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

{"title":"Encapsulated Sinonasal Schwannoma Mimicking an Antrochoanal Polyp.","authors":"Abdulrazak Ajiya, Nafisatu Bello-Muhammad","doi":"10.4103/nmj.NMJ_104_19","DOIUrl":"10.4103/nmj.NMJ_104_19","url":null,"abstract":"<p><p>Extracranial schwannomas are uncommon neoplasms of the sinonasal tract arising from peripheral nerve shealth. Mostly acapsulated on histology, but few cases of encapsulated schwannomas have been reported. Its symptoms are nonspecific and initial clinical diagnosis is frequently missed. We report a 13-year-old boy with a huge, encapsulated sinonasal schwannoma initially thought to be an antrochoanal polyp. Computed tomography scan demonstrated a huge irregularly shaped mildly enhancing isodense mass in the right nasal cavity with lateral extension to the ipsilateral maxillary sinus, superior extension into the ethmoids and frontal sinuses and posteriorly into the nasopharynx. The tumour was completely excised via a lateral rhinotomy and patient is still on follow-up.</p>","PeriodicalId":19223,"journal":{"name":"Nigerian Medical Journal : Journal of the Nigeria Medical Association","volume":"60 6","pages":"326-329"},"PeriodicalIF":0.0,"publicationDate":"2019-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/9d/2a/NMJ-60-326.PMC7053271.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37744128","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 Role of a Minimum Immunohistochemical Antibody Panel in Confirming Undifferentiated Nasopharyngeal Carcinoma: A Cross-Sectional Study at the Muhimbili National Hospital, Dar-es-Salaam, Tanzania.","authors":"Alex Mremi,&nbsp;James Joseph Yahaya,&nbsp;Zephania Saitabau Abraham,&nbsp;Amos Rogers Mwakigonja","doi":"10.4103/nmj.NMJ_134_19","DOIUrl":"https://doi.org/10.4103/nmj.NMJ_134_19","url":null,"abstract":"<p><strong>Introduction: </strong>Nasopharyngeal carcinoma (NPC) is a malignant epithelial neoplasm arising in the nasopharyngeal mucosa that shows light microscopic and/or ultrastructural evidence of squamous differentiation. Immunohistochemistry (IHC) can be used to reliably distinguish undifferentiated NPC from other malignant tumors, and the technique may be a necessary tool toward the arrival of a definitive diagnosis, particularly when dealing with challenging cases.</p><p><strong>Materials and methods: </strong>This was a cross-sectional hospital-based study which was conducted at Muhimbili National Hospital. The study involved 120 patients with NPC who were diagnosed on histopathological basis between 2009 and 2013.</p><p><strong>Results: </strong>The sensitivity and specificity of hematoxylin and eosin (H and E) stain in diagnosing NPC were 99% and 30.4%, respectively. The accuracy of H and E stain to diagnose NPC and lymphoma was 94.2% and 30.4%, respectively. CD45 antibody helped to confirm 16 cases which were diagnosed as NPC on H and E stain to be lymphoma. Further, AE1/AE3 antibody helped to confirm one case who was diagnosed as rhabdomyosarcoma on H and E stain to be NPC.</p><p><strong>Conclusions: </strong>The sensitivity and accuracy of H and E stains to diagnose NPC were very high whereas the specificity was very low. A significant proportion of previously diagnosed NPC cases by routine H and E stains were confirmed not to be so by a minimal IHC antibody panel of pan-cytokeratin cocktail (AE1/AE3) and leukocyte common antigen (CD45). This highlights the paramount importance of a minimum IHC panel in assisting to obtain a definitive diagnosis in challenging cases of NPC.</p>","PeriodicalId":19223,"journal":{"name":"Nigerian Medical Journal : Journal of the Nigeria Medical Association","volume":"60 6","pages":"279-284"},"PeriodicalIF":0.0,"publicationDate":"2019-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/18/9b/NMJ-60-279.PMC7053275.