African health sciences最新文献_第10页

Effect of early sexual initiation on early high fertility, termination of pregnancy and child death in Ethiopia using Ethiopian DHS 2000-2016 利用 2000-2016 年埃塞俄比亚人口与健康调查，分析埃塞俄比亚早期性行为对早期高生育率、终止妊娠和儿童死亡的影响

African health sciences Pub Date : 2024-07-11 DOI: 10.4314/ahs.v24i2.29

Girmatsion Fisseha Abreha, Abiodum O Ilesanmi, Adesina Oladokun, Araya Abrha Medhanyie

{"title":"Effect of early sexual initiation on early high fertility, termination of pregnancy and child death in Ethiopia using Ethiopian DHS 2000-2016","authors":"Girmatsion Fisseha Abreha, Abiodum O Ilesanmi, Adesina Oladokun, Araya Abrha Medhanyie","doi":"10.4314/ahs.v24i2.29","DOIUrl":"https://doi.org/10.4314/ahs.v24i2.29","url":null,"abstract":"Background: Early sexual initiation is defined as an experience of first sexual intercourse before the age of 18 years. Young girls in sub-Saharan countries initiate sex at early age and are suffering from unintended pregnancy, and related sexual and reproductive health problems. \u0000Objectives: To assess the association of early sexual intercourse with early high birth rate, abortion and under-five child death among young girls in Ethiopia. \u0000Methods: This study used the Ethiopian Demographic Health Survey (EDHS) data from 2000 to 2016. A total of 12,002 sexually active young women aged 15-24 years pool data were used. Binary logistic regression model was used to assess the association between dependent (early sexual initiation) and independent variables and presented using adjusted odd ratio with 95% CI. \u0000Results: Young girls started sexual intercourse as early as 10 years. The young women with high birth rate [4.74, 95% CI (3.53-6.37)], those ever terminated pregnancy [1.77, 95% CI (1.25-2.52)], and had child death history [1.48, 95% CI (1.15-1.91)] were positively associated with early sexual intercourse. \u0000Conclusion: Early sexual initiation among young women is associated with early motherhood, high fertility, child death and poor reproductive health outcomes. Education program on contraceptives and condom accessibility are critical. \u0000Keywords: Early sexual intercourse; consequences; Ethiopia.","PeriodicalId":94295,"journal":{"name":"African health sciences","volume":"74 s318","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141834622","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Effect of breastfeeding and maternal characteristics on diarrhoea morbidity among children aged 0-2 years in Namibia 母乳喂养和母亲特征对纳米比亚 0-2 岁儿童腹泻发病率的影响

African health sciences Pub Date : 2024-07-11 DOI: 10.4314/ahs.v24i2.33

Opeoluwa Oyedele

{"title":"Effect of breastfeeding and maternal characteristics on diarrhoea morbidity among children aged 0-2 years in Namibia","authors":"Opeoluwa Oyedele","doi":"10.4314/ahs.v24i2.33","DOIUrl":"https://doi.org/10.4314/ahs.v24i2.33","url":null,"abstract":"Background: Despite it being treatable and preventable, morbidity from diarrhoeal disease still remains one of the leading killers of young children in developing countries. \u0000Objectives: To examine the effect of breastfeeding and maternal characteristics on diarrhoea morbidity among 0-2 years old children in Namibia. \u0000Methods: A quantitative cross-sectional study design with a multivariable log-binomial model was used to examine the effect of breastfeeding and maternal characteristics on diarrhoea morbidity among 0-2 year old children from data collected from the 2013 NDHS. \u0000Results: Breastfeeding and maternal related characteristics such as breastfeeding status, sharing toilet facilities with other households, total children ever born, health insurance cover and main language spoken in home had lower risks on child diarrhoea morbidity, while characteristics such as type of place of residence, highest educational level, electricity & refrigerator in the household, religion, wealth index, type of mosquito bed net(s) slept under last night, mother's age at first birth, current age of child, child’s residency and drugs taken for intestinal parasites in last 6 months had higher risks and region had mixed risks. \u0000Conclusions: Since studies have shown that the possibility of reducing the risk of morbidity related to diarrhoeal infections in children requires well-informed parents, all relevant organizations and governmental ministries that deals with health services and children’s well-being should make use of mass media like radio and television to constantly spread consistent messages on breastfeeding and advocate for better implementation of sanitation and hygiene practices among mothers with children aged 0-2 years, especially in rural and poorest areas of the Kavangos (East/West) and Caprivi/Zambezi regions. \u0000Keywords: Breastfeeding; diarrhoea; log-binomial model; maternal characteristics; child diarrhoea morbidity; Namibia.","PeriodicalId":94295,"journal":{"name":"African health sciences","volume":"48 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141834643","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

