Medicine
Permanent URI for this communityhttp://repository.kln.ac.lk/handle/123456789/12
This repository contains the published and unpublished research of the Faculty of Medicine by the staff members of the faculty
Browse
4 results
Search Results
Item Prevalence of covishield COVID-19 vaccine (ChAdOx1 nCoV-19) adverse effects among health care workers in Sri Lanka(Elsevier, 2022) Manilgama, S.R.; Hettiarachchi, N.M.; Jayasinghe, K.I.; de Silva, S.; Wanigaratne, T.; Jayalath, T.; Bandusiri, R.P.; Suganthan, N.; Sudarshan, P.; Pathirage, M.; Rajaratnam, N.; Senaratne, G.; Rajapaksha, V.; Wickramasinghe, A.; Kulaweera, M.T.D.PURPOSEA Community vaccination programme is the best approach to combat COVID-19 pandemic. The first priority was given to the health care workers (HCWs) with the introduction of Indian Covishield (ChAdOx1 nCoV-19) vaccine to Sri Lanka since February 2021. An independent post-vaccine surveillance is important to identify the occurrence of adverse effects(A/E) in the population. METHODS & MATERIALSA multicentered cross-sectional survey was conducted in four provinces of Sri Lanka to estimate the prevalence of A/E after covishield vaccination A/E among HCWs after the first dose. A self-administered questionnaire was used to gather demographic data and A/E. Data was analysed using descriptive statistics. RESULTS Of 4834 participants, 3500(72.4%) were females. The median age was 42.23(SD±9.64) years. Only 0.8%(n=31) persons has had Covid infection in the past. 2.2% were breastfeeding mothers and 0.2% were pregnant ladies.87.4% of persons had at least one A/E and 53.1% had local A/E. Body aches(68.2%), headaches(63.8%), fever(58%), chills 51.4%), fatigue(41.2%), arthralgia(38.1%) and rigors (32%) were the most commonly reported systemic A/E. Most of the systemic A/E were more prevalent among the ≤42-year-old group, and females. Their duration was mainly 24 hours. Mean duration of onset of fever is 9.76 hours. Pain and redness at the site were the most commonly reported local A/E. All of the local A/E were more prevalent among the ≤42-year-old group and females. Mean duration of pain at the site is 4.47 hours. 1.7%(n=61) had reactions within first 20 minutes. 0.08%(n=4) developed anaphylaxis, 0.8%(n=31) had urticaria. 15.4% had at least one comorbidities but there were no significant association between having a comorbidity and developing systemic or local. 1.3% had history of drug or food allergies, they did not show significant relation to current vaccine induced allergies or anaphylaxis. 69.2% attended the routine work despite having minor A/E. 0.13%(n=7) were hospitalised and treated. 22.4% were stayed at home and rested for 24-48 hours due to A/E. CONCLUSION Eventhough more than 60% reported minor A/E, there were only a few serious A/E. A/E were more prevalent in younger age and females. Overall, the first dose of the Covishield vaccine was well-tolerated by HCWs.Item Adverse events following first dose of ChAdOxI nCoV-19 (Covishield) among health care workers in Sri Lanka(Sri Lanka College of Internal Medicine, 2021) Manilgama, S.R.; Hettiarachchi, N.M.; Jayasinghe, I.K.; de Silva, S.; Jayalath, T.; Wanigaratne, T.; Bandusiri, R.P.; Suganthan, N.; Sudarshan, P.; Pathirage, M.; Rajaratnam, N.; Senaratne, G.; Rajapaksha, V.; Wickramasinghe, A.; Kulaweera, M.T.D.Introduction: A community vaccination programme is crucial to combat COVID-19 pandemic. An independent post-vaccine surveillance is important to identify adverse events following immunization (AEFI) in the population. Objective: To estimate the prevalence of AEFI after covishield vaccination among all categories of health care workers (HCWs) after the first dose. Methods: A multicentred cross-sectional survey was conducted in six provinces. A self-administered questionnaire was used to gather demographic data and AEFI. Results: Of 5140, 67.8% were females. The mean (SD) age was 40.69 (±10.07) years. At least one comorbidity was reported in 15.4%, At least one AEFI was reported in 86.6% and 49.3% had local AEFI. Bodyaches(54.4%), headaches (57.3%), fever (58.4%), chills(51.2%)( fatigue(37.5%) and arthralgia (36%) were the most reported systemic AEFI. Majority lasted <24 hours. Pain and redness at the site were the most reported local AEFI. Mean duration of onset of fever and site of pain was 6.65 and 9.67 hours respectively. The population was divided into two groups according to the mean age; <40 and >40 years and, study parameters were compared. Most of the systemic (fever, nausea, fatigue, itching) and all local AEFI were significantly higher among the <40-year-old group. Reactions occurred within first 20 minutes in 2%. Anaphylaxes developed in 12 patients. History of an叩hylaxis, drug, or food allergies were reported in 0.6%, 2.8%, 6.7% respectively, they didn't show significant relation to current vaccine induced allergies or anaphylaxis. Despite having minor AEFI, 71.1% attended routine work while 0.2% were hospitalised and treated.Item Physicians’ response to the COVID-19 pandemic: A view from Sri Lanka(Ceylon College of Physicians, 2021) Wanigasuriya, K.; Dassanayake, S.; de Silva, S.; Jayasinghe, S.No abstract availableItem Impact of COVID-19 on the mental health of frontline and non-frontline healthcare workers in Sri Lanka(The Sri Lanka Medical Association, 2021) Baminiwatta, A.; de Silva, S.; Hapangama, A.; Basnayake, K.; Abayaweera, C.; Kulasinghe, D.; Kaushalya, D.; Williams, S.INTRODUCTION: Healthcare workers (HCWs) are at risk of mental health problems during a pandemic. Being stationed at the frontline or not may have implications on their mental health. OBJECTIVES: The aims of this study were to assess depression, anxiety and stress among HCWs, to explore differences between frontline and non-frontline workers, and to investigate associated factors. METHODS: In this cross-sectional study, frontline and non-frontline HCWs were recruited from a COVID-19 screening hospital in Sri Lanka. Mental health impact was assessed using Depression, Anxiety and Stress Scale (DASS-21). Sociodemographic data and perceptions of social and occupational circumstances were gathered. Categorical variables were analyzed using Chi square and logistic regression. Odds ratios were calculated for the effect of different perceptions on psychological morbidity. RESULTS: A total of 467 HCWs participated, comprising 244 (52.2%) frontline and 223 (47.8%) non-frontline workers, with female preponderance (n=341, 77%). Prevalence of depression, anxiety and stress among HCWs were 19.5%, 20.6%, 11.8%, respectively. Non-frontline group showed a higher prevalence of depression (27% vs. 11%, p<0.001), anxiety (27% vs. 14%, p=0.001) and stress (15% vs. 8%, p=0.026). Being married, having children, living with family and higher income were associated with better psychological outcomes. Perceived lack of personal protective equipment, inadequate support from hospital authorities, greater discrimination, and lack of training to cope with the situation predicted poor mental health outcomes, and non-frontline HCWs were more likely to hold such perceptions. CONCLUSION: Addressing factors leading to negative psychological outcomes in HCWs should be a key concern during this pandemic. KEYWORDS: COVID-19, Mental health, Hhealthcare workers, Frontline, Depression, Anxiety, Stress