scholarly journals Proportion of Intestinal Obstruction and Associated Factors Among Patients with non Traumatic Acute Abdomen Admitted to Surgical Ward in Debre Birhan Referral Hospital, North East Ethiopia

2017 ◽  
Vol 5 (3) ◽  
pp. 54 ◽  
Author(s):  
Mesfin Yohannes
Keyword(s):  
Intestinal Obstruction ◽  
Acute Abdomen ◽  
Associated Factors ◽  
Referral Hospital ◽  
North East ◽  
Surgical Ward ◽  
Debre Birhan

scholarly journals Methicillin and Vancomycin Resistant Staphylococcus aureus and Associated Factors from Surgical Ward Inpatients at Debre Markos Referral Hospital, Northwest Ethiopia

2020 ◽  
Author(s):  
Samrawit Tefera Demsie ◽  
Tewachew Awoke ◽  
Daniel Mekonnen
Keyword(s):  
Staphylococcus Aureus ◽  
Associated Factors ◽  
Northwest Ethiopia ◽  
Referral Hospital ◽  
Mannitol Salt Agar ◽  
Surgical Ward ◽  
Hospital Infection Control ◽  
Multiple Variables ◽  
Vancomycin Resistant ◽  
Debre Markos

Abstract Background: Staphylococcus aureus is one of the leading wound infections. It is considered as a super bug. The epidemiology of Methicillin Resistant S. aureus (MRSA) and Vancomycin Resistant S. aureus (VRSA) is not well studied in Ethiopia particularly in Debre Markos Referral Hospital (DMRH). The objective of the study was to determine the prevalence of MRSA and VRSA and associated factors from wound cases admitted to surgical ward in DMRH, Northwest Ethiopia.Methods: A cross-sectional study was conducted from February-April 2020 at DMRH. A structured questionnaire was used to collect demographic and clinical characteristics. Wound swabs were collected using sterile cotton swab followed by culturing on Blood agar and Mannitol Salt agar. Then isolates were characterized by gram stain and biochemical tests. The presence of MRSA and VRSA was determined using the cefoxitin (30μg) antibiotic disc diffusion and vancomycin E-test, respectively. The data was analyzed using Statistical Package for Social Sciences, version 20 software. P-value <0.05 was considered statistically significant.Results: A total of 242 wound cases were enrolled and a majority of them were males (172, 71.1%). Among the total wound cases, the isolation rate of S. aureus was 29.3%. The proportion of MRSA was 13.22% and that of VRSA was 4.1%. The proportion of vancomycin intermediate S. aureus (VISA) was gauged at 4.5%. Hospital stay >72h (p=0.014), wound depth (p=0.043), antibiotic use (p=0.017) and previous history of wound infection (p=0.001) showed statistical significant association with MRSA. No variables showed significant association with VRSA.Conclusion: High proportions of S. aureus isolates are resistant to methicillin and vancomycin. Moreover, multiple variables demonstrated associations with drug resistance. Hence, hospital infection control and antibiotic stewardship program shall be strengthened.

scholarly journals Outcome and Associated Factors Among Patients Admitted With Perforated Peptic Ulcer in Dessie Referal Hospital: Document Review.

2020 ◽  
Author(s):  
Wondwossen Amtataw Zerefa ◽  
Tesfaye Birhane Tegegne ◽  
Teka Yimer ◽  
Wolde Melese ◽  
Mogese Necho
Keyword(s):  
Peptic Ulcer ◽  
Peptic Ulcer Disease ◽  
Associated Factors ◽  
Perforated Peptic Ulcer ◽  
Referral Hospital ◽  
Ulcer Disease ◽  
North East ◽  
Operative Complications ◽  
Dessie Referral Hospital ◽  
Post Operative Complications

