scholarly journals TRENDS AND CAUSES OF MORBIDITY IN PART OF CHILDREN IN THE CITY OF SANA'A, YEMEN 1978-2018: FINDINGS OF SINGLE CHILDREN'S HEALTH CENTER

2021 ◽  
Author(s):  
Hassan A. Al-Shamahy ◽  
Abdulrahman A. Ishak
Keyword(s):  
Risk Factors ◽  
Health Center ◽  
Peer Review ◽  
Respiratory Diseases ◽  
Skin Diseases ◽  
Intestinal Parasites ◽  
Gastrointestinal Diseases ◽  
P Value ◽  
The Past ◽  
Tract Infections

Background and aims: Yemen has made notable progress in dropping child mortality over the past four decades. In spite of this, due to political instability and the foreign aggression on the country in the past ten years, the incidence of diseases and deaths escalated. The mortality rate of children under the age of 5 in Yemen is still high compared to many low and middle countries (LMIC). Alternatively, patterns and causes of child morbidity in Yemen have not been well inspected. The aim of this study was to investigate the trend of morbidity and causes of disease among children ≤16 years old in Sana'a city, Yemen from 1978 to 2018 based on data from a single child health center. Subjects and methods: Data was collected from a private children Health Center in Sana'a. Data collection and analysis was performed for 4 months starting from 15/6/2020 and ending on 9/26/2020. The records included clinical and laboratory investigations for children who visited the out-patient clinic of the medical center. The study included 8,861 clinical diagnosed cases, 4,833 males and 4,028 females, between the ages of less than one year and 16 years. The frequency distribution of the different variables and the ratios of cases containing data on these variables were analyzed and their significance (P-value) was calculated using Chi-squared "N-1" test. Results: Between 1978 and 2018, respiratory diseases were the most common accounting for 44.3% of the total causes, followed by gastrointestinal diseases (30.3%), and other diseases such as skin diseases, nutritional disorders, and urinary tract infections by 5.2%, 3.9% and 3.9 % respectively. In addition, central nervous system diseases (CNS) (3.1%), hematology (1.7%), and heart disease (1.33%) were rare childhood diseases.  Conclusions: Respiratory diseases and gastrointestinal diseases remain among the main causes of children's diseases in Sana'a, Yemen. These findings call for better newborn and child recovery and survival interventions that focus on the key factors that lead to childhood disease.         Peer Review History: Received 6 November  2020; Revised 25 Decembe; Accepted 4 January, Available online 15 January 2021 UJPR follows the most transparent and toughest ‘Advanced OPEN peer review’ system. The identity of the authors and, reviewers will be known to each other. This transparent process will help to eradicate any possible malicious/purposeful interference by any person (publishing staff, reviewer, editor, author, etc) during peer review. As a result of this unique system, all reviewers will get their due recognition and respect, once their names are published in the papers. We expect that, by publishing peer review reports with published papers, will be helpful to many authors for drafting their article according to the specifications. Auhors will remove any error of their article and they will improve their article(s) according to the previous reports displayed with published article(s). The main purpose of it is ‘to improve the quality of a candidate manuscript’. Our reviewers check the ‘strength and weakness of a manuscript honestly’. There will increase in the perfection, and transparency. Received file:                           Comments of reviewer(s):         Average Peer review marks at initial stage: 6.5/10 Average Peer review marks at publication stage: 8.0/10 Reviewer(s) detail: Dr. Ali Awad Allah Ali Moh. Saeed, National University, Sudan, [email protected] Dr. Gulam Mohammed Husain, National Research Institute of Unani Medicine for Skin Disorders, Hyderabad, India, [email protected] Dr. Sunita Singh, Baylor College of Medicine, Houston, Texas, USA, [email protected] Similar Articles: DISTRIBUTION AND RISK FACTORS FOR GIARDIA LAMBLIA AMONG CHILDREN AT AMRAN GOVERNORATE, YEMEN COCCIDIAN INTESTINAL PARASITES AMONG CHILDREN IN AL-TORBAH CITY IN YEMEN: IN COUNTRY WITH HIGH INCIDENCE OF MALNUTRITION PREVALENCE AND POTENTIAL RISK FACTORS OF HEPATITIS B VIRUS IN A SAMPLE OF CHILDREN IN TWO SELECTED AREAS IN YEMEN

scholarly journals RETROSPECTIVE EPIDEMIOLOGIC STUDY OF DISEASES IN RUMINANTS IN KHAGRACHARI HILL TRACT DISTRICT OF BANGLADESH