A National survey describing the quality of care in Paediatric Emergency Departments of Tertiary Hospitals in Nigeria 描述尼日利亚三级医院儿科急诊室护理质量的全国调查

African health sciences Pub Date : 2024-07-11 DOI: 10.4314/ahs.v24i2.35

Callistus OA Enyuma, Abdullah E Laher, M. Moolla, Motara Feroza, G. Olorunfemi

{"title":"A National survey describing the quality of care in Paediatric Emergency Departments of Tertiary Hospitals in Nigeria","authors":"Callistus OA Enyuma, Abdullah E Laher, M. Moolla, Motara Feroza, G. Olorunfemi","doi":"10.4314/ahs.v24i2.35","DOIUrl":"https://doi.org/10.4314/ahs.v24i2.35","url":null,"abstract":"Introduction: The outcome of paediatric emergency care is essential to the attainment of child-targeted sustainable development goals. We assessed the quality of paediatric emergency care among 34 tertiary Paediatric Emergency Departments (PED) in Nigeria. \u0000Methods: We conducted a cross-sectional process audit of recruited 34 PEDs in Nigeria. A paper questionnaire developed from the validated AAP/IFEM Guidelines for Care of Children in the ED was used to collect information on the PED settings, the processes of care and measurable patient outcome. Association between the regions, hospital volume category and other institutional attributes was conducted using chi-square, \u0000Results: The median (IQR) of paediatric visits and admissions to PEDs were 187.5 (120 - 300) and 107.5 (67 - 131) respectively. Over two-thirds (73.6 %,) of the PEDs had no set target Time-To-Physician consultation and the median (IQR) Length-of-Hospital Stay was 48 (0-72) hours.The majority of centres (90%) had patient safety tools but point-of-care-diagnostics (POCDs) were grossly deficient (23.5%). The mean protocol utilization score was 8.7 out of a maximum score of 34.The national crude death rate was 33.8 per 1000 children and there was no statistically significant relationship between the crude death rate and volume of hospital visits, (p-value=0.45) or geopolitical zones (p-value = 0.68). \u0000Conclusion: There was nationwide poor protocol utilization and non-availability of POCDs coupled with a high mortality rate at the PEDs. Development and utilization of locally relevant protocols and improvement in the availability of POCDs are essential. \u0000Keywords: Paediatrics; Emergency Department; Nigeria; quality of care; National survey.","PeriodicalId":94295,"journal":{"name":"African health sciences","volume":"65 s253","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141834740","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Adverse events associated with AstraZeneca COVID-19 vaccine among adults in Greater Kampala, Uganda: a cross-sectional study 与乌干达大坎帕拉地区成人接种阿斯利康 COVID-19 疫苗有关的不良事件：一项横断面研究

African health sciences Pub Date : 2024-07-11 DOI: 10.4314/ahs.v24i2.12

Allan Komakech, Jonathan Izudi, J. Kamulegeya, Freda L Aceng, James Acaye, Edirisa Juniour Nsubuga, Petranilla Nakamya, D. Kadobera, Lilian Bulage, Benon Kwesiga, Alex R Ario

