scholarly journals A cross-sectional descriptive study of breastfeeding behaviour and galactogogue use among private-sector patients in Cape Town, South Africa

2017 ◽  
Vol 23 (1) ◽  
pp. 20 ◽  
Author(s):  
N Steyn ◽  
M Zunza ◽  
E H Decloedt
Keyword(s):  
South Africa ◽  
Private Sector ◽  
Cape Town ◽  
Descriptive Study ◽  
Cross Sectional

scholarly journals TUBERCULOSIS

2009 ◽  
Vol 16 (01) ◽  
pp. 70-75
Author(s):  
ABDUL SALAM MALIK ◽  
GULZAR AHMAD
Keyword(s):  
Health Education ◽  
Private Sector ◽  
Descriptive Study ◽  
Electronic Media ◽  
Cross Sectional ◽  
Government Health ◽  
Physician Advice ◽  
The Social ◽  
Decentralized Government

Objective: To identify the factors responsible for noncompliance of Anti Tuberculous Treatment in TB patients. StudyDesign: Cross Sectional Descriptive Study. Place & Duration: The study was Carried out at Chest diseases and Tuberculosis unit BahawalVictoria Hospital Bahawalpur from 15th May 2007 to 15th August 2007. Subject & Method: The tuberculous patients who abandoned antituberculoustreatment repeatedly were interviewed for determination of their reasons to be defaulter before completing therapy byquestionnaire method. The patients were AFB positive on every non-compliance episodes. Results: The total number of 100 noncompliantpatients were interviewed. It was noted that 63% were males and 37% were females among them. There were 72% married and 28%unmarried from total patients. The treatment source was asked and found that 92% used government health out let only and 8% used privateservices also from them. Conclusion: TB is curable disease so health education should be imparted through electronic media andcommitted field teams stressing to take regular and complete ATT according to the physician advice removing the social belief against TBdrugs. Decentralized government and private sector coordination is essential to give treatment at doorstep to reduce dropout and defaultertendency. Stigma of TB as a disease of the illiterate & poor still persists.

scholarly journals Colonisation with pathogenic drug-resistant bacteria and Clostridioides difficile among residents of residential care facilities in Cape Town, South Africa: a cross-sectional prevalence study

2019 ◽  
Vol 8 (1) ◽  
Author(s):  
Jason September ◽  
Leon Geffen ◽  
Kathryn Manning ◽  
Preneshni Naicker ◽  
Cheryl Faro ◽  
...  
Keyword(s):  
Risk Factors ◽  
South Africa ◽  
Residential Care ◽  
Cape Town ◽  
Resistant Bacteria ◽  
Antibiotic Prescribing ◽  
Cross Sectional ◽  
Residential Care Facilities ◽  
Care Facilities ◽  
Stool Samples

Abstract Background Residential care facilities (RCFs) act as reservoirs for multidrug-resistant organisms (MDRO). There are scarce data on colonisation with MDROs in Africa. We aimed to determine the prevalence of MDROs and C. difficile and risk factors for carriage amongst residents of RCFs in Cape Town, South Africa. Methods We performed a cross-sectional surveillance study at three RCFs. Chromogenic agar was used to screen skin swabs for methicillin-resistant S. aureus (MRSA) and stool samples for extended-spectrum beta-lactamase-producing Enterobacteriaceae (ESBL-E). Antigen testing and PCR was used to detect Clostridiodes difficile. Risk factors for colonisation were determined with logistic regression. Results One hundred fifty-four residents were enrolled, providing 119 stool samples and 152 sets of skin swabs. Twenty-seven (22.7%) stool samples were positive for ESBL-E, and 13 (8.6%) residents had at least one skin swab positive for MRSA. Two (1.6%) stool samples tested positive for C. difficile. Poor functional status (OR 1.3 (95% CI, 1.0–1.6)) and incontinence (OR 2.9 (95% CI, 1.2–6.9)) were significant predictors for ESBL-E colonisation. MRSA colonization appeared higher in frail care areas (8/58 v 5/94, p = 0.07). Conclusions There was a relatively high prevalence of colonisation with MDROs, particularly ESBL-E, but low C. difficile carriage, with implications for antibiotic prescribing and infection control practice.

