scholarly journals Trauma trends during COVID ‐19 alcohol prohibition at a South African regional hospital

2021 ◽  
Author(s):  
Kathryn M. Chu ◽  
Jenna‐Lee Marco ◽  
Eyitayo Omolara Owolabi ◽  
Riaan Duvenage ◽  
Mukhethwa Londani ◽  
...  
Keyword(s):  
South African ◽  
Regional Hospital ◽  
Alcohol Prohibition

A 5-Year Retrospective Review of the Health Supervision Received by Children with Down Syndrome at a South African Regional Hospital

2020 ◽  
Vol 66 (4) ◽  
pp. 441-447
Author(s):  
Leilah Schoonraad ◽  
Amy Slogrove ◽  
Arnold Engelbrecht ◽  
Michael F Urban
Keyword(s):  
Down Syndrome ◽  
South African ◽  
Clinic Visit ◽  
Regional Hospital ◽  
Full Blood Count ◽  
Local Health ◽  
Western Cape ◽  
Children With Down Syndrome ◽  
Health Supervision ◽  
Local Health System

Abstract Introduction In 2011, the American Academy of Paediatrics (AAP) published revised health supervision guidelines for children with Down syndrome (DS). In the absence of South African guidelines, we described the health supervision received by children with DS at a rural regional hospital in the Western Cape, South Africa compared with the AAP guidelines. Methods This was a 5-year retrospective description of the implementation of the 2011 AAP guidelines at the DS clinic at Worcester Provincial Hospital (WPH), specifically related to screening for and management of cardiac, thyroid, hearing and haematological disorders. Results Sixty-two children received care at WPH DS clinic during the study period. Thirty-six (58%) children lived in Worcester while 26 (42%) children were referred from peripheral hospitals. The median age at first clinic visit was 0.5 years [inter-quartile range (IQR) 0.2–1.2], a total of 177 person-years of follow-up with a median duration of 1.8 years (IQR 0.3–4.8). Two deaths occurred during the study period. Forty-nine (79%) children had a screening echocardiogram performed, the median age at first echocardiogram was 0.8 years (IQR 0.2–1.4). Five (14%) children from WPH compared with no children from the peripheral hospitals received the echocardiogram within the first month of life in keeping with AAP guidance (p = 0.06). Those requiring cardiac surgery were operated on at a median age of 2 years (IQR 0.9–2.3). Compared with the AAP guidelines, within the first month of life 17 (27%) children had a thyroid screen, 20 (32%) children had a full blood count and 7 (11%) children had a hearing assessment. Conclusion AAP guidelines for health supervision in DS are challenging to achieve within our local health system. The development and advocacy for a South African DS health supervision guideline that can be applied not only in specialist clinics might improve the care of children with DS.

Paediatric hospital admissions at a South African urban regional hospital: the impact of HIV, 1992–1997

1999 ◽  
Vol 19 (2) ◽  
pp. 135-142 ◽  
Author(s):  
Karen J. Zwi ◽  
John M. Pettifor ◽  
Neil Soderlund
Keyword(s):  
South African ◽  
Hospital Admissions ◽  
Regional Hospital ◽  
Paediatric Hospital ◽  
The Impact

scholarly journals Tuberculosis and lactic acidosis as causes of death in adult patients from a regional hospital in Johannesburg

2012 ◽  
Vol 4 (1) ◽  
Author(s):  
Ntambwe Malangu ◽  
Maryet Mogashoa
Keyword(s):  
Side Effects ◽  
Lactic Acidosis ◽  
South African ◽  
Cause Of Death ◽  
Antiretroviral Treatment ◽  
Causes Of Death ◽  
Regional Hospital ◽  
Adult Patients ◽  
African Countries ◽  
Collection Form

Background: Tuberculosis and adverse effects have been shown to affect both the quality of life and the survival of patients on antiretroviral treatment. This study sought to investigate the causes of death in a sample of adult HIV-infected patients on antiretroviral treatment at Thembisa Hospital, Johannesburg, South Africa. Methods: A retrospective study was conducted by examining the charts of 498 adult patients treated from January 2004 to December 2006 at the antiretroviral clinic of a regional hospital in Johannesburg. A data collection form was used to collate both sociodemographic and clinical data.Results: The majority of the patients were female (71.7%) with a mean age of 37.7 ± 11.6 years, and in the age group of 18–77 years. The greater number of the patients was South African citizens, with only 2.2% citizens of other Southern African countries. At baseline, 29.9% had been on anti-tuberculosis treatment. Most of the patients had been prescribed the regimen comprising stavudine, lamivudine, and nevirapine or efavirenz; two of them (0.4%) were on the second line regimen made of zidovudine, didanosine, and lopinavir–ritonavir. At least one side effect was documented in 82.1% of patients; the ten most documented side effects were skin rashes (62.9%), peripheral neuropathy (48.4%), headaches (38.2%), chest pain (21.9%), coughing (21.7%), anaemia (21.5%), diarrhoea (19.3%), vomiting (16.7%), dizziness (15.3%), and lactic acidosis (11.2%). A mortality rate of 3.6% was recorded during the 2-year study period. Although the cause of death was undetermined in 11.1% of patients, 50.0% and 38.9% of deaths respectively were a consequence of tuberculosis and lactic acidosis.Conclusions: In addition to tuberculosis, side effects in particular, lactic acidosis was the other main cause of death in patients treated at the study site. These findings suggest that patients on regimens containing drugs that cause lactic acidosis should be closely monitored when the first complaints suggesting lactic acidosis are reported or noticed.

scholarly journals Implementation of the South African Triaging Scale (SATS) System in Eastern Ghana: Assessment of Deployment at the Emergency Department of a Regional Hospital, 2015

2018 ◽  
Vol 21 ◽  
pp. S97
Author(s):  
L Addai ◽  
B Davies-Teye ◽  
K Anim-Boamah ◽  
C Sarpong ◽  
K Antwi-Agyei
Keyword(s):  
Emergency Department ◽  
South African ◽  
Regional Hospital ◽  
The South

scholarly journals The effects of the COVID-19 lockdown and alcohol restriction on trauma-related emergency department cases in a South African regional hospital

2021 ◽  
Vol 11 (2) ◽  
pp. 227-230
Author(s):  
Mncedisi Junior Manyoni ◽  
Muhammed Irfaan Abader
Keyword(s):  
Emergency Department ◽  
South African ◽  
Regional Hospital

Using a structured morbidity and mortality meeting to understand the contribution of human error to adverse surgical events in a South African regional hospital

2013 ◽  
Vol 51 (4) ◽  
pp. 122 ◽  
Author(s):  
Damian L Clarke ◽  
Heidi Furlong ◽  
Grant L Laing ◽  
Colleen Aldous ◽  
Sandie Rutherford Thomson
Keyword(s):  
South African ◽  
Human Error ◽  
Regional Hospital ◽  
Morbidity And Mortality
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