Browsing by Author "Gobir, A.A"
Now showing 1 - 3 of 3
Results Per Page
Sort Options
Item Economics and clinical implications of delayed presentation of children with intussusceptions: minimizing healthcare cost in the context of limited resources.(The Egyptian Journal of Surgery, Published by Laredo College, 2019) Nasir, A.A.; David, N. Abdul-Rahman L.O .; Gobir, A.A; Saka, A.OBackground A basic strategy in today’s resource-limited healthcare environment is limiting cost while maintaining quality. Objective To estimate the impact and healthcare cost of treatment of intussusceptions (ISs) presenting late. Patients and methods We performed a chart review of children managed for ISs over 44 months. Our care pathway included resuscitation, ultrasound-guided hydrostatic reduction of children presenting early (≤24 h) with no peritonitis. Results There were 46 children seen at a median age of 8.5 months. Thirty-two (69.6%) presented late (>24 h). The total charge was higher for patients who presented late ($259.6 vs. $168.9, P=0.012). There was an average of 21% ($50.0) additional charges incurred for each day’s delay. There was significantly higher cost of drugs ($45.1 vs. $23.7, P=0.008) and procedures ($154.4 vs. $99.5, P=0.025). Those who presented late had increased risk of bowel resection (40 vs. 0%, odds ratio=1.74, P=0.005), and higher complication rates (56 vs. 21%, odds ratio=0.21, P=0.018). The length of stay was doubled for those who presented late (10.6 vs. 4.6 days, P=0.001). Conclusion Delayed presentation of ISs translates to increased hospital cost and an extra week in hospital with increased morbidity.Item Is this eosinophilic meningitis in a Nigerian child?.(The College of Health Sciences, University of Ilorin., 2016) Ibraheem, Rasheedat; Oladele, Damilola; Mohammed, S.S; Gobir, A.AMeningitis is a dreaded disease entity with a clinical course and prognosis that is dependent on its etiology, which is an important source of concern in ensuring proper management. The frequently implicated etiologic agents are bacterial and less often viral; however, rare causes requiring a different management approach may also masquerade as these common causes as is seen in eosinophilic meningitis (EoM). Against this background, the case of a Nigerian male child with suspected helminth‑induced EoM, management approach, and outcome is described.Item Reappraisal of respiratory syncytial virus as an aetiology of severe acute lower respiratory tract infections in children younger than 5 years in Nigeria(Royal Society of Tropical Medicine and Hygiene., 2019) Oladele, D.M; Oladele, D.P; Ibraheem, Rasheedat Mobolaji; Abdulkadir, Mohammed Baba; Raheem, R.A.; Gobir, A.A; JOhnson, W.B.RBackground: Acute lower respiratory tract infections (ALRIs) especially severe ALRIs, constitute a global high burden of morbidity and mortality in children <5 y of age and respiratory syncytial virus (RSV) has been documented to a play a major aetiological role. However, Nigerian reports on severe childhood RSV ALRIs are rare and most reports are old. With recent advances in RSV preventive strategy, arises the need for a recent appraisal of RSV infection in children with severe ALRI. The current study thus set out to determine the preva lence of RSV infection among hospitalized children <5 y of age and describe the related social determinants. Methods: We performed a descriptive cross-sectional study conducted over 1 y of 120 children, ages 2–59 months, diagnosed with ALRI. Relevant data were obtained and an antigen detection assay was used for viral studies. Results: The prevalence of RSV infection was 34.2% and its peak was in the rainy months. The proportion of infants in the RSV-positive group was significantly higher than that in the RSV-negative group (82.9% vs 54.4%; p=0.002). These findings were largely consistent with those of earlier reports. Conclusions: RSV has remained a common cause of severe ALRI in infants, especially during the rainy months in Nigeria. It is thus suggested that more effort be focused towards implementing the current global recommendations for the prevention of RSV-associated LRI, particularly in infants