Abstract BackgroundPeptic ulcer disease is resulted from imbalances between aggressive factors such as stomach acid, pepsin and mucosa defense barriers. Potentially, associated with life-threatening complications, including bleeding, perforation, penetration, and obstruction. The magnitude and main reasons for this problem is not well known in north east Ethiopia specifically in Dessie referral hospital. ObjectiveTo determine outcomes and associated factors among patients admitted with perforated peptic ulcer disease at Dessie Referral Hospital.MethodsA retrospective cross sectional study was conducted in Dessie Referral Hospital by revising three years patient card registry data from June 1/ 2016 - May 30/2019 G.C and data were collected using data abstracting checklist. All patients for whom laparotomy were done for perforated peptic ulcer disease during the study period were included. After checking data for completeness entered and cleaned using Epi info version 7 and analyzed using SPSS version 25 and binary logistic regression model were used for testing the presence and strength of association. ResultA total of 101 patients were studied. Males outnumbered than females by a ratio of 19.2: 1. The mean age of patients (SD) was 36.05 (±16.56) years. Most perforations were located on the first part of duodenum 93 (92.1%). Among majority of respondents 98 (97%) had Graham’s omental patch of the perforations. There were fifty eight post-operative complications recorded in eighteen (17.8%) patients. Superficial surgical site infection (11.9%), wound dehiscence (6.9%), respiratory infections (14.9%), post-operative collections (7.9%), acute kidney injury (5%) and ECF (1%) complications were identified. Comorbidity [AOR: 9.6(1.451-62.432)], SBP<90mmHg [AOR: 4.82(1.292-17.803)] and age above 50 years [AOR: 6.05(1.612-22.601)] were significantly associated with post-operative complication of perforated peptic ulcer. Conclusion and recommendationComplication and mortality rates in this study were lower than other study findings. Advanced age, co-morbidities, late presentation and hypotension were most important factors affecting patient’s out come in perforated peptic ulcer disease. Referral system should be improved to early interventions for better outcome. Post-operative analgesic, chest physiotherapy and appropriate wound care may decrease post-operative complications of perforated peptic ulcer disease.

scholarly journals Treatment outcomes of Acute Appendicitis and associated factors among admitted patients with a diagnosis of Acute Abdomen in Debre Markos referral hospital, Amhara region, North West Ethiopia

2019 ◽  
Author(s):  
Abebe Dilie Afenigus ◽  
Agumas Mossie Bayieh ◽  
Berhanu Kassahun
Keyword(s):  
Treatment Outcome ◽  
Acute Appendicitis ◽  
Treatment Outcomes ◽  
Acute Abdomen ◽  
Associated Factors ◽  
Referral Hospital ◽  
Appendiceal Abscess ◽  
Debre Markos ◽  
Wbc Count ◽  
Time Of Presentation

Abstract Introduction- Acute abdomen is a sudden onset abdominal disease condition which often requires an immediate surgical intervention. Appendicitis is an inflammation of the vermiform appendix and is one of the most common causes of an acute abdomen in young adults. Appendicitis can cause severe periumbilical pain that radiates to the right lower quadrant, nausea, vomiting and anorexia. If left untreated, it can also cause appendiceal abscess, perforation and peritonitis. Objective - To assess treatment outcomes of Acute Appendicitis and associated factors among admitted patients with a diagnosis of acute abdomen in Debre Markos referral hospital from September 11/2018 to March 9/2019. Methods and materials - Institutional based cross sectional study was employed among 169 patients using a census sampling method. Data were collected from patient medical records, registration books and anesthesia charts available in the hospital by using checklist. Data was entered using Epi-data version 4.2 and analyzed by SPSS version 25 software. Logistic regression analysis was employed to describe the relationship between outcome and predictor variables. Results - Among 303 patients with a diagnosis acute abdomen, 169(55.7%) were developed acute appendicitis, of whom, 107(63.7%) were males and 62 (36.7%) were females. Among 169 patients who underwent appendectomy for treatment of acute appendicitis, 45(26.6%) of them were developed unfavorable treatment outcomes. The odds of unfavorable treatment outcomes for acute appendicitis was higher among patients who had elevated WBC count at the time of presentation [AOR=4.7; 95% CI (1.95, 11.35)] as compared with their counterparts. Similarly, those patients who had an intraoperative appendiceal abscess were more likely to have unfavorable treatment outcome for acute appendicitis [AOR= 3.8; 95% CI (1.61, 9.07)] as compared to those who didn’t have appendiceal abscess. Conclusion and recommendation- Nearly one-fourth of patients who underwent appendectomy for appendicitis treatment were developed unfavorable treatment outcomes. Elevated WBC count at the time of presentation and presence of intraoperative appendiceal abscess were the factors associated with unfavorable treatment outcome of acute appendicitis. Therefore, immediately evaluate patients having similar features with laboratory investigations is crucial.

scholarly journals Management outcome of intestinal obstruction done by integrated emergency surgical officers and its associated factors in selected district hospitals of South Wollo Zone, North East Ethiopia in 2019 G.C

