scholarly journals Pattern and Outcome Dermatological Admission at the University of Port Harcourt Teaching Hospital Rivers State

2021 ◽  
pp. 53-58
Author(s):  
D. Altraide Dasetima ◽  
Otike-Odibi Bolaji
Keyword(s):  
Teaching Hospital ◽  
Skin Diseases ◽  
Tertiary Institution ◽  
Female Ratio ◽  
Surgical Subspecialty ◽  
Port Harcourt ◽  
Number Of Patients ◽  
Male Female Ratio ◽  
Medical Wards ◽  
The University

Introduction: Dermatology is primarily an outpatient clinical and surgical subspecialty, but a substantial number of patients need in patient care for adequate management. In recent years, there is a rise in the number of inpatient dermatological admissions and an increase in spending. Rarely, skin diseases can be fatal. Aims and Objectives: To analyze the disease patterns and clinical outcomes of dermatological patients admitted on the medical wards of a tertiary institution in southern                                     Nigeria. Materials and Methods: This study involves a retrospective analysis of the admission records of consecutive in patients with a dermatological diagnosis admitted at the university of Port Harcourt teaching hospital from January 2014 to July 2020. The data obtained were statistically analysed with emphasis on the patient’s demographic profile, clinical diagnosis, final outcome, and duration of admission. Results: A total of 68 patients were admitted into our center during this time. Female outnumbered males with male female ratio of 1: 2.2. Infections (53 patients, 77.9%) were the most frequent reason for admission, followed by autoimmune disorders (5 patients, 7.4%), inflammatory causes, drug reactions and cutaneous manifestation of inter diseases had 3 patients each (4.4%). A patient was classed as idiopathic (1.5%).

scholarly journals Prevalence and Types of Skin Diseases Seen among Children Attending the Children’s Outpatient Clinic in a Tertiary Care Hospital in Southern Nigeria- A Descriptive Study

2021 ◽  
pp. 39-46
Author(s):  
Uju S. Azubogu ◽  
Inumanye Ojule
Keyword(s):  
Study Design ◽  
Teaching Hospital ◽  
Outpatient Clinic ◽  
Skin Diseases ◽  
Tertiary Care ◽  
Care Hospital ◽  
Cross Sectional ◽  
Female Ratio ◽  
Port Harcourt ◽  
The University

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.

scholarly journals Prevalence and Pattern of Skin Diseases among School Age Children at the University of Port Harcourt Teaching Hospital, Nigeria: A Hospital Based Study

2020 ◽  
pp. 29-36
Author(s):  
D. D. Altraide ◽  
B. A. Alex-Hart
Keyword(s):  
Teaching Hospital ◽  
Skin Disease ◽  
School Health ◽  
Skin Diseases ◽  
School Age Children ◽  
School Age ◽  
Dermatology Clinic ◽  
Port Harcourt ◽  
Number Of Patients ◽  
The University

Background: Skin diseases are common among school age children. In the absence of population based studies, data from hospital based studies could be a pointer to the enormity of the problem within the community. Objective: To evaluate the prevalence and pattern of skin diseases among school age children at the University of Port Harcourt Teaching Hospital (UPTH). Materials and Methods: This was a retrospective review of the records of all children aged 6-18 years seen at the dermatology clinic of the University of Port Harcourt Teaching Hospital from January 1, 2016 to December 31, 2019. Socio-demographic characteristics and diagnosis were obtained from the clinic register. Data was analyzed using SPSS version 20.0. Results: Three hundred and forty- seven patients aged 6 -18 years were seen over the period under review. Males were 165 (47.55%) and females were 182 (52.45%). The mean age was10.79±3.35 years. The overall prevalence of skin disease was 16.3%. The five most common diagnoses were Papular urticaria 10.35%, Scabies 10.08%, Atopic dermatitis 8.72% and Dermatophyte infections 8.17%. One hundred and two (29.4%) patients out of the 347 patients with skin diseases, had transmissible skin diseases of which scabies 37 (36.27%) was the commonest.The commonest Dermatophyte infection was Tinea corporis 15 (50.00%), followed by Tinea capitis 7 (23.33%). Conclusion: School age children made up significant number of patients seen at the dermatology clinic at UPTH and almost a third of them had transmissible skin disease. An effective School Health Programme will curb the spread of transmissible skin disease within schools in Port Harcourt.

scholarly journals Tuberculosis in Children Aged 0-5 Years at the University of Port Harcourt Teaching Hospital (UPTH), Nigeria - How Common is HIV in Children with Tuberculosis

