Nigerian Medical Journal : Journal of the Nigeria Medical Association最新文献

{"title":"Hand Bacterial Repopulation Dynamics Following Two Methods of Surgical Hand Preparation during Elective Orthopedic Surgeries.","authors":"Thompson Ehis Akpokonyan,&nbsp;Oluwadare Esan,&nbsp;Innocent Chiedu Ikem,&nbsp;Kwashie Ajibade Ako-Nai,&nbsp;Blessing Itohan Omo-Omorodion","doi":"10.4103/nmj.NMJ_185_19","DOIUrl":"https://doi.org/10.4103/nmj.NMJ_185_19","url":null,"abstract":"<p><strong>Context: </strong>Antiseptic hand preparations are routine prior to surgical procedures to reduce microbial load on the operating gloved hands. Two methods of surgical hand preparations available are the antibacterial detergent hand wash and an alcohol-based hand rub.</p><p><strong>Aim: </strong>The aim of the study was to compare quantitatively, the efficacy of the two methods in hand bacterial reductions during elective orthopedic surgeries.</p><p><strong>Setting and design: </strong>This comparative study was conducted at the orthopedic surgery department of a tertiary health facility.</p><p><strong>Subjects and methods: </strong>One-hundred and sixty dominant hands of operating surgeons and nurses involved in forty elective orthopedic surgeries were studied. The subjects were randomly assigned to either the antibacterial detergent hand-washing (HW) or the alcohol-based hand-rubbing (HR) groups. Swab samples were obtained from the hands before and after hand preparations and at the end of surgeries following removal of the operating gloves. These samples were then subjected to culture. The bacterial counts on these were then obtained through an automated colony counter, and the results were expressed in logarithmic values (log₁₀).</p><p><strong>Statistical analysis used: </strong>The analysis was done using IBM SPSS software version 20. The mean results obtained were subjected to an independent <i>t</i>-test analysis with the statistical significance level set at <i>P</i> < 0.05.</p><p><strong>Results: </strong>Both methods of hand antisepsis showed comparable efficacies in attaining surgical hand hygiene at 1-min postapplication (<i>P</i> = 0.73). HR group, however, showed greater sustained effects during the period of surgeries, though not statistically significant (<i>P</i> = 0.18).</p><p><strong>Conclusion: </strong>Scrubbing using the HR method is a viable alternative to the HW method during elective orthopedic surgery.</p>","PeriodicalId":19223,"journal":{"name":"Nigerian Medical Journal : Journal of the Nigeria Medical Association","volume":" ","pages":"241-244"},"PeriodicalIF":0.0,"publicationDate":"2020-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/6f/5b/NMJ-61-241.PMC7808281.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38858429","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Rifampicin-Resistant Tuberculosis in a Toddler: A Report of a Rare Paediatric Case in Obafemi Awolowo University Teaching Hospitals Complex, Ile-Ife, Nigeria.","authors":"S S Edward,&nbsp;J I Akande,&nbsp;P O Obiajunwa","doi":"10.4103/nmj.NMJ_210_20","DOIUrl":"https://doi.org/10.4103/nmj.NMJ_210_20","url":null,"abstract":"<p><p>The emergence of resistant strains of mycobacterium tuberculosis (TB) to antituberculous drugs has compounded the management of the chronic infection. More than 90% of rifampicin (RIF)-resistant isolates are also isoniazid resistant; hence, rifampicin resistance (RR) is a surrogate marker for multidrug resistant TB (MDR-TB). Although there are limited reports of pediatric RR/MDR-TB in Nigeria, there had not been similar report in our hospital until now. A 2-year-old girl was admitted with 2-month history of fever, cough with dyspnea, and progressive weight loss. There was no known contact with adult who had chronic cough; the toddler and her parents have not been treated for TB in the past. Her chest X-ray showed nodular opacities, while gastric washout for GeneXpert MTB/RIF confirmed RIF-resistant TB. The parents declined screening for TB despite counseling. The patient was subsequently referred to a specialized center for the management of drug-resistant TB, but the parents failed to go for the treatment. Young children are at risk of developing TB disease and MDR/RR-TB, which is more complex to manage than drug-susceptible TB due to longer treatment duration, increased toxicity, as well as poor parental compliance to the demand of treatment.</p>","PeriodicalId":19223,"journal":{"name":"Nigerian Medical Journal : Journal of the Nigeria Medical Association","volume":" ","pages":"281-283"},"PeriodicalIF":0.0,"publicationDate":"2020-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/19/03/NMJ-61-281.PMC7808285.