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Howard CR, Gbadero DA, Slusher TM, Bode-Thomas F. Editorial: Evidenced based medical care of hospitalized children with local adaptations in low-resource settings. Front Pediatr 2023; 11:1198673. [PMID: 37565241 PMCID: PMC10411718 DOI: 10.3389/fped.2023.1198673] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/01/2023] [Accepted: 07/12/2023] [Indexed: 08/12/2023] Open
Affiliation(s)
- C. R. Howard
- Department of Pediatrics, Global Pediatrics Program, University of Minnesota, Minneapolis, MN, United States
| | - D. A. Gbadero
- Department of Paediatrics, Bowen University, Iwo, Nigeria
- Department of Paediatrics, Bowen University Teaching Hospital, Ogbomoso, Nigeria
| | - T. M. Slusher
- Department of Pediatrics, Global Pediatrics Program, University of Minnesota, Minneapolis, MN, United States
- Department of Paediatrics, Hennepin Healthcare, Minneapolis, MN, United States
| | - F. Bode-Thomas
- Department of Paediatrics, University of Jos, Jos, Nigeria
- Department of Paediatrics, Jos University Teaching Hospital, Jos, Nigeria
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Shwe DD, Afolaranmi TO, Egbodo CO, Musa J, Oguche S, Bode-Thomas F. Methylated spirit versus chlorhexidine gel: A randomized non-inferiority trial for prevention of neonatal umbilical cord infection in Jos, North-Central Nigeria. Niger J Clin Pract 2021; 24:762-769. [PMID: 34018987 DOI: 10.4103/njcp.njcp_535_20] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
Abstract
Background Omphalitis is an important cause of neonatal sepsis (NNS) and mortality. Quantitative estimates of risk of omphalitis-related neonatal death is about 10%-19%. Topical applications of antiseptics have been shown to reduce this risk burden but has not been well investigated. Aim To demonstrate non-inferiority of methylated spirit to chlorhexidine (CHX) gel for prevention of omphalitis, NNS and mortality at day 28. Methods This was a randomized, non-inferiority trial of methylated spirit versus CHX gel with 161 and 162 mother-baby pairs, respectively, conducted between July 2017 and May 2018. SPSS version 23.0 was used for data analysis to examine for incidence of omphalitis, time-to-cord separation, NNS and mortality. Relative risk and 95% confidence interval were used as point and interval estimates, respectively, with a non-inferiority margin of 10% set for CHX gel while a P values <0.05 was statistically significant. Results The median age of newborns was 18 h; (IQR: 8-24) h with the risk of omphalitis being 2% higher with CHX gel compared to methylated spirit (RR = 1.020; 95% CI; 0.988-1.053; P = 0.053). The median times-to-cord separation were 7.0 days (IQR: 2-17) and 7.0 days (IQR: 2-18) for methylated spirit and CHX gel, respectively (mean difference: ‒0.2145; 95% CI = ‒0.9085-0.4759; P = 0.544). There was no difference in the risks of NNS and mortality among those treated with methylated spirit compared to those exposed to CHX gel (RR: 1.0; 95% CI = 0.984-1.017; P = 1.000) and (RR: 1.0; 95% CI = 0.994-1.018; P = 0.986) respectively. Conclusions There is no evidence that 96% methylated spirit is inferior to 4% CHX gel in preventing neonatal omphalitis; hence, it may be considered a safe and effective alternative where CHX gel is unavailable.