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37744738","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":"Blood Pressure Changes among Patients Undergoing Hemodialysis in Yenagoa, Nigeria.","authors":"Oghenekaro Godwin Egbi, Ahmed Sulaiman Daz","doi":"10.4103/nmj.NMJ_76_19","DOIUrl":"10.4103/nmj.NMJ_76_19","url":null,"abstract":"<p><strong>Introduction: </strong>Hemodialysis (HD) is a common modality of renal replacement therapy in Nigeria. Despite its usefulness, it may have complications such as intra-dialytic hypotension (IDH) and intra-dialytic hypertension (IDHTN), both of which may impact negatively on the patient. The aim of the study was to examine blood pressure (BP) changes during HD, to determine the frequency of IDH and IDHTN in patients undergoing HD, and to possibly identify associated factors.</p><p><strong>Materials and methods: </strong>The study design was a retrospective review of records of patients who had HD in the Rainbow Dialysis Center, a foremost private dialysis center in Bayelsa State. The records of all adults who had HD in the center from June 2014 to June 2018 were reviewed. Data retrieved include sociodemographics, type and cause of renal disease, and clinical and laboratory parameters such as BPs, packed cell volume, urea, and creatinine.</p><p><strong>Statistical analysis used: </strong>Data were analyzed with SPSS version 20.0. Data were presented in tabular forms. Variables were expressed as mean with standard deviation, frequencies, and percentages. The means were compared using Student's <i>t</i>-test or analysis of variance where appropriate. Chi-square test was used to compare proportions. Statistical significance was set at <i>P</i> < 0.05.</p><p><strong>Results: </strong>One hundred and thirty-six cases were recruited for the study. IDH and IDHTN were found in 16.9% and 16.2% of the patients, respectively. There was no significant difference between the mean predialysis and postdialysis systolic, diastolic, mean arterial BP, or pulse pressure (<i>P</i> > 0.05). Older age was positively and significantly associated with IDHTN (<i>P</i> = 0.047).</p><p><strong>Conclusions: </strong>IDH and IDHTN were prevalent among the patients studied, with the latter being slightly more likely to occur with advancing age. There is a need for adequate BP monitoring and management during HD.</p>","PeriodicalId":19223,"journal":{"name":"Nigerian Medical Journal : Journal of the Nigeria Medical Association","volume":"60 6","pages":"290-294"},"PeriodicalIF":0.0,"publicationDate":"2019-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/f7/cc/NMJ-60-290.PMC7053272.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37743675","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":"High Risk of Drug-drug interactions among Hospitalized Patients with kidney Diseases at a Nigerian Teaching Hospital: A Call for Action.","authors":"Abdulwasiu Adeniyi Busari,&nbsp;Ibrahim A Oreagba,&nbsp;Kazeem A Oshikoya,&nbsp;Mary O Kayode,&nbsp;Sunday O Olayemi","doi":"10.4103/nmj.NMJ_2_19","DOIUrl":"https://doi.org/10.4103/nmj.NMJ_2_19","url":null,"abstract":"<p><strong>Background: </strong>Potential drug-drug interactions (DDIs) are increasingly common in clinical practice, especially among individuals with chronic conditions, such as chronic kidney dysfunction. However, data relating to DDIs among chronically ill patients are limited in Nigeria. We, therefore, investigated the prevalence and pattern of DDIs among patients with kidney diseases on admission at a tertiary hospital in Lagos, Nigeria.</p><p><strong>Materials and methods: </strong>This was a prospective observational study involving 61 adults with kidney diseases and on admission in medical wards of the study center, over a 3-month period. Data extractions were with a purposefully designed pro forma to extract relevant data on demographic, clinical, and dosing regimens of the prescribed drugs for individual patients. Potential DDIs were identified, and their severity was rated using the MICROMEDEX^® software database (IBM^® Watson-Truven Health Analytics), which is available online with limited access.