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38853407","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effect of Vitamin D Supplementation on Thyroid Autoimmunity among Subjects of Autoimmune Thyroid Disease in a Coastal Province of India: A Randomized Open-label Trial.","authors":"Kishore Kumar Behera, Gautom Kumar Saharia, Debasish Hota, Durgesh Prasad Sahoo, Madhusmita Sethy, Anand Srinivasan","doi":"10.4103/nmj.NMJ_200_20","DOIUrl":"10.4103/nmj.NMJ_200_20","url":null,"abstract":"<p><strong>Objective: </strong>Hashimoto's thyroiditis (HT) is a variant of autoimmune thyroid disorders (AITD) which has been associated with vitamin D (vit-D) deficiency. However, whether vit-D supplementation is linked to reduction of thyroid autoantibodies and improvement of thyroid function is not well characterized. The present study was planned to evaluate the effect of vit-D supplementation on possible improvement of thyroid autoantibody titer and thyroid hormone profile in patients with AITD subjects.</p><p><strong>Methods: </strong>Twenty-three patients of HT were given weekly supplementation of 60,000 IU vit-D for 8 weeks followed by once a month for another 4 months. After 6 months of vit-D supplementation, thyroid autoantibody titer (TPO antibody) and thyroid hormone profile was rechecked.</p><p><strong>Results: </strong>Mean serum vit-D was increased significantly from 15.33 ± 5.71 to 41.22 ± 12.24 ng/mL (normal levels) after supplementation. There was significant increase in thyroid autoantibody titre (from 746.8 ± 332.2 to 954.1 ±4 59.8 IU/ml; <i>P</i> = 0.006) and TSH level (7.23 ± 3.16 to 3.04 ± 2.62 (mIU/L); <i>P</i> = 0.01) following 6 months of vit-D supplementation.</p><p><strong>Conclusion: </strong>Vitamin-D levels were low in AITD patients in eastern India and, its supplementation in HT patients increased thyroid antibody titer and there was significant reduction in serum TSH and increased in free T4.</p>","PeriodicalId":19223,"journal":{"name":"Nigerian Medical Journal : Journal of the Nigeria Medical Association","volume":" ","pages":"237-240"},"PeriodicalIF":0.0,"publicationDate":"2020-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/3f/77/NMJ-61-237.PMC7808291.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38858428","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Prevalence and Risk Factors of Human Immunodeficiency Virus and Hepatitis C Virus Infection among Pregnant Women Attending Antenatal Care at a Tertiary Hospital in Abuja, Nigeria.","authors":"Chris Ovoroyeguono Agboghoroma,&nbsp;Binyerem Chigbonwu Ukaire","doi":"10.4103/nmj.NMJ_241_19","DOIUrl":"https://doi.org/10.4103/nmj.NMJ_241_19","url":null,"abstract":"<p><strong>Context: </strong>Human Immunodeficiency Virus (HIV) and Hepatitis C Virus (HCV) co-infection in pregnant women has increased potential for Mother-to-Child Transmission risks of both viruses. The reports on the prevalence and risk factors for HIV and HCV co-infection in pregnancy are limited in Nigeria.</p><p><strong>Aim: </strong>The aim of the study is to determine the prevalence and potential risk factors for HIV and HCV infection among pregnant women in Abuja.</p><p><strong>Study design: </strong>A cross-sectional seroprevalence study carried out on pregnant women attending antenatal clinic of a tertiary hospital in Abuja from July 1^st to October 31^st 2016. Patients were recruited consecutively and counselled for HIV and HCV. Structured questionnaire was used to collect socio-demographic data, and information on potential risk factors for HIV and HCV infections. Blood samples were collected for HIV and HCV screening using rapid test kits following the national testing algorithm. Data generated were analyzed with statistical package for social sciences (SPSS) version 20.0. P-value less than 0.05 was considered statistically significant.</p><p><strong>Result: </strong>252 pregnant women participated in this study. The mean age of the study population was 31.7 ± 4.9 years. The prevalence of HIV and HCV was 12.3% and 1.2% respectively. The prevalence of HIV/HCV co-infection was 0.8%. The prevalence of HCV among HIV positive cohorts was 6.5%. HIV infection was significantly associated with history of blood transfusion (<i>P</i> = 0.047), presence of tattoo/scarification marks (<i>P</i> = 0.009) and multiple sexual partners (<i>P</i> < 0.0001). HCV infections was not significantly associated with any of the risk factors studied.</p><p><strong>Conclusion: </strong>HIV prevalence is high among the pregnant women. HCV co-infection is common in women who are HIV infected. HIV infection unlike HCV was significantly associated with history of blood transfusion, presence of tattoo/scarification marks and multiple sexual partners.</p>","PeriodicalId":19223,"journal":{"name":"Nigerian Medical Journal : Journal of the Nigeria Medical Association","volume":"61 5","pages":"245-251"},"PeriodicalIF":0.0,"publicationDate":"2020-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/78/a3/NMJ-61-245.PMC7808292.