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Affiliation(s)
- D D Shwe
- Department of Paediatrics, Faculty of Clinical Sciences, Nigeria /Jos University Teaching Hospital, Jos, Nigeria
| | - T O Afolaranmi
- Department of Community Health, Faculty of Clinical Sciences, College of Health Sciences, University of Jos, Nigeria /Jos University Teaching Hospital, Jos, Nigeria
| | - C O Egbodo
- Department of Obstetrics and Gynaecology, Faculty of Clinical Sciences, College of Health Sciences, University of Jos/Jos University Teaching Hospital, Jos, Nigeria
| | - J Musa
- Professor of Obstetrics and Gynaecology, Faculty of Clinical Sciences, College of Health Sciences, University of Jos, Nigeria /Jos University Teaching Hospital, Jos, Nigeria
| | - S Oguche
- Professor of Paediatrics, Faculty of Clinical Sciences, College of Health Sciences, University of Jos, Jos, Nigeria /Jos University Teaching Hospital, Jos, Nigeria
| | - F Bode-Thomas
- Professor of Paediatrics, Faculty of Clinical Sciences, College of Health Sciences, University of Jos, Jos, Nigeria /Jos University Teaching Hospital, Jos, Nigeria
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Yilgwan CS, Pam VC, Ige OO, Golit WN, Anzaku S, Imade GE, Sagay AS, Yilgwan G, Mutihir JT, Meshak D, Zoakah AI, Bode-Thomas F. Neonatal Blood Pressure and Anthropometric Indices in Newborns of Pre-Eclamptic and Normal Mothers in Jos, Nigeria. West Afr J Med 2020; 37:423-427. [PMID: 32835407] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/11/2023]
Abstract
BACKGROUND AND OBJECTIVES Preeclampsia is a significant public health problem associated with increased risk of hypertension for offsprings. We compared the blood pressure and presence of hypertension between neonates born to women with preeclampsia and those with normal pregnancy as well as its relationship to anthropometric indices. METHODS This is a comparative cross-sectional study of 40 neonates born to women with preeclampsia and those born following normal pregnancy in four tertiary health facilities located in Jos, Nigeria. Anthropometric and blood pressure values were measured within 6-12 hours of delivery using standard protocols. SPSS version 25 was used in all analyses. Statistical significance was taken at p <0.05. RESULTS The mean birth weight for neonates of preeclamptic women was 2,476.1±810.8 grams, compared with 2,994.2±529.6 grams in babies of normal pregnancy (p=0.002). The mean birth length for neonates of preeclamptic women was 45.4±6.2 cm compared with 49.8±3.1 cm in babies of normal pregnancy (p<0.001). The mean ponderal index (PI) in neonates of preeclamptic women was 2.6±0.6 g/cm3 compared with 2.4±0.4 g/cm3 in babies of normal pregnancy (p=0.17). The mean systolic blood pressure in neonates of women with preeclampsia was 74.53±16.99 mmHg compared with 75.26±15.20 mmHg in neonates following normal pregnancy (p=0.85). The mean diastolic blood pressure in neonates born following preeclampsia was 47.52±15.76 mmHg compared with 45.12±16.9 mmHg in those following normal pregnancy (p=0.46). Six (16%) of the neonates born to women with preeclampsia had systolic hypertension compared with 3(8%) of neonates of women with normal pregnancy. Similarly, 5(14%) of neonates born to women with preeclampsia had diastolic hypertension compared with 2(5%) of neonates of women with normal pregnancy. No significant association between neonatal hypertension and anthropometric indices. CONCLUSION Newborns of women with preeclampsia have associated higher odds of elevated blood pressure. Elevated blood pressure has no significant relationship to birthweight, length or ponderal index. Early infant blood pressure surveillance is advocated in order to monitor and hence prevent complications ensuing in later life.