</p><p><strong>Results: </strong>Of the 61 patients evaluated, majority were males (34; 55.7%), were elderly (26; 42.6%), and had chronic kidney disease Stage 3 (40; 65.5%). The most common cause of kidney disease was hypertension (20; 32.8%). Out of the 542 prescriptions received by the patients, potential DDI was observed in 508 (93.7%) prescriptions. Clinically significant drug interactions (CSDIs) were detected in 486 (85.7%) prescriptions. Pharmacodynamic DDIs (466; 91.7%) were the most common. Pill burden exceeding 25 pills/day was present in nine (14.8%) patients. The severities of the potential DDIs were major (135; 24.9%), moderate (333; 61.4%), and minor (38; 7.1%). Only two different potential DDIs were rated X (contraindicated).</p><p><strong>Conclusion: </strong>Exposure to drugs with potential DDIs was very common among patients with kidney diseases. Most of the CSDIs observed were of major severity. The use of DDI checker before prescribing drugs for individuals with kidney diseases could avert clinically significant interactions.</p>","PeriodicalId":19223,"journal":{"name":"Nigerian Medical Journal : Journal of the Nigeria Medical Association","volume":"60 6","pages":"317-325"},"PeriodicalIF":0.0,"publicationDate":"2019-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/3a/3a/NMJ-60-317.PMC7053273.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37744126","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":"Assessment of Antimicrobial Effectiveness of Neem and Clove Extract Against <i>Streptococcus mutans</i> and <i>Candida albicans</i>: An <i>In vitro</i> Study.","authors":"Vaibhav Bansal,&nbsp;Manoj Gupta,&nbsp;Tapas Bhaduri,&nbsp;Sufiyan A Shaikh,&nbsp;Fazlur Rahman Sayed,&nbsp;Vkalp Bansal,&nbsp;Ankita Agrawal","doi":"10.4103/nmj.NMJ_20_19","DOIUrl":"https://doi.org/10.4103/nmj.NMJ_20_19","url":null,"abstract":"<p><strong>Background: </strong>There is increasing interest to develop antimicrobial aids from alternative sources such as medicinal plants for the treatment of infectious diseases. Neem and clove are known to have antimicrobial properties.</p><p><strong>Aim: </strong>The study aimed at detecting the antibacterial and antifungal activity of neem and clove extract against <i>Streptococcus mutans</i> and <i>Candida albicans</i>.</p><p><strong>Materials and methods: </strong>Strains of <i>S. mutans</i> and <i>C. albicans</i> and selective media for growing micro-organisms were procured. Antimicrobial activity was assessed using two methods, by determining the minimum inhibitory concentration (MIC) using the broth dilution method and determining the zone of inhibition using well diffusion method on mitis salivarius bacitracin selective for <i>S. mutans</i> and Saboraud's dextrose agar plates for <i>C. albicans</i>. One way ANOVA with <i>post hoc</i> analysis was done to compare the antimicrobial activity of extracts and 0.2% chlorhexidine.</p><p><strong>Results: </strong>MIC of neem extract was found to be 4.2 mg/ml and 5.0 mg/ml against <i>S. mutans</i> and <i>C. albicans</i>, respectively. While for cloves, it was 5.5 mg/ml for both. Neem had the highest antibacterial activity with a mean zone of inhibition of 11.4 mm followed by chlorhexidine and cloves whereas antifungal activity was highest for chlorhexidine (14.4 mm) followed by neem and clove.</p><p><strong>Conclusion: </strong>The result of the study established that both plant extracts possess antimicrobial activity against common microbes present in the oral cavity.</p>","PeriodicalId":19223,"journal":{"name":"Nigerian Medical Journal : Journal of the Nigeria Medical Association","volume":"60 6","pages":"285-289"},"PeriodicalIF":0.0,"publicationDate":"2019-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/25/2b/NMJ-60-285.PMC7053276.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37744739","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":"Academic Implications of Uncorrected Refractive Error: A Study of Sokoto Metropolitan Schoolchildren.","authors":"Lawal Kayode Olatunji,&nbsp;Latifatu Bolanle Abdulsalam,&nbsp;Abdulrahman Lukman,&nbsp;Abdullahi Abduljaleel,&nbsp;Ibrahim Yusuf","doi":"10.4103/nmj.NMJ_89_19","DOIUrl":"https://doi.org/10.4103/nmj.NMJ_89_19","url":null,"abstract":"<p><strong>Background: </strong>The Sustainable Development Goal 4 ensures that all children have an inclusive and equitable quality education. However, uncorrected refractive errors (UREs) have been a major cause of limitations with regard to quality education as vision plays a vital role in child learning and development. Thus, any problem affecting the child's vision could adversely affect the quality of the child's education.