{"title":"Adverse events associated with AstraZeneca COVID-19 vaccine among adults in Greater Kampala, Uganda: a cross-sectional study","authors":"Allan Komakech, Jonathan Izudi, J. Kamulegeya, Freda L Aceng, James Acaye, Edirisa Juniour Nsubuga, Petranilla Nakamya, D. Kadobera, Lilian Bulage, Benon Kwesiga, Alex R Ario","doi":"10.4314/ahs.v24i2.12","DOIUrl":"https://doi.org/10.4314/ahs.v24i2.12","url":null,"abstract":"Background: Uganda started AstraZeneca COVID-19 vaccination in March 2021 but information about adverse events is limited. We assessed adverse events following AstraZeneca vaccination among adults in Greater Kampala, Uganda. \u0000Methods: In this cross-sectional study, we systematically sampled persons who had received ≥1 dose of the AstraZeneca vaccine and collected data between March and April 2021 through telephone interviews. We defined adverse events as any untoward medical occurrence after vaccination and serious adverse events as any event leading to hospitalization, persistent disability >28 days, death, or congenital anomaly. \u0000Results: Of 374 participants aged 20-85 years, the prevalence of adverse events was 76.5%. Common adverse events included injection site redness and hadache; no serious adverse event was reported. Participants aged 20–29 years (Adjusted odds ratio (AOR) 4.58; 95% confidence interval (CI): 1.92–10.95), 30-39 years (AOR 3.69; 95% CI: 1.81–7.51) and 40-49 years (AOR 2.78; 95% CI 1.26–4.90) were more likely to develop adverse events compared to those aged ≥50 years. \u0000Conclusion: Adverse events are prevalent, largely among those aged <50 years; serious adverse events are rare. Persons aged <50 years should be targeted for surveillance of adverse events alongside appropriate health education and counselling. \u0000Keywords: Adverse events; assessment; COVID-19; Greater Kampala; Uganda. ","PeriodicalId":94295,"journal":{"name":"African health sciences","volume":"140 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141834856","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Clinicopathological spectrum and outcome of appendicectomy at a South African tertiary hospital: continuing impact of delayed presentation 南非一家三级医院阑尾切除术的临床病理范围和结果：延迟就诊的持续影响

African health sciences Pub Date : 2024-07-11 DOI: 10.4314/ahs.v24i2.37

Simelane Pb, Kader Ss, Madiba Te

{"title":"Clinicopathological spectrum and outcome of appendicectomy at a South African tertiary hospital: continuing impact of delayed presentation","authors":"Simelane Pb, Kader Ss, Madiba Te","doi":"10.4314/ahs.v24i2.37","DOIUrl":"https://doi.org/10.4314/ahs.v24i2.37","url":null,"abstract":"Introduction: Appendicitis is a common surgical emergency, associated with significant morbidity and mortality. \u0000Aim: To describe the clinicopathological spectrum and outcome of appendicitis in our setting. \u0000Methods: Retrospective descriptive chart review of patients undergoing surgery for appendicitis over two study periods (Group A: 2010-2012 and Group B: 2016-2018). Data collected included demographics, clinical presentation, operative findings and outcome. \u0000Results: There were 229 patients in Group A [median age 24 (IQR 18-32) years] and 145 in Group B [median age 28 (IQR 20-36) years]. Median pre-hospital delay was 3 days for Group A 3 (IQR 2-4) and 1 day for Group B 1 (IQR 1-2). Complicated appendicitis occurred in 69 (30.1%) and 37 (25.5%) patients in Group A and B respectively. Post-operative complication rate was 18.3% and 8.3 % in Groups A and B respectively. Postoperative mortality in Group A was 3.5% and 2 1% for Group B. Delay in presentation was associated with increased complicated appendicitis. \u0000Conclusion: Complicated appendicitis was seen in one third of the patients in both groups. Delay in presentation persists in our setting and it is associated with complicated appendicitis, which carries an increased morbidity and mortality. \u0000Keywords: Appendicitis; complicated appendicitis; treatment outcomes.","PeriodicalId":94295,"journal":{"name":"African health sciences","volume":"65 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141834918","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Incidence of work-related musculoskeletal pain among Primary Health-care Providers 初级卫生保健提供者中与工作有关的肌肉骨骼疼痛发生率

