: The objective of this review was to assess the effects of antibiotics given to children with measles in reducing pneumonia, other morbidities and mortality during epidemiological infections unvaccinated children during last epidemy 2008 in Bosnia and Herzegovina. Methods: Randomized controlled trials (RCTs) and quasi-RCTs comparing antibiotics with placebo or no treatment to prevent complications in children with measles. Diagnosis was usually clinical, by identifying Koplik's spots or the rash. Alternatively, laboratory diagnosis of measles had done with confirmation of positive measles IgM antibodies or isolation of measles virus RNA from respiratory specimens. Results: Bronchopneumonia occured in up to 10% cases producing serious respiratory difficulties in Bosnian epidemy 2008. Severe cases of measles required hospitalisation in 16% cases of kids measles infection. Low rate of complications had a group of kids patients that received antibitics prophylaxis ( 6%) compared with group of sick kids without antibiotics (21%). Gypsies children had significantly lower immunization coverage (37%), compared with other Bosnian national groups (89%) that time period. Discussion: Antibiotics may be given to treat secondary bacterial infections from complications such as otitis media, infectious diarrhoea, pneumonia and sepsis. Despite this, measles remains a leading cause of vaccine preventable death worldwide. Conclusion: There is no specific treatment for measles which is why immunisation is so important. These results show that a significant number of kids patients with measles develop complications and require admissions. The majority of patients are nine months to five years old. Combined measles, mumps and rubella (MMR) vaccine is currently part of routine immunisation programmes in most countries, including Bosnia and Herzegovina.
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