scholarly journals Mortality predictors of HIV-infected patients on antiretroviral therapy in Debre Tabor General Hospital and Woreta Health Center, South Gondar Zone, Northwest Ethiopia

2017 ◽  
Vol 7 (2) ◽  
pp. 99-105
Author(s):  
Mekonnen Assefa Ahunie ◽  
◽  
Endris Assen Ebrahim ◽  
2021 ◽  
Author(s):  
Solomon kebede Demis ◽  
Tigabu Munye ◽  
Biniam Munye

Abstract BackgroundNeonatal mortality is the death of newborn babies from the time of birth to 28 completed days of life which are the most vulnerable time for a child's survival. About one million of them passed away on their first day of life, and more than two thirds (38%) of the deaths were in sub-Saharan Africa where Ethiopia is one of the countries with the highest neonatal mortality in the world which accounts for 29 deaths per 1,000 live births.ObjectiveTo assess the prevalence and associated factors of neonatal mortality among neonates admitted in Debre Tabor General Hospital in South Gondar, Ethiopia.MethodsInstitutional based retrospective cross-sectional study design was conducted from November 1, 2018, up to January 30, 2019, in Debre Tabor General Hospital. A Structured interviewer-administered pre-tested questionnaire was used to collect data. The collected data were entered into Epi data version 4.2 and then exported into SPSS window version 24. Bivariate and multivariate analysis was undertaken and information was presented by using simple frequency tables, graphs, and pie charts.Resultthe prevalence of neonatal mortality was found to be 12.3%. Gestational age group 28–32 weeks (AOR = 9.5, 95% CI: 2.39–37.97), Gestational Age beyond 42 weeks (AOR = 4.6, 95% CI: 6.3–33.8), and forceps delivery (AOR = 0.18, 95% CI: 0.05–0.68) were found to be statistically significant.Conclusion and recommendationNeonatal mortality was higher than the national with independently associated factors of prematurity and post maturity while forceps delivery as a preventive factor. Therefore, this might be essential to the hospital NICU to plan for managing prematurity and post maturity in better quality as well as providing quality ANC and identifying most predisposing factors for prematurity.


2020 ◽  
Vol 8 ◽  
pp. 100056
Author(s):  
Alemayehu Digssie Gebermariam ◽  
Sofonyas Abebaw Tiruneh ◽  
Asnakew Achaw Ayele ◽  
Henok Getachew Tegegn ◽  
Belete Achamyelew Ayele ◽  
...  

2020 ◽  
Author(s):  
Mequanint Bezie Walelign ◽  
Tadesse Wuletaw Demissie ◽  
Abaynew Honelign Desalegn

Abstract Background: Surgical site infections are the commonest nosocomial infections and responsible for considerable morbidity and mortality as well as increased hospitalizations and treatment cost related to surgical operations. The aim of this study was to determine the magnitude and factors associated with surgical site infections at the surgical ward of Debre Tabor General Hospital, Northwest Ethiopia.Method: Institution based cross-sectional study was conducted on patients who underwent a surgical procedure at Debre Tabor General Hospital in 2020. The sample size was determined using the single population proportion formula. Data were entered and analyzed using SPSS version 21 software. Bivariate and multivariate logistic regressions analysis were employed. The odds ratio and its 95% confidence interval were taken to test the association between the dependent and independent variables. A P-value of less than 0.05 will be considered statistically significant.Result: In this study, a total of 191 patients have participated in the study yielding a response rate of 100%. The mean age of the respondents was 2.5 (SD ±0.68) years. The most age group 115(60.2%) resides at the age group greater than 40 years. More than one half(62.3) of the surgical clients were females. Most of the clients were farmers(32.5%) and unable to read and write(41.9) based on the occupation. The magnitude of surgical site infection in this study was found to be 11.5% (95% CI: 7.8%, 15.9%). The factors existence of comorbidity and antibiotic prophylaxis was given were found to be significantly associated with the magnitude of surgical site infection.Conclusion: The magnitude of surgical site infection in this study was high. Proper management of patients with co-morbidity especially those with diabetes mellitus, proper administration of anesthesia, and delivering intravenous antimicrobial prophylaxis before surgery as ordered would significantly reduce the incidence of surgical site infection.


2020 ◽  
Author(s):  
Solomon Kebede Demis ◽  
Tigabu Munye ◽  
Biniam Munye

Abstract Neonatal mortality is the death of newborn babies from the time of birth to 28 completed days of life which is the most vulnerable time for a child's survival. About one million of them passed away on their first day of life, and more than two thirds (38%) of the deaths were in sub-Saharan Africa where Ethiopia is one of the countries with the highest neonatal mortality in the world which accounts for 29 deaths per 1,000 live births. Objective: To assess the prevalence and associated factors of neonatal mortality among neonates admitted in Debre Tabor General Hospital in South Gondar, Ethiopia. Methods: Institutional based retrospective cross-sectional study design was conducted from November 1, 2018, up to January 30, 2019, in Debre Tabor General Hospital. A Structured interviewer-administered pre-tested questionnaire was used to collect data. The collected data were entered into Epi data version 4.2 and then exported into SPSS window version 24. Bivariate and multivariate analysis was undertaken and information was presented by using simple frequency tables, graphs, and pie charts. Result: the prevalence of neonatal mortality was found to be 12.3%. Gestational age group 28-32 weeks (AOR=9.5, 95% CI: 2.39-37.97), Gestational Age beyond 42 weeks (AOR=4.6, 95% CI: 6.3-33.8), and forceps delivery (AOR=0.18, 95% CI: 0.05-0.68) were found to be statistically significant. Conclusion and recommendation: Neonatal mortality was higher than the national with independently associated factors of prematurity and post maturity while forceps delivery as a preventive factor. Therefore, this might be essential to the hospital neonatal intensive care unit nurse to plan for managing prematurity and post maturity in better nursing care as well as providing quality ANC and identifying most predisposing factors for prematurity.