African health sciences Pub Date : 2024-07-11 DOI: 10.4314/ahs.v24i2.40

Mubushara Afzal, A. Khan, S. Farooqui

{"title":"Incidence of work-related musculoskeletal pain among Primary Health-care Providers","authors":"Mubushara Afzal, A. Khan, S. Farooqui","doi":"10.4314/ahs.v24i2.40","DOIUrl":"https://doi.org/10.4314/ahs.v24i2.40","url":null,"abstract":"Background: Work related musculoskeletal pain is majorly responsible for decrease in the productivity of occupational work. It is an important work-related problem which is affecting the industrious and effective output of the work. The causes of work-related musculoskeletal pain are complex mesh of interrelated factors that exert their influence simultaneously. \u0000Aim: The purpose of this study was to determine the frequency of work- related musculoskeletal pain along with its associated factors amongst the obstetrics and gynecologist (OB/GYN) using a self-designed questionnaire. \u0000Methods: This was a cross sectional survey comprising of 196 obstetricians and gynecologists working in different public and private selected clinical settings. To gather data, self-designed questionnaire was used within a period of 4 weeks. \u0000Results: The prevalence of work-related musculoskeletal pain was seen in 171 (87.2%) out of 196 subjects, in at least one region and 25 (12.8%) subjects reported no musculoskeletal pain. The symptoms were majorly seen in lower back (59.2%) and leg (37.8%), also neck (27.8%), shoulder (26.0%), arm (12.8%), mid back (16.8) and upper back (9.2%). \u0000Conclusion: The results of this study showed that work-related musculoskeletal pain is highly prevalent in obstetrics and gynecologists, and it has a great impact on their daily lives. \u0000Keywords: Musculoskeletal pain; obstetrics and gynecology; posture.","PeriodicalId":94295,"journal":{"name":"African health sciences","volume":"126 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141835047","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

A retrospective study of Crimean-Congo hemorrhagic fever in Iraq 伊拉克克里米亚-刚果出血热回顾性研究

African health sciences Pub Date : 2024-04-01 DOI: 10.4314/ahs.v24i1.8

Doaa Adnan Shaker, Muna Tawfeeq Abd, Nawar Jassim Alsalih, Sinan Ghazi Mahdi, Mohenned Alsaadawi, Ihab Raqeeb Aakef, Tareq Jafaar Aljandeel

{"title":"A retrospective study of Crimean-Congo hemorrhagic fever in Iraq","authors":"Doaa Adnan Shaker, Muna Tawfeeq Abd, Nawar Jassim Alsalih, Sinan Ghazi Mahdi, Mohenned Alsaadawi, Ihab Raqeeb Aakef, Tareq Jafaar Aljandeel","doi":"10.4314/ahs.v24i1.8","DOIUrl":"https://doi.org/10.4314/ahs.v24i1.8","url":null,"abstract":"Background: CCHF is transmitted via ticks biting and directly by contact with tissue or blood of infected patients or viremicanimals. This study intends to determine the occurrence of CCHF in Iraq between 2015 and 2019. \u0000Methods: This study was designed as a retrospective and descriptive cross-sectional study. It was approved the occurrence ofCCHF in Iraq with relation to some epidemiological and demographic data reported in the Iraqi Communicable Diseases ControlCenter (CDC)/zoonotic diseases section between 2015-2019. \u0000Results: Out of 206 suspected cases, only 17 were diagnosed as CCHF with a total fatality ratio of 52%, 25%, and 80% in 2015and 2018 respectively. However, no mortality was reported during 2016, 2017, and 2019. The mean age of the patients was 33years± 18 SD, in males mainly (76%). Moreover, the risk groups were 29 %, 23 %, 18 % 12 %, and 6 % for butchers, animaldealers, gainers, both housewives and students and children respectively. \u0000Conclusion: Strict precautions and precise surveillance should be implemented to control the disease and protect the communityby improving the diagnosis and treatment of CCHF. The authors recommend another future study to detect the genotypingand sequencing of CCHFV in Iraq. \u0000Keywords: Crimean–Congo hemorrhagic fever; Iraq; tick.","PeriodicalId":94295,"journal":{"name":"African health sciences","volume":"483 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140763642","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Prevalence of HIV, HBV and HCV among livestock merchants and slaughterhouse workers in Ibadan, Nigeria 尼日利亚伊巴丹牲畜商人和屠宰场工人的艾滋病毒、乙肝病毒和丙肝病毒感染率

