Screening for Diabetes Mellitus among Tuberculosis Patients: Findings from a Study at a Tertiary Hospital in Lusaka, Zambia

Background. Diabetes mellitus (DM) is known to be associated with active tuberculosis (TB). Zambia is a low-income sub-Saharan African country with a high TB burden and increasing numbers of newly diagnosed DM patients. Materials and Methods. This was an observational study conducted at the University Teaching Hospital in Lusaka, Zambia, from October 2014 to February 2016. Adult patients with active TB were screened for DM. Results. A total of 127 individuals were enrolled in the study. Six patients (5%) were found to have diabetes. Of these, three had a prior diagnosis of diabetes and were on medication while three were newly diagnosed. Low education level was significantly associated with DM (p=0.001; 95% CI 0.001–0.148). Conclusion. The prevalence of DM among individuals with smear positive TB in our study population was similar to that of the general population in Zambia.

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Faculty Opinions recommendation of Prevalence of diabetes mellitus among tuberculosis patients in Sub-Saharan Africa: a systematic review and meta-analysis of observational studies.

Faculty Opinions – Post-Publication Peer Review of the Biomedical Literature ◽

10.3410/f.735328044.793560074 ◽

2019 ◽

Author(s):

Anthony Harries ◽

Kudakwashe C Takarinda

Keyword(s):

Diabetes Mellitus ◽

Systematic Review ◽

Observational Studies ◽

Meta Analysis ◽

Sub Saharan Africa ◽

Tuberculosis Patients ◽

Sub Saharan ◽

Prevalence Of Diabetes Mellitus

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Experiences and challenges of adults living with type 2 diabetes mellitus presenting at the University Teaching Hospital in Lusaka, Zambia

BMJ Open Diabetes Research & Care ◽

10.1136/bmjdrc-2017-000497 ◽

2019 ◽

Vol 7 (1) ◽

pp. e000497

Author(s):

Kunda Faith Mwila ◽

Phoebe Albina Bwembya ◽

Choolwe Jacobs

Keyword(s):

Diabetes Mellitus ◽

Type 2 Diabetes ◽

Type 2 Diabetes Mellitus ◽

Teaching Hospital ◽

Treatment Guidelines ◽

Self Care ◽

Mental Illnesses ◽

University Teaching ◽

The University

ObjectiveThe study explored the experiences and challenges of adults living with type 2 diabetes mellitus (T2DM) presenting at the University Teaching Hospital (UTH) in Lusaka.Research designA qualitative descriptive study was conducted. The research relied on purposive sampling to select 28 participants for in-depth interviews. Participants were interviewed during clinical visits at UTH.ResultsViews from participants showed that some adults living with T2DM experienced physical and mental illnesses. Participants’ views reflected that their livelihood with T2DM was influenced by family support, poor or non-adherence to treatment guidelines and access to information, education and communication materials. The most important challenges reported were psychosocial and financial.ConclusionThe study concluded that some adults living with T2DM experience a lot of physical sicknesses and their challenges, especially of the psychosocial nature may require professional attention. However, particular attention should be paid to the patient’s self-care and psychosocial therapy. Self-care protocols should be tailored to complement the different types of patients with diabetes and improve their quality of life.Cite Now

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Overt diabetes mellitus among newly diagnosed Ugandan tuberculosis patients: a cross sectional study

BMC Infectious Diseases ◽

10.1186/1471-2334-13-122 ◽

2013 ◽

Vol 13 (1) ◽

Cited By ~ 22

Author(s):

Davis Kibirige ◽

Richard Ssekitoleko ◽

Edrisa Mutebi ◽

William Worodria

Keyword(s):

Diabetes Mellitus ◽

Cross Sectional Study ◽

Newly Diagnosed ◽

Sectional Study ◽

Cross Sectional ◽

Tuberculosis Patients ◽

Overt Diabetes

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Mortality of head injuries in Sub-Saharan African countries: The case of the university teaching hospitals of Cameroon

Journal of the Neurological Sciences ◽

10.1016/j.jns.2016.10.016 ◽

2016 ◽

Vol 371 ◽

pp. 100-104 ◽

Cited By ~ 2

Author(s):

VdP Djientcheu ◽

E.J Nguifo Fongang ◽

P Owono Etoundi ◽

A Esiene ◽

M Motah ◽

...

Keyword(s):

Head Injuries ◽

University Teaching ◽

Teaching Hospitals ◽

African Countries ◽

Sub Saharan ◽

The University ◽

University Teaching Hospitals

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Diabetes mellitus increased all-cause mortality rate among newly-diagnosed tuberculosis patients in an Asian population: A nationwide population-based study

Diabetes Research and Clinical Practice ◽

10.1016/j.diabres.2017.08.011 ◽

2017 ◽

Vol 133 ◽

pp. 115-123 ◽

Cited By ~ 3

Author(s):

Po-Yen Ko ◽

Shi-Dou Lin ◽

Ming-Chia Hsieh ◽

Yu-Cheng Chen

Keyword(s):

Diabetes Mellitus ◽

Mortality Rate ◽

Asian Population ◽

Population Based ◽

Newly Diagnosed ◽

Population Based Study ◽

Tuberculosis Patients ◽

All Cause Mortality

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Myomectomy under Cervico-Isthmic Tourniquet: Experience of the Gynecologic-Obstetric Department at the University Teaching Hospital of Cocody (Abidjan)

Journal of Gynecology Research Reviews & Reports ◽

10.47363/jgrrr/2021(3)133 ◽

2021 ◽

pp. 1-3

Author(s):

Adjoby Cassou Roland ◽

◽

Akobé Priva ◽

Keyword(s):

