Operating Site Infections at Friendship Hospital Sino Guinean of Kipe
Camara Soriba Naby,
Balde Oumar Taibata,
Balde Abdoulaye Korse,
Diawara Mamadou,
Camara Mohamed,
Camara Alpha Kabinet,
Fofana Husseine,
Diakite Sandały,
Soumaoro Labile Togba,
Soumah Aboubacar Fode Momo,
Conte Ibrahima,
Camara Mariame,
Toure Aboubacar,
Diallo Aissatou Taran,
Diallo Biro
Issue:
Volume 8, Issue 2, December 2020
Pages:
14-18
Received:
19 June 2020
Accepted:
4 July 2020
Published:
13 August 2020
Abstract: The aim of this study was to make our contribution to improving the quality of care for patients operated on at the Sino-Guinean Friendship Hospital. Introduction: The surgical site infections (ISO) are defined as infections occurring within 30 days after surgery (or up to a year after surgery in patients receiving implants) and affecting the incision or deep tissue site operative. Methodology: This study is a prospective, cross, a one time year from 1st January to 31 December 2018 inclusive: The study involved 73 patients carriers of surgical site infections during the study period in visceral trauma surgery and neurosurgery departments of the kipé sino- guinean friendship hospital. The administrative procedure and patient confidentiality were respected. We had done the encoding. Results: We had noted 33 cases of infection of the operating site in the trauma department, 19 cases in the neurosurgery department and 21 cases in the visceral surgery department. Smoking was found in 22 patients, obesity in 7 patients., alcoholism in 6 patients, HIV in 5 patients, diabetes in 4 patients and no history in 23 patients. The infection occurred between 1 to 7 days in 52 cases, 7 14 day in 20 cases and higher has 14 days in 1 case. The dressings were soiled in one hundred percent of our patients who developed surgical site infections. Conclusion: Infections of the operating site constitute a serious complication and feared by surgeons because it ruins the success of the surgical act.
Abstract: The aim of this study was to make our contribution to improving the quality of care for patients operated on at the Sino-Guinean Friendship Hospital. Introduction: The surgical site infections (ISO) are defined as infections occurring within 30 days after surgery (or up to a year after surgery in patients receiving implants) and affecting the incis...
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Visual Status of HIV and Non-HIV Infected Children in Relation to Anti-retroviral Drug Use and CD4+ Count in Jos, Plateau State Nigeria
Ajibola Barth Meraiyebu,
Grace Inga Awilo,
Aminyene Essien Meraiyebu,
Olanrewaju Olaiya
Issue:
Volume 8, Issue 2, December 2020
Pages:
19-26
Received:
17 September 2019
Accepted:
22 October 2019
Published:
7 September 2020
Abstract: In immunodeficiency diseases such as Human Immunodeficiency Virus (HIV) infection, various body functions may be affected; visual function could be one of them. In a child, there are predictable adverse outcomes of the disease that bother physical and mental development. This study sought to investigate any potential compromise of visual function amongst HIV-infected children on anti-retroviral drugs known as Highly Active Antiretroviral Therapy (HAART) use by comparing the visual acuity, colour sense and field of vision in infected and non-infected children. One hundred (100) children aged between 5 to 15 years consisting of fifty (50) HIV infected and fifty (50) non-HIV infected were selected through random sampling. Visual acuity test (Snellen’s method), colour sense test (Ishihara chart method) and field of vision test (confrontational method) were carried out. Latest Cluster of Differentiation 4 (CD4+) count of the HIV infected subjects also was collected. Statistical analysis was carried out using the Student T Test and ANOVA. The mean visual acuity of Human Immunodeficiency Virus (HIV) infected children was slightly low compared to the negative group (94.2±4.61and 96.4±12.58 respectively) but was not statistically significant (p>0.05). The mean of Ishihara colour sense test and that of the field of vision test also showed no statistically significant change between infected and non-infected children. Mean CD4+ count of the HIV infected children increased with age and use of anti-retroviral drugs. From 11 to 15 years, percentage defect in visual acuity increased amongst the HIV infected children, compared to the other ages but not statistically significant (p>0.05). It was concluded that visual acuity decreases slightly with improving CD4+ count and increasing age, for HIV positive children on anti-retroviral drugs. These parameters could be observed in subsequent years and subjects monitored for further investigation.