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10283375","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Short versus Long-Term Antibiotic Prophylaxis in Cesarean Section: A Randomized Clinical Trial.","authors":"James A Adaji,&nbsp;Godwin O Akaba,&nbsp;Aliyu Y Isah,&nbsp;Thairu Yunusa","doi":"10.4103/nmj.NMJ_197_20","DOIUrl":"https://doi.org/10.4103/nmj.NMJ_197_20","url":null,"abstract":"<p><strong>Objective: </strong>The objective of the present study was to compare the efficacy of intravenous (IV) 48 h course of cefuroxime/metronidazole with long-term course using 48 h cefuroxime/metronidazole plus 5 days oral regimen of cefuroxime and metronidazole for the prevention of post cesarean section wound infection.</p><p><strong>Methods: </strong>Two hundred and forty-eight women were randomized into two equal groups. Women in each arm of the study received IV cefuroxime 750 mg twelve hourly and IV metronidazole 400 mg eight hourly for 48 h. Those in the long-term arm received additional tablets of cefuroxime 500 mg twelve hourly and Tabs 400 mg of metronidazole eight hourly for 5 days. After the surgery, surgical site infections were evaluated. Length of hospital stay and the cost of antibiotics were also assessed.</p><p><strong>Results: </strong>The wound infection rate was not statistically significantly different between the 2 groups (1.3% vs. 3.3%, <i>P</i> = 0.136). The incidence of endometritis was 2.1%, with no statistically significant difference seen between the two groups (0.4% vs. 1.6%, <i>P</i> = 0.213). <i>Escherichia coli</i> was the most common isolate seen in 36.4% of infected wounds. The short arm group stayed for significantly shorter days in the hospital (2.9 ± 1.0 vs. 3.8 ± 1.1 days,P < 0.001), and the cost of antibiotics was also significantly less in the short arm group (<i>P</i> < 0.001). Organisms associated with nosocomial infections were seen only in the long arm that stayed in the hospital for longer days.</p><p><strong>Conclusions: </strong>Short-term prophylactic antibiotics are as effective as long-term prophylaxis and have other benefits such as shorter duration of hospital stay, reduced cost of antibiotics, and reduction of nosocomial infections.</p>","PeriodicalId":19223,"journal":{"name":"Nigerian Medical Journal : Journal of the Nigeria Medical Association","volume":"61 4","pages":"173-179"},"PeriodicalIF":0.0,"publicationDate":"2020-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/fe/f0/NMJ-61-173.PMC7688029.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38681494","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Suspected Pulmonary Embolism Postcesarean Section in a Patient with Autosomal Dominant Polycystic Kidney Disease.","authors":"Olusegun O Badejoko,&nbsp;Olufunke F Dada,&nbsp;Akaninyene E Ubom,&nbsp;Olumuyiwa T Ajayeoba","doi":"10.4103/nmj.NMJ_99_20","DOIUrl":"https://doi.org/10.4103/nmj.NMJ_99_20","url":null,"abstract":"<p><p>Autosomal dominant polycystic kidney disease (ADPKD) is the most common genetically inherited kidney disease worldwide. It is however relatively underdiagnosed in Africans because its diagnosis is often incidental. During pregnancy, ADPKD is associated with increased risk of preeclampsia and venous thromboembolism. The case of a 33-year-old lady incidentally diagnosed with ADPKD during pregnancy is presented. She developed preeclampsia at term and had cesarean delivery of twins. She however suffered cardiopulmonary arrest postoperatively and this created a treatment dilemma because therapeutic anticoagulation which was the primary treatment for her suspected pulmonary embolism was absolutely contraindicated if the actual cause of her collapse was ruptured cerebral aneurysm which was also a feature of ADPKD. We decided to resuscitate aggressively and perform an urgent cranial computed tomography which ruled out intracranial hemorrhage. We then commenced anticoagulation and she made an excellent recovery. This case illustrates the importance of a timely multidisciplinary approach to patient management.</p>","PeriodicalId":19223,"journal":{"name":"Nigerian Medical Journal : Journal of the Nigeria Medical Association","volume":"61 4","pages":"223-225"},"PeriodicalIF":0.0,"publicationDate":"2020-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/be/3c/NMJ-61-223.PMC7688026.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38344718","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effect of Long-Term Topical Antiglaucoma Medication Use on the Ocular Surface.","authors":"Oluwaseun Olaniyi Awe,&nbsp;Oluwatoyin Helen Onakpoya,&nbsp;Adenike Odunmorayo Adeoye","doi":"10.4103/nmj.NMJ_116_19","DOIUrl":"https://doi.org/10.4103/nmj.NMJ_116_19","url":null,"abstract":"<p><strong>Purpose: </strong>The purpose of this study was to describe the prevalence and pattern of ocular surface disease (OSD) in glaucoma patients using preserved topical antiglaucoma medications in a Nigerian population.