scholarly journals Pattern of Blood Transfusion in the Special Care Baby Unit of Benue State University Teaching Hospital in Makurdi North-Central Nigeria

2021 ◽  
Vol 2 (1) ◽  
pp. 9-16
Author(s):  
M O Ochoga ◽  
E E Eseigbe ◽  
A M Onoja ◽  
M Aondoaseer ◽  
B N Samba ◽  
...  
Keyword(s):  
Blood Transfusion ◽  
Teaching Hospital ◽  
Neonatal Jaundice ◽  
Special Care ◽  
University Teaching ◽  
State University ◽  
Female Ratio ◽  
Exchange Blood Transfusion ◽  
Special Care Baby Unit ◽  
Male Female Ratio

Blood transfusion is a life-saving procedure in which whole blood or parts of blood are introduced into a patient's bloodstream intravenously. The need maybe due to physiological or pathological causes. The objective of this study was to document the pattern and indications for blood transfusion at the Special Care Baby Unit of the Benue State University Teaching Hospital (BSUTH), Makurdi. This study was a retrospective review of 126 neonates who received blood transfusion at the Special care baby unit of BSUTH from 1st January 2015 to 31st December 2019. Data was retrieved from patient's medical records and analyzed using IBM SPSS version 23. A total of 1142 neonates were admitted over the study period and 126 had blood transfusion giving a prevalence of 11.0%. Male/Female ratio of 1.57:1.Mean (±SD) Birth weight and gestational age (GA) were 2.23±0.82Kg and 35.48 ±3.95 weeks respectively. Exchange blood transfusion was the most frequent 53(42.1%) type of blood transfusion. The most common indications for blood transfusion were anaemia of prematurity, sepsis and severe neonatal jaundice. A hundred and twelve (88.9%) who received transfusion were discharged while 4(3.2%) died. The rate of blood transfusion was low, while severe neonatal jaundice and anaemia were the main indications for blood transfusion in this study. Exchange blood transfusion was the main type of transfusion.

scholarly journals Prevalence of exchange blood transfusion in severe hyperbilirubinaemia and outcome at the University of Maiduguri Teaching Hospital Maiduguri, Northeastern Nigeria

1970 ◽  
Vol 44 (2) ◽  
pp. 50-55
Author(s):  
S Pius ◽  
M Bello ◽  
Y Mava ◽  
S Djossi ◽  
JP Ambe
Keyword(s):  
Blood Transfusion ◽  
Teaching Hospital ◽  
Treatment Modality ◽  
Neonatal Jaundice ◽  
Special Care ◽  
Bilirubin Encephalopathy ◽  
Exchange Blood Transfusion ◽  
Abo Incompatibility ◽  
Special Care Baby Unit ◽  
The University