2013 ◽  
Vol 9 (2) ◽  
pp. 145-153 ◽  
Author(s):  
MH Ali ◽  
MKJ Bhuiyan ◽  
MM Alam
Keyword(s):  
Respiratory Diseases ◽  
Skin Diseases ◽  
Epidemiologic Study ◽  
Gastrointestinal Diseases ◽  
Lower Percentage ◽  
Age Group ◽  
Animal Diseases ◽  
Worm Infestation ◽  
High Prevalence ◽  
Veterinary Hospital

A retrospective epidemiologic study of animal diseases was undertaken at Khagrachari Sadar Veterinary Hospital during January, 2006 to December, 2010 to determine prevalence and distribution of animal diseases. According to the diseases register, a total of 3988 sick animals were examined and 53 types of diseases were identified during this period. The commonly found various diseases were worm infestation (51.5%), pneumonia and pneumonitis (7.9%), ephemeral fever (3.7%), enteritis (3.4%), mastitis(3.2%), mange (3.2%), indigestion (2.8%), anestrous(2.6%). Rest of the diseases had lower percentage than 2%. Out of 3988 sick animals, 74.7% were female and 25.3 % were male animals. Animals aged between 2-5 (A1) years had high prevalence (54.0%) and it was low in age group 8-10 years (A4), 2.4%. Prevalence of diseases was high (42.3%) in rainy season (June-October) followed by (32.5%) in winter (November-February) and lowest (25.2%) in summer season (March-May). Gastrointestinal diseases 61.6 % (2458 cases) was seen highly prevalent among all groups of animals which was followed by infectious diseases 10.4% (416 cases), skin diseases 9.4 % (377 cases), respiratory diseases 8.27% (330 cases) and reproductive diseases 7.93% (cases). This study suggests that for a period of 15 years or more will help to identify the risk factors of diseases in this area.DOI: http://dx.doi.org/10.3329/bjvm.v9i2.13457

scholarly journals Asymptomatic Intestinal Parasitic Infestations among Children Under Five Years in Selected Communities in the Ho Municipality, Ghana

2020 ◽  
Vol 30 (6) ◽  
Author(s):  
G.E. Kpene ◽  
S.Y. Lokpo ◽  
J.G. Deku ◽  
E. Agboli ◽  
P.K. Owiafe
Keyword(s):  
Risk Factors ◽  
Rural Communities ◽  
Intestinal Parasites ◽  
P Value ◽  
Binary Logistic Regression Analysis ◽  
Children Under Five ◽  
Under Five ◽  
Factors Associated ◽  
Asymptomatic Children ◽  
Children Under 5

BACKGROUND፡ The study investigated intestinal parasitic infestations (IPIs) and possible risk factors associated with asymptomatic children under five (5) years in five (5) selected communities in the Ho Municipality.METHODS: The study design was cross- sectional, with a simple random sampling technique involving 150 asymptomatic children under 5 years from 5 selected communities (Klave, Hoe, Freetown, Dave and Godokpe) in the Ho Municipality. A questionnaire was used to obtain socio-demographics and other relevant parameters. Direct wet preparation, formol-ether concentration and Modified ZN staining techniques were used for the identification of intestinal parasites from participants’ stool samples. The Fisher’s exact test and binary logistic regression analysis were used to determine the difference in IPIs proportions and assess the risk factors associated with IPIs respectively.RESULTS: The overall IPIs cases was 14% (21/150). Cryptosporidium spp was most predominant [5.3% (8/150)], followed by Entamoeba spp [3.3% (5/150)], Cyclospora cayetenensis [2.7% (4/150)], Ascaris lumbricoides [1.3% (2/150)], Giardia lamblia [0.7% (1/150)] and Strongyloides stercoralis [0.7% (1/150)]. Children in rural communities (23.4%) recorded significantly higher case rate compared to those in urban communities (9.8%0), (p=0.04). Lower educational attainment of mother [OR=0.55, 95% CI (0.37 – 0.83), p-value = 0.015] andresidence in rural communities [OR = 0.53, 95% CI (0.33 –0.88)], p-value = 0.025] were significantly associated with IPIs.CONCLUSION: Asymptomatic IPIs are quite prevalent among children under 5 years in the Ho Municipality. The study thus recommends active sensitization programs for parents/guardians on preventive measures and school health programs should be instituted in rural communities.

