Browsing by Author "Adeboye, Muhammed"
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Item Childhood pneumonia seen at University of Ilorin Teaching Hospital, Nigeria(Peadiatric Association of Nigeria, 2013) Abdulkarim, Aishatu; Ibraheem, Rasheedat; Adegboye, Abdulrasheed; Johnson, 'Wahab; Adeboye, MuhammedBackground/Objectives:Pneumonia is a leading cause of morbidity and mortality in children and thus this study was designed to document the sociodemographic, clinical features as well as the bacterial agents responsible for pneumonia in children seen at University of IlorinTeaching Hospital. Methodology: A descriptive cross-sectional study of children aged one month to 14 years with features of pneumonia admitted between July 1st 2010 and June 31st,2011 was carried out. Sociodemograpic data, clinical features, complications and outcome were obtained. Chest radiographs and blood samples for culture of bacterial organism and full blood counts were obtained in all children. Results: Pneumonia accounted for 13.3% (167 out of 1254) of the all admissions during this period. The male: female ratio was 1.5:1, and 101(60.5%) of the children were infants. Bronchopneumonia was identified in 147(88%) children, lobar pneumonia in 15 (9%) while 5(3%) had a combination of both. Cough, fever, difficulty in breathing, tachypnoea and chest wall recessions were recognized as clinical features in the study population. Bacteraemia was present in 46(27%)children and Staphylococcus aureus was the most common organism cultured from the blood of children with pneumonia present in 11 (23.9%) out of the 46 (100.0%) isolates. Heart failure was associated complication present in 52 of the 60 children with one or more complications accounting for over 30% of all patients. Eleven out of the 15 children with lobar pneumonia had pneumonia-related complications which was significantly higher compared to 46 of 157 children with bronchopneumonia, p=0.003. The case fatality was 6.6%. Eight (72.7%) of the children that died were infants while the remaining three (27.3%) were aged between 12 and 60 months. The mean duration of hospitalization among those who survived of 6.5 ±5.0 days was significantly lower than the corresponding value of 10.2 ±12.3 days in those that died, p= 0.042. Conclusion: Pneumonia-related mortality and morbidity is high in under-five children, with the infant age group most affected. Bronchopneumonia is the most prevalent ALRI diagnosis but lobar pneumonia is associated with a higher mortality.Item Missed vaccination opportunities at a secondary health facility in Ilorin, Nigeria.(The Association of Public Health Physicians of Nigeria, 2016) Ibraheem, Rasheedat; Bello, Abdulafeez; Adeboye, Muhammed; Adeyeba, James; Muhammed, MuhammedBackground: Immunization remains a key strategy in the control of childhood diseases, with a child expected to have five visits according to the current National Programme on Immunization. The study aimed to identify missed vaccination visits and the associated factors in children presenting at the general out-patient clinic of a secondary health facility in Ilorin, Nigeria. Method: Through a descriptive cross-sectional study, the vaccination data of all children seen at the out-patient clinic were critically reviewed over a period of one month. Socio-demographic and immunization details were obtained and reasons for missed vaccination documented. Those that had missed vaccination were commenced on the needed vaccine(s) after counselling of their parent(s), and adequate follow-up was instituted. Results: Eighty-two (5.1%) children out of 1603 seen had missed at least one vaccine visit. The mean (SD) age of the children was 20.1(14.9) months. The male to female ratio was 1.1:1. Thirty-nine (47.2%) children had missed one visit while 43(52.7%) had missed two or more visits; 16(19.5%) had missed all five visits. Major reasons for missed visits were ill child(26.8%), ignorance about routine vaccine but received vaccine during the National Immunization Days(NID) (19.5%), mother travelled (14.6%), forgot(9.8%), and reaction to previous vaccine(6.1%). Conclusion: The missed opportunity for immunization is high therefore health care providers should enquire about the vaccination status of children at all contact. There is a need to increase awareness on illnesses that are not contra-indications to vaccination, and routine vaccine status should be checked during NID.