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Bahbah E, abu-Elfatth A, Alzamzamy A, Nagui GG, Elwazzan D, Abdeen N, Tharwat M, Elbahr O, Charif I, Aboufarrag G, Elbadry M, Abd-Elsalam S, Ali-Eldin Z. Treatment of Helicobacter pylori in the Arab world: a systematic review and network meta-analysis. Global Gastroenterology 2023; 0:0-0. [DOI: https:/doi.org/10.21608/gg.2023.203591.1010] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/04/2023]
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Bahbah E, abu-Elfatth A, Alzamzamy A, Nagui GG, Elwazzan D, Abdeen N, Tharwat M, Elbahr O, Charif I, Aboufarrag G, Elbadry M, Abd-Elsalam S, Ali-Eldin Z. Treatment of Helicobacter pylori in the Arab world: a systematic review and network meta-analysis. Global Gastroenterology 2023; 0:0-0. [DOI: 10.21608/gg.2023.203591.1010] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 09/01/2023]
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Shehata MS, Bahbah E, El-Ayman Y, Abdelkarim AH, Abdalla AR, Morshedy A, Turkmani K, Seth I, Seth N. Effectiveness of negative pressure wound therapy in patients with challenging wounds: a systematic review and meta-analysis. Wounds 2022; 334:E126-E134. [PMID: 36645658] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Subscribe] [Scholar Register] [Indexed: 01/17/2023]
Abstract
INTRODUCTION Controversy exists regarding the use of NPWT for wound healing. OBJECTIVE This study assessed the effectiveness of NPWT compared with conventional treatment in the management of different wound types, including acute and chronic wounds. MATERIALS AND METHODS PubMed, Cochrane Central Register of Controlled Trials, Scopus, EMBASE, EBSCO, Ovid, and Web of Science were searched, from database inception up to October 2021, for relevant studies comparing NPWT with conventional treatment for wound healing. Primary outcomes included time to healing, wound healing rate, and duration of treatment. Secondary outcomes included adverse events, length of hospital stay, and 30-day mortality rate. Pooled analysis of the outcomes data is presented as SMD (95% CI) for continuous data and OR (95% CI) for dichotomous data. RESULTS Twenty-four studies (3064 patients) were included in the meta-analysis. NPWT was associated with shorter time to healing (SMD, -0.79; 95% CI, -1.22 to -0.37), shorter duration of treatment (SMD, -1.24; 95% CI, -1.92 to -0.56), and higher rate of wound healing (OR, 2.05; 95% CI, 1.49-2.83) compared with control. NPWT was also associated with a lower incidence of adverse events (OR, 0.42; 95% CI, 0.23-0.77) and a lower 30-day mortality rate (OR, 0.25; 95% CI, 0.12-0.56). There were no significant differences between NPWT and control regarding hospital stay (SMD, -0.52; 95% CI, -1.06 to 0.03). CONCLUSIONS NPWT is seemingly associated with better wound healing outcomes compared with conventional therapy. However, the data should be interpreted with substantial caution given limitations such as high heterogeneity between studies and the small sample size of the included studies.