scholarly journals DISTRIBUTION AND RISK FACTORS FOR GIARDIA LAMBLIA AMONG CHILDREN AT AMRAN GOVERNORATE, YEMEN

2020 ◽  
Author(s):  
Mohammed Ali Alshahethi ◽  
Wadhah Hassan Edrees ◽  
Nabil Mohammed Mogalli ◽  
Ali Ahmed Al-Halani ◽  
Wadee Abdullah Al-Shehari ◽  
...  
Keyword(s):  
Risk Factors ◽  
Peer Review ◽  
Rural Areas ◽  
Giardia Lamblia ◽  
Urban Areas ◽  
Primary Schools ◽  
Intestinal Parasites ◽  
Public Health Problem ◽  
Personal Hygiene ◽  
E Mail

Objective: The widespread prevalence of Giardiasis is a public health problem worldwide, and it is also common among Yemeni children. Hence, this work aims to identify the prevalent Giardia lamblia infection and risk factors among children admitted to health care centers in Amran governorate in Yemen. Methods: Three hundred and thirty-four stool samples were collected from infected children between March and July 2019 and the parasite is identified by light-microscope according to standard parasitology methods. Also, relevant data was obtained using a designed questionnaire. Results: The results showed that 181 cases (54.2%) were infected with G. lamblia infection. 57.5% of the infected children were from urban areas, while 42.5% of the cases were from rural areas. The highest incidence of G. lamblia was 60.3% among males compared to 47.5% among females. The results for age, residents and male children aged 8-14 years in both urban and rural areas recorded the highest prevalence of G. lamblia infection while the lowest was among females between 1 and 7 years and 8-14 years old, respectively, in the rural and urban area. Conclusion: In conclusion, as described in this work, multisectoral efforts are needed that include hygiene practices, personal hygiene habits, the provision of safe drinking water and the provision of sanitation systems to efficiently reduce this infection from all governorates of Yemen. Peer Review History: Received 22 May 2020; Revised 14 June; Accepted 3 July, Available online 15 July 2020 UJPR follows the most transparent and toughest ‘Advanced OPEN peer review’ system. The identity of the authors and, reviewers will be known to each other. This transparent process will help to eradicate any possible malicious/purposeful interference by any person (publishing staff, reviewer, editor, author, etc) during peer review. As a result of this unique system, all reviewers will get their due recognition and respect, once their names are published in the papers. We expect that, by publishing peer review reports with published papers, will be helpful to many authors for drafting their article according to the specifications. Auhors will remove any error of their article and they will improve their article(s) according to the previous reports displayed with published article(s). The main purpose of it is ‘to improve the quality of a candidate manuscript’. Our reviewers check the ‘strength and weakness of a manuscript honestly’. There will increase in the perfection, and transparency. Received file Average Peer review marks at initial stage: 6.0/10 Average Peer review marks at publication stage: 7.5/10 Reviewer(s) detail: Name: Prof. Dr. Hassan A.H. Al-Shamahy Affiliation: Sana'a University, Yemen E-mail: [email protected]   Name: Dr. Mahmoud S. Abdallah Affiliation: University of Sadat city, Egypt E-mail: [email protected]   Comments of reviewer(s): Similar Articles: PREVALENCE OF MALOCCLUSION AMONG YEMENI CHILDREN OF PRIMARY SCHOOLS COCCIDIAN INTESTINAL PARASITES AMONG CHILDREN IN AL-TORBAH CITY IN YEMEN: IN COUNTRY WITH HIGH INCIDENCE OF MALNUTRITION OCCLUSAL CHARACTERISTICS OF THE PRIMARY DENTITION AMONG A SAMPLE OF YEMENI PRE-SCHOOL CHILDREN EVALUATION OF THE IMMUNE RESPONSE TO POLIO VACCINE IN MALNOURISHED CHILDREN IN SANA'A CITY

scholarly journals Risk factors responsible for lower respiratory tract infections in children aged under five: a hospital based study

