A Psychosocial Assessment of Patients Receiving Orthopaedic Treatment in a Tertiary Hospital in Northern Tanzania

2018 ◽  
Author(s):  
Joy Obayemi ◽  
Elizabeth Card ◽  
Octavian Shirima ◽  
Honest Massawe ◽  
Faiton Mandari ◽  
...  
Keyword(s):  
Tertiary Hospital ◽  
Psychosocial Assessment ◽  
Orthopaedic Treatment ◽  
Northern Tanzania

scholarly journals Spectrum and antibiogram of bacteria isolated from patients presenting with infected wounds in a Tertiary Hospital, northern Tanzania

2017 ◽  
Vol 10 (1) ◽  
Author(s):  
Nancy A. Kassam ◽  
Damian J. Damian ◽  
Debora Kajeguka ◽  
Balthazar Nyombi ◽  
Gibson S. Kibiki
Keyword(s):  
Tertiary Hospital ◽  
Northern Tanzania ◽  
Infected Wounds

scholarly journals Obstetric outcomes of women referred for delivery to a tertiary hospital in northern Tanzania– a descriptive retrospective study based on a hospital birth registry

2020 ◽  
Author(s):  
Carolyn Lissu ◽  
Helena Volgsten ◽  
Festu Mazuguni ◽  
Eusebious Maro
Keyword(s):  
Retrospective Study ◽  
Pregnant Women ◽  
Tertiary Hospital ◽  
Health Facilities ◽  
Obstetric Outcomes ◽  
Birth Registry ◽  
Maternal Deaths ◽  
Hospital Birth ◽  
Northern Tanzania ◽  
Lower Health

Abstract Background: Maternal mortality remains a great challenge in a low-income country like Tanzania, despite global and national efforts to improve women’s reproductive health. Timeliness and appropriateness of referral from a lower- to higher-level health facility comprise an important factor for the obstetrics outcome for pregnant women. This study aimed to determine the obstetric outcomes, such as maternal deaths, of women referred to KCMC, a tertiary hospital in northern Tanzania. Methods: A descriptive retrospective study based on a hospital birth registry was conducted, using consecutive stored data on pregnant women referred while in labor and managed at the KCMC tertiary hospital in northern Tanzania between the years 2000 and 2015. All referred pregnant women whose labor status information was missing during admission were excluded from the study. Results: During the study period, a total of 53662 deliveries were managed at KCMC. Among these, 6066 women were referred from lower health facilities, with 4193 (69.2%) of them being referred while in labor. The main reason for referral was poor progress of labor (31.0%), followed by prolonged labor (27.1%) and obstructed labor (19.5%). For 1859 (44.6%) women, delivery was by caesarean section. A total of 292 maternal deaths occurred between 2000 and 2015. Of these, almost a quarter (22.6%) occurred in women referred from other health facilities while in labor. Conclusions: Most of the maternal complications during labor and delivery were prevalent among women referred from lower health facilities. This underscores the need to strengthen lower health facilities’ ability to detect complications in timely manner and provide effective emergency obstetric care, as well as to refer women to higher-level facility.

scholarly journals Respiratory Failure due to Severe Obesity and Kyphoscoliosis in a 24-Year-Old Male with Molecularly Confirmed Prader-Willi Syndrome in Tertiary Hospital in Northern Tanzania

2017 ◽  
Vol 2017 ◽  
pp. 1-4
Author(s):  
Elichilia R. Shao ◽  
Lucas F. Kiyegi ◽  
Amos O. Mwasamwaja ◽  
Kajiru Kilonzo ◽  
Ben C. J. Hamel
Keyword(s):  
Severe Obesity ◽  
Tertiary Hospital ◽  
Sub Saharan Africa ◽  
Prader Willi Syndrome ◽  
Mild Intellectual Disability ◽  
Extreme Obesity ◽  
Respiratory Complications ◽  
Common Features ◽  
Northern Tanzania ◽  
Sub Saharan

Obesity, mild intellectual disability, hypotonia, poor sucking, cryptorchidism in males, hypogonadism, and kyphoscoliosis are common features of Prader-Willi syndrome (PWS). We report a case who had severe respiratory complications due to extreme obesity and kyphoscoliosis, which are important causes of morbidity and mortality, and discuss management. Furthermore, this is the first molecularly confirmed PWS case in Sub-Saharan Africa outside South Africa.

scholarly journals Acute Kidney Injury and Associated Factors in Intensive Care Units at a Tertiary Hospital in Northern Tanzania

2021 ◽  
Vol 8 ◽  
pp. 205435812110279
Author(s):  
Neema W. Minja ◽  
Huda Akrabi ◽  
Karen Yeates ◽  
Kajiru Gad Kilonzo
Keyword(s):  
Acute Kidney Injury ◽  
Intensive Care ◽  
Intensive Care Units ◽  
Associated Factors ◽  
Laboratory Data ◽  
Kidney Injury ◽  
Tertiary Hospital ◽  
Baseline Serum ◽  
Northern Tanzania ◽  
Acute Kidney Injury Stage