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Affiliation(s)
- Mohamed Sa Shehata
- Faculty of Medicine, Zagazig University, Zagazig, Egypt; Nasr City Insurance Hospital, Cairo, Egypt
| | - Eshak Bahbah
- Faculty of Medicine, Al-Azhar University, Damietta, Egypt
| | | | | | | | - Ahmed Morshedy
- Faculty of Medicine, Kafrelsheikh University, Kafrelsheikh, Egypt
| | | | - Ishith Seth
- Illawarra Shoalhaven Local Health District, Wollongong, Australia
| | - Nimish Seth
- Department of Orthopaedics, The Alfred Hospital, Melbourne, Australia
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Omran D, Al Soda M, Bahbah E, Esmat G, Shousha H, Elgebaly A, Abdel Ghaffar M, Alsheikh M, El Sayed E, Afify S, Abdel Hafez S, Elkelany K, Eltayar A, Ali O, Kamal L, Heiba A. Predictors of severity and development of critical illness of Egyptian COVID-19 patients: A multicenter study. PLoS One 2021; 16:e0256203. [PMID: 34555027 PMCID: PMC8459940 DOI: 10.1371/journal.pone.0256203] [Citation(s) in RCA: 13] [Impact Index Per Article: 4.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/01/2021] [Accepted: 05/03/2021] [Indexed: 01/21/2023] Open
Abstract
Objectives We conducted the present multicenter, retrospective study to assess the epidemiological, clinical, laboratory, and radiological characteristics associated with critical illness among patients with COVID-19 from Egypt. Methods The present study was a multicenter, retrospective study that retrieved the data of all Egyptian cases with confirmed COVID-19 admitted to hospitals affiliated to the General Organization for Teaching Hospitals and Institutes (GOTHI) through the period from March to July 2020. The diagnosis of COVID-19 was based on a positive reverse transcription-polymerase chain reaction (RT-PCR) laboratory test. Results This retrospective study included 2724 COVID-19 patients, of whom 423 (15.52%) were critically ill. Approximately 45.86% of the critical group aged above 60 years, compared to 39.59% in the non-critical group (p = 0.016). Multivariate analysis showed that many factors were predictors of critically illness, including age >60 years (OR = 1.30, 95% CI [1.05, 1.61], p = 0.014), low oxygen saturation (OR = 0.93, 95% CI [0.91, 0.95], p<0.001), low Glasgow coma scale (OR = 0.75, 95% CI [0.67, 0.84], p<0.001), diabetes (OR = 1.62, 95% CI [1.26, 2.08], p<0.001), cancer (OR = 2.47, 95% CI [1.41, 4.35], p = 0.002), and serum ferritin (OR = 1.004, 95% CI [1.0003, 1.008], p = 0.031). Conclusion In the present report, we demonstrated that many factors are associated with COVID-19 critical illness, including older age groups, fatigue, elevated temperature, increased pulse, lower oxygen saturation, the preexistence of diabetes, malignancies, cardiovascular disease, renal diseases, and pulmonary disease. Moreover, elevated serum levels of ALT, AST, and ferritin are associated with worse outcomes. Further studies are required to identify independent predictors of mortality for patients with COVID-19.
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Affiliation(s)
- Dalia Omran
- Department of Endemic Medicine and Hepatology, Faculty of Medicine, Cairo University, Cairo, Egypt
- * E-mail:
| | - Mohamed Al Soda
- General Organization for Teaching Hospitals and Institutes, Cairo, Egypt
| | - Eshak Bahbah
- Faculty of Medicine, Al-Azhar University, Damietta, Egypt
| | - Gamal Esmat
- Department of Endemic Medicine and Hepatology, Faculty of Medicine, Cairo University, Cairo, Egypt
| | - Hend Shousha
- Department of Endemic Medicine and Hepatology, Faculty of Medicine, Cairo University, Cairo, Egypt
| | | | - Muhammad Abdel Ghaffar
- Gastroenterology & Infectious Diseases Department, Ahmed Maher Teaching Hospital, Cairo, Egypt
| | | | - Enass El Sayed
- Nephrology Department, Ahmed Maher Teaching Hospital, Cairo, Egypt
| | - Shimaa Afify
- Gastroenterology Department, National Hepatology and Tropical Medicine Research Institute, Cairo, Egypt
| | - Samah Abdel Hafez
- Gastroenterology & Infectious Diseases Department, Ahmed Maher Teaching Hospital, Cairo, Egypt
| | - Khaled Elkelany
- Pediatric Department, Shebin Elkom Teaching Hospital, Shebin Elkom, Egypt
| | - Ayman Eltayar
- Intensive care Department, Damanhour Teaching Hospital, Damanhour, Egypt
| | - Omnia Ali
- Clinical and Chemical Pathology Department, Ahmed Maher Teaching Hospital, Cairo, Egypt
| | - Lamiaa Kamal
- Clinical and Chemical Pathology Department, Elsahel Teaching Hospital, Cairo, Egypt
| | - Ahmed Heiba
- Gastroenterology & Infectious Diseases Department, Ahmed Maher Teaching Hospital, Cairo, Egypt
- Internal Medicine Department, National Research Centre, Cairo, Egypt
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Afify S, Abdel-gawad M, Bahbah E, Zaghloul M, Abu-elfatth A, Alzamzamy A, Naguib G, Elwazzan D, Abdeen N, Tharwat M, Elbahr O, Charif I, Aboufarrag G, badry ME, Omran D, Abd-elsalam S, Ali-eldin Z, Makhlouf N, Alboraie M. Treatment of Helicobacter pylori in the Arab world: a systematic review and network meta-analysis.. [DOI: 10.22541/au.162184164.44494990/v1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 09/01/2023]
Abstract
Purpose: We aimed to conduct an updated systematic review and network
meta-analysis (NMA) to estimate the efficacy of Helicobacter pylori (H.
pylori) treatment strategies in Arab countries. Methods: We
systematically searched PubMed, Scopus, Web of Science (WOS), EBSCO, and
EMBASE from inception to July 18, 2020, using boolean operators.