African health sciences Pub Date : 2024-04-01 DOI: 10.4314/ahs.v24i1.4

Adewale V Opayele, Olamide T Arege, Adedayo O Faneye, David O Olaleye, Georgina N Odaibo

{"title":"Prevalence of HIV, HBV and HCV among livestock merchants and slaughterhouse workers in Ibadan, Nigeria","authors":"Adewale V Opayele, Olamide T Arege, Adedayo O Faneye, David O Olaleye, Georgina N Odaibo","doi":"10.4314/ahs.v24i1.4","DOIUrl":"https://doi.org/10.4314/ahs.v24i1.4","url":null,"abstract":"Background: Most studies on viral infections among livestock handlers have focused on occupational exposure from inadvertent contact with infected animals. Consequently, little emphasis is given to the effect of their lifestyle on the acquisition of other blood-borne viruses. \u0000Objectives: To determine the prevalence and assess risk factors for HIV, HBV and HCV infections among livestock handlers in Ibadan, Nigeria. \u0000Methods: Blood samples were collected from 265 livestock handlers between October 2016 to April 2017 in Ibadan. The samples were tested for the presence of antibodies to HIV and HCV; and surface antigen to HBV using ELISA. Structured questionnaire was administered to collect information on risk factors associated with the transmission of these viruses. Data analysis was carried out using Chi-square test and logistic regression to determine the association between risk factors and predictors of infection (p < 0.05). \u0000Results: Of 265 participants, 11 (4.2%), 29 (10.9%) and 13 (4.9%) individuals tested positive for HIV, HBV and HCV infections respectively. Two (0.8%) of the participants were coinfected with HIV and HBV while 1(0.4%) was coinfected with both HBV and HCV. Individuals who travelled frequently in the course of Livestock trades had a higher rate of HIV infection. \u0000Conclusions: A high Infection with HIV, HBV and HCV is common among the study participants. There is a need for continued surveillance and awareness creation on preventive measures against these viruses. \u0000Keywords: Human immunodeficiency virus; viral hepatitis; slaughterhouse workers.","PeriodicalId":94295,"journal":{"name":"African health sciences","volume":"332 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140756596","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Haematological parameter among drug resistant tuberculosis patients in Ibadan 伊巴丹耐药性肺结核患者的血液学参数

African health sciences Pub Date : 2024-04-01 DOI: 10.4314/ahs.v24i1.3

Pelumi Daniel Adewole, Tosin Deborah Ogundipe, Olumuyiwa Samuel Alabi, Abdulrazak Nuhu