2020 ◽  
Vol 7 (7) ◽  
pp. 1578
Author(s):  
Samrita Seth ◽  
Sristi Ganguly ◽  
Saroj K. Satpathy
Keyword(s):  
Risk Factors ◽  
Respiratory Tract ◽  
Lower Respiratory Tract ◽  
Respiratory Tract Infections ◽  
Treatment Modalities ◽  
P Value ◽  
Care Hospital ◽  
Lower Respiratory Tract Infections ◽  
Tract Infections ◽  
At Home

Background: Lower respiratory tract infections (LRTI) contribute significantly in terms of hospital admission and mortality. Along with attempts to improve treatment modalities, it is imperative to identify risk factors that will aid in prevention of these infections.Methods: This was a case-control study done in tertiary care hospital, Cuttack, enrolling inpatients between 2 months to 5 years with symptoms suggestive of LRTI as cases. Those with tuberculosis, aspiration pneumonia, asthma and nosocomial infections were excluded. After obtaining consent, questionnaire was administered to parents, regarding their socio-demographic and other relevant details. Data analysis was done using statistical software Epi Info™, version 6 and association of each variable with LRTI assessed with chi-square test.Results: A total of 314 children were enrolled in the study, with 158 being cases. The case-fatality rate was 23% and 53.8% suffered from complications, the most common being respiratory failure. A significant association was seen between LRTI and social variables namely maternal literacy(p-value<0.005), socioeconomic status (p-value<0.001) and number of children (p-value<0.001), housing pattern (p-value<0.001), fuel used at home (p-value=0.003), ventilation adequacy (p-value=0.004), presence of separate kitchen at home (p-value=0.0009) and presence of overcrowding (p-value<0.001) and individual factors improper breastfeeding(p-value<0.005) and weaning(p-value=0.03), malnutrition (p-value<0.001), vitamin A deficiency(p-value=0.03) and history of respiratory infection in mother (p-value=0.025) or siblings(p-value=0.048).Conclusions: The burden of lower respiratory tract infections can be substantially reduced by prevention using the identification of risk factors such as housing patterns, education of parents and improved nutrition of the children, and measures to combat the same, at each level.

scholarly journals Predictive Risk Factors of Urinary Tract Infection Following Semirigid Ureteroscopic Lithotripsy

2020 ◽  
Author(s):  
Mehmet Çağlar Çakıcı ◽  
Özgür Kazan ◽  
Ayberk İplikçi ◽  
Muhammet Çiçek ◽  
Özgür Efiloğlu ◽  
...  
Keyword(s):  
Risk Factors ◽  
Urinary Tract ◽  
Infectious Complications ◽  
Ureteral Stones ◽  
P Value ◽  
Ureteroscopic Lithotripsy ◽  
Increased Risk ◽  
Predictive Risk ◽  
Tract Infections ◽  
Residual Fragments

INTRODUCTION: The aim of this study is to determine the frequency and predictive factors of postoperative UTI in patients who underwent URS regarding ureteral stones. METHODS: Data from 425 patients undergoing semi-rigid ureteroscopic lithotripsy between December 2015 and December 2019 at a single center were reviewed to detect factors predicting postoperative urinary tract infections. RESULTS: Of the 425 patients, 35 were infective (8.2%). Proximal ureteral stones were the majority in infective group (48.5%); distal ureteral stones were the majority in non-infective group (42.6%)(p=0.026). Stone number and stone size were also higher in the postoperative infective group (p<0.05). UTI history and preoperative DJS insertion were higher in Group 1 (p <0.001, p = 0.001, respectively). Multivariate regression analyses revealed that history of UTI (OR=5.513, 95% CI; 2.622–11.591, p value <0.001) and presence of residual fragments (OR=4.274, 95% CI; 1.892–9.657, p value <0.001) were independent risk factors for infectious complications after URS. DISCUSSION AND CONCLUSION: Even if URS is considered an innocuous procedure, the probability of postoperative infectious complications is far from negligible. Our results showed that the presence of UTI history and residual fragments were associated with an increased risk of subsequent UTI after URS. These infectious complications also have significant morbidity, mortality and expenditure if not treated timely. Therefore, to avoid this preventable complication, all variables should be reviewed and more careful.