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Affiliation(s)
- C S Yilgwan
- Department of Paediatrics, University of Jos,Nigeria
| | - V C Pam
- Department of Obstetrics and Gynaecology, University of Jos,Nigeria
| | - O O Ige
- Department of Paediatrics, University of Jos,Nigeria
| | - W N Golit
- Department of Obstetrics and Gynaecology, Plateau Specialist Hospital,Nigeria
| | - S Anzaku
- Department of Obstetrics and Gynaecology, Bingham University,Jos,Nigeria
| | - G E Imade
- Department of Obstetrics and Gynaecology, University of Jos,Nigeria
| | - A S Sagay
- Department of Obstetrics and Gynaecology, University of Jos,Nigeria
| | - G Yilgwan
- Department of Human Physiology, University of Jos,Nigeria
| | - J T Mutihir
- Department of Obstetrics and Gynaecology, University of Jos,Nigeria
| | - D Meshak
- Department of Family Medicine, University of Jos,Nigeria
| | - A I Zoakah
- Department of Community Medicine, University of Jos,Nigeria
| | - F Bode-Thomas
- Department of Paediatrics, University of Jos,Nigeria
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Ocheke IE, Mohamed S, Okpe ES, Bode-Thomas F, McCullouch MI. Microalbuminuria risks and glomerular filtration in children with sickle cell anaemia in Nigeria. Ital J Pediatr 2019; 45:143. [PMID: 31718702 PMCID: PMC6852760 DOI: 10.1186/s13052-019-0720-0] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/08/2019] [Accepted: 09/21/2019] [Indexed: 11/23/2022] Open
Abstract
INTRODUCTION Evidence of kidney damage is observed in children with sickle cell anaemia (SCA) and this continues through adulthood with progression to severe functional impairment in some. One of the earliest features of kidney damage associated with SCA is microalbuminuria. Our objective was to determine the risk factors of microalbuminuria in these children and its relationship with estimated glomerular filtration rate. METHODS This was a cross-sectional and comparative study involving three hundred and twenty three children with SCA in steady state and equal numbers of apparently healthy age and sex matched haemoglobin AA (HbAA) control, aged 6 months to 18 years. They were consecutively recruited over a 6 month period. RESULT Microalbuminuria was present in 26% of the study subjects compared with 1.85% of control P = 0.001). Anaemia and high estimated glomerular filtration rate (eGFR) showed strong positive correlation with microalbuminuria (OR = 3.19, CI 0.953-1.116, p = 0.003 and OR = 1.7, CI 1.042-1.066, p = 0.001 respectively). Similarly, eGFR was higher in subjects with SCA than in controls and as well as in those with microalbuminuria compared with those who do not (p = < 0.01). CONCLUSIONS The two most important risk factors for microalbuminuria were anaemia and high eGFR. Age category was associated more with microalbuminuria than just age as a variable. Glomerular filtration rate was higher in children with microalbuminuria than those who do not and it was also higher in children with SCA than in control.
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Affiliation(s)
- I E Ocheke
- Department of Paediatrics, Jos University Teaching Hospital, Jos, PMB 2076, Nigeria.
| | - S Mohamed
- Department of Paediatrics, Jos University Teaching Hospital, Jos, PMB 2076, Nigeria
| | - E S Okpe
- Department of Paediatrics, Jos University Teaching Hospital, Jos, PMB 2076, Nigeria
| | - F Bode-Thomas
- Department of Paediatrics, Jos University Teaching Hospital, Jos, PMB 2076, Nigeria
| | - M I McCullouch
- Red Cross War Memorial Children's Hospital, University of Cape Town, Cape Town, South Africa
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Ige O, Yilgwan C, Ayatse F, Baba F, Osayi L, Nkereuwem E, Bode-Thomas F. PO594 The Birth Prevalence of Congenital Heart Disease IN Nigeria: A Preliminary Report. Glob Heart 2018. [DOI: 10.1016/j.gheart.2018.09.455] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
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Christopher Y, Pam V, Ige O, Golit W, Anzaku S, Simon M, Bode-Thomas F. PO599 Relationship Between Neonatal Blood Pressure and Anthropometric Indices In Newborns of Pre-Eclamptic Mothers: A Pilot Study. Glob Heart 2018. [DOI: 10.1016/j.gheart.2018.09.460] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
