scholarly journals An overview of skin disorders in under-fives over a ten-year period in a tertiary institution in South: South, Nigeria

Author(s):  
Ekechi S. Amadi ◽  
Maureen C. Maduagwu ◽  
Dabota Long-John

<p class="abstract"><strong>Background:</strong> Skin disorders can be a significant cause of distress to both children and their care-givers. The scope of prevalent skin disorders differ from one country to the other. Therefore an insight into the occurrence, patterns and distribution of skin disorders in a target group will be beneficial to inform care and provide support that is relevant to that target population. The aim of this study is to determine the skin problems prevalent amongst children that are five years and below managed at the University of Port Harcourt Teaching Hospital, Alakahia, Nigeria.</p><p class="abstract"><strong>Methods: </strong>This was a retrospective cross sectional study of children five years and below that visited the dermatology outpatient clinic at the University of Port Harcourt Teaching Hospital, Alakahia between the period of January 2006 and December 2015.</p><p class="abstract"><strong>Results:</strong> There was equal ratio of male to female patients with slight female preponderance. The eleven most common lesions were papular urticaria, atopic dermatitis, scabies, warts, vitiligo, molluscum contagiosum, tinea corporis, impetigo, seborrhoeic dermatitis, pityriasis rosea and tinea capitis.</p><p class="abstract"><strong>Conclusions: </strong>Skin disorders are common among children under five years. Allergic skin disorders, bacterial, viral and fungal skin infections, skin infestation (scabies) and pigmentary disorders (vitiligo) are major skin manifestations in this study.</p>

Author(s):  
L. E. Yaguo-Ide ◽  
G. K. Eke

Background: Globally, there has been a destruction of human lives, economies and health systems by the novel corona virus pandemic. Presently there is no known certain cure, although a number of vaccines have been proposed to prevent the corona virus disease 2019 (COVID-19) which was first seen as increasing number of pneumonia cases in Wuhan, China, with severe acute respiratory syndrome corona virus 2 (SARS-CoV-2) as the causative organism. Objectives: To screen paediatric patients for COVID-19 at the University of Port Harcourt Teaching Hospital and to know their pattern of presentation. Materials and Methods: Descriptive cross-sectional study, not controlled, over a period of six weeks, using interviewer administered structured questionnaire which was adapted and used at the Accident and Emergency Department for patients triaging as a COVID-19 Risk assessment tool. No action was required for a score of 0-7, while admission into COVID-19 holding area following review by IDU was recommended for a score 8 ≥17. All children brought into the department, requiring treatment were screened. Results: There were 131 patients, 74 (56.5%) males and 56 (42.7%) females, with a mean age 7.2 ± 5.41 years. Male: Female ratio was 1.3:1. Four children (3%) had a total score of ≥ 8, while half of them (n=2; 50%) tested positive for COVID-19, giving a disease prevalence of 1.5%. Both cases were females; fever and difficulty in breathing were the commonest symptoms. No mortality was recorded. Conclusions: COVID-19 prevalence is low in children, and they have a good outcome. A community-based study is recommended.


Author(s):  
Lucy E. Yaguo Ide ◽  
Balafama A. Alex-Hart

Background: Diarrhoea illnesses continue to cause major sickness and death in children in developing countries. They often occur simultaneously in association with other illnesses as comorbidities, especially in children under five years of age. There is a dearth of literature on these comorbidities. Objective: To evaluate the pattern of diarrhoea and associated comorbidities in children with diarrhoea diseases at the University of Port Harcourt Teaching Hospital, Nigeria. Methods: This was a descriptive, retrospective cross sectional study carried out in the Department of Paediatrics, University of Port Harcourt Teaching Hospital, between January 2011 to December 2014. The case notes of all children with diarrhoea who presented to the Diarrhoea Training Unit (DTU) and children’s emergency ward were retrieved and studied. Information sought included the biodata, type of diarrhoea, presence and level of dehydration, year and month of presentation, outcome of illness and comorbidities. Results: There were 394 subjects, males were 215(54.6%), females 179(45.4%). Their ages ranged from 1 month to 168 months, mean age 17.1±2.8 months. Acute watery diarrhoea was the most common type 321 (81.47%), followed by dysentery 47 (11.93%). Two hundred and thirty nine (60.7%) patients had no dehydration, 37 (9.46%) mild dehydration, 107 (27.2%) moderate dehydration and 11 (2.8%) severe dehydration. Malaria was the most common comorbidity 66 (16.8%), followed by tonsillitis 65(16%) and pneumonia 45 (11.4%). Two hundred and eighteen (55.3%) were discharged following treatment and 14 (3.6%) died. Conclusion: The commonest type of diarrhoea found was acute watery diarrhoea and malaria was the most frequent comorbidity found.