scholarly journals URINARY TRACT INFECTIONS IN POST OPERATIVE PATIENTS: PREVALENCE RATE, BACTERIAL PROFILE, ANTIBIOTIC SENSITIVITY AND SPECIFIC RISK FACTORS

2020 ◽  
Author(s):  
Abdulrahman Y. Al-Haifi ◽  
Abdul Salam Mohamed Al Makdad ◽  
Mohammed Kassim Salah ◽  
Hassan A. Al-Shamahy
Keyword(s):  
Risk Factors ◽  
Urinary Tract ◽  
Peer Review ◽  
Urinary Tract Infections ◽  
High Resistance ◽  
Prevalence Rate ◽  
Antibiotic Sensitivity ◽  
High Sensitivity ◽  
Tract Infections ◽  
E Mail

Background and objective: Urinary tract infections (UTIs) are the most common minor complication after operations, mostly due to bladder catheterization that used routinely during operations. This investigation seeks to determine prevalence rate, bacterial features, antibiotic sensitivity and risk factors for urinary tract infection in postoperative patients in tertiary hospitals in Sana’a, Yemen. Methods: This prospective analysis included 390 patients undergoing surgery between 2017 and 2018 at Al-Thawra Hospital. The study includes 258 male and 132 female between the ages 5 to 80 years. Clinical and demographic data and factors affecting UTIs were collected in the standard questionnaire, and the sample was obtained after catheter removal; or, in patients with a clinical indication of continuous catheterization, a sample was obtained after the replacement of a new catheter. The samples were cultured, examined for significant possible bacterial pathogens, isolated and identified by standard laboratory techniques, and microbial sensitivity testing was carried out by disc diffusion method. The operative characteristics associated with postoperative UTI were also analysis. Results: Postoperative UTI (POUTI) occurred in 144/390 (37%), and the predominant post-operative uropathogen was Escherichia coli (34%), followed by Pseudomonas aeruginosa 1(27%) and Staphylococcus coagulase negative (16.7%). In Gram-negative bacteria, high resistance to ampicillin (95%), nalidixic acid (63%), ceftriaxone (68%) and cotrimoxazole (55%) was recorded, while high sensitivity to amikacin (98%) and ciprofloxacin. (84%), cefotaxime (87%), gentamicin (87%) and imipenem (98%). In Gram-positive bacteria, high resistance to penicillin (90%), erythromycin (85%), and amoxicillin (78%) was recorded, while high sensitivity to aztreonam (94%), augmentin (83%),   ciprofloxacin (93%), cefotaxime (86%), gentamicin (85%), Rifampicin (100%) and vancomycin (97%).  The following characteristics are independently associated with postoperative UTI: female sex (OR 2.1, 95% CI 1.3–3.2), Rubber PTFE catheter (OR 4.7, 95% CI 1.99–11.4), longer duration of catheterization >10 days (OR 4.4, 95% CI 2.3–8.3), overweight (OR 1.7, 95% CI 1.1–2.9), and emergency surgery  (OR 1.9, 95% CI 1.2–3.0). Conclusions: POUTI remains an important problem in our hospitals and what complicates the situation is that all the causative microorganisms are MDR with few treatment options; and several risk factors were independently associated with POUTI. Peer Review History: Received 14 May 2020; Revised 15 June; Accepted 1 July, Available online 15 July 2020 UJPR follows the most transparent and toughest ‘Advanced OPEN peer review’ system. The identity of the authors and, reviewers will be known to each other. This transparent process will help to eradicate any possible malicious/purposeful interference by any person (publishing staff, reviewer, editor, author, etc) during peer review. As a result of this unique system, all reviewers will get their due recognition and respect, once their names are published in the papers. We expect that, by publishing peer review reports with published papers, will be helpful to many authors for drafting their article according to the specifications. Auhors will remove any error of their article and they will improve their article(s) according to the previous reports displayed with published article(s). The main purpose of it is ‘to improve the quality of a candidate manuscript’. Our reviewers check the ‘strength and weakness of a manuscript honestly’. There will increase in the perfection, and transparency. Received file Average Peer review marks at initial stage: 6.0/10 Average Peer review marks at publication stage: 8.0/10 Reviewer(s) detail: Name: Dr. Amany Mohamed Alboghdadly Affiliation: Princess Nourah bint abdulrahman university, Riyadh E-mail: [email protected]   Name: Dr. A.A. Mgbahurike Affiliation: University of Port Harcourt, Nigeria E-mail: [email protected]   Comments of reviewer(s): Similar Articles: A SHORT REVIEW OF URINARY SYMPTOMATOLOGY- GRECO ARAB MEDICINE BIOFILM FORMATION AND ANTIBIOTIC SUSCEPTIBILITY OF UROPATHOGENS IN PATIENTS WITH CATHETER ASSOCIATED URINARY TRACT INFECTIONS IN IBB CITY -YEMEN