</p><p><strong>Aims: </strong>The aim of this research was to assess the quality of education of the children with URE in Sokoto metropolis, Sokoto State, Nigeria.</p><p><strong>Methods: </strong>A cross-sectional survey of schoolchildren in four randomly selected primary schools within Sokoto metropolis was carried out from July 2016 to October 2016 using the illiterate \"E\" chart and a pinhole. Relevant history and basic ocular examinations were done using a multistage sampling technique.</p><p><strong>Statistical analysis: </strong>Data were analyzed using the Statistical Package for Social Sciences (IBM SPSS) version 20.</p><p><strong>Results: </strong>A total of 113 students were surveyed; 56 (49.6%) males and 57 (50.4%) females. The age range was between 5 and 15 years, and the mean age was 10.89 ± 2.27 years. The prevalence of URE was 9.7%, with more than half of the students within the age group of 10-12 years (<i>P</i> = 0.018) and more common in females (54.5%) than males (45.5%) (<i>P</i> = 0.775). More than 90% of the respondents had never had a prior eye examination. The average mean academic performance of the pupils with URE (49.54% ±10.49%) was statistically significantly lower than those without refractive error (71.08 ± 10.09), mean difference = 21.55 (95% confidence interval, 15.18-27.92) (t = 6.70, <i>P</i> = 0.000).</p><p><strong>Conclusions: </strong>The negative implications of URE on the quality of education and other socioeconomic aspects of life underscore the need to increase efforts on its screening and increase other relevant interventional measures.</p>","PeriodicalId":19223,"journal":{"name":"Nigerian Medical Journal : Journal of the Nigeria Medical Association","volume":"60 6","pages":"295-299"},"PeriodicalIF":0.0,"publicationDate":"2019-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/60/5b/NMJ-60-295.PMC7053270.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37743676","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 of Psychosocial Stress and Its Risk Factors among Health-care Workers in Nigeria: A Systematic Review and Meta-Analysis.","authors":"Charles Babajide Onigbogi,&nbsp;Srikanta Banerjee","doi":"10.4103/nmj.NMJ_67_19","DOIUrl":"https://doi.org/10.4103/nmj.NMJ_67_19","url":null,"abstract":"<p><strong>Context: </strong>Health-care workers experience psychosocial stress in their workplace. Available statistics are at variance, and hence, the need to know the overall prevalence of psychosocial stress among Nigerian health-care workers and associated risk factors.</p><p><strong>Aims: </strong>The aim of this study was to determine the prevalence of psychosocial stress and its risk factors among health-care workers in Nigeria through meta-analysis.</p><p><strong>Materials and methods: </strong>PubMed, CINAHL, and Google Scholar databases were searched for articles. Search terms include \"psychosocial stress,\" \"occupational health,\" and \"Nigerian health-care worker.\" Articles were included if they used validated psychosocial stress assessment instruments. Of the 17 articles with data on psychosocial stress prevalence, eight met all inclusion criteria. Each article independently reviewed by the authors and relevant data abstracted. Statistical analysis was done using MedCalc version 18.10.</p><p><strong>Results: </strong>Overall, the prevalence of psychosocial stress was 61.97% (95% confidence interval [CI]: 41.013-80.823) based on analyzed eight articles with the sample size of 1763. Work overload rate at 67.72% (95% CI: 33.24-93.76) was the most prevalent psychosocial stress risk factor. Other risk factors were poor communication and staff attitude and lack of resources and equipment at 50.37% (95% CI: 13.35-87.16) and 62.4% (95% CI: 7.70-99.9), respectively. Headache, with neck and back pain, was the most prevalent psychosocial stress-related health outcome at 73.26% (95% CI: 66.14-79.82).