Browsing by Author "Johnson, Abdul-Wahab BR"
Now showing 1 - 5 of 5
Results Per Page
Sort Options
Item Burden and spectrum of paediatric respiratory diseases at a referral hospital in North-Central Nigeria - A five-year review.(Elsevier, 2019-11-13) Ibraheem, Rasheedat M; Aderemi, Jubril A; Abdulkadir, Mohammed B; Johnson, Abdul-Wahab BRIntroduction: Globally respiratory diseases, comprising a broad range of disease conditions due to infectious and non-infectious causes, are a major cause of childhood morbidity and mortality. Thus, identification of the burden of respiratory illness will ensure appropriate interventions towards reducing its attendant morbidity and mor- tality. The study was conducted to identify the burden, spectrum and outcome of respiratory diseases in hos- pitalized children at University of Ilorin Teaching Hospital, North-Central Nigeria. Methods: A retrospective descriptive cross-sectional study involving children admitted through the emergency paediatric unit over five years (January 2013-December 2017) was conducted. Data on demography, diagnosis, co- morbidities and complications, duration of admission, and outcome were collected and analyzed using SPSS 20. Results: Of the total 7012 children admitted, 1939(27.7%) were due to respiratory diseases with a median age of 16 (interquartile range {IQR} 7-36) months. Males were 994(51.3%) and 945(48.7%) females. Infectious dis- eases were the most common cause of admission. Pneumonia (50.1%) and aspiration pneumonitis (5.1%) ac- counted for the highest admissions due to infective and non-infective respiratory diseases respectively. Overall, respiratory diseases accounted for 20.7% (119/574) of the overall mortality among all admissions while the all- respiratory disease mortality was 6.1% (119/1939). The major contributors to mortality were pneumonia, as- piration pneumonitis and tuberculosis accounting for 81(68.1%), 12(10.1%) and nine (7.6%) deaths respec- tively. The median duration of hospital stay was four days [IQR: 2 to 6 days]. A significantly higher proportion of the deaths occurred with four days of admission and 82.4% of the deaths occurred among those aged less than five years. A higher number of females (70, 58.8%) died compared to males (49, 41.2%), p=0.05. Conclusion: Pneumonia and aspiration pneumonitis are major contributors to morbidity and mortality due to respiratory diseases for which interventions towards improving childhood health indices should be prioritized.Item Disseminated tuberculosis in a Nigerian adolescent with Linear IgA Bullous Dermatosis: A case report and review of the literature.(2022-06) Gobir, Aisha; Ariyibi, Solomon O; Ibraheem, Rasheedat M; Johnson, Abdul-Wahab BR; Abdulkadir, Mohammed B; Katibi, Oludolapo S; Adeoye, Peter O; Udoh, E.A; ilesanmi, Omotoyosi; Folaranmi, Olalekan.OLinear IgA bullous dermatosis (LABD) is an auto-immune disease affecting young children and adults, characterized by the linear deposition of IgA at the basement membrane zone with resultant complement activation and a cascade of immune reactions. There is a loss of adhesion at the dermo-epidermal junction and subsequent blister formation. It is a rare disease that has a good prognosis with adequate therapy. However, the underlying depressed immunity associated with the disease may expose them to such infections as tuberculosis. We report the case of an 11-years-old Nigerian female adolescent with LABD, diagnosed at the age of four years but defaulted on fol low-up, who developed disseminated tuberculosis (pulmonary, lymph nodes, abdominal and pericardial effusion) seven years after the appearance of the initial blistering skin lesions. She commenced anti-tuberculosis drugs, steroids, and a tube pericardiostomy for the pericardial effusion. Dapsone was initiated for the LABD during the continuation phase of anti-tuberculosis therapy, with subsequent disappearance of the skin rash within two weeks. WAJM 2022; 39(6): 646– 650.Item Evaluation of the awareness and experiences of the primary and secondary school teachers on asthma: A cross-sectional study in Ilorin, Nigeria.