Publications by authors named "Gudina E"

Background: Oromia regional state experiencing cholera outbreaks in a protracted pattern despite various interventions at local and regional levels. This study aimed to examine the implementation of Risk Communication and Community Engagement (RCCE) activities for cholera outbreak control in the region.

Methods: We conducted a quantitative and qualitative mixed-method study.

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Background: The development and implementation of COVID-19 vaccines have been a breakthrough in controlling the pandemic. However, the vaccination coverage in most low-income countries remains very low due to critical vaccine shortage and profound hesitancy. In this scoping review, we aimed to assess COVID-19 vaccine uptake, acceptance, and hesitancy in Ethiopia and Tanzania.

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  • The study examined the prevalence of extended-spectrum β-lactamase (ESBL) and carbapenemase-producing Enterobacterales (CPE) in HIV-infected patients at Jimma Medical Center, analyzing 344 stool samples for antibiotic-resistant bacteria.
  • A total of 376 Enterobacterales were isolated, revealing that 13.3% were ESBL producers and 4.3% were CPE, with Klebsiella pneumoniae and E. coli being the most common resistant strains.
  • Key risk factors for ESBL and CPE presence included prior use of cephalosporins, low CD4 counts, and comorbidities, highlighting the need for improved infection control and antibiotic management.
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  • The study evaluates the reliability of the Toronto Western Spasmodic Torticollis Rating Scale (TWSTRS) to assess cervical dystonia through video ratings.
  • Three different professionals independently rated the videos, and their agreement was measured using the intra-class correlation coefficient (ICC).
  • Results showed good reliability for the overall severity score, but varied among individual rating items, highlighting the need for clearer definitions in certain subscales.
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  • The study focused on the combined impact of gestational diabetes mellitus (GDM) and pregnancy-induced hypertension (PIH) on maternal and perinatal health in Ethiopia, identifying their co-occurrence as a significant public health concern.
  • Out of 168 studies reviewed, 15 studies with 6,391 participants showed a pooled prevalence of 3.76% for co-existing GDM and PIH, along with a notable association indicating that women with GDM are three times more likely to develop PIH.
  • The findings advocate for improved antenatal care programs in Ethiopia to better monitor and manage both GDM and PIH, aimed at enhancing health outcomes for mothers and infants.
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Background: Apart from troponins, various additional biomarkers that indicate myocardial injury, inflammation, thrombosis, and other routes are being studied to improve the treatment of acute coronary syndrome (ACS). Myeloid activity has been found to be elevated in ACS, and this has sparked a great deal of interest in hematological parameters since they might offer independent insights into pathophysiology and risk assessment.

Objective: The purpose of this study was to evaluate the hematological markers' prognostic ability for all intrahospital causes of mortality in individuals with an ACS diagnosis.

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Background: Studying the characteristics of hospitalized Coronavirus Disease 2019 (COVID-19) patients is vital for understanding the disease and preparing for future outbreaks. The aim of this study was to analyze and describe the clinical profiles and factors associated with mortality among COVID-19 patients admitted to Jimma Medical Center COVID-19 Treatment Center (JMC CTC) in Ethiopia.

Methods: All confirmed COVID-19 patients admitted to JMC CTC between 17 April 2020 and 05 March 2022 were included in this study.

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This study aimed to retrospectively assess the cost-effectiveness of various COVID-19 vaccination strategies in Ethiopia. It involved healthcare workers (HCWs) and community participants; and was conducted through interviews and serological tests. Local SARS-CoV-2 variants and seroprevalence rates, as well as national COVID-19 reports and vaccination status were also analyzed.

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Background: Numerous biomarkers are used as diagnostic, prognostic, and predictive indicators of myocardial ischemia. The most commonly used biomarkers are cardiac troponin I (Tn-I) and creatinine kinase (CK-MB). However, in developing nations, their availability in primary care settings is extremely limited.

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The hospital environment is increasingly becoming an important reservoir for multi-drug-resistant (MDR) Gram-negative bacteria, posing serious challenges to efforts to combat antimicrobial resistance (AMR). This study aimed to investigate the role of hospital waste as a potential source of MDR ESBL-producing bacteria. Samples were collected from multiple sources within a hospital and its vicinity, including surface swabs, houseflies, and sewage samples.

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Under-reporting of COVID-19 and the limited information about circulating SARS-CoV-2 variants remain major challenges for many African countries. We analyzed SARS-CoV-2 infection dynamics in Addis Ababa and Jimma, Ethiopia, focusing on reinfection, immunity, and vaccination effects. We conducted an antibody serology study spanning August 2020 to July 2022 with five rounds of data collection across a population of 4723, sequenced PCR-test positive samples, used available test positivity rates, and constructed two mathematical models integrating this data.

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Background: The burden of multidrug-resistant bacterial infections in low-income countries is alarming. This study aimed to identify the bacterial etiologies and antibiotic resistance patterns among neonates in Jimma, Ethiopia.

Methods: An observational longitudinal study was conducted among 238 presumptive neonatal sepsis cases tested with blood and/or cerebrospinal fluid culture.

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Background: In resource-constrained settings, limited antibiotic options make treating carbapenem-resistant bacterial infections difficult for healthcare providers. This study aimed to assess carbapenemase expression in Gram-negative bacteria isolated from clinical samples in Jimma, Ethiopia.

