ABSTRACT Quality medical care at emergency departments(EDs) is an international mandate. In Kenya the services are mainly offered in the outpatient departments whose quality of care has not been evaluated. This study investigated quality of care at EDs of public hospital in Bungoma County by evaluating availability of infrastructure, equipment, supplies and personnel. The study assessed processes, protocols and outcomes of care at the EDs. A cross-sectional study design was employed, with a s...
ABSTRACT Justification for the requests for homologous blood that accompany major elective maxillofacial surgical procedures is difficult to establish in most cases. This attitude of ordering for cross-matched blood is understandable in today's legal climate, but has led to serious problems in terms of laboratory inefficiency which can no longer be ignored. To evaluate the pattern of ordering and use of homologous blood, and transfusion ratios for major elective maxillofacial surgeries at th...
ABSTRACT Background: Benign prostate hypertrophy (BPH) is a prostatic enlargement associated with the presence of voiding symptoms and/or histological evidence of hyperplasia on biopsy. Transurethral resection of the prostate (TURP) is considered the gold standard management for BPH. Despite being one of the common urological procedures in Tanzania, complications of TURP have not been well explored. There was limited published information on the incidence and prevalence of Benign Prostate Hy...
ABSTRACT Background: Children with surgical needs represent a high burden of disease, and lack of access to surgical care continues to threaten the health of millions of children worldwide and limit economic growth and development. Despite these outstanding efforts, failure to notice the need for surgical care for children continues within the global health agenda. Methods: A Hospital-based descriptive cross-sectional study in determining the Predictors of Poor Outcome in Emergency Pediatric...
ABSTRACT Background: Chest injuries are among the commonest injuries worldwide, of which the most associated injuries are haemothorax, pneumothorax and haemopneumothorax mostly due to RTC, the productive age male being the most victims. This agrees with my study. In my study, unemployment and low education level have been the most causes. Though some respondents died but a few patients were saved by tube thoracostomy and the use of steroid drugs. Objectives: The aim of the study was to determ...
ABSTRACT Introduction. Burn injury is a highly prevalent problem globally, nationally and locally, burn occurs when hot liquids, hot solids or flames destroy part or all of the cells in the skin or other tissues. With advancements in management of burn, over the last 50 years, infection is now the leading cause of death after extensive burn injuries. Objectives. To determine prevalence, body pattern and bacteriological susceptibility of chronic burn wound at UDOM affiliated teaching hospitals...
ABSTRACT Background: Postoperative pain is the most common complaint by patients after recovery from anesthesia. Several factors cause postoperative pain; it could be preoperative factors, demographic factors, anesthesiologic factors, intraoperative and postoperative factors. The prevalence of postoperative pain is very high in most of the developing countries and the strategies put forward for management have not been very promising. Objective: This study aimed to determine the prevalence, p...
ABSTRACT Background: Fluid resuscitation is an extremely important part of patients’ management in clinical settings. Different common surgical conditions e.g. excessive vomiting and acute severe hemorrhage can lead to an increased fluid loss and disturb the patients’ ph ysiological status leading to worse outc omes. Proper fluid administration to a surgica l patient, can lead to patients’ improvement from their illness, and hence reducing morbidity and mortality which are the main prob...
ABSTRACT Background: Anastomotic leak following gastrointestinal surgery is the most postoperative complication that causes significant morbidity and mortality. Its burden is high in low and middle income countries likes Tanzania with lack of supportive data on incidence of Anastomotic leak, predictors and outcome. Objective: This study aims to determine the predictors and early outcomes of anastomotic leak among patients who underwent primary bowel resection and anastomosis at Iringa Regio...
ABSTRACT Background: Burn injury is a significant health problem worldwide, where in Africa, it is estimated that over a million patients are burned annually, wherein in Tanzania, the prevalence is 16%. It contributes to 18% of all hospital admission, with a 6% mortality to 10% (Peden et al., 2008; Roman, Lewis, Kigwangalla, & Wilson, 2012). In addition, the common causes of early (less than 48 hours) mortality and morbidity in burn injury are; burns shock, inhalational injury, and systemic i...
ABSTRACT Human Immunodeficiency Virus, a cause of Acquired immunodeficiency syndrome (AIDS) is becoming a concern to most Surgeons. Tanzania is listed in the top 10 countries most affected by HIV in sub-Saharan. Iringa region is mentioned the second in top 3 regions most affected in Tanzania.So far the burden of HIV in patients undergoing Emergency Laparotomy inTanzania has not been clearly audited. This is a Hospital-based Prospective Cohort study design involving HIV infected patients who h...
ABSTRACT Background: The management of advanced and metastatic prostate cancer is more challenging in low income countries. Bilateral Orchidectomy is useful method in achieving surgical castration for treatment of prostate cancer in Tanzania. Little is known about its early outcome, and there is limited understanding of patients care outcomes, which have potential to improve quality of life of patients post-operatively. Objective: The main aim of this study was to determine early outcome foll...
ABSTRACT Aural myiasis refers to the infestation of the ear by the larvae of certain dipterous flies. The disease-producing flies prefer a warm and humid environment and higher incidence occur in tropics and subtropics of Africa and America. Aural myiasis is rare during neonatal life and children with tendencies of poking the ear need immediate review by otorhinolaryngologists for thorough otological review. The objective is thus to report the case of a 24-day old neonate who was diagnosed to...
Abstract Background: Tanzania is among the sub-Saharan African countries facing a tremendous increase in the burden of type 2 diabetes mellitus. In order to provide diabetes health care services, the government has established diabetes care clinics in secondary and tertiary healthcare facilities. However, previous studies have demonstrated a disparity in availability of supplies and equipment for provision of diabetes health care services at these healthcare facilities. This study aims to as...
ABSTRACT Introduction; Diabetic foot ulcer and amputation remains very common in Diabetics worldwide and extremely affect patient’s quality of life. It has been proven that DFU can be prevented through education on DM and foot care practice, screening of diabetics and early intervention. Objective; to stratify risk factors for DFU and assess knowledge on foot care practice among Diabetics attending Tumbi and Dodoma Regional Referral Hospitals. Method; Hospital based cross sectional descrip...