2020 ◽  
Author(s):  
Kassaw Wubnew Zerihun ◽  
Esmael Ali Muhammad ◽  
Gashaw Andargie Biks ◽  
Aysheshim Kassahun Belew ◽  
Melkamu Tamir Hunegnaw

Abstract Background: Diversified diet to improve better tolerates human immunodeficiency virus drugs, enhance antiretroviral therapy adherence and maintain a healthy weight to reduce mortality and morbidity. Therefore, the aim of this study was to assess dietary diversity and associated factors among adult human immunodeficiency virus positive patients who were on antiretroviral therapy at Debre Tabor Hospital northwest EthiopiaMethods: Institutional based cross-sectional study was conducted at Debre Tabor Hospital and participants selected by the systematic random sampling techniques. Data collection was done by using a structured interview questionnaire. Dietary diversity was computed from all food and drink list consumed in the 24 hours preceding the survey. A variable having p- value < 0.2 in the bivariate logistic regression was entered into the multivariable logistic regression, and independent variables having p-value < 0.05 was considered as significantly associated. Results: Of the total 341 adults on antiretroviral therapy 336 participants gave a complete response with a response rate of 98.50%. Among the participants 336 [32.4% (95% CI: 27.4, 37.1)] had adequate dietary diversity and 22.9% were BMI <18.5kg/m2. Government employment [AOR= 2.5; 95%CI: 1.28, 4.98) and diploma and above educational status [AOR=2.3; 95% CI: 1.01, 5.31) were factors for adequate dietary diversity. Conclusions: In this study the magnitude of adequate dietary diversity was low. Employment and educational status were significantly associated with dietary diversity among people living with HIV/AIDS. Hence, improving education status as well as income generation activities are highly recommended strategy to improve the dietary diversity of patients on antiretroviral therapy.


2016 ◽  
Vol 2016 ◽  
pp. 1-8 ◽  
Author(s):  
Addisu Melese ◽  
Balew Zeleke ◽  
Biniam Ewnete

Background. Assessing the outcomes of tuberculosis (TB) treatment is an important indicator for evaluation of the effectiveness of tuberculosis control programs. In Ethiopia, directly observed treatment short course (DOTS) was included in the national tuberculosis control program as a strategy but little is known about its effectiveness in the study area. Therefore, this study was aimed at assessing the treatment outcomes of TB patients and associated factors in Debre Tabor, northwest Ethiopia.Methods.A retrospective study was conducted among TB patients for the period from May 2008 to April 2013 at Debre Tabor Health Center, northwest Ethiopia. Data were entered and analyzed using SPSS version 20.0. Descriptive statistics were used to generate frequency tables and figures. Logistic regressions were used to identify factors associated with treatment outcomes atPvalue ≤ 0.05.Results.Out of 339 patients (197 males and 142 females) registered for antituberculosis treatment in Debre Tabor Health Center, only 303 patients were included in the treatment outcome analysis and 87.1% had successful treatment outcome while 12.9% had unsuccessful treatment outcome. In the multivariate logistic regression analysis, the odds of successful treatment outcome were higher among patients ≥45 years of age (AOR=3.807, 95% CI: 1.155–12.544) and lower among females (AOR=0.347, 95% CI: 0.132–0.917), rural residents (AOR=0.342, 95% CI: 0.118–0.986), and negative smear result at the second month of treatment (AOR=0.056, 95% CI: 0.005–0.577) as compared to their counterparts.Conclusion.The treatment outcome of all forms of tuberculosis patients in Debre Tabor health center was satisfactory as expected from effective implementation of DOTS. Although the observed successful treatment outcome was in agreement with the national target, follow-up of patients during the course of treatment to trace the treatment outcomes of transferred-out patients and assessment of other potential sociodemographic factors that could affect the treatment outcomes of TB patients were also recommended.


2020 ◽  
Author(s):  
Mequanint Bezie Walelign ◽  
Tadesse Wuletaw Demissie ◽  
Abaynew Honelign Dessalegn

Abstract Background: Surgical site infections are commonest nosocomial infections and responsible for considerable morbidity and mortality as well as increased hospitalizations and treatment cost related to surgical operations.Objective: The aim of this study was to determine the magnitude and factors associated with surgical site infections at surgical ward of Debre Tabor General Hospital, Northwest Ethiopia.Method: Institution based cross sectional study was conducted on patients who underwent a surgical procedure at Debre Tabor General Hospital in 2020. The sample size was determined using single population proportion formula. Data were entered and analyzed using SPSS version 21 software. Bivariate and multivariate logistic regressions analysis were employed. Odds ratio and its 95% confidence interval were taken to test the association between the dependent and independent variables. P-value of less than 0.05 will be considered as statistically significant. Result: In this study, a total of 191 patients have participated in the study yielding a response rate of 100%. The mean age of the respondents was 2.5 (SD ±0.68) years. The most age group 115(60.2%) resides at the age group greater than 40 years. More than one half(62.3) of the surgical clients were females. Most of the clients were farmers(32.5%) and un able to read and write(41.9) based on the occupation. The magnitude of surgical site infection in this study was found to be 11.5% (95% CI: 7.8%, 15.9%).The factors existance of comorbidity and antibiotic prophylaxis given were found to be significantly assoiated with magnitude of surgical site infection.Conclusion: The magnitude of surgical site infection in this study was high. Proper management of patients with co-morbidity especially those with diabetes mellitus, proper administration of anesthesia and delivering intravenous antimicrobial prophylaxis before surgery as ordered would significantly reduce the incidence of surgical site infection.


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