Background: Exchange blood transfusion (EBT) is carried out for the treatment of conditions presenting with severe hyperbilirubinaemia and anaemia, such as ABO incompatibility, sepsis, prematurity and birth trauma among others. While it is fast being abandoned as treatment modality for severe neonatal jaundice in the resource rich countries, it is still a backbone of treatment for severe neonatal jaundice in resource limited settings. Since such a study has not been done in this centre before now, we decided to study the positive effects of exchange blood transfusion in Maiduguri, North-Eastern Nigeria.Objective: To determine the prevalence, indications and outcome of exchange blood transfusion at the Special Care Baby Unit of the University of Maiduguri Teaching Hospital, Maiduguri.Methods: This is a retrospective study which examined the records of babies admitted into the SCBU between 1st January to December 31st 2014 with the aim of determining the prevalence of EBT at the Special Care Baby Unit (SCBU) of the University of Maiduguri Teaching Hospital (UMTH), Maiduguri.The indications for EBT and mortality among babies who had EBT are also highlighted.Results: A total of 639 babies with gestational ages between 30weeks to 42weeks were admitted into the Special Care Baby Unit (SCBU) over the period of 12 months. Of this number, 64 (10%) had neonatal jaundice. Thirty (46.9%) of the 64 neonates with NNJ had EBT, their pre- EBT, serum bilirubin (SB) level ranged from 15mg/dL to 28.5mg/ dL with mean of 21.5 ±13.0mg/dL, while the post EBT SB ranged from 3.0mg/dL to 11.3mg/dl with mean of 7.2±8.3mg/dL. The aetiological risk factors of severe hyperbilirubinaemia in the newborns who had EBT include ABO incompatibility 17(56.7%), sepsis 12 (40.0%), prematurity 10(33.3%). Out of 30 neonates had EBT, 25 (83.3%) survived and were discharged, 5(16.7%) died and 3 with bilirubin encephalopathy,1with severe perinatal asphyxia with hypoxic ischaemic encephalopathy stage II while the fifth death was a preterm extreme low birth weight.Conclusion: In our setting, the prevalence of exchange blood transfusion is high and this is because a large number of our patients had severe NNJ at presentation, some with bilirubin encephalopathy. Exchange blood transfusion remains one of the most reliable and effective treatment modality to prevent bilirubin encephalopathy especially in settings where babies are brought late to health facility. Effort at health education of the population at risk, especially pregnant women on early recognition and referral to appropriate health facility for prompt treatment to prevent severe NNJ and bilirubin encephalopathy is highlighted.

scholarly journals Prevalence and associated morbidities of preterm neonatal admissions at the University of Maiduguri Teaching Hospital, North-Eastern Nigeria

2020 ◽  
Vol 47 (3) ◽  
Author(s):  
B. Mustapha ◽  
P. Simon ◽  
B.I. Abdullahi ◽  
H.I. Abubakar
Keyword(s):  
Birth Weight ◽  
Low Birth Weight ◽  
Teaching Hospital ◽  
Special Care ◽  
Sub Saharan Africa ◽  
Female Ratio ◽  
Special Care Baby Unit ◽  
North Eastern ◽  
Preterm Babies ◽  
The University

Introduction: Preterm delivery is of considerable concern to clinicians and researchers being a leading cause of infant morbidity and mortality in the industrialized countries and also contributes to substantial complications among survivors. Sub-Saharan Africa, including Nigeria accounts for significant proportion of preterm births, with over million deaths due to complication of prematurity. Objectives: The study aimed to determine the prevalence and associated morbidities of preterm deliveries at the University of Maiduguri Teaching Hospital, Maiduguri, North-Eastern Nigeria. Patients and methods: This is a retrospective review of neonates delivered before 37 completed weeks of gestation and admitted into the Special Care Baby Unit (SCBU) of the University of Maiduguri Teaching Hospital, from 1st January 2008 to 31st December 2015. Results: There were 3435 admissions into the Special Care baby Unit (SCBU) during the 8 year period. Out of these 1129 were preterm babies giving a prevalence of 32.9%. Of the 1129 preterm babies managed in SCBU, 714 case records were retrieved and analyzed giving a retrieval rate of 63%. There were 372 (52.1%) males and 342 (47.9%) females; with the male to female ratio of 1:1.08. There were 17(2.3%) extreme low birth weight  (<1000g), 288 (40.3%) very low birth weight (1000-1499 g), 406 (56.9%) low birth weight (1500- 2499 g) babies. The range of admission weights was 700-2500g with mean of 1600±900g. Conclusion: The burden, complications and mortality from preterm newborns remain significant public health challenges to care givers in Nigeria. Key words : Prevalence, preterm babies, associated morbidities, Maiduguri 

scholarly journals Pattern of Injuries in Fatal Motorcycle Accidents Seen in Lagos State University Teaching Hospital: An Autopsy-Based Study

2017 ◽  
Vol 5 (2) ◽  
pp. 112-116 ◽  
Author(s):  
Francis Faduyile ◽  
Festus Emiogun ◽  
Sunday Soyemi ◽  
Olugbenga Oyewole ◽  
Uche Okeke ◽  
...  
Keyword(s):  
Teaching Hospital ◽  
Road Traffic ◽  
University Teaching ◽  
Public Health Issue ◽  
Craniocerebral Injury ◽  
State University ◽  
Female Ratio ◽  
Motorcycle Accident ◽  
Lagos State ◽  
Motorcycle Accidents