</p><p><strong>Conclusion: </strong>Prevalence of psychosocial stress is high among health-care workers in Nigeria, necessitating preventive measures.</p>","PeriodicalId":19223,"journal":{"name":"Nigerian Medical Journal : Journal of the Nigeria Medical Association","volume":"60 5","pages":"238-244"},"PeriodicalIF":0.0,"publicationDate":"2019-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/62/17/NMJ-60-238.PMC6900898.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37463458","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":"Spectrum of Endocrine Disorders as Seen in a Tertiary Health Facility in Sagamu, Southwest Nigeria.","authors":"Ayotunde O Ale,&nbsp;Olatunde Odusan","doi":"10.4103/nmj.NMJ_41_19","DOIUrl":"https://doi.org/10.4103/nmj.NMJ_41_19","url":null,"abstract":"<p><strong>Background: </strong>There is dearth of records on prevalence and spectrum of adult endocrine disorders in Nigeria.</p><p><strong>Objective: </strong>To document the spectrum of endocrine disorders as seen in endocrinology, diabetes, and metabolism (EDM) outpatient clinic, Department of Medicine of Olabisi Onabanjo University Teaching Hospital, Sagamu, Ogun State over a 3-year period.</p><p><strong>Methods: </strong>This was a retrospective study of the medical records of all new consultations seen in the EDM outpatient clinic between January 2016 and December 2018. All endocrinology diagnoses were classified according to the 10^th revision of the International Statistical Classification of Diseases and Related Health problems (ICD-10). Information on demographic, source of referral, baseline clinical, and biochemical indices were gleaned and subjected to descriptive statistics using SPSS version 21, and results were presented as proportions (frequencies and percentages) and mean (±standard deviation).</p><p><strong>Results: </strong>Two thousand seven hundred and sixty-five patients were seen and managed at EDM outpatient clinic over the specified time frame. Eight hundred and sixty-three were new cases, age range 16-88, mean of 54.10 (±13.9) years with female preponderance 520 (60.3%) and female-to-male ratio of 1.5:1. The internal referral system constituted the main means of referral to the EDM clinic. The most common endocrine referrals were diabetes mellitus (DM) (697, 80.8%) and thyroid disorders (119, 13.8%) followed by metabolic syndrome (29, 3.36%) and hypothalamic-pituitary disorders (HPOs, 9, 1.04%).</p><p><strong>Conclusion: </strong>The common endocrine cases seen in Sagamu are DM, thyroid diseases, metabolic syndrome, and HPO similar to worldwide trend.</p>","PeriodicalId":19223,"journal":{"name":"Nigerian Medical Journal : Journal of the Nigeria Medical Association","volume":"60 5","pages":"252-256"},"PeriodicalIF":0.0,"publicationDate":"2019-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/d5/21/NMJ-60-252.PMC6900906.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37463894","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":"Medical Treatment: An Emerging Standard in Acute Appendicitis?","authors":"Ikeoluwa Kendra Bolakale-Rufai, David O Irabor","doi":"10.4103/nmj.NMJ_65_19","DOIUrl":"10.4103/nmj.NMJ_65_19","url":null,"abstract":"<p><p>Appendicectomy has been accepted as the gold standard for the management of appendicitis over the years, but there has been an increasing evidence and trend toward the conservative approach to the management of appendicitis. The aim of this review is to search existing literature and to evaluate and compare the conservative and operative approaches to the management of appendicitis. An electronic search of published literature was conducted through Pubmed, Google Scholar, Embase, and Medline using a variety of search items to find relevant observational studies, randomized clinical trials, systematic reviews, and meta-analyses. Bibliographies of selected articles were also analyzed for publications of interest relevant