ABSTRACT Background: Diarrhea is still a major cause of disease burden worldwide. Very limited information is available about the burden, etiology and factors associated with bacterial diarrhea in individual aged 5 years and above in Tanzania. Therefore this study was conducted to fill this gap. Methods: Across sectional analytical study was conducted among individuals 5 years and above presenting with diarrhea at Dodoma Regional Referral Hospital and St Gemma’s Hospital from February 201...
Abstract Objective: Chronic suppurative otitis media is among the most common otological condition reported in otorhinolaryngology practice commonly attributing to preventable hearing loss. The aim of this study was to determine the prevalence and etiological agents for chronic suppurative otitis media in our department. Results: A total of 5591 patients were recruited in this study and only 79 (1.4%) had chronic suppurative otitis media. A male preponderance 43 (54.4%) was noted in this stud...
ABSTRACT Background: Surgical site infection (SSI) is still a major cause of morbidity and mortality. This study aimed to determine the prevalence, risk factors, microbial and sensitivity configuration at Dodoma Regional Referral Hospital. Objective: To identify the incidence, risk factors, common microorganisms causing surgical site infection and antimicrobial sensitivity at Dodoma Regional Referral Hospital Methods: A prospective hospital based study was conducted at Dodoma Regional Hospita...
ABSTRACT Background Paediatric head and neck cancers represent an important group of childhood cancers that require maximum attention at large. They are often diagnosed at advanced clinical stages at Muhimbili National Hospital (MNH). Objective To describe the clinical profile of paediatric head and neck cancers at a tertiary hospital in Tanzania Method A hospital based descriptive cross-sectional study was conducted involving 180 paediatric patients. Data were analyzed using SPSS program ver...
Inflammatory fibroid polyp is a neoplastic condition affecting the gastrointestinal tract and particularly the gastric antrum. It is virtually a benign submucosal mass comprising mesenchymal cells and numerous small blood vessels with inflammatory cells and commonly eosinophils. Patients with inflammatory fibroid polyps usually present clinically with mechanical intestinal obstruction with or without intussusception. Herein, we present a case of a 48-year-old male with a known history of schi...
ABSTRACT Background: Traumatic brain Injuries represent a significant cause of morbidity and mortality worldwide, road traffic accident accounting a significant proportion of these injuries. However access to neurological care is poor in low income Countries including Tanzania. Objective: To determine the causes, severity and early treatment outcome of TBI among patient admitted at Iringa and Dodoma regional referral hospitals, Tanzania Methodology: Cross-section, prospective study, Study,...
ABSTRACT Background: Secondary Peritonitis is a familiarcondition surgeonfaces in daily clinical practice with high morbidity, mortality, and poor prognosis. Its outcome depends on the interface of many factors, including patient, surgeon's and institutional factors,etc.Early initiation of specific therapeutic procedures predicts a good outcome. There is no locally acceptable surgical outcome predictor to minimize morbidity and mortality and improve resuscitation outcome for high-risk patien...
ABSTRACT Background: Cryptococcal Meningitis (CM) is the most common central nervous system (CNS) manifestation encountered in advanced HIV/AIDS patients. In low resource settings, it has high documented mortality rate at 2 and 10 weeks because of poor management of intracranial pressure (ICP), untimely ART initiation, and inappropriate antifungal regimen used during the induction phase. Objective: To evaluate the response of intravenous fluconazole monotherapy during the induction phase in...
ABSTRACT Background: Pulmonary tuberculosis smear-positive cases are expected to convert to negative sputum during treatment. Delayed sputum conversion and reversion prolong infectious period. Therefore, understanding associated factors for smear conversion and reversion will help to identify a patient with severe infectious pulmonary tuberculosis before or during treatment. Objective: The aim of this study was to determine sputum conversion and reversion rates and their associated factors a...
ABSTRACT Background: The prevalence and mortality due to end stage kidney disease (ESKD) are estimated to be high in Sub-Saharan Africa. Effective haemodialysis reduces complications and promotes better outcomes. Achieving haemodialysis adequacy is challenging in haemodialysis management. In Tanzania, little is known on hemodialysis adequacy in patients with ESKD particularly in Dodoma city. Haemodialysis adequacy refers to the dose of dialysis measured enough to uphold an optimal long-term ...
ABSTRACT Background: Surgical site infections (SSIs) are preventable complications following surgery cause significant burden in terms of patient morbidity, mortality and increased cost of treatment. Very few studies have been published on the efficacy of surgical antibiotic prophylaxis in the prevention of SSIs in our country and the practice is mostly not well established in our hospitals including DRRH. Objective: To determine association between surgical antibiotic prophylaxis practices...
ABSTRACT Background: Adenotonsillar hypertrophy remains to be the commonest causes of sleep disordered breathing in paediatric patients and has been implicated as a cause of primary and secondary enuresis. The aim of this study was to determine the effectiveness of adenotonsillectomy in resolution of enuresis in children with sleep-disordered breathing. Methods: A hospital based prospective cohort study was conducted at Ekenywa Specialised Hospital in Dar es Salaam, from May 2018 to ...
Abstract : Background: About 33 million people are infected with HIV globally with records of the greater burden of the disease in low and middle income countries. In the face of increasing survival of HIV infected individuals some HIV patients develop certain complications arising due to the direct effect of the virus, drug related side effects, abnormal serum liver enzymes levels, viral hepatitis, liver Common hepatic complications among HIV-infected adults in UNTH Enugu a four year review ...
ABSTRACT Background: Although relatively rare, pelvic fractures signify major trauma that are frequently associated with multiple injuries, threat to life and poor functional outcome. This study aimed to establish poor outcome determinants in traumatic pelvic fracture patients admitted and treated at three urban PNFP Hospitals in Kampala.
ABSTRACT Background Attempts to ensure total care of the trauma patient in order to reduce morbidity and mortality, has led to a drift of global concern towards the psychiatric sequelae of trauma patients. Psychiatric disorders following trauma are common with one of the commonest being post- traumatic stress disorder (PTSD) and are associated with poor functional and occupational outcomes. The prevalence of PTSD in orthopaedic trauma patients vary from place to place. Studies in Unit...