scholarly journals Characterizing Herbal Medicine Use for Noncommunicable Diseases in Urban South Africa

2015 ◽  
Vol 2015 ◽  
pp. 1-10 ◽  
Author(s):  
Gail D. Hughes ◽  
Oluwaseyi M. Aboyade ◽  
Roxanne Beauclair ◽  
Oluchi N. Mbamalu ◽  
Thandi R. Puoane
Keyword(s):  
South Africa ◽  
South African ◽  
Healthcare Professionals ◽  
Herbal Medicines ◽  
Descriptive Study ◽  
Noncommunicable Diseases ◽  
Medicine Use ◽  
Disadvantaged Area ◽  
Cross Sectional ◽  
Urban South

Economic challenges associated with noncommunicable diseases (NCDs) and the sociocultural outlook of many patients especially in Africa have increased dependence on traditional herbal medicines (THMs) for these diseases. A cross-sectional descriptive study designed to determine the prevalence of and reasons for THM use in the management of NCDs among South African adults was conducted in an urban, economically disadvantaged area of Cape Town, South Africa. In a cohort of 1030 participants recruited as part of the existing Prospective Urban and Rural Epidemiological (PURE) study, 456 individuals were identified. The overall prevalence of THM use was 27%, of which 61% was for NCDs. Participants used THM because of a family history (49%) and sociocultural beliefs (33%). Hypertensive medication was most commonly used concurrently with THM. Healthcare professionals need to be aware of the potential dualistic use of THM and conventional drugs by patients, as this could significantly influence health outcomes. Efforts should be made to educate patients on the potential for drug/herb interactions.

scholarly journals Feasibility, Yield, and Cost of Active Tuberculosis Case Finding Linked to a Mobile HIV Service in Cape Town, South Africa: A Cross-sectional Study

PLoS Medicine ◽  
2012 ◽  
Vol 9 (8) ◽  
pp. e1001281 ◽  
Author(s):  
Katharina Kranzer ◽  
Stephen D. Lawn ◽  
Gesine Meyer-Rath ◽  
Anna Vassall ◽  
Eudoxia Raditlhalo ◽  
...  
Keyword(s):  
South Africa ◽  
Cape Town ◽  
Cross Sectional Study ◽  
Case Finding ◽  
Active Tuberculosis ◽  
Sectional Study ◽  
Tuberculosis Case ◽  
Cross Sectional

scholarly journals Compliance with surgical antibiotic prophylaxis guidelines: a prospective descriptive study at a tertiary level hospital in Cape Town, South Africa

2020 ◽  
pp. 300-305
Author(s):  
D Schuster ◽  
JJ Fagan ◽  
M Flint ◽  
W Basera ◽  
O Porrill ◽  
...  
Keyword(s):  
South Africa ◽  
Antibiotic Prophylaxis ◽  
Cape Town ◽  
Binary Logistic Regression ◽  
Primary Objective ◽  
Tertiary Level ◽  
Cross Sectional ◽  
Surgical Antibiotic Prophylaxis ◽  
Inappropriate Antibiotics ◽  
Level Hospital