2021 ◽  
Vol 5 (1) ◽  
pp. 025-031
Author(s):  
Ademe Sewunet ◽  
Edmealem Afework ◽  
Tegegne Belachew ◽  
Mengesha Zemen
Keyword(s):  
Intestinal Obstruction ◽  
Surgical Outcome ◽  
Associated Factors ◽  
Statistical Significance ◽  
Positive Association ◽  
P Value ◽  
Zone Method ◽  
North East ◽  
District Hospitals ◽  
Study Participants

Background: Intestinal obstruction (IO) is defined as a partial or complete blockage of the bowel that results in the failure of intestinal contents to pass through. It is a common cause of emergency surgical problems. IO has been the leading cause of acute abdomen in several African countries. Objective: To assess surgical management outcome of intestinal obstruction by IESO professionals and its associated factors of intestinal obstruction in surgically treated patients at South Wollo zone. Method: A cross-sectional study was done on 216 patients ‘the data was collected from medical cards of the patient by using a pretested data abstraction format. Three nurses were involved in the process of data collection. The collected data was cleaned, coded and analyzed by SPSS version 23 statistical package. First descriptive statics was done for categorical and analyzed using frequencies and percentage. Multivariable logistic regression models was used to determine the association factors on the management outcome of intestinal obstruction when p - value < 0.05 and the strength of statistical association was measured by adjusting odds ratio and 95% confidence interval. Statistical significance was taken at p - value < 0.05. Results: From all study participants about 177 (82%) of them had good surgical outcome. Study participants who were managed by 1-3 years of work experience of IESO {(p = 0.004, AOR (95% CI) = 7.2[1.89, 27.68]}, preoperatively diagnosed as small bowel obstruction {(p = 0.001, AOR (95% CI) = 4.5[1.91, 10.40], Surgery conducted at day time {(p = 0.03, AOR (95% CI) = 2.8[1.06, 7.16]} had shown positive association with management outcome of intestinal obstruction conducted by IESO professionals. Conclusion and recommendation: Majority patients with intestinal obstruction had good surgical outcome done by IESO professionals. Year of experience of IESO Workers, preoperative diagnosis and time of surgery of the respondents had shown positive association for the occurrence of chronic liver disease whereas. In this study we can conclude that surgeries of intestinal obstruction conducted by IESO professionals are as good as intestinal obstruction surgeries conducted by physicians so there is a need to train more IESO professionals to deliver decentralized surgical service for rural areas.

scholarly journals Treatment outcomes of Acute Appendicitis and associated factors among admitted patients with a diagnosis of Acute Abdomen in Debre Markos referral hospital, Amhara region, North West Ethiopia

2019 ◽  
Author(s):  
Abebe Dilie Afenigus ◽  
Agumas Mossie Bayieh ◽  
Berhanu Kassahun
Keyword(s):  
Treatment Outcome ◽  
Acute Appendicitis ◽  
Treatment Outcomes ◽  
Acute Abdomen ◽  
Associated Factors ◽  
Referral Hospital ◽  
Appendiceal Abscess ◽  
Debre Markos ◽  
Wbc Count ◽  
Time Of Presentation

Abstract Introduction- Acute abdomen is a sudden onset abdominal disease condition which often requires an immediate surgical intervention. Appendicitis is an inflammation of the vermiform appendix and is one of the most common causes of an acute abdomen in young adults. Appendicitis can cause severe periumbilical pain that radiates to the right lower quadrant, nausea, vomiting and anorexia. If left untreated, it can also cause appendiceal abscess, perforation and peritonitis. Objective - To assess treatment outcomes of Acute Appendicitis and associated factors among admitted patients with a diagnosis of acute abdomen in Debre Markos referral hospital from September 11/2018 to March 9/2019. Methods and materials - Institutional based cross sectional study was employed among 169 patients using a census sampling method. Data were collected from patient medical records, registration books and anesthesia charts available in the hospital by using checklist. Data was entered using Epi-data version 4.2 and analyzed by SPSS version 25 software. Logistic regression analysis was employed to describe the relationship between outcome and predictor variables. Results - Among 303 patients with a diagnosis acute abdomen, 169(55.7%) were developed acute appendicitis, of whom, 107(63.7%) were males and 62 (36.7%) were females. Among 169 patients who underwent appendectomy for treatment of acute appendicitis, 45(26.6%) of them were developed unfavorable treatment outcomes. The odds of unfavorable treatment outcomes for acute appendicitis was higher among patients who had elevated WBC count at the time of presentation [AOR=4.7; 95% CI (1.95, 11.35)] as compared with their counterparts. Similarly, those patients who had an intraoperative appendiceal abscess were more likely to have unfavorable treatment outcome for acute appendicitis [AOR= 3.8; 95% CI (1.61, 9.07)] as compared to those who didn’t have appendiceal abscess. Conclusion and recommendation- Nearly one-fourth of patients who underwent appendectomy for appendicitis treatment were developed unfavorable treatment outcomes. Elevated WBC count at the time of presentation and presence of intraoperative appendiceal abscess were the factors associated with unfavorable treatment outcome of acute appendicitis. Therefore, immediately evaluate patients having similar features with laboratory investigations is crucial.