Retrieved articles were screened, and relevant data were extracted. We
used R programming software to analyze extracted data. Results:
Fifty-four articles (n= 7829 patients) were included in the NMA. Pooled
overall analysis demonstrated that adjuvant therapy (standard triple or
sequential therapy plus another adjuvant drug) was the best treatment
with higher odds of eradication rate [OR= 6.42, 95% CI (1.37: 30.05),
P-score= 0.21]. Moreover, Seqential therapy (SQT) and Quinolone based
therapy (QBT) were associated with higher eradication rate compared to
other regimens [OR= 4.83, 95% CI (1.49: 15.64), P-score= 0.30] and
[OR= 4.32, 95% CI (1.15: 16.16), P-score= 0.36], respectively. In
adults, the efficacy of QBT was higher than other stratigies in terms of
H. pylori eradication [OR= 2.00, 95% CI (1.09, 3.69), P score=
0.19]. In naïve population, QBT and SQT were associated with
substantial eradication rate [OR= 1.94, 95% CI (1.19: 3.16), P
score=0.19] and [OR= 1.66, 95% CI (1.10: 2.50), P score=0.33],
respectively. Conclusion: Our findings suggest that standard triple or
sequential therapy plus another adjuvant drug, QBT and SQT therapies
were the most effective regimens for eradicating H.pylori in Arab
countries.
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Affiliation(s)
- Shimaa Afify
- National Hepatology and Tropical Medicine Research Institute
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Ebada MA, Wadaa-Allah A, Bahbah E, Negida A. An Updated Review on COVID-19. Infect Disord Drug Targets 2020; 21:e160921189190. [PMID: 33327924 DOI: 10.2174/1871526520666201216165322] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/12/2020] [Revised: 10/03/2020] [Accepted: 10/07/2020] [Indexed: 11/22/2022]
Abstract
Coronavirus Disease (COVID-19) pandemic has affected more than seven million individuals in 213 countries worldwide with a basic reproduction number ranging from 1.5 to 3.5 and an estimated case fatality rate ranging from 2% to 7%. A substantial proportion of COVID-19 patients are asymptomatic; however, symptomatic cases might present with fever, cough, and dyspnoea or severe symptoms up to acute respiratory distress syndrome. Currently, RNA RT-PCR is the screening tool, while bilateral chest CT is the confirmatory clinical diagnostic test. Several drugs have been repurposed to treat COVID-19, including chloroquine or hydroxychloroquine with or without azithromycin, lopinavir/ritonavir combination, remdesivir, favipiravir, tocilizumab, and EIDD-1931. Recently, Remdesivir gained FDA emergency approval based on promising early findings from the interim analysis of 1063 patients. The recently developed serology testing for SARSCoV-2 antibodies opened the door to evaluate the actual burden of the disease and to determine the rate of the population who have been previously infected (or developed immunity). This review article summarizes current data on the COVID-19 pandemic starting from the early outbreak, viral structure and origin, pathogenesis, diagnosis, treatment, discharge criteria, and future research.
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Affiliation(s)
- Mahmoud Ahmed Ebada
- Faculty of Medicine, Zagazig University, Zagazig, El-Sharkia. Egypt,Zagazig University Hospitals, Zagazig University, El-Sharkia, Egypt
| | - Ahmed Wadaa-Allah
- Biochemistry Department, Faculty of Science, Ain Shams University, Cairo, Egypt
| | - Eshak Bahbah
- Faculty of Medicine, Al-Azhar University, Damietta, Egypt
| | - Ahmed Negida
- Faculty of Medicine, Zagazig University, Zagazig, El-Sharkia. Egypt,Zagazig University Hospitals, Zagazig University, El-Sharkia, Egypt
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