Author(s):  
Yaguo Ide, Lucy Eberechukwu ◽  
Shorinwa Olusayo Aderonke

To determine mother’s perception and management of fever in their children. It was a descriptive cross-sectional study, carried out at the children outpatient clinic of the department of Paediatrics, University of Port Harcourt Teaching Hospital, over a one-year period, January to December, 2012. Every mother who presented with her child to the children outpatient clinic was recruited and interviewed using a structured questionnaire after obtaining written informed consent, as they presented their children to the children outpatient clinic of the University of Port Harcourt Teaching Hospital until   we recruited 324mothers, whose children aged between 0-16 years into the study.  A little over half of these mothers had completed secondary education. The thermometer was used by 209(64.50%) mothers and the preferred route was by mouth 135(41.67%). 175(54.01%) mothers  reported temperature <35ºC as fever. 49.07% of the mothers were worried about the consequences of the fever.  43(13.3%) would give paracetamol. 24(7.4%) would tepid sponge. 15(4.6%) would give a cold bath. 6(1.9%) expose the child to air with reduced clothing. 4(1.2%), wrap the child with warm and thick cloth. 2(0.6%) gave antibiotics. 11 (3.4%) gave antimalaria.  6(1.9%) gave teething drugs. 1 (0.3%) gave nothing. Most mothers got their information on knowledge of fever management from doctors and nurses-164(50.62%). Paracetamol was the most commonly used drug by mothers for the treatment of fever at home-217 (67%). 87(26.852%) would take the child to hospital if fever persisted. This study found a significant association between using physical methods such as giving cold bath to reduce fever, and tepid sponging to reduce fever with no formal education P < 0.0001 and P< 0.0165 respectively. Data was analyzed using Epi-info version 7. Mothers awareness of fever in Port Harcourt is low and Paracetamol is commonly given to children with fever.


2016 ◽  
Vol 12 (21) ◽  
pp. 197
Author(s):  
Patrice Emmanuel Awono Ateba ◽  
Justin Ndié ◽  
Julienne Louise Ngo Likeng ◽  
Benjamin Alexandre Nkoum

Nowadays, strokes constitute a real public health problem in the world. In Cameroon, because of the people’s lifestyle potential risk factor, the prevalence of hemorrhagic strokes as well as its mortality is on the rise. This study was aimed at analyzing the evolutionary profile of hemorrhagic strokes at the General Hospital and the University Teaching Hospital in Yaoundé. A retrospective cross-sectional study with a qualitative component was carried out at the General Hospital and the University Teaching Hospital in Yaoundé for 2 months. Were included, all patients with a diagnosis of hemorrhagic strokes confirmed by CT Scan. With the help of a scale, patient data over a 30 month’s period (2013-2015) were collected. Over 1037 patients hospitalized in intensive care unit at the General Hospital and the University Teaching Hospital in Yaoundé, 122 cases of hemorrhagic strokes were diagnosed, that is a prevalence of 11.8%. The average age was 58±10.52 and the most vulnerable age range was between 50 and 70 years with 67.2%. Men were most affected (60.7%) with a sex ratio of 1.54(74 men/48 women). Among these cases of hemorrhagic strokes still hospitalized, 70 had died giving a lethality rate of 57.4%. Only the duration of hospitalization had an effect on the outcome of patients with hemorrhagic strokes. Actually the patients, victims of hemorrhagic strokes who had had less than 21 days of hospitalization, had 2.91 chances of dying as compared to those patients hospitalized for over 21 days (OR=2.91 IC 95% [5.1-65.7]; p=0.000). The late admission to reanimation, the difficulties encountered by victims of hemorrhagic strokes and their careers, to handle the enormous cost of their treatment and the insufficiencies of the technical platform, were factors also influencing the evolution of hemorrhagic strokes hospitalized in reanimation at the General Hospital and the University Teaching Hospital in Yaoundé. Despite certain efforts aimed at reducing premature mortality, the prevalence of hemorrhagic strokes was increasing in reanimation at the General Hospital and University Teaching Hospital in Yaoundé. Only multisectorial actions of sensitization, the restructuring and amelioration of the care of this ailment will help reverse the evolutionary trend.


Author(s):  
Uju S. Azubogu ◽  
Inumanye Ojule

Aims: To determine the prevalence and types of skin diseases seen among children attending the Children’s Outpatient Clinic of the University of Port Harcourt Teaching Hospital (UPTH). Study Design:  A descriptive Cross sectional study design was used. Place and Duration of Study: The study was conducted in the Children’s Outpatient Clinic of the University of Port Harcourt Teaching Hospital from June to August 2020 (3 months). Method: It involved 370 children aged less than 18 years.  A semi structured interviewer-administered questionnaire was used to obtain all relevant data. This was followed by dermatological examination of the children to make diagnosis of skin diseases. Laboratory confirmation was carried out where necessary. Results: The study participants consisted of 370 children aged 1 month to 17 years with a mean age of 8.4±5.9 years. The male to female ratio was 0.9:1 and the overall prevalence of skin diseases among the children studied was 23.7%. The three most common aetiologic categories of skin diseases seen were:  Infective (13.5%), Inflammatory (5.7%) and infestations (3.5%). The five most common skin diseases identified included: Impetigo (4.1%), Scabies (3.5%), Atopic dermatitis (3.0%), Tinea capitis (2.7%) and Pityriasis versicolor (2.4%). Conclusion: Skin diseases are common among children attending the children’s outpatient clinic in our hospital with Infective skin diseases predominating. Greater efforts need to be put into the treatment, prevention and control of these skin diseases in order to limit morbidity and mortality.