(2022-10-04) Ibraheem, Rasheedat M; Hamzah, Abdullateef Olanrewaju; Ameen, Hafsat; Katibi, Oludolapo S; Johnson, Abdul-Wahab BROBJECTIVES: Children spend the daytime participating in classes and sports. Hence, as the general caregiver of children during school hours, the teacher has a role in managing those with asthma. The present study aims to identify teachers’ knowledge, attitude, and experiences about childhood asthma in primary and secondary schools in Ilorin, Nigeria. MATERIALS AND METHODS: A cross-sectional study was conducted among 1532 teachers from 64 schools (24 primary and 40 secondaries) selected through multistage sampling. A 40-item Asthma Knowledge Questionnaire was used to assess teachers’ knowledge about childhood asthma. A score of <22 out of 40 was considered suboptimal knowledge of childhood asthma. RESULTS: The response rate was 92.8%. Two-thirds of respondents were female. The overall mean age was 33.8 ± 8.1 years. The median (interquartile range [IQR]) teaching duration was 6 (3–11) years. The teachers had the highest median score (60.0%) in the triggers domain and the lowest median score (33.3%) in the symptoms domain. The overall median (IQR) knowledge score of the primary school teachers was 50.0 (30.0–65.0%), and for the secondary school teachers was 52.5 (30.0–65.0%), P = 0.689. Two hundred and ninety-one (55.1%) primary teachers and 479 (53.6%) secondary teachers had suboptimal knowledge. Teachers with an asthmatic relative, an asthmatic child in the class, or who previously witnessed a child with an asthmatic attack had – significantly better asthma knowledge, with each P < 0.05. CONCLUSION: About half of the teachers surveyed had suboptimal knowledge of asthma. Strategies to improve teachers’ knowledge are crucial for improved childhood asthma management in Ilorin schools.Item Laryngeal tuberculosis: a rare presentation in a Nigerian child with disseminated tuberculosis.(2019) Ibraheem, Rasheedat M; Oladele, Damilola M; Mohammed, Salihu Sheni; Abdulkadir, Mohammed B; Johnson, Abdul-Wahab BR; Omotosho, Abdulwasiu GTuberculosis (TB) remains a ravaging disease, particularly in the low-income countries, with a protean manifestation in children. Thus, a high index of suspicion is the key to clinching the diagnosis when presentation is in a rare form such as laryngeal TB. In this study, the case report of a 10‑year‑old female child with laryngeal TB in the setting of other typical clinical presentation associated with TB is highlighted.Item Relationship between serum zinc levels and socio-demographic features in Nigerian children with acute lower respiratory infections.(2020-11) Ibraheem, Rasheedat M; Johnson, Abdul-Wahab BR; Gobir, Aisha A; Biliaminu, Sikiru A; Adedoyin, Olanrewaju TBackground: Acute Lower Respiratory Infections (ALRI) are a major cause of Paediatric morbidity for which several risk factors have been identified. Among these factors are socio-demographic and nutritional factors including micronutrients such as zinc and Vitamin A. The current study was carried out in Ilorin, Nigeria to determine the relationship between serum zinc levels and some socio-demographic characteristics in children with ALRI. Method: This was a descriptive cross-sectional study involving children aged two months up to 60 months with ALRI. Socio-demographic and clinical data were obtained via a semi-structured questionnaire. Blood samples were collected for determining the serum zinc level. The serum zinc was analyzed with a Jenway™ spectrophotometer after initial preparation with the QuantiChrom™ zinc assay kit. The data collected was analysed with SPSS 16 software package. Results: Of the 120 children recruited, 73(60.8%) were males and 47(39.2%) females. The mean (SD) age of the children with ALRI was 20.8(17.6) months. Nine (7.5%) children had bronchiolitis, 16(13.3%) had lobar pneumonia and 95(79.2%) bronchopneumonia. Children from monogamous families had mean (SD) serum zinc level of 19.6(12.2) µg/dl which was significantly higher than the corresponding value of 13.1(7.7) µg/dl recorded in those from polygamous homes, p=0.031. After a stepwise linear regression analysis, the family type remained significant with an F value of 4.244; p=0.042; 95%C.I.(-12.4 - -0.3). Conclusion: Children with ALRI from polygamous homes have low serum zinc levels. The family type is a predictor of serum zinc level in children with ALRI.