BACKGROUND: Deaths from motorcycle accident injuries have remained a major public health issue in Nigeria over the years.AIM: The study is to determine the age and gender distribution of the victims and to identify the cause of death and the anatomical pattern of injuries seen.METHODOLOGY: This is a 5-year autopsy-based study of all motorcycle accident deaths seen in Lagos State University Teaching Hospital between December 2009 and November 2014. The data were retrieved from autopsy reports, hospital case notes extracts from police diary and were analysed using SPSS version 20.RESULTS: Motorcycle accidents accounted for 156 (2.8%) of all the autopsies done (5,661), and 156 (18.4%) of all Road Traffic Accidents (RTA) autopsies (849) performed over the study period, with a male: female ratio of 6:1. The peak age of victims was 31-40 years (30.9%). Head injuries accounted for most (41.4%) of the injuries seen, and the majority of the victims died of craniocerebral injury 53 (50.7%).CONCLUSION: This study showed that males in the fourth decade of life are the major victims of motorcycle accident death. The majority of the victims were the rider of the motorcycle. Most of them died of the craniocerebral injury.

scholarly journals Prevalence, Risk Factors and Outcome of Perinatal Asphyxia in Newborns at Benue State University Teaching Hospital Makurdi

2021 ◽  
Vol 2 (1) ◽  
pp. 17-24
Author(s):  
M O Ochoga ◽  
E U Ejeliogu ◽  
A Michael ◽  
A O Ajeh ◽  
R O Abah ◽  
...  
Keyword(s):  
Risk Factors ◽  
Clinical Data ◽  
Teaching Hospital ◽  
Perinatal Asphyxia ◽  
University Teaching ◽  
Neurologic Complications ◽  
State University ◽  
Apgar Scores ◽  
Female Ratio ◽  
Birth Attendants

Perinatal asphyxia is a global neonatal problem, which significantly contributes to both neonatal morbidity and mortality. This study was therefore undertaken to determine the prevalence, risk factors and outcomes of perinatal asphyxia in Makurdi, Nigeria. A retrospective review of clinical data of all newborns managed at the Special Care Baby Unit of the Benue State University Teaching Hospital over a 5 year period (January 2015-December 2019) was carried out using the research clinical data form. Maternal information including biodata, obstetric history, perinatal events as well as neonates' presentation and outcomes were reviewed. All inborn neonates with Apgar scores <7 at 5 min or out-born neonates with no recorded Apgar scores but with history of poor cry/inability to cry at birth were classified as asphyxiated. Out of the 1142 neonates admitted during the study period, 127 neonates had perinatal asphyxia with prevalence of 11.1%. Eighty-four (66.1%) of the newborns were males, while 43(33.9%) were females with male to female ratio of 1.95:1 Majority of the newborns(89.1%) were managed and discharged without early neurologic complications; eight survived with early neurologic complications, eight were discharged against medical advice, while 7 newborns died, giving a case fatality rate of 5.5%.Risk factors significantly associated were Meconium-stained amniotic fluid(P=0.002) ,fetal presentation (P=0.030),and birth attendants (P=0.001). The burden of perinatal asphyxia still persists in our environment. Associated factors in this study were meconium-stained liquor and unskilled birth attendants. Hence pregnant women should be encouraged to attend antenatal care and should ensure skilled birth attendants attend delivery with capacity to conduct safe delivery and institute neonatal resuscitation when necessary.

scholarly journals Determinants of Successful Tuberculosis Treatment Outcome in a State University Teaching Hospital in South East, Nigeria: A 5 Year Retrospective Study