scholarly journals Risk Factors For Dengue Hemorrhagic Fever (DHF) Cases In The Working Area Of Mamajang Health Center, Makassar City

2021 ◽  
Vol 1 (1) ◽  
pp. 13-21
Author(s):  
Kornelia Fini ◽  
Nur Hamdani Nur ◽  
Muharti Syamsul
Keyword(s):  
Risk Factors ◽  
Health Center ◽  
Dengue Hemorrhagic Fever ◽  
Hemorrhagic Fever ◽  
Case Control ◽  
P Value ◽  
Purposive Sampling

Penyakit Demam Berdarah Dengue (DBD) merupakan salah satu masalah kesehatan masyarakat yang utama di dunia. Sejak tahun 1968 jumlah kasusnya cenderung meningkat dan penyebarannya bertambah luas. Penelitian ini bertujuan untuk mengetahui faktor risiko kejadian DBD di Wilayah Kerja Puskesmas Mamajang Kota Makassar. Jenis penelitian yang digunakan adalah analitik observasional dengan desain “Case Control”. Jumlah sampel adalah 72 responden dengan 24 kasus dan 48 kontrol. Sampel dalam penelitian ini diambil dengan teknik purposive sampling. Data diperoleh dari hasil survei dengan menggunakan kuesioner dan dianalisis menggunakan uji chisquare. Hasil penelitian menunjukkan bahwa ada hubungan antara kebiasaan menggunakan kelambu dengan kejadian DBD (nilai p-value=0,032; OR=5,000), ada hubungan dengan penggunaan kawat kasa dengan kejadian DBD (p-value=0,010; OR=0,265), ada hubungan antara kebiasaan menggantung pakaian dengan kejadian DBD (p-value= 0,008; OR=0,252), dan tidak ada hubungan antara keberadaan barang bekas di sekitar rumah dengan kejadian DBD (p-value=0,256; OR=0,234). Peran serta masyarakat diharapkan dengan peduli lingkungan dan perilaku untuk meminimalisir kejadian DBD.

scholarly journals A five year retrospective analysis of common intestinal parasites at Poly Health Center, Gondar, Northwest Ethiopia

2019 ◽  
Author(s):  
Meseret Ayelgn ◽  
Ligabaw Worku ◽  
Getachew Ferede ◽  
Yitayih Wondimeneh
Keyword(s):  
Health Center ◽  
Giardia Lamblia ◽  
Intestinal Parasite ◽  
Intestinal Parasites ◽  
Age Groups ◽  
Northwest Ethiopia ◽  
P Value ◽  
Wet Mount ◽  
Parasite Infections ◽  
Stool Samples

Abstract Objective: Intestinal parasites are present throughout the world in varying degrees of prevalence due to many factors. The aim of this study was to determine the five-year trend prevalence of intestinal prevalence among patients who had been suspected for intestinal parasite infections. A retrospective study was conducted from 2009 to 2013 at Poly Health Center Gondar, Northwest Ethiopia. Samples were examined using direct saline wet mount methods. Statistical analysis was done using SPSS version 20 software and a P-value of < 0.05 was considered statistically significant. The results were presented in tables and graphs. Results: During the study period, a total of 13,329 stool samples were requested for intestinal parasite diagnose and 5510 (41.3%) laboratory-confirmed cases were reported with a fluctuating trend. Ten different parasites were reported in each year with Entamoeba histolytica/dispar (16.8%) being the predominant parasite followed by Giardia lamblia (11.4%) and Ascaris lumbricoides (6.7%). Both males (49%) and females (51%) were equally affected (P=0.14). The intestinal parasite was reported in all age groups in the area but the highest and the lowest prevalence were reported in age groups of 20-29 years and 40-49 years, respectively (26.5% vs 6.4%) (P < 0.001).