2019 ◽  
pp. 1-8
Author(s):  
N. I. Paul ◽  
B. A. Alex- Hart ◽  
R. O. Ugwu
Keyword(s):  
Treatment Outcome ◽  
Hiv Infection ◽  
Teaching Hospital ◽  
Gastric Lavage ◽  
P Value ◽  
Female Ratio ◽  
Port Harcourt ◽  
Risk Of Progression ◽  
The Common ◽  
The University

Background: Tuberculosis (TB) is a leading cause of death in young children and the risk of progression from infection to disease is higher in the very young especially among those with Human Immunodeficiency Virus (HIV) infection. This study therefore aimed to examine the method of TB diagnosis and how common HIV infection is among children 0-5 years with tuberculosis at the University of Port Harcourt Teaching Hospital (UPTH). Methods: Information of children aged 0-5 years from 1st January, 2011 to 31st December 2014 were retrieved from the TB register of the Directly Observed Treatment Short course (DOTS) clinic of UPTH. This included the age, sex, HIV status, Sputum AFB status, method of diagnosis of tuberculosis and the treatment outcome of the patients. Ethical approval for the study was obtained from the Research and Ethics committee of the University of Teaching Hospital. Results: Three hundred and thirty five children were treated for TB and 179 (53.43%) of them were aged 0-5 years. There were 93 (51.96%) males and 86 (48.04%) females, with male: female ratio of 1.08:1.  Their mean age was 1.96 ±1.45. The sputum or gastric lavage of 21 (11.73%) were positive for acid fast bacilli (AFB). The common method of TB diagnosis was clinical/ radiological method and this constituted 158 (88.27%) of the patients with TB. Ninety (50.28%) children with TB were less than one year of age and there was no statistical significant relationship between age and method of TB diagnosis (x2 = 2.78, p = 0.249). More males 93 (51.96%) than females 86 (48.04%) had TB but more females 13 (61.90%) than males 8 (38.10%) were AFB positive, however, these were not statistically significant. (x 2  = 1.26 p-value = 0.262). Seventy two (40.22%) of the children with TB were HIV positive. One hundred and thirty five (75.42%) of the children recovered following treatment while 44 (24.58%) were referred to Dots centres closest to the patients. No child died. Conclusion: The prevalence of TB among under-fives especially among infants is high. Clinical and radiological methods were the common methods of TB diagnosis. HIV prevalence among children with TB was lower than expected by the authors, however, the treatment outcome was good. Re-training of clinicians to improve their expertise on clinical diagnosis of TB and a more in depth search of TB in the community among children 0-5 years who are HIV sero-negative with persistent cough is advocated.

scholarly journals Epistaxis in the University of Port Harcourt Teaching Hospital: Aetiological Profile and Management

2020 ◽  
pp. 90-96
Author(s):  
Ibekwe Matilda Uju ◽  
O. Ikenga Victor
Keyword(s):  
Social Sciences ◽  
Teaching Hospital ◽  
Favourable Outcome ◽  
Treatment Modalities ◽  
Female Ratio ◽  
Port Harcourt ◽  
The University ◽  
Age Range ◽  
Male To Female ◽  
Nose And Throat

Background: Bleeding from the nose is one of the commonest emergencies that could present in a typical ear, nose and throat clinic. It is often a frightful experience for both the patient and relations, especially in severe cases. Aim: To determine the aetiological profile, the management and outcome in patients that presented with epistaxis in University of Port Harcourt teaching hospital.  Patients and Methods: This was a retrospective study of patients with complaints of epistaxis that were managed within the period of January 2006 to January 2018 in the Ear, Nose and Throat (ENT) department, including referrals from the accident & emergency department and children emergency ward. Data on demographics, aetiology, associated clinical features, treatment modalities and outcome of such treatments were all collated. These were analyzed using IBM statistical package for social sciences SPSSversion 20and results presented in simple descriptive tables. Results: There were altogether 196 patients studied, 95 males and 101 females, giving a male to female ratio of 1:1.06.  The age range was from 1 to 81 years. Age group 30-39 was the most affected with 22.29% Aetiological factors were; hypertension in 9.2% trauma in 11.2%, idiopathic in most; 58.2%, chronic rhinosinusitis in 18.4%. Conservative medical therapy was the commonest treatment modality; 68.38%. Anterior nasal packing in 26.5% while 4.1% had posterior packing. Anterior aspect of the nose was the commonest site of bleed recorded in 160 cases. All the patients had a favourable outcome. Conclusion: Epistaxis in this environment still presents as a common emergency and in the majority of the case, the cause is not known, however, trauma appears to be one of the commonest cause implicated in our setting. The young adults appear to be the ones mainly affected.