Background: The aim of surgical antibiotic prophylaxis (SAP) is to prevent surgical site infection (SSI) by administering an appropriate antimicrobial agent perioperatively. However, SAP may be associated with adverse effects and incurs added costs. The primary objective of this prospective study is to establish whether clinicians are adhering to existing perioperative antibiotic prophylaxis guidelines in terms of indication, dosage and timing of SAP. Secondary objectives are to determine the proportion of patients receiving inappropriate antibiotics, and to evaluate correct practice concerning re-dosing and duration of SAP. Methods: A cross-sectional prospective audit of the anaesthetic records and prescription charts of surgical patients was conducted at Groote Schuur Hospital, a tertiary level teaching hospital in Cape Town, South Africa, over a period of one week. Data were collected by anaesthetists – blinded to the study objectives – and the investigators; then captured on Excel spreadsheets and compared to existing SAP guidelines. Descriptive statistics and binary logistic regression were used for analysis. Results: Of the 192 patients consented, 180 questionnaires were completed for data analysis. The median age of participants was 44.5 years (IQR: 31.5–58), with a preponderance of females (58.7%). SAP was administered in 149 cases (82.8%) and withheld in 31 (17.2%). This was appropriate in 91.9% (137/149) and 77.4% (24/31) respectively. Twelve patients (6.7%) received inappropriate antibiotics and in seven (3.9%) it was inappropriately withheld. Of the 156 patients who should have received SAP, choice of drug was correct in 121 (77.6%), dosage in 110 (70.5%) and timing in 87 (55.8%). Absolute compliance was achieved in 44.4% (80/180). Errors were mostly related to timing, re-dosing and duration of SAP. Conclusion: Anaesthetists and surgeons at Groote Schuur Hospital demonstrate variable adherence to surgical antibiotic prophylaxis guidelines. Interventions aimed at improving compliance are warranted.

scholarly journals Prevalence of Depression among HIV-Positive Adults on Antiretroviral Therapy in O.R. Tambo, Eastern Cape, South Africa: A cross-sectional descriptive study

2020 ◽  
Author(s):  
Dlulane Yola Zimasa ◽  
Apalata Teke ◽  
Dominic Targema Abaver
Keyword(s):  
South Africa ◽  
Logistic Regression ◽  
Antiretroviral Therapy ◽  
Descriptive Study ◽  
Hiv Positive ◽  
Eastern Cape ◽  
Cross Sectional ◽  
Prevalence Of Depression ◽  
Hiv Positive Adults ◽  
Hiv Aids

Abstract Background Living with HIV/AIDS is associated with negative emotional and bodily symptoms; however, there is paucity of data on the prevalence and associated factors depression among this population. This study investigate the prevalence and factors contributing to depression among HIV-positive adults on antiretroviral therapy (ART) in O.R. Tambo Eastern Cape, South Africa. Method This cross-sectional descriptive study involved 334 adults receiving ART in the two Community Health Centers in OR Tambo District, Eastern Cape, South Africa. The Beck’s Depression Inventory (BDI-II) was used to collect data, in addition to a semi-structured questionnaire on coping mechanism and challenges in seeking help with depressive symptoms. Multiple logistic regression analysis were used to assess the factors associated with depression among the HIV-positive adults. Results The prevalence of depression among the HIV-positive adults receiving ART was 44%, and the majority of the patient’s depression fall within the borderline and moderate threshold. The prevalence of depression was significantly higher among females (71.0%; p < 0.0003) and unemployed (73.0%; p < 0.0014) HIV-positive adults. Participants not benefiting from any form of social grant exhibited higher prevalence of depression (79%). Race (p=0.590), age (p=0.338) and married participants (p=0.511) show no statistical significant association between HIV-positive adults accessing ART and depression. Unadjusted logistic regression model show being female (OR = 1.99, 95% CI: 1.23-3.23; p < 0.003) and unemployed (OR =1.73, 95% CI: 1.08-2.77; p < 0.014) were significantly associated with a likelihood of depression. Majority of the participants who could express their feelings of HIV disease and challenges in accessing ART felt more depressed (85%) compared to those who could not express their feelings.Conclusion The rate of depression among HIV/AIDS patients receiving ART is high. Early detection of depression and the challenges associated with accessing treatment and treating would help in improving the compliance to treatment as well as quality of life.

scholarly journals Emergency healthcare needs in the Lavender Hill suburb of Cape Town, South Africa: a cross-sectional, community-based household survey