to the scope of the topic. The articles that reported primary outcomes after the management of appendicitis, complications, economic implications, and duration of follow-up were reviewed in detail. The major primary outcomes show a high recurrence rate and failed treatment associated with the conservative management of appendicitis. The other outcomes obtained show that there is an increased incidence of complications associated with operative management. Economic implications and cost-effectiveness analysis show that conservative treatment may be preferred. The length of hospital stay was significantly higher in conservative approach to management; however, shorter time off activities was observed. In general, the conservative management of appendicitis is still regarded as safe, effective, and efficacious, and further research with well-constructed study design, and larger sample size is required.</p>","PeriodicalId":19223,"journal":{"name":"Nigerian Medical Journal : Journal of the Nigeria Medical Association","volume":"60 5","pages":"226-233"},"PeriodicalIF":0.0,"publicationDate":"2019-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/38/9b/NMJ-60-226.PMC6900903.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37463457","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":"Knowledge and Practices of Health-Care Waste Management among Health Workers in Lassa Fever Treatment Facility in Southeast Nigeria.","authors":"Robinson Chukwudi Onoh,&nbsp;Azuka Stephen Adeke,&nbsp;Chukwuma David Umeokonkwo,&nbsp;Kenneth Chinedu Ekwedigwe,&nbsp;Joseph Agboeze,&nbsp;Emeka Onwe Ogah","doi":"10.4103/nmj.NMJ_161_18","DOIUrl":"https://doi.org/10.4103/nmj.NMJ_161_18","url":null,"abstract":"Background: The threat of endemic, emerging, and reemerging infectious diseases, especially the viral hemorrhagic fevers demands effective health-care waste management (HCWM) among health-care workers. The study was intended to assess the knowledge and practices of HCWM among the cleaning staff in a Lassa fever (LF) treatment facility. Materials and Methods: This was a cross-sectional descriptive study of 234 cleaning staff of Federal Teaching Hospital Abakaliki recruited by systematic random sampling. Data collection was with semi-structured questionnaires. Knowledge and practices of respondents were assessed using cutoff score of 75%; score of 75% and above being interpreted as good and <75% as poor. Data were analyzed using Epi™ Info Version 7.2. Results: There were 177 (75.6%) female and 57 (24.4%) male cleaning staff with a mean age of 33.4 years (±8.3). Among all the respondents, 18 (7.7%) had no formal education, while others had varying levels of education (primary, 43 [18.4%]; secondary, 133 [56.8%]; tertiary, 40 [17.1%]). Only 134 (57.3%) of the respondents had ever been trained on HCWM, of which 77 (57.5%) of them were trained in 2018. The proportion of respondents with good knowledge of HCWM was 41.5%. In addition, only 83 (35.5%) properly categorized the body parts, body fluids, and fetuses as pathological waste. About one-third, 77 (33.3%), had knowledge of steps in HCWM and 45.3% knew of diseases transmitted through health-care waste with 171 (62.8%) identifying LF as one of the diseases. The proportion of respondents with good practices of HCWM was 53.9% with only 131 (56.0%) segregating waste in specified color-coded containers. Among the factors examined, none was significantly associated with knowledge and practice of participants on HCWM. Conclusion: The proportions of the cleaning staff with good knowledge and practices of HCWM were low. There is a need to train and retrain hospital staff on proper HCWM as well as need for proper supervision and monitoring.","PeriodicalId":19223,"journal":{"name":"Nigerian Medical Journal : Journal of the Nigeria Medical Association","volume":"60 5","pages":"257-261"},"PeriodicalIF":0.0,"publicationDate":"2019-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/5a/b4/NMJ-60-257.PMC6900902.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37463895","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}