scholarly journals Surgical Outcome of Isolated Extradural Hematomas Operated in a Teaching Hospital in Western Nepal

2019 ◽  
Vol 16 (1) ◽  
pp. 21-24
Author(s):  
Balgopal Karmacharya ◽  
Nikunja Yogi ◽  
Benju Pun
Keyword(s):  
Head Injury ◽  
Teaching Hospital ◽  
Injury Severity ◽  
Motor Vehicle ◽  
Age Groups ◽  
Female Ratio ◽  
Vehicle Accidents ◽  
Time Period ◽  
Number Of Patients ◽  
Male Female Ratio

The aim of this determine the causes, frequency, location of isolated extradural hematomas in patients presenting with head injury and to find out the outcome of surgery in such patients. This is prospective observational study was conducted in the Neurosurgery Unit of Manipal Teaching Hospital from January 2012 to January 2017. All patients who presented with headinjury and had isolated extradural hematomas were included in the study. Total number of patients admitted with diagnosis of extradural hematomas during that time period was 169 among which 94 patients underwent surgical treatment. Descriptive statistics data including age, gender, causes of injury, severity of head injury and Glasgow outcome scale were studied. Results in proportion and percentages were calculated by using Microsoft Excel 2013. There were 169 patients who had isolated extradural hematomas. Among them, 75 patients were managed conservatively and 94 underwent craniotomy for evacuation of hematoma. This group of 94 patients who operative treatment was taken for this study. Male: female ratio was 1.6:1. Mean age was 23 years. Most of patients were in 20-40 age groups. Causes of extradural hematomas included motor vehicle accidents, falls and assaults. Mild and moderate head injury was present in 53 (56.38%) and 32 (34.0%) patients. Seventy nine patients (84.05%) of patients had good recovery while 3 (3.19%) patients expired.

scholarly journals Dermatological Patients at the Outdoor of an Upazila Health Complex

1970 ◽  
Vol 17 (2) ◽  
pp. 93-94
Author(s):  
M Rizaul Kabir ◽  
M Abdul Kuddus Khan ◽  
Ananda Kumar Karmakar
Keyword(s):  
Rural Areas ◽  
Skin Diseases ◽  
Family Welfare ◽  
Venereal Diseases ◽  
Female Ratio ◽  
Dermatological Diseases ◽  
Number Of Patients ◽  
Male Female Ratio ◽  
Male Patients ◽  
Skin Conditions

In outdoor of Adamdighi Upazila Health & Family Welfare Complex of Bogra district, the attendance of patients suffering from skin and venereal diseases were observed. Out of total 1,54,843 patients, 23,820 patients were suffering from various forms of dermatological diseases. The percentage of patients suffering from skin and venereal diseases were 15.34 %. Female patients were 13,667 in number (57.38%) and male patients were 10,153 in number (42.62%). Male, female ratio is 1.35:1. Most of the patients were suffering from dermatological diseases attending outdoor of the said health complex belong to 14 years and above age group (67.53%). It was observed that though previously most of the rural people neglected their skin diseases, but now a day, a good number of patients of the rural areas are conscious about their skin conditions and attend outdoor of health and family welfare complex.   doi: 10.3329/taj.v17i2.3453   TAJ 2004; 17(2): 93-94

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.

scholarly journals COVID-19 Disease in the Paediatric Population: A Cross Sectional Study at the University Teaching Hospital in Port Harcourt, Southern Nigeria

2021 ◽  
pp. 15-20
Author(s):  
L. E. Yaguo-Ide ◽  
G. K. Eke
Keyword(s):  
Teaching Hospital ◽  
Cross Sectional Study ◽  
University Teaching ◽  
Causative Organism ◽  
Sectional Study ◽  
Cross Sectional ◽  
Female Ratio ◽  
Corona Virus ◽  
Port Harcourt ◽  
The University

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.

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

2021 ◽  
Vol 7 (3) ◽  
pp. 359
Author(s):  
Ekechi S. Amadi ◽  
Maureen C. Maduagwu ◽  
Dabota Long-John
Keyword(s):  
Teaching Hospital ◽  
Target Population ◽  
Cross Sectional Study ◽  
Skin Disorders ◽  
Tertiary Institution ◽  
Cross Sectional ◽  
Care Givers ◽  
Pigmentary Disorders ◽  
Port Harcourt ◽  
The University

<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>

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