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Prendergast EA, Perkins S, Engel ME, Cupido B, Francis V, Joachim A, Al Kebsi M, Bode-Thomas F, Damasceno A, Abul Fadl A, El Sayed A, Gitura B, Kennedy N, Ibrahim A, Mucumbitsi J, Adeoye AM, Musuku J, Okello E, Olunuga T, Sheta S, Mayosi BM, Zühlke LJ. Participation in research improves overall patient management: insights from the Global Rheumatic Heart Disease registry (REMEDY). Cardiovasc J Afr 2018; 29:98-105. [PMID: 29570206 PMCID: PMC6008904 DOI: 10.5830/cvja-2017-054] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/30/2017] [Accepted: 11/19/2017] [Indexed: 12/28/2022] Open
Abstract
Background Rheumatic heart disease (RHD) is a major public health problem in low– and middle–income countries (LMICs), with a paucity of high–quality trial data to improve patient outcomes. Investigators felt that involvement in a recent large, observational RHD study impacted positively on their practice, but this was poorly defined. Aim The purpose of this study was to document the experience of investigators and research team members from LMICs who participated in a prospective, multi–centre study, the global Rheumatic Heart Disease Registry (REMEDY), conducted in 25 centres in 14 countries from 2010 to 2012. Methods We conducted an online survey of site personnel to identify and quantify their experiences. Telephone interviews were conducted with a subset of respondents to gather additional qualitative data. We asked about their experiences, positive and negative, and about any changes in RHD management practices resulting from their participation in REMEDY as a registry site. Results The majority of respondents in both the survey and telephone interviews indicated that participation as a registry site improved their management of RHD patients. Administrative changes included increased attention to follow–up appointments and details in patient records. Clinical changes included increased use of penicillin prophylaxis, and more frequent INR monitoring and contraceptive counselling. Conclusions Our study demonstrates that participation in clinical research on RHD can have a positive impact on patient management. Furthermore, REMEDY has led to increased patient awareness and improved healthcare workers’ knowledge and efficiency in caring for RHD patients.
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Affiliation(s)
- E A Prendergast
- Department of Paediatrics and Child Health, Red Cross War Memorial Children's Hospital, Faculty of Health Sciences, University of Cape Town, Cape Town, South Africa
| | - S Perkins
- Department of Paediatrics and Child Health, Red Cross War Memorial Children's Hospital, Faculty of Health Sciences, University of Cape Town, Cape Town, South Africa
| | - M E Engel
- Department of Medicine, Groote Schuur Hospital, Faculty of Health Sciences, University of Cape Town, Cape Town, South Africa
| | - B Cupido
- Division of Cardiology, Groote Schuur Hospital, Faculty of Health Sciences, University of Cape Town, Cape Town, South Africa
| | - V Francis
- Department of Medicine, Groote Schuur Hospital, Faculty of Health Sciences, University of Cape Town, Cape Town, South Africa
| | - A Joachim
- Department of Paediatrics and Child Health, Red Cross War Memorial Children's Hospital, Faculty of Health Sciences, University of Cape Town, Cape Town, South Africa
| | - M Al Kebsi
- Faculty of Medicine and Surgery, University of Sana'a, Al-Thawrah, Cardiac Centre, Sana'a, Yemen
| | - F Bode-Thomas
- Departments of Paediatrics, University of Jos and Jos University Teaching Hospital, Jos, Nigeria
| | - A Damasceno
- Department of Medicine, Eduardo Mondlane University, Maputo, Mozambique
| | - A Abul Fadl
- Faculty of Medicine, Benha University, Cairo, Egypt
| | - A El Sayed
- Cardiothoracic Surgery Department, Al Shaab Teaching Hospital and Faculty of Medicine, Alzaiem Alazhari University, Khartoum, Sudan
| | - B Gitura
- Cardiology Unit, Department of Medicine, Kenyatta National Teaching and Referral Hospital, Nairobi, Kenya
