A review of stroke admissions at a tertiary hospital in rural Southwestern Nigeria

Introduction: Teething is a physiologic process that begins during infancy. However, some mothers often attribute certain symptoms to teething. In this study, we assessed the opinions and practices of mothers attending a tertiary health facility in Nigeria on teething. Methods: This was a cross-sectional, descriptive study conducted among caregivers of children presenting to the out-patient department of a tertiary hospital, Southwestern Nigeria. Results: Five hundred and sixteen mothers were studied. The leading symptoms attributed to teething were fever 420 (81.4%), reduced food intake / appetite 320 (62.0%), diarrhoea 314 (60.9%) and vomiting 294 (57.0%). Some believed that teething is associated with convulsion 102 (19.8%), mouth ulcers 69 (13.4%), ear discharge 68 (13.2%), and no symptoms 41 (7.9%). Majority of the mothers 374 (72.5%) believed that teething requires treatment. Two hundred and four (39.5%) mothers had given their children oral analgesics for teething while 194 (37.6%) administered teething mixtures. These medications were more likely to be prescribed at the hospital or purchased over the counter (p < 0.05). Other treatments given included herbal concoction 46 (8.9%), local tooth extraction 22 (4.3%), enema 17 (3.3%), body scarifications 14 (2.7%), gum fomentation 14 (2.7%) and gum incision 12 (2.3%). Responders who attributed convulsion to teething were more likely to have incised their children’s gums (p < 0.05). Conclusions: This study revealed that sundry symptoms were attributed to teething and harmful home interventions were done for teething. There is a need to educate the society on teething and discourage harmful practices for teething by caregivers.

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Profile of Children Admitted for Severe Acute Malnutrition in a Tertiary Hospital in Southwestern Nigeria

Journal of Nepal Paediatric Society ◽

10.3126/jnps.v39i1.21604 ◽

2019 ◽

Vol 39 (1) ◽

pp. 42-48

Author(s):

Adefunke Olarinre Babatola ◽

Oladele Simeon Olatunya ◽

Temitope Olumuyiwa Ojo ◽

Adekunle Bamidele Taiwo ◽

Joseph Olusesan Fadare

Keyword(s):

Severe Acute Malnutrition ◽

Tertiary Hospital ◽

Medical Advice ◽

University Teaching ◽

Acute Malnutrition ◽

Southwestern Nigeria ◽

Cross Sectional ◽

Against Medical Advice ◽

Presenting Symptoms ◽

Morbid Conditions

Introduction: This study assessed the socio-demographic profile, outcomes of treatment and challenges encountered in the management of children admitted for Severe Acute Malnutrition at the Paediatric Unit of a State University Teaching Hospital, Ado-Ekiti, Nigeria. Methods: A retrospective cross-sectional study was conducted. The records of twenty-five children with SAM admitted from March 2013-March 2018 were reviewed. SAM was defined according to the Wellcome Classification based on child’s weight and oedema status. Data on demographic characteristics, presenting symptoms, co-morbid conditions, duration of admission and outcome were extracted. Results: There were 13 (52.0%) males and 12 (48.0%) females. The median age of children with SAM was eight months. Eighteen children (72%) were marasmic, four (16%) had kwashiorkor while three (12%) had marasmic-kwashiorkor. Common presenting symptoms included poor weight gain (59.1%), fever (54.5%) and diarrhoea (36.4%). Majority (84.0%) of the patients had co-morbid conditions which included sepsis (66.7%), anaemia (37.5%), hypoglycaemia (16.7%) and hypothermia (16.7%). Twenty-one (84.0%) children were fully vaccinated for age, two (8.0%) had partial vaccination while two (8.0%) were never vaccinated. Only two (8.0%) had exclusive breastfeeding, 19 (76.0%) had mixed feeding from birth. Majority (60%) of the children had one or more social challenges such as teenage parents and financial constraints. Mean duration of admission was 4.56 days. Twelve (48.0%) left against medical advice, nine (36.0%) were discharged, one (4.0%) was referred to another tertiary facility and three (12.0%) deaths were recorded. Conclusions: Many of the children admitted for SAM in our study had social problems and almost half of them left the hospital against medical advice. Besides health problem, social factors may play more role in SAM.

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Childhood eye diseases in southwestern Nigeria: a tertiary hospital study

Clinics ◽

10.1590/s1807-59322009001000003 ◽

2009 ◽

Vol 64 (10) ◽

Cited By ~ 12

Author(s):

Oluwatoyin Helen Onakpoya ◽

Adenike Odunmorayo Adeoye

Keyword(s):

Tertiary Hospital ◽

Eye Diseases ◽

Southwestern Nigeria ◽

Hospital Study

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Facial Dog Bites in Southwestern Nigerian Children: An Analysis of Eight Cases

Tropical Doctor ◽

10.1177/004947550203200423 ◽

2002 ◽

Vol 32 (4) ◽

pp. 239-240 ◽

Cited By ~ 7

Author(s):

F O Oginni ◽

J A Akinwande ◽

O O Fagade ◽

G F Arole ◽

S A Odusanya

Keyword(s):

Financial Constraints ◽

Soft Tissue Injuries ◽

Tertiary Hospital ◽

Rabies Vaccine ◽

University Teaching ◽

Dog Bite ◽

Facial Soft Tissue ◽

Southwestern Nigeria ◽

Dog Bites ◽

Nigerian Children

This paper analyses the prevalence, pattern and treatment outcome of eight cases of facial dog bite in Nigerian children seen and managed at the Obafemi Awolowo University Teaching Hospital's Complex, a tertiary hospital located in Southwestern Nigeria. During the study period of 18 months (July 1996–December 1997), a total of 174 cases of facial soft tissue injuries in children were managed, two of which resulted in rabies and death of the patients. Based on the findings of this analysis, we suggest that unprovoked facial dog bites inflicted by familiar domestic dogs may be complicated by rabies. Ignorance about the risk of uncompleted treatment, financial constraints and scarcity of the vaccine may be implicated in the outcome. The need to improve community knowledge of rabies and the availability and affordability of rabies vaccine are highlighted.

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