2019 ◽  
pp. 1-8
Author(s):  
Chinonyelu J. Orji ◽  
Onyinye H. Chime ◽  
Edmund N. Ossai
Keyword(s):  
Treatment Outcome ◽  
Teaching Hospital ◽  
Treatment Success ◽  
Tuberculosis Treatment ◽  
University Teaching ◽  
World Health ◽  
State University ◽  
Female Ratio ◽  
X Ray ◽  
Chest X Ray

Aim: The 2018 World Health Organization Global Tuberculosis Report enlisted Nigeria as one of the seven countries worldwide that accounted for 64% of all new cases of tuberculosis. The aim of this study was to assess the magnitude and determinants of tuberculosis treatment outcomes at a Tertiary Hospital in South East, Nigeria. Study Design: Retrospective cohort. Place and Duration: The Enugu State University Teaching Hospital Directly Observed Treatment Center, between April 2009 and March 2013. Methods: Completely filled data were extracted from tuberculosis treatment cards and registers of 445 clients (255 males, 190 females; age range 0-90 years) who assessed care at the DOTS clinic.  Tuberculosis treatment success outcome is defined as cured or completed TB treatment. Results: Of 445 registered patients, majority was males (57.3%), lived in urban areas (68.1%), and were newly diagnosed (97.8%). Of the 93.7% with pulmonary tuberculosis, 62% were smear negatives cases (62%). While the male to female ratio of the clients was 1.3:1, their mean age was 42 ± 16.7 years. About half (50.6%) had chest x-ray findings that were not diagnostic of Tuberculosis. While TB/HIV co-infection rate was 32.8%; 16% and 19.3% had commenced anti -retroviral and co-trimoxazole preventive treatment respectively. Treatment success was reported in 67.9% of all clients and was associated with being older than 14 year (AOR=12.0, 95% CI: 2.5 – 58.0) and having positive chest findings (AOR = 2.6, 95% CI: 0.3-0.6). Conclusions: The TB success rate in was 67.9% Being older than 14 years, having PTB and positive chest x ray findings were the predictors of good treatment outcome in this study. There is an urgent need to track and report the treatment outcome of patients who are lost to follow up since they constitute 20% of missed cases in this center.

scholarly journals Informed Consent For Anaesthesia: Are Our Patients Well Informed?

2019 ◽  
Vol 2 (1) ◽  
pp. 40-44
Author(s):  
H Y Embu ◽  
M G Yilkudi ◽  
S I Nuhu
Keyword(s):  
Informed Consent ◽  
Teaching Hospital ◽  
Postoperative Pain Management ◽  
University Teaching ◽  
Female Ratio ◽  
Male Female Ratio ◽  
The Right ◽  
The University ◽  
Junior Residents ◽  
Type Of Anaesthesia

Patients have the right to be properly informed about procedures to be undertaken on them so that they could make informed decisions. This study was done at the Jos University Teaching Hospital and the University of Abuja Teaching Hospital. Questionnaires on informed consent were administered postoperatively on patients who had undergone elective surgeries under various forms of anaesthesia. The questionnaires sought to find out how much information patients were given about their anaesthesia and how satisfied they were with the information given. 148 patients were interviewed. The mean age was 34.8±13.8 years and the male: female ratio was 1:1.8. Ninety-eight (66.22%) of the procedures were done under general anaesthesia and 50(33.78%) under regional anaesthesia. 104 (70.27%) were told about the type of anaesthesia to be used. Thirty-eight (25.68%) were not told of the possible side effects. Eighty-six (58.1%) understood the information given. 131(88.51%) believed it was necessary to be given information about the anaesthesia. Postoperative pain management was discussed with 10 (6.76%) of respondents. 104 (70.27%) expressed satisfaction with the information given. Information about anaesthesia was given by residents in anaesthesia in 62.16% of cases, by consultant anaesthetists in 8.78% cases, by surgeons in 10.81% of cases and by house officers and nurses in 14.19% of cases. Majority of patients would like information about their anaesthesia procedures but were inadequately informed. Consent for anaesthesia is often obtained by junior residents who have had little training in this aspect. Training on informed consent should be part of the residency program.

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