2020 ◽  
Author(s):  
Rezarta Lalo ◽  
Gjergji Theodhosi ◽  
Alberta Breshanaj

Abstract Previous researchers have found that young university students can have a high level of knowledge about HIV/AIDS (Human Immunodeficiency Virus/Acquired Immunodeficiency Syndrome), but they are still not utilizing the existing HIV prevention methods. There is therefore a need to determine which factors and barriers influence the use of existing HIV screening and prevention methods among students of the University of Vlora in Albania. This descriptive cross-sectional study included as a target population 710 students, randomly selected. A structured, self-administered questionnaire was used for data collection. A regression analysis was used to assess the relationship between variables. The results showed that 69% of the students felt ofended if their partner requested to use a condom. 78% of the students with sexual experience didn’t used Voluntary Counseling and Testing services. The fear of stigmatization was one of the barriers to VCT uptake (p<0.0001, OR=1.779). These data will be useful in designing and improving HIV/AIDS prevention programs in Albania. Key words: Barriers, Health beliefs, HIV/AIDS, Screening, Sexual Health, Student.


2020 ◽  
Vol 5 (2) ◽  
pp. 1
Author(s):  
Obed Kwaku Duah Asumadu ◽  
Sandra Esi Effrim ◽  
Beatrice Ennin ◽  
Angela Owusuah Amoabeng ◽  
Rosina Darcha ◽  
...  

Purpose: The aim of this study was to assess preconception knowledge and practices and its effect on birth outcomes among puerperal women in the Tamale Teaching Hospital.Methodology: The study employed analytic cross-sectional study design with a quantitative approach. A semi-structured questionnaire was used where questions on knowledge of preconception were adopted from Southampton Women’s Survey, 2006. Puerperal women in the postnatal unit of the Tamale Teaching Hospital, who were yet to be discharged, including referred cases, were selected as target population for this study. The exclusion criteria were women who have never delivered and menopausal women. The sample size was 363 puerperal women. Purposive sampling method was used to attain the required sample. Data was analyzed using SPSS version 25. In the analyses, a p-value<0.05 was considered statistically significant when variables were cross-tabulated.Findings: The results of the study revealed a high proportion of puerperal women 161 (44.3%) were above 30 years. The mean age was 30.56±6.44 years. The study found that 37.2% women had knowledge on preconception care. There was a significant association between folic acid intake and postpartum haemorrhage (r=-0.183, p<0.0001). There was no statistical association between birth outcomes and concurrent loss of pregnancy and number of pregnancies lost except for birth weight (r=0.202, p=0.000). Albeit preconception care knowledge was low among puerperal women, it significantly influenced postpartum haemorrhage and pregnancy induced hypertension but not antepartum hemorrhage and birth weight.Recommendation: At the community level the study recommended to the Ghana Health Service that a mother-to-mother support group be formed among women in their reproductive age and this could help encourage one another to discuss about their health before pregnancy and share success stories on birth outcomes and report to the facility in case of any problems.


2021 ◽  
Vol 15 (9) ◽  
pp. 2399-2400
Author(s):  
Aisha Malik ◽  
Syed Atif Hasnain Kazmi

Background: Alopecia areata (AA) is a wide spread and chronic skin condition of unknown origin. It affects the patient's quality of life. This study was designed to assess the perception of the disease in patients with AA. Aim: To determine the belief, perception and knowledge among alopecia areata patients visiting the university of Lahore teaching hospital. Study design: Descriptive cross-sectional study. Place and duration of study: Dermatology OPD, University of Lahore Teaching Hospital Lahore from September 2019 to February 2020. Methodology: This was a description cross-sectional study from September 2019 to February, 2020 and carried out in Out- Patient Department of Dermatology at University of Lahore Teaching Hospital. The study included all the patients in the age range of 20 to 42 years of age with patchy alopecia. The duration of the study was six months, total participants were 67. A questionnaire was designed for the collection of data in the data base, such as age and gender, the onset of the disease, level of education, and is based on the knowledge, beliefs and behaviors regarding alopecia areata. The data was analyzed by using the version SPSS 25. Results: Result shows that mean age of the participant’s was 29.5±4. About 77.6 participants were married and 23.4 were unmarried. The 85.6% participants of study give yes response that alopecia areata affected the people result showed 38% considered it a serious health issue. The 76.1% participants of study give yes response that alopecia areata participants have serious financial problem. About causative factors, almost half (28%) of the participants believed that germs and viruses causes Alopecia Areata. Keywords: Alopecia areata (AA), Knowledge, Perception, Belief.


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