Background: Acute kidney injury (AKI) is a recognized complication in critically ill patients. The epidemiology of AKI varies worldwide, depending on the diagnostic criteria used and the setting. The International Society of Nephrology has called for a reduction in preventable deaths from AKI to zero by the year 2025. It is suspected that the majority of AKI cases are in limited-resource countries, but the true burden of AKI in these settings remains unknown. Objective: We aimed to determine, using standardized KDIGO (Kidney Disease Improving Global Outcomes) criteria, the prevalence of AKI, associated factors, and clinical characteristics of adult (≥18 years) patients admitted to intensive care units (ICUs) at a tertiary hospital in Tanzania. Design: Prospective observational study from November 2017 to May 2018. Methods: In all, 320 patients admitted to medical and surgical ICUs were consecutively enrolled. Baseline, clinical, and laboratory data were collected on admission and during their ICU stay. Serum creatinine and urine output were measured, and KDIGO criteria were used to determine AKI status. Results: More than half (55.3%) of ICU patients were diagnosed with AKI. Of these, 80% were diagnosed within 24 hours of admission. Acute kidney injury stage 3 accounted for 35% of patients with AKI. Patients with AKI were older, more likely to have cardiovascular comorbidities, and with higher baseline serum levels of creatinine, potassium, universal vital assessment admission scores, and total white cell count ≥12. Sepsis (odds ratio [OR] = 3.81; confidence interval [CI] = 1.21-11.99), diabetes (OR = 2.54; CI = 1.24-5.17), and use of vasopressors (OR = 3.78; CI = 1.36-10.54) were independently associated with AKI in multivariable logistic regression. Less than one-third of those who needed dialysis received it. There was 100% mortality in those who needed dialysis but did not receive (n = 19). Limitations: Being based at a referral center, the findings do not represent the true burden of AKI in the community. Conclusion: The prevalence of AKI was very high in ICUs in Northern Tanzania. The majority of patients presented with AKI and were severely ill, suggesting late presentation, underscoring the importance of prioritizing prevention and early intervention. Further studies should explore locally suitable AKI risk scores that could be used to identify high-risk patients in the community health centers from where patients are referred.

Prurigo nodularis comparative treatment outcome in patients attending a tertiary hospital in northern Tanzania

2021 ◽  
Vol 34 (2) ◽  
Author(s):  
Elias Vicent Mayala ◽  
Daudi R. Mavura ◽  
Masanja Robert ◽  
Elisante J. Masenga
Keyword(s):  
Treatment Outcome ◽  
Tertiary Hospital ◽  
Prurigo Nodularis ◽  
Northern Tanzania ◽  
Comparative Treatment

scholarly journals Association between Chronic Urticaria and Helicobacter pylori Infection among Patients Attending a Tertiary Hospital in Tanzania

2020 ◽  
Vol 2020 ◽  
pp. 1-6
Author(s):  
Magdalena F. Dennis ◽  
Daudi R. Mavura ◽  
Luryritha Kini ◽  
Rune Philemon ◽  
Elisante J. Masenga
Keyword(s):  
Helicobacter Pylori ◽  
Chronic Urticaria ◽  
Conditional Logistic Regression ◽  
Tertiary Hospital ◽  
Enzyme Linked Immunosorbent Assay ◽  
Northern Tanzania ◽  
Common Skin ◽  
Stool Samples ◽  
Matched Case ◽  
H Pylori

Background. Chronic urticaria (CU) is a common skin disease; however, its etiology is rarely recognized. Infection due to Helicobacter pylori (H. pylori) has been shown in some studies to play a significant role in the pathogenesis of CU. Objective. This study was conducted to determine the association between CU and H. pylori infection among patients attending the Regional Dermatology Training Center, Northern Tanzania, from October 2018 to April 2019. Methodology. A matched case-control study that included 55 cases and 55 controls matched by age and sex was conducted. Data were collected through direct interviews, and the results of laboratory investigations were recorded in the extraction sheet. An enzyme-linked immunosorbent assay test was used to detect H. pylori antigen in the stool samples. Conditional logistic regression was used to measure the association between CU and H. pylori. Results. The total number of participants in this study was 110 patients (55 cases and 55 controls), whereby the median age was 31 (IQR 27–45) among controls versus 34 (IQR: 22–46) years among the cases. Both cases and controls had the same number of females and males. There was no significant association between CU and baseline characteristics of the participants. There was an association between CU and H. pylori infection, such that subjects with CU had a higher number of positive H. pylori test (15/55 = 27%) versus controls (6/55 = 10.1%) (p=0.0225). The adjusted odds of CU among patients who were positive for H. pylori were sixfolds higher (OR = 6.9; CI: 1.3–36.2; p=0.021) than those of patients who were negative for H. pylori.Conclusion. There was a strong and significant association between CU and H. pylori infection. We recommend investigating for H. pylori in all cases of CU and conducting further trials on H. pylori eradication.

scholarly journals Psychosocial health of patients receiving orthopaedic treatment in northern Tanzania: A cross-sectional study

2020 ◽  
Vol 50 ◽  
pp. 49-55
Author(s):  
Joy E. Obayemi ◽  
Elizabeth B. Card ◽  
Octavian Shirima ◽  
Honest Massawe ◽  
Faiton Mandari ◽  
...  
Keyword(s):  
Psychosocial Health ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Orthopaedic Treatment ◽  
Northern Tanzania
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