Cellulitis is a frequent soft tissue and skin infection. The lower limbs are affected in 70 to 80% of cases. Cellulitis in aged persons is not yet well described in literature. A retrospective descriptive study conducted in the Internal Medicine Department of Sahloul hospital in Sousse in Tunisia. It included patients whose age was up to 65 years old admitted into hospital for cellulitis of the legs, the arms or the face. One hundred fifty eight patients with a mean age of 73 years old (range: 65 to 94 years old) were included. Female to male sex ratio was 0.68. Among them, we noted diabetes mellitus in 81 cases (50.6%). The infection was located in the lower limbs in 155 cases (98%), in the face in two cases (1.3%) and in the upper limb in one case (0.7%). Twenty one patients (13.3%) presented with severe cellulitis and one presented with necrotizing fasciitis. All patients received intra venous antibiotic therapy. Surgical treatment was indicated in 14 cases. Cefazolin was prescribed in 77 cases (48%). Favorable evolution was noted in 144 patients (91.1%). Forty four patients (27.8%) received prophylactic antibiotics. Prevention of skin and soft tissue infection is a crucial step to preserve health in aged persons.

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Background: Identifying coronavirus disease 2019 (COVID-19) vaccine acceptance and associated factors among people living with HIV (PLHIV) in the Middle East and North Africa region is important to meet the need for broad-scale vaccination against COVID-19.Objectives: To investigate the COVID-19 vaccine acceptance rate and factors among PLHIV in the Middle East and North Africa region.Method: An online cross-sectional survey was conducted among PLHIV currently living in Egypt, Tunisia and Saudi Arabia between March 2021 and August 2021.Results: Of the 540 respondents, 19.3% reported already being vaccinated against COVID-19 (n = 104), 32.0% responded ‘definitely yes’ (n = 173), and 13.3% responded ‘probably yes’ (n = 72) for intention to receive a COVID-19 vaccine, with an overall COVID-19 vaccine acceptance rate of 64.6% among PLHIV in the region. The most significant predictors of COVID-19 vaccine acceptance included feeling less worried about COVID-19 transmission post-vaccination (221.0% higher odds), and believing the disease is vaccine-preventable (160.0% higher odds). Reported barriers to COVID-19 vaccine acceptance include concerns about vaccine effectiveness and belief that HIV medications protect against COVID-19 transmission, living in a rural area and reporting less-frequent engagement with HIV care. Nine out of 10 participants reported that the chances of them getting COVID-19 vaccine would increase if given adequate information and if their doctor recommended it.Conclusion: Findings of the study can help researchers, health officials, and other health system actors understand the predictors and barriers to COVID-19 vaccine acceptance reported by PLHIV. This understanding could inform the future planning of interventions tailored to PLHIV.

Introduction La pandémie de la maladie à coronavirus (COVID-19) a provoqué une crise sanitaire majeure. Le personnel de santé est en première ligne de la gestion de cette pandémie. L’étude vise à déterminer les connaissances, les attitudes et les pratiques du personnel de santé (PS). Matériels et méthodes Une étude transversale a été entreprise parmi le PS de février à mars 2021. L’étude a évalué les connaissances, l’attitude et les pratiques à l’aide d’un questionnaire auto-administré en ligne (Google formulaire) par e-mail et sur des plateformes de réseaux sociaux. Résultats Un total de 100 PS avaient participé à l’étude dont 84 % d’entre eux avaient un âge entre 18 et 29 ans et 79 % étaient des femmes. La majorité d’entre eux étaient des médecins ou des médecins en formations (79 %). Cinquante-cinq participants déclaraient ne pas avoir participé à des formations sur la prévention et le contrôle des infections par le SRAS-CoV-2. Les participants disposaient de connaissances satisfaisantes sur la COVID-19 avec 72 % de taux de réponses correctes sur : l’agent causal, le mode de transmission, la période d’incubation, les signes cliniques, la confirmation diagnostique et les mesures de prévention. Quatre-vingt-cinq participants avaient de bonnes pratiques contre l’infection par le SRAS-CoV-2. Une grande majorité des professionnels de la santé prenaient les mesures de précaution adéquates telles que l’utilisation d’un désinfectant pour les mains (78 %), le port des équipements de protection individuelle (94 %), les enlever soigneusement et les jeter au bon endroit (77 %) et procéder à l’isolement des patients suspects ou confirmés (92 %). Conclusion Cette étude a montré que le personnel de santé avait des connaissances suffisantes et une attitude positive envers la COVID-19. La diffusion continue d’informations sur la prévention de la propagation de la COVID-19 à tous le personnel de santé renforcera sa lutte contre ce virus. Les autorités sanitaires et les décideurs doivent fournir les ressources nécessaires pour le permettre de travailler dans un environnement sûr.

Highlights Mediterranean spotted fever presents with various non‐specific symptoms. There is no reliable test to diagnose the infection in its early stages. Doxycycline should be used upon suspicion of MSF, without awaiting laboratory confirmation.

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