Risk factors for distal symmetrical polyneuropathy among adults with diabetes at the University of Port Harcourt Teaching Hospital, Nigeria

2017 ◽  
Vol 381 ◽  
pp. 468
Author(s):  
A. Iyagba ◽  
A. Onwuchekwa
Keyword(s):  
Risk Factors ◽  
Teaching Hospital ◽  
Port Harcourt ◽  
Distal Symmetrical Polyneuropathy ◽  
The University

scholarly journals Urinary Pathogens amongst Parturients at the University of Port Harcourt Teaching Hospital, South-South, Nigeria

2019 ◽  
pp. 1-8
Author(s):  
Inye Faye Korubo ◽  
Justina Omoikhefe Alegbeleye ◽  
Chris Iheanachor Akani
Keyword(s):  
Risk Factors ◽  
Escherichia Coli ◽  
Teaching Hospital ◽  
Demographic Data ◽  
Perineal Tear ◽  
Antimicrobial Sensitivity ◽  
Port Harcourt ◽  
Vaginal Deliveries ◽  
Before And After ◽  
The University

Aim: To identify the microorganisms in urine before and after delivery. Also, to identify the incidence, risk factors and antibiotic susceptibility pattern in postpartum bacteriuria.      Methods: A quasi-interventional study of 50 women who had term vaginal deliveries at the University of Port Harcourt Teaching Hospital (UPTH) Nigeria, between September 1, 2016 and December 31, 2016. Clean catch midstream urine samples collected in sterile containers from parturients before and after delivery were processed. All significant isolates were subjected to antimicrobial susceptibility testing. Socio-demographic data and data regarding labour and risk factors were collected on a pre-designed proforma and entered on a spread sheet. Statistical analysis was done using SPSS version 22.0. Results: Majority 49 (98%) of the parturients were booked (women that received antenatal care). Eight (16%) of the parturients had bacteriuria pre and post-delivery. Four of the parturients who were negative for bacteriuria before delivery had postpartum bacteria, giving an incidence of 8% for postpartum bacteriuria. The commonest micro-organism isolated post-delivery was Escherichia coli (50%). The number of vaginal examinations, vacuum delivery, episiotomy, perineal tear and bladder catheterization did not significantly increase the risk of postpartum bacteriuria. Conclusion: Escherichia coli is the most common urinary pathogens and sensitive to Nalidixic acid. Routine screening of women for bacteriuria after delivery and an understanding of the antimicrobial sensitivity will help in reducing associated morbidities.

scholarly journals Review of episiotomy and the effect of its risk factors on postepisiotomy complications at the University of Port Harcourt Teaching Hospital

2020 ◽  
Vol 61 (2) ◽  
pp. 96
Author(s):  
ChidiebereN Ononuju ◽  
RosemaryN Ogu ◽  
TamunomieK Nyengidiki ◽  
MichaelI Onwubuariri ◽  
SimeonC Amadi ◽  
...  
Keyword(s):  
Risk Factors ◽  
Teaching Hospital ◽  
Port Harcourt ◽  
The University

scholarly journals Risk assessment and thromboprophylaxis for venous thromboembolism in the puerperium in a tertiary health facility in Nigeria

2021 ◽  
Vol 10 (12) ◽  
pp. 4343
Author(s):  
Mkpe Abbey ◽  
Kinikanwo I. Green ◽  
Roseline Iheagwam ◽  
Chris Akani
Keyword(s):  
Risk Factors ◽  
Risk Assessment ◽  
Venous Thromboembolism ◽  
Teaching Hospital ◽  
Ethnic Diversity ◽  
Significant Risk ◽  
Routine Practice ◽  
Cross Sectional ◽  
Port Harcourt ◽  
The University

Background: Venous thromboembolism (VTE) is a leading cause of maternal morbidity and mortality in the puerperium. Unfortunately in Nigerian tertiary institutions, there is paucity of information about its risk factors, screening for it, and its prophylaxis. The aim of the study therefore was to review the VTE risk and thromboprophylaxis in the puerperium at the University of Port Harcourt Teaching Hospital (UPTH), Nigeria.Methods: A retrospective cross-sectional study carried out at the University of Port Harcourt Teaching Hospital (UPTH). The following data were extracted from the notes of 424 consecutive inpatients postnatal women who delivered from the 1st of January to the 30th of April 2020: history/demographic characteristics, risk factors for VTE using the RCOG Green top guideline No. 37a.of 2015 as a benchmark, thromboprophylaxis, diagnosis and treatment of VTE. Women with a VTE event in the preceding 4 months before pregnancy were excluded. Data was analysed using a statistical package for social science (SPSS) software, version 18.Results: Risk assessment for VTE and its prophylaxis in the puerperium were not routine practice at the UPTH. 420 (99.06%) out of the total 424 postpartum women that were assessed were at significant risk of developing VTE and therefore needed to be on thromboprophylaxis with low molecular weight heparin. Irrespective of the high prevalence of risk factors and the fact that 100 (23.58%) of the patients had symptoms and signs of VTE, no case of VTE was recorded in the study population. Paucity of information and lack of knowledge about the diseases may be responsible for that.Conclusions: 420 (99.06%) out of the total 424 puerperal women were at significant risk of developing VTE and therefore needed to be on thromboprophylaxis in the puerperium. It was therefore recommended that a national guideline on VTE in the puerperium be written, taking into consideration local disease topography, ethnic diversity and the level of economic development in Nigeria.

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