Recurrent Urinary Tract Infections

2020 ◽  
Author(s):  
Lauren N Siff
Keyword(s):  
Risk Factors ◽  
Urinary Tract ◽  
Antimicrobial Prophylaxis ◽  
Antimicrobial Treatment ◽  
Ct Urography ◽  
Recurrent Uti ◽  
The Past ◽  
Treatment And Prevention ◽  
Tract Infections ◽  
Work Up

One in three women has had at least one urinary tract infection (UTI) treated with antibiotics by the age of 24 years, and half of all women experience a UTI in their lifetime with one in four developing recurrence. Recurrent UTI is defined by two or more symptomatic infections in the past 6 months or three or more symptomatic infections in the past 12 months where each UTI follows a complete resolution of the previous UTI. This review describes the risk factors, diagnosis, work-up and treatment, and prevention of recurrent UTIs. Prevention strategies can be divided into antimicrobial and nonantimicrobial strategies. Nonantimicrobial prevention with behavioral changes, cranberry products, or probiotics did not significantly reduce the occurrence of symptomatic UTIs. Compared with placebo, oral estrogens did not reduce UTIs. However, vaginal estrogens do play a role in prevention of recurrence, particularly in postmenopausal women. There are three main strategies for antibiotic prevention: (1) low-dose daily antimicrobial prophylaxis, (2) postcoital antimicrobial prophylaxis, and (3) patient-initiated antimicrobial treatment. All of these strategies decrease infections during prophylaxis period.The choice of regimen should be based on susceptibilities and antibiotic allergy. This review contains 1 figure, 7 tables and 37 references. Keywords: antimicrobial prophylaxis, continuous antibiotics, CT urography, cystoscopy, postcoital prophylaxis, recurrent UTI, risk factors, self-directed therapy, treatment and diagnosis

scholarly journals Self-medication practice and associated factors among adults in Wolaita Soddo town, Southern Ethiopia

2021 ◽  
Vol 17 (1) ◽  
Author(s):  
Tamirat Mathewos ◽  
Kassa Daka ◽  
Shimelis Bitew ◽  
Deresse Daka
Keyword(s):  
Low Income ◽  
Associated Factors ◽  
Gastrointestinal Diseases ◽  
Southern Ethiopia ◽  
Health Seeking ◽  
Self Medication ◽  
Cross Sectional ◽  
Medication Practice ◽  
The Past ◽  
Tract Infections

Background: Self-medication is the selection and use of medicines by individuals to treat their self-recognized illnesses or symptoms. Self-medication can decrease costs and enable health professionals to concentrate on more serious health problems. Aim: To assess self-medication practice and associated factors among adults in Wolaita Soddo town, Southern Ethiopia, 2017. Methods: An institution-based cross-sectional study was conducted from September 30 to October 30, 2017. A multi-stage sampling technique of drug retail outlets in Wolaita Soddo town was employed to identify 623 individuals that came to buy drugs in the past three months. Data was collected using a structured questionnaire. Results: About 33.7% of the respondents had practiced self-medication in the past 3 months. Multivariate analysis revealed that female sex (adjusted odds ratio (AOR) = 2.22, 95% confidence interval (CI): 1.47–3.36), low income (AOR = 3.95, 95% CI: 2.32–6.73) and higher educational level (AOR = 5.79, 95% CI: 2.47–13.58) were the independent factors significantly affecting the practice of self-medication with drugs. Headache/fever (32.4%), respiratory tract infections (31.4%) and gastrointestinal diseases (16.2%) were the most frequently reported illnesses or symptoms of illnesses that prompted self-medication of study participants. Conclusion: Health education campaigns, strict legislations on dispensing drugs from private pharmacies, and improving accessibility and affordability of health care are among the important interventions required to change people’s health-seeking behavior and prevent the potential risks of self-medication.

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