Abstract: In immunodeficiency diseases such as Human Immunodeficiency Virus (HIV) infection, various body functions may be affected; visual function could be one of them. In a child, there are predictable adverse outcomes of the disease that bother physical and mental development. This study sought to investigate any potential compromise of visual function a...
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Paediatric Redo Urethroplasty for Hypospadias: A Comparative Evaluation
Shah Md. Ahsan Shahid,
Md. Nawshad Ali,
Khondokar Seheli Nasrin Lina,
Md. Kamruzzaman,
Md. Humayun Reza
Issue:
Volume 8, Issue 2, December 2020
Pages:
27-33
Received:
5 February 2020
Accepted:
9 April 2020
Published:
7 September 2020
Abstract: Introduction: The burden of a failed hypospadias repair can be devastating for a patient and his family. Urethrocutaneous fistula after hypospadias surgery is the most common complication and remains a frustrating problem that precludes the goal of hypospadias surgery leading to failure of primary surgery. Aim of the Study: The aim of this study was to assess the outcome of pediatric salvage urethroplasty for hypospadias and to compare among three procedures. Material & Methods: It was an interventional study which was carried out from July 2011 to June, 2016 in the Department of Paediatric Surgery, Rajshahi Medical College Hospital, Rajshahi, Bangladesh. The study was designed with randomized control trial. Simple Random sampling technique was followed to select groups for each sample by means of lottery. BM GRAFT (Buccal Mucosal Graft) was grouped as group A, DORSAL FLAP (Dorsal transposition flap) was grouped as group B, FLIP FLAP (Distally based flip-flap) was grouped as group C. The primary outcome measure was the evaluation of the recurrence of fistula among the surgical procedures. For a valid comparison of the outcomes of traditional and innovative surgical procedures patients were evaluated by objective scoring system. Informed consent was obtained from parents in the consent form. Collected data was arranged in systemic manner, presented in various tables and figures and statistical analysis was made to evaluate the objectives of this study with the help of SPSS. Results: The age range of the studied patients were started from 2 to 13 years and was divided into three age groups such as 2-5 years, 6-9 years and 10-13 years. Out of total 189 patient’s BM graft consisted 61 patients, Dorsal flap comprised 69 patients and Flip flap patient consisted 59 patients. The distribution patterns of prior types of surgeries were presented, which showed that among the preceding primary procedures Tubularized incised plate urethroplasty (TIP) demonstrated highest frequency. The differences of re-fistula rate in primary surgery were significantly less in Buccal Mucosal Graft group (group A) in comparison to Distally based flip-flap group (group C) and Dorsal transposition flap group (group B), at p<0.05. It was observed that the fistula recurrence frequency of secondary surgery was higher than primary surgery among the three tested redo urethroplasty groups. Duncan multiple range test (DMRT) revealed that refistula was higher at the sub- coronal area than other locations in case of flip-flap (46.66%) and BM groups (42.85%). Conclusion: Staged repair using buccal mucosa was a better option for urethral reconstruction in large (>4mm) or multiple -small (<4mm) fistulae, than dorsal transposition flap and flip flap procedures (group A> group B >group C).
Abstract: Introduction: The burden of a failed hypospadias repair can be devastating for a patient and his family. Urethrocutaneous fistula after hypospadias surgery is the most common complication and remains a frustrating problem that precludes the goal of hypospadias surgery leading to failure of primary surgery. Aim of the Study: The aim of this study wa...
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