Hernia interna estrangulada por plastrón en el tercio distal del apéndice cecal

2019 ◽  
Vol 62 (6) ◽  
pp. 24-27
Author(s):  
Leslie M. Leyva Sotelo ◽  
José E. Telich Tarriba ◽  
Daniel Ángeles Gaspar ◽  
Osvaldo I. Guevara Valmaña ◽  
André Víctor Baldín ◽  
...  
Keyword(s):  
Abdominal Pain ◽  
Small Bowel ◽  
Early Diagnosis ◽  
Intestinal Obstruction ◽  
Acute Abdomen ◽  
Internal Hernia ◽  
Wide Spectrum ◽  
Internal Hernias ◽  
Mild Abdominal Pain ◽  
Made In

Internal hernias are an infrequent cause of intestinal obstruction with an incidence of 0.2-0.9%, therefore their early diagnosis represents a challenge. The most frequently herniated organ is the small bowel, which results in a wide spectrum of symptoms, varying from mild abdominal pain to acute abdomen. We present the case of an eight-year old patient with nonspecific digestive symptoms, a transoperative diagnosis was made in which an internal hernia was found strangulated by plastron in the distal third of the appendix. Appendectomy was performed and four days later the patient was discharged without complications.

scholarly journals Magnitude of visual impairment and associated factors among patients attending ophthalmic clinics of Debre Markos referral hospital, north West Ethiopia

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Haimanot Abebe ◽  
Fasil Wagnew ◽  
Haymanot Zeleke ◽  
Bitew Tefera ◽  
Shegaw Tesfa ◽  
...  
Keyword(s):  
Visual Impairment ◽  
Associated Factors ◽  
Care Service ◽  
Referral Hospital ◽  
Multivariable Logistic Regression Analysis ◽  
North West ◽  
Rural Residency ◽  
North West Ethiopia ◽  
Debre Markos ◽  
Study Participants

Abstract Background Globally, visual impairment affects about 285 million (4.25%) people, of those, 266.4 million were adults aged 18 years and above. Ethiopia is one of developing countries estimated to have high prevalence of visual impairment which have an enormous socio-economic impact. Also there is limited available information regarding with the magnitude of visual impairment among adults in our country at large and east Gojjam zone in specific. Therefore the aim of this study was to assess the magnitude of visual impairment and its associated factors among patients attending Debre Markos Referral Hospital ophthalmic clinics in east Gojjam zone, North West Ethiopia. Methods An institutional-based cross-sectional study was conducted at Debre Markos Referral Hospital which is the only hospital in east gojjam zone with ophthalmic care service from March 1 to 30, 2020 by using systematic random sampling technique to select study participants after informed consent was obtained. Data were collected by interview with 5% pretested, structured questionnaire and ocular examinations. Data were cleaned, coded and entered to Epi-data version-3.1, and analyzed using Statistical Package for Social Science software version 26. The descriptive statistics was presented in tables, text and graphs. Bivariable and multivariable logistic regression analysis to identify factors associated with visual impairment was conducted. Covariates with P-value < 0.05 were considered statistically significant. Results A study was conducted among 312 study participants with 96% response rate. The magnitude of visual impairment was 114 (36.5%) [95% CI, (33.8, 39.2%)]. Age > 50 years [AOR = 3.82; 95% CI (1.56, 9.35)], rural residency [AOR = 4.33 95% CI (1.30, 14.44)], inability to read and write [AOR = 3.21; 95% CI (1.18, 8.73)] and Cataract [AOR = 4.48; 95% CI (1.91, 10.52)] were factors significantly associated with visual impairment. Conclusions The overall magnitude of visual impairment was found to be high. Older age, rural residency, inability to read and write and cataract were associated with visual impairment. Increasing literacy, expanded cataract surgery, as well as community based visual acuity screening especially for elders and rural residents is crucial. Zonal police makers should give emphasis on prevention of visual impairment to decrease economic, social and political burden of visual disability.

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