BMJ Open ◽  
2020 ◽  
Vol 10 (1) ◽  
pp. e033643
Author(s):  
Peter W Hodkinson ◽  
Jennifer Lee Pigoga ◽  
Lee Wallis
Keyword(s):  
South Africa ◽  
Emergency Care ◽  
Care Delivery ◽  
Cape Town ◽  
Household Survey ◽  
Ageing Population ◽  
Community Based ◽  
Cross Sectional ◽  
Healthcare Needs ◽  
Increased Risk

ObjectiveEmergency care is a key component of healthcare systems, but little is known about its real impact on communities. This study evaluated access, utilisation and barriers to healthcare, and specifically emergency care, in the low socioeconomic Cape Town suburb of Lavender Hill.DesignA cross-sectional, community-based household survey.SettingLavender Hill suburb in the Cape Flats of Cape Town, South Africa.ParticipantsTwo-stage cluster sampling was used to identify approximately 13 households in each of 46 clusters, for a total of 608 households. A senior householder responded on behalf of each household surveyed.Primary outcome measuresAccess to, utilisation of and unmet needs related to healthcare at large and emergency care.ResultsIn August 2018, 608 households were surveyed, encompassing 2754 individuals, with a response rate of 96.4%. Almost a quarter of respondents (n=663, 24.1%) used the healthcare system within the last year. Female gender, advancing age, lower levels of education, recipients of disability grants, smaller household sizes and living in formal dwellings were factors associated with increased risk of unmet healthcare and emergency care needs. Only a small proportion of respondents (n=39, 1.4%) reported having unmet emergency healthcare needs, with wait times at facilities (n=9, 23.1%), emergency medical service delays (n=7, 17.9%) and personal safety (n=6, 15.4%) being prominent. There was a high prevalence of chronic medical conditions (hypertension, diabetes and dyslipidaemias) and recent deaths predominantly from trauma and malignancy.ConclusionThe emergency healthcare needs of the community appear to be well catered for, although community expectations may not be high and many barriers exist, particularly in accessing emergency care—be it via ambulance services or at healthcare facilities—and caring for chronic diseases in the ageing population. The Lavender Hill community could benefit from programmes addressing chronic disease management and emergency care delivery within the community.

Sexual risk behaviours and HIV-1 prevalence among urban men who have sex with men in Cape Town, South Africa

Sexual Health ◽  
2010 ◽  
Vol 7 (2) ◽  
pp. 149 ◽  
Author(s):  
Earl Burrell ◽  
Daniella Mark ◽  
Robert Grant ◽  
Robin Wood ◽  
Linda-Gail Bekker
Keyword(s):  
South Africa ◽  
Sexual Risk ◽  
Cape Town ◽  
Risk Behaviour ◽  
Hiv Prevalence ◽  
Sexual Risk Behaviour ◽  
Risk Behaviours ◽  
Cross Sectional ◽  
Sex With Men ◽  
Hiv 1

Background: Distinct homosexual and heterosexual HIV epidemics have previously been recognised in South Africa. However, linked HIV prevalence and self-reported sexual risk behaviour data have not been reported for men who have sex with men (MSM) in Cape Town since 1986. Methods: We conducted a cross-sectional, anonymous, venue-based HIV risk behaviour and prevalence study of 542 self-identified MSM in greater Cape Town using a self-administered risk questionnaire and the OraSure® testing device to asses HIV-1 prevalence. Results: This sample had an overall HIV prevalence of 10.4% (56/539). We found that self-identifying as gay, homosexual or queer (adjusted odds ratio (AOR) 4.5, 95% confidence interval (CI) 1.0–20.0) and reporting ever having had a sexually transmissible infection diagnosis (AOR 4.3, 95% CI: 2.3–8.3) were significantly predictive of testing HIV-1 positive, while reporting unprotected anal intercourse with a known HIV-negative partner (AOR 0.4, 95% CI: 0.2–0.9) was significantly protective. Conclusion: These data suggest a mature epidemic with consistent high-risk taking among MSM in Cape Town, and significant associations of select self-reported risk behaviours and HIV-1 serostatus. There is a need for continued and robust HIV surveillance along with detailed risk behaviour trends over time to inform the development of targeted risk-reduction interventions for this population.

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