| | - N Kennedy
- Department of Paediatrics and Child Health, College of Medicine, University of Malawi, Blantyre, Malawi; Centre for Medical Education, Queen's University, Belfast; Royal Belfast Hospital for Sick Children, Belfast, Ireland
| | - A Ibrahim
- Cardiothoracic Surgery Department, Al Shaab Teaching Hospital and Faculty of Medicine, Alzaiem Alazhari University, Khartoum, Sudan
| | - J Mucumbitsi
- Paediatric Cardiology Unit, Department of Paediatrics, King Faisal Hospital, Kigali, Rwanda
| | - A M Adeoye
- Division of Cardiology, Department of Medicine, University College Hospital, Ibadan, Nigeria
| | - J Musuku
- University Teaching Hospital, Department of Paediatrics and Child Health, University of Zambia, Lusaka, Zambia
| | - E Okello
- Uganda Heart Institute, Kampala, Uganda
| | - T Olunuga
- Department of Medicine, Federal Medical Centre, Abeokuta, Nigeria
| | - S Sheta
- Department of Paediatrics, Division of Paediatric Cardiology, Faculty of Medicine, Cairo University Children's Hospital, Cairo, Egypt
| | - B M Mayosi
- Department of Medicine, Groote Schuur Hospital, Faculty of Health Sciences, University of Cape Town, Cape Town, South Africa; Division of Cardiology, Groote Schuur Hospital, Faculty of Health Sciences, University of Cape Town, Cape Town, South Africa; Dean of Faculty of Health Sciences, University of Cape Town, South Africa
| | - L J Zühlke
- Department of Paediatrics and Child Health, Red Cross War Memorial Children's Hospital, Faculty of Health Sciences, University of Cape Town, Cape Town, South Africa; Department of Medicine, Groote Schuur Hospital, Faculty of Health Sciences, University of Cape Town, Cape Town, South Africa; Division of Cardiology, Groote Schuur Hospital, Faculty of Health Sciences, University of Cape Town, Cape Town, South Africa.
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Animasahun BA, Johnson A, Ogunkunle OO, Idowu S, Bode-Thomas F, Maheshwari S, Njokanma OF, Omokhodion SI. Transcatheter closure of patent ductus arteriosus: report of the first case in Nigeria. Afr J Med Med Sci 2012; 41:327-330. [PMID: 23457884] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/01/2023]
Abstract
BACKGROUND Since the first report on device closure of patent ductus arteriosus (PDA) by Porstmann et al in 1967, the procedure has gained wide acceptance and has been used all over the world, including parts of Africa. The advantages when compared to surgical closure include shorter procedure time and hospital stay and no scar being left. This mode of treatment was not available in Nigeria prior to this with patients having to travel abroad to benefit. PATIENT AND METHOD Cardiac catheterisation laboratory became available in Lagos, Nigeria in 2009 and in October 2010, the laboratory collaborated with Lagos State University College of Medicine (LASUCOM) and Lagos State University Teaching Hospital (LASUTH), to perform a device closure on a 3-year old girl with PDA who had presented to LASUTH with heart failure at the age of 6 months. To the best of our knowledge, this is the first time the procedure has been performed in Nigeria RESULTS The patient made a successful recovery and is haemodynamically stable, on no medications. CONCLUSION Device closure of PDA is now safe and available in Nigeria.
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Affiliation(s)
- B A Animasahun
- Department of Paediatrics and Child Health, Lagos State University College of Medicine, Ikeja, Lagos, Nigeria.
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Abstract
Congenital heart diseases (CHD) often present with recurrent or chronic breathing difficulties, as do chronic airway diseases such as asthma. Both are relatively common, and may sometimes co-exist. However, there is a paucity of literature from developing countries to that effect. We present two children diagnosed with ventricular septal defect, later also found to have clinical features consistent with co-existing asthma. We highlight the diagnostic challenges we encountered as well as the crucial role of a careful family respiratory history in children with congenital heart disease.