Blood Loss ◽

Teaching Hospital ◽

Foley Catheter ◽

Sub Saharan Africa ◽

University Teaching ◽

Control Group ◽

Sub Saharan ◽

The University ◽

Control Study

Objective: To report the experience of Cocody’s University Teaching Hospital in the practice of myomectomies under cervico-isthmic tourniquet and to assess its impact on per and post-operative blood loss. Methodology: It was a case control study covering a 10-year period (that is from January 2009 to December 2018), and a population of 600 patients divided into two groups (A and B). The first (A) includes all patients admitted and operated on uterine myomas after the introduction of a cervico-isthmic tourniquet (CIT) by Foley catheter (case) and the second all patients admitted and operated on without CIT(Control). Results: The average age of patients was 37 years with extremes of 24 and 50 years They were nulligestous in 38.3% of cases and nulliparous in 61.7% of cases. Hemorrhagic complications made up 65% of the surgical indications. The practice of myomectomy under cervico-isthmic tourniquet was associated with a relatively significant reduction in the duration of intervention including 20 minutes of time saved and a considerable reduction in blood loss(p<0,001). Blood loss was estimated at 438.8 ml (+/- 127) in the CIT group, compared to 685.4 ml (+/- 182) in the control group(p<0,001). The postoperative hemoglobin rate in the cervico-isthmic tourniquet patients was 10.1 g/dl compared to 8.7 g/dl in the non-distort patients(p<0,0012). No complications related to the presence of CIT were observed after sufficient follow-up. The length of stay in the hospital was estimated to be 2.8 days compared to 4.4 days in patients who did not use a tourniquet (p=0,15). Conclusion: The use of the cervico-isthmic tourniquet in myomectomy, considerably limiting blood loss and reducing postoperative morbidity, appears to be an alternative to blood transfusion in countries of sub-Saharan Africa, where the dispensing of blood products remains a problem.

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Usefulness of the HIV Dementia Scale in Nigerian patients with HIV/AIDS

Southern African Journal of HIV Medicine ◽

10.4102/sajhivmed.v10i3.274 ◽

2009 ◽

Vol 10 (3) ◽

pp. 38 ◽

Cited By ~ 5

Author(s):

Olubunmi A Ogunrin ◽

Emeka U Eze ◽

Francis Alika

Keyword(s):

Sub Saharan Africa ◽

University Teaching ◽

Hiv Positive ◽

Cognitive Tools ◽

Hiv Dementia ◽

Level Of Education ◽

Benin City ◽

Sub Saharan ◽

The University ◽

Hiv Aids

Objective: Information on the cognitive complications of HIV/AIDS from sub-Saharan Africa, where statistics on HIV is alarming, is sparse because of lack of validated cognitive tools. This study assessed the usefulness and predictive validity of the HIV Dementia Scale (HDS) as a screening tool among HIV-positive Nigerian Africans. Design: HIV-positive patients were randomly selected over a period of two months. Setting: The HIV/AIDS outpatient clinic of the University teaching hospital, Benin City, Nigeria. Subjects: Asymptomatic and symptomatic HIV-positive patients were compared with age, sex and level of education-matched controls. Outcome measures: Cognitive performances on the modified HIV Dementia scale. Results: The performances of 160 HIV-positive (comprising 80 asymptomatic and 80 symptomatic) subjects were compared with 80 age, sex and level of education-matched HIV-negative subjects on the HDS. The mean HDS scores (maximum =12) were 10.78±1.18 (comparison subjects), 8.85±1.38 (asymptomatic) and 5.2±1.13 (symptomatic); p

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Hypertension-Related Admissions and Outcome in a Tertiary Hospital in Northeast Nigeria

International Journal of Hypertension ◽

10.1155/2012/960546 ◽

2012 ◽

Vol 2012 ◽

pp. 1-6 ◽

Cited By ~ 13

Author(s):

P. M. Kolo ◽

Y. B. Jibrin ◽

E. O. Sanya ◽

M. Alkali ◽

I. B. Peter Kio ◽

...

Keyword(s):

Blood Pressure ◽

Detailed Examination ◽

Tertiary Hospital ◽

Cardiovascular Complications ◽

Sub Saharan Africa ◽

University Teaching ◽

Systemic Hypertension ◽

Sub Saharan ◽

Medical Wards ◽

Northeast Nigeria

Cardiovascular disease has reached near epidemic proportion in sub-Saharan Africa, and systemic hypertension (SH) remains the driver of cardiovascular complications. We studied hypertension-related admissions and their outcome at the Abubaker Tafawa Balewa University Teaching Hospital (ATBUTH) Bauchi, Northeast Nigeria. Records of all patients admitted into the medical wards between 1st November 2010 and 31st October 2011 were studied, and case files of those managed for SH complications were selected for detailed examination. Of the total 3108 admissions, 735 (23.7%) were hypertension related. Mean systolic blood pressure (SBP) and diastolic blood pressure (DBP) were167.4±18.2and98.6±13.5,respectively, at presentation. Although, hypertension-related admissions were 23.7% of total admissions, there was an excess of mortality associated with SH complications (42.9%). Stroke was the commonest, and it accounted for 44.4% of cases. Stroke had the highest mortality (39.3%), followed by chronic kidney disease (36.6%); hypertensive emergencies (30.9%) and hypertensive heart failure had the lowest intrahospital mortality (27.5%). In conclusion, SH-related admissions are common among medical admissions in Bauchi Nigeria and are associated with high mortality. Community interventions that promote early diagnosis and reduction of cardiovascular risk profiles are urgently needed to reduce SH deaths.

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