</p><p><strong>Methodology: </strong>A comparative study of patients who had used topical preserved antiglaucoma medications for 6 months or more with age- and sex-matched individuals who were not on any other form of topical eye medication was carried out using fluorescein tear breakup time (FTBUT), Schirmer I test, and ocular surface staining with fluorescein and lissamine green. The right eyes of 103 eligible patients with primary open-angle glaucoma and that of 103 age- and sex-matched individuals (controls) were included in the study.</p><p><strong>Results: </strong>The prevalence of OSD among users of preserved topical antiglaucoma medications was significantly higher than among nonusers as assessed by FTBUT (83.5% vs. 57.3%;P < 0.001), Schirmer I (30.1% vs. 17.5%; <i>P</i> = 0.033), and ocular surface staining (62.1% vs. 31.1%;P < 0.001). Users of preserved topical antiglaucoma medications also had worse grades of OSD evaluated by FTBUT (<i>P</i> = 0.001), Schirmer I (<i>P</i> = 0.023), and ocular surface staining (<i>P</i> < 0.001).</p><p><strong>Conclusion: </strong>The prevalence of subjective OSD was significantly higher among users of topical antiglaucoma medications than nonusers. Hence, preserved topical medication use is a serious concern for increased ocular surface morbidity among glaucoma patients. This calls for more attention to be paid to the consequences of OSD among glaucoma patients on topical medications.</p>","PeriodicalId":19223,"journal":{"name":"Nigerian Medical Journal : Journal of the Nigeria Medical Association","volume":"61 4","pages":"184-188"},"PeriodicalIF":0.0,"publicationDate":"2020-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/f3/71/NMJ-61-184.PMC7688023.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38681492","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Rise and Fall of Female Sterilization in Jos, Nigeria: A Cause for Concern.","authors":"Makshwar L Kahansim,&nbsp;Victor C Pam,&nbsp;Josiah T Mutihir","doi":"10.4103/nmj.NMJ_54_20","DOIUrl":"https://doi.org/10.4103/nmj.NMJ_54_20","url":null,"abstract":"<p><strong>Background: </strong>Female sterilization is a permanent form of contraception offered to women who have completed their family size. Other methods are all temporary and meant to be reversible. A high-quality female sterilization service was introduced in Jos with the assistance of training in counseling and minilaparotomy under local anesthesia in May 1985. After training, female sterilization became available for couples desiring it on completion of family size.</p><p><strong>Materials and methods: </strong>This was a retrospective study of all clients who had female sterilization for contraception between 1985 and 2019. The clinic register was retrieved and evaluated for acceptances of all contraceptive methods within the period and trends observed.</p><p><strong>Results: </strong>Over the 35 years, a total of 29,167 new clients accepted modern family planning methods. Out of these, a total of 5167 were female sterilizations, constituting 17.7% of the new acceptors. The temporary methods of contraception constituted 82.3%. The other methods used were the intrauterine device 8357 (28.7%), the oral pills 5125 (17.6%), the injectables 5235 (17.9%), and the contraceptive implants 5283 (18.1%). Although female sterilization was 4^th among the five methods studied, there was however a gradual decline in its acceptance from a peak of 36.1% in 1992 to 1.4% in the year 2018.</p><p><strong>Conclusion: </strong>The acceptance of female sterilization rose to a peak in 1992 and declined to the lowest level in 2018, occasioned in part by the introduction of varieties of contraceptive implants providing long acting, reversible, and cheap contraception.</p>","PeriodicalId":19223,"journal":{"name":"Nigerian Medical Journal : Journal of the Nigeria Medical Association","volume":"61 4","pages":"196-200"},"PeriodicalIF":0.0,"publicationDate":"2020-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/01/8d/NMJ-61-196.PMC7688030.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38343036","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Awareness, Knowledge, and Perception of the National Health Insurance Scheme among National Youth Service Corp Members in Kano, Nigeria.","authors":"Godpower Chinedu Michael,&nbsp;Bukar Alhaji Grema,&nbsp;Ibrahim Aliyu,&nbsp;Salihu Tanko Tanimu,&nbsp;Abdullahi Kabir Suleiman,&nbsp;Abdulrahman Shuaibu,&nbsp;Adewumi Adedoyin Adesida","doi":"10.4103/nmj.NMJ_140_19","DOIUrl":"https://doi.org/10.4103/nmj.NMJ_140_19","url":null,"abstract":"<p><strong>Background: </strong>The lofty objectives of the National Youth Service Corp (NYSC) are not only predicated on healthy graduates of tertiary institutions but also graduates who are confident in making informed health-related decisions. Therefore, Corp members' awareness, knowledge, and perception of the National Health Insurance Scheme (NHIS) and its programs become imperative.