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Affiliation(s)
- F Bode-Thomas
- Department of Paediatrics, Jos University Teaching Hospital, PMB 2076, Jos, Nigeria
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Okpe ES, Bode-Thomas F, Ocheke IE, Oguche S, Toma BO, Okolo SN. Childhood Rabies: A 10 Year Review of Management and Outcome in a Tertiary Centre. ACTA ACUST UNITED AC 2011. [DOI: 10.4314/jmt.v13i1.69335] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
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Abstract
BACKGROUND Sickle cell anaemia (SCA) is associated with recurrent multi-organ ischaemia and infarction. Myocardial ischaemia (MI) and infarction are increasingly recognised as features of SCA. The prevalence and severity of MI in children with SCA is not known. AIM To evaluate the usefulness of a new scoring system based on the standard surface electrocardiogram (ECG) in determining the prevalence and severity of MI in children with SCA. METHOD MI prevalence and scores derived from standard surface ECGs of 35 children with SCA aged 3-18 years who presented consecutively during 38 episodes of vaso-occlusive crisis (VOC) were compared with those of 40 age- and sex-matched SCA patients in the steady state and 40 anaemic non-SCA patients. In SCA subjects with VOC, ECG was repeated approximately 1 week and 4-8 weeks post crisis and the respective MI scores were compared with their intra-crisis ECG and those of the two other groups. RESULTS Mean (SD) MI scores were significantly higher during vaso-occlusive crises [1·82 (0·20)] compared with the steady state [1·15 (0·15)] and non-SCA anaemic controls [1·13 (0·21)], p = 0·017. SCA patients in crisis were 5·5 (1·20-13·99) times more likely to have MI compared with non-SCA anaemic controls (p = 0·025). They were also 3·66 (1·05-12·74, p = 0·042) and 7·58 (1·31-43·92, p = 0·024) times more likely to have mild and significant MI, respectively. MI scores derived from the post-crisis ECGs were similar to those of steady-state SCA patients. CONCLUSION ECG changes consistent with MI are common in children with SCA, especially during vaso-occlusive crises. Our proposed MI scoring system could be a useful screening tool for early detection of significant MI during crises, facilitating early institution of intervention. Further studies are needed to determine the specificity of the observed changes and to validate the proposed screening tool.
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Affiliation(s)
- F Bode-Thomas
- Department of Paediatrics, University of Jos, Jos, Nigeria.
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Bode-Thomas F, Ebonyi AO, Animasahun BA. Childhood dilated cardiomyopathy in Jos, Nigeria. Sahel Med J 2006. [DOI: 10.4314/smj2.v8i4.12911] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022] Open
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Abstract
Documentation of the transfusion needs of neonatal units is required to guide blood banks in meeting demands. A prospective observational study of newborn transfusions over 35 weeks was conducted. Eighty-four transfusions were conducted in 62 of 377 (16.45%) admitted infants in 35 weeks. Neonatal jaundice (57.2%) and anemia (38.1%) were main indications. In 85.7% cases, blood transfused was < 3 days old. Weight of infants at transfusion was < 2500 g in 51.6% cases. Infants were first transfused at < 7 days in 59.7% cases. Whole blood was used in 64.3% of all cases. Overall transfusion rate was 2.4/week. Neonatal jaundice is the commonest indication for transfusion and whole blood is in greater demand.
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Affiliation(s)
- Sunday Pam
- Department of Pediatrics, Jos University Teaching Hospital, Jos, Nigeria.
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Bode-Thomas F, Ikeh EI, Pam SD, Ejeliogu EU. Current aetiology of neonatal sepsis in Jos University Teaching Hospital. Niger J Med 2004; 13:130-5. [PMID: 15293830] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 04/30/2023] Open
Abstract
BACKGROUND Periodic bacteriologic surveillance in neonatal units is a necessity. OBJECTIVE To determine the currently prevalent pathogens of neonatal sepsis in the Special Care Baby Unit of Jos University Teaching Hospital, and their antibiotic susceptibility profiles. METHODOLOGY One hundred and twenty two neonates with clinical suspicion of sepsis underwent bacteriologic screening over a 4 month period. RESULTS One hundred and fourteen bacteria were isolated from 66 (54.1%) of the infants. Forty two (36.8%) isolates were gram positive (predominantly Staphylococcus aureus), while 72 (63.2%) were gram negative (predominantly Escherichia coli). Gentamicin was most useful antibiotic, though effective against only 67% of both gram positive and gram negative bacteria. The susceptibilities of both gram positive and gram negative bacteria to the third generation cephalosporins were particularly poor (less than 10%). CONCLUSION Our data show a change in the predominant gram negative bacterial pathogen compared with an earlier report from our unit, and an alarming overall decline in the susceptibilities of both gram positive and gram negative pathogens to the commonly used antibiotics.
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Affiliation(s)
- F Bode-Thomas
- Department of Paediatrics, Jos University Teaching Hospital, Nigeria
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