Methods: A cross-sectional study was conducted to assess carbapenemase expression in Gram-negative bacteria isolated from patients attending Jimma Medical Center.

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Background: Cervical dystonia is a movement disorder typically characterized by a patterned and twisting movement of sustained or intermittent muscle contractions. Recently, new clinical trials are emerging, highlighting the potential benefit of physiotherapy (PT) on disease outcomes. Thus, the objective of this review is to update the effectiveness of PT on cervical dystonia disease outcomes and subsequently perform a meta-analysis.

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  • The study examined bacterial causes of lower respiratory tract infections (LRTIs) in hospitalized patients initially suspected of having tuberculosis (TB) but later tested negative.
  • Only a small percentage (6.0%) of cases had identifiable bacterial pathogens through 16S rRNA sequencing, with certain pathogens linked to increased odds of radiological abnormalities and higher mortality rates.
  • The findings indicate that 16S rRNA sequencing is not an effective method for managing patients with suspected TB, suggesting that more advanced diagnostic tools are needed for better treatment strategies.
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Objective: This study aimed to determine the diagnostic accuracy of the antigen rapid diagnostic test (Ag-RDT) as a screening tool for SARS-CoV-2 infection compared to Quantitative reverse transcription polymerase chain reaction (qRT-PCR).

Methods: This study was conducted at six referral hospitals in Oromia Region, Ethiopia. One thousand seven hundred twenty-one patients who visited the hospitals for various medical conditions were tested with qRT-PCR and/or Ag-RDTs.

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Due to abundant pathogen diversity and mounting antimicrobial resistance, sepsis is more common in sub-Saharan Africa (sSA). However, there is a lack of consistent reports regarding the prevalence of adult sepsis in the region. Therefore, this study aimed to determine pooled estimates of sepsis prevalence and associated mortality among adults admitted to hospitals in sSA.

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Background And Objectives: Antibiotic resistance is a significant problem that restricts the options for treating bacterial pneumonia. This research aimed to determine the bacterial causes of pneumonia and antibiotic resistance among hospitalized patients in southwest Ethiopia.

Materials And Methods: We collected and analyzed 150 sputum samples from individuals with community-acquired pneumonia from April 1 to October 30, 2019.

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The coronavirus disease 2019 (COVID-19) pandemic has provided a great lesson for the globe about the necessity and significance of pandemics-related preparedness in all settings. Public health emergency operation centers play critical roles in preparing for and responding to public health events and emergencies by coordinating and pooling resources. In this article, we aimed to share lessons learnt from the public health response to the louse-borne relapsing fever (LBRF) outbreak coordinated by the emergency operation center established to respond to the COVID-19 pandemic in Jimma, Ethiopia.

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Article Synopsis
  • Vaccination is the most effective method to prevent and mitigate highly infectious respiratory diseases like COVID-19, though it takes time to develop and ensure the safety of vaccines before they can be widely used.
  • Nonpharmacologic interventions, such as wearing masks and social distancing, can provide temporary protection while vaccines are being prepared.
  • The proposal suggests creating an international repository for candidate vaccines, allowing countries to collaborate on developing targeted vaccines for various potential respiratory diseases, enhancing global preparedness against future pandemics.
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  • Sub-Saharan African countries are experiencing a significant rise in stroke incidents and mortality, with limited clinical research on the subject, prompting a study on risk factors and outcomes following stroke.
  • Conducted at Jimma Medical Center in Ethiopia from July 2020 to January 2021, this prospective observational study enrolled 153 adult stroke patients, tracking their management and 28-day survival rates using statistical analysis.
  • Results revealed that hemorrhagic strokes were prevalent, with a 25.5% mortality rate within 28 days, highlighting that factors like rural residency and aspiration pneumonia significantly contributed to short-term mortality, underscoring the need for improved stroke management strategies.
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Background: Patient safety is minimizing the risk of unnecessary damage associated with healthcare to a minimum. It has been linked as a global precedence area where substantial knowledge gaps exist. Knowledge, attitude, and practice of the healthcare providers toward patient safety have a great influence on the delivery of safe patient care.

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Microbial exopolysaccharides (EPS) are promising alternatives to synthetic polymers in a variety of applications. Their high production costs, however, limit their use despite their outstanding properties. The use of low-cost substrates such as agro-industrial wastes in their production, can help to boost their market competitiveness.

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  • Louse-borne relapsing fever (LBRF) is a significant health issue in Ethiopia, particularly affecting overcrowded and unsanitary environments, as demonstrated by a study of patients treated at Jimma Medical Center.
  • The study followed 36 male patients, primarily from Jimma Main Prison, with symptoms like fever and epistaxis, confirming LBRF in a subset of cases through blood tests.
  • All patients received oral doxycycline treatment, leading to improvements and shorter hospital stays, highlighting the importance of early detection and public health measures in controlling outbreaks.
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Background: Dietary diversity score has long been recognized as a key component of diets quality balances for healthy life status. However, diets with more variety of food items might increase calorie intake and body weight, which, in turn leads to central obesity (waist circumference).Therefore, this study aims to determine the prevalence of metabolic syndrome among dietary diversity score groups, and its associated factors among adults in the urban community of Jimma, Southwest Ethiopia.

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