</p><p><strong>Materials and methods: </strong>This was a cross-sectional study involving 203 participants selected by convenience sampling technique from NYSC members during Orientation Camp in June 2019. A self-administered questionnaire was used to collect data regarding their sociodemographics, awareness, knowledge, and perception about the NHIS.</p><p><strong>Results: </strong>The mean age of respondents was 25.8 ± 2.3 years; they were predominantly males (136 [67.0%]) with university degrees 131 (64.5%); 200 (98.5%) were aware of the NHIS and its programs. Although 161 (80.5%) respondents had at least average knowledge of the NHIS, only 97 (48.5%) had adequate knowledge. One hundred and fifty-eight (79.0%) respondents benefited from the Tertiary Institutions Social Health Insurance Programme (TISHIP) as students; 114 (57.0%) viewed TISHIP as a good program; however, 194 (97.0%) felt that the NHIS services should be extended to NYSC members, while 188 (94.0%) were willing to participate in the scheme if its services were extended them.</p><p><strong>Conclusion: </strong>Although awareness level was high, adequate knowledge of the NHIS was low and their perception about TISHIP is unimpressive; most were willing to participate in the NHIS. Current mass NHIS-programs education campaigns and services offered by NHIS-accredited health-care facilities need improvement; fast-tracking of processes necessary for the extension of NHIS services to NYSC members is required.</p>","PeriodicalId":19223,"journal":{"name":"Nigerian Medical Journal : Journal of the Nigeria Medical Association","volume":"61 4","pages":"201-205"},"PeriodicalIF":0.0,"publicationDate":"2020-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/30/d4/NMJ-61-201.PMC7688031.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38681493","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Laboratory Turnaround Time of Surgical Biopsies at a Histopathology Service in Nigeria.","authors":"Innocent Emmanuel,&nbsp;Samuel Abaniwo,&nbsp;Patrick Nzekwe,&nbsp;Samuel Kelechi Richard,&nbsp;Olufunmilayo Abobarin,&nbsp;Abdulazis Longwap,&nbsp;Alhamdu Joseph","doi":"10.4103/nmj.NMJ_173_20","DOIUrl":"https://doi.org/10.4103/nmj.NMJ_173_20","url":null,"abstract":"<p><strong>Introduction: </strong>Laboratory turnaround time is defined as the time between the receipt of a sample in the laboratory and when the report is ready for collection/dispatch. It is a critical component of the quality assurance of a laboratory and has been identified as a key performance indicator of laboratory performance. This study is aimed at evaluating the turnround time in the histopathology unit of our center and comparing the findings with that of similar studies.</p><p><strong>Methodology: </strong>This was a prospective descriptive study of the first 500 consecutive samples of surgical biopsies submitted for analyses at the Histopathology Department of the Jos University Teaching Hospital. The samples were tracked from the reception desk, where they are submitted to the dispatch point where the results are collected by clients. The grossing time (T1), processing time (T2), reporting time (T3), and the transcription time (T4) were recorded for each sample. The data obtained were analyzed using SPSS software and presented as simple frequencies and percentages.</p><p><strong>Results: </strong>The mean laboratory turnaround time was 7.5 + 9.7 days with a range of 3-18 days. As much as 20.8% of reports were ready for dispatch by day 3 and 100% by day 18. Overall, the grossing time (T1), processing time (T2), reporting time (T3), and transcription (T4) time consumed 17.5%, 35.5%, 27.7%, and 19.3% of the total time spent, respectively.</p><p><strong>Conclusion: </strong>We recommend the development of practicable targets for the histopathology laboratories as regards timeliness. This should be regularly evaluated to ensure compliance and improvement of service quality in this regard.</p>","PeriodicalId":19223,"journal":{"name":"Nigerian Medical Journal : Journal of the Nigeria Medical Association","volume":"61 4","pages":"180-183"},"PeriodicalIF":0.0,"publicationDate":"2020-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/01/e9/NMJ-61-180.PMC7688028.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38693290","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}