{"title":"Haematological parameter among drug resistant tuberculosis patients in Ibadan","authors":"Pelumi Daniel Adewole, Tosin Deborah Ogundipe, Olumuyiwa Samuel Alabi, Abdulrazak Nuhu","doi":"10.4314/ahs.v24i1.3","DOIUrl":"https://doi.org/10.4314/ahs.v24i1.3","url":null,"abstract":"Background: Haematological abnormalities are common among tuberculosis patients but there is dearth of information on their value as prognostic markers in multidrug resistant tuberculosis patients. This study examined the association between complete blood count variables and drug resistant tuberculosis. \u0000Materials and methods: Nighty (90) consenting adults comprising 30 Drug Resistant Tuberculosis patients (DR-TB), 30 Drug susceptible tuberculosis patients (DS-TB) and 30 healthy participants were recruited in this study. Ethical approval was obtained from Oyo State Ministry of Health Institutional Review Board while patients’ demographic data were collected using structured questionnaire. Five milliliters (5mL) of blood samples were collected in EDTA bottle. Haematological parameters were analysed using impedance technique and Mindary-BG5380 5-part automated system. \u0000Result: The mean hemoglobin levels were significantly lower in DR-TB patients (11.70 ± 2.73 g/dL) than in DS-TB patients (8.33 ± 9.56 fL), with a mean difference of -3.37 ± 12.29 g/dL. The mean MCH and MCHC levels were also slightly lower in DR-TB patients (26.17 ± 3.44 pg and 30.41 ± 1.92 g/dL, respectively), but the differences were not statistically significant. The WBC count was similar in both groups (8.20 ± 3.80 × 10^9 /L and 8.45 ± 3.63 × 10^9 /L, respectively). \u0000Conclusion: The mean hemoglobin levels were significantly lower in DR-TB patients than in DS-TB patients which may be due to the increased inflammation associated with DR-TB. The WBC count was similar in both groups, suggesting that the immune system is responding similarly to the infection in both DR-TB and DS-TB patients.Recommendation: In the meantime, healthcare providers should be aware of these potential differences and use them to inform their diagnosis and treatment of patients with tuberculosis. \u0000Keywords: Haematological parameters; drug resistant tuberculosis; Ibadan.","PeriodicalId":94295,"journal":{"name":"African health sciences","volume":"152 20","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140793422","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Clinicopathological study of otomycosis in a tertiary hospital in South-west Nigeria 尼日利亚西南部一家三级医院耳霉菌病的临床病理学研究

African health sciences Pub Date : 2024-04-01 DOI: 10.4314/ahs.v24i1.9

Olusola A Sogebi, Emmanuel A Oyewole, Olubunmi A Osinupebi

{"title":"Clinicopathological study of otomycosis in a tertiary hospital in South-west Nigeria","authors":"Olusola A Sogebi, Emmanuel A Oyewole, Olubunmi A Osinupebi","doi":"10.4314/ahs.v24i1.9","DOIUrl":"https://doi.org/10.4314/ahs.v24i1.9","url":null,"abstract":"Background: Otomycosis is common in environments with hot, humid weather, and it may be challenging to manage. \u0000Objectives: To profile common clinical presentations, the pathogenic fungi, the treatment modalities with responses, and exploreclinical factors associated with having positive fungal culture in Otomycosis. \u0000Methods: Retrospective review of patients with Otomycosis. Demographic and clinical parameters, otoscopic findings andmycological study results were recorded. The treatment modalities used and treatment response were summarized. Comparativestatistical analyses of associated factors to positive fungal culture were performed with Chi square test, and Student’s t-test, usingSPSS version 22.0 \u0000Results: Total of 71 patients with M: F=1:1.8, mean age 38.5±19.8 years. Average duration of symptoms was 5.4 ±4.6 weeks;common presenting complaint was itchy ear (33.8%). Majority of patients (85.9%) had unilateral ear involvement, 50.0% appliedototopic medications before presentation, 8.5% had multiple co-morbidities. 20 patients had positive fungal culture results; commonfungal isolate was Aspergillus niger 9 (45.0%).Clinical factors associated with positive culture of fungus were age, non-previous use of ototopic drugs, and presence ofco-morbidity. The most common treatment was local ear debridement and use of topical antifungal creams. Majority (91.5%)of the patients responded with resolution of fungal infection. Complications rate was 8.4%. \u0000Conclusions: Otomycosis commonly present with itchy ears, the pathogenic fungi commonly being Aspergillus species. Thefactors associated with positive fungal culture were age, non-usage of ototopic agents and presence of co-morbidity. Treatmentmodality used was local debridement and topical antifungal agents, which produced favourable response in most patients. \u0000Keywords: Otomycosis; mycology; presentations; treatment; complications; associations.","PeriodicalId":94295,"journal":{"name":"African health sciences","volume":"224 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140777574","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0