Browsing by Author "Nwabuisi, C."
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Item Methicillin Resistant staphylococcus aureus (MRSA): Awareness, Knowledge and Disposition to Screening Among Healthcare Workers in Critical Care Units of A Nigerian Hospital.(West African Medical College of Physician, 2011) Fadeyi, A.; Adeboye, M. A. N.; Fowotade, A.; Nwabuisi, C.; Bolaji, B. O.; Oyedepo, O. O.; Adesiyun O. O.; Olanrewaju, T. O.; Aderibigbe, A.; Salami, A. K.; Desalu, O. O.; Akanbi II, A. A.; Raheem, R. A.; Olalere, A.BACKGROUND: Awareness level about methicillin resistant Staphylococcus aureus (MRSA) is high in the western world but the status in developing countries is not well defined. OBJECTIVE: To assess MRSA awareness level, knowledge and disposition to screening among critical healthcare givers (HCGs) in Nigeria. METHODS: A self-administered questionnaire was used to assess the level of awareness and knowledge of HCGs in critical care units of the University of Ilorin Teaching Hospital, Ilorin, Nigeria on MRSA and their willingness to submit to screening. RESULTS: Only 103 (52.0%) of the 198 participants were aware of MRSA but all were favourably disposed to screening for the organism. Awareness was through hospital rounds 65(63.1%) and journals/ textbooks 35(34.0%), and Many, 120 (60.6%) considered MRSA as a threat in the hospital, while only 27 (13.6%) thought otherwise and 51(25.8%) were indifferent. Most HCGs, 124 (87.9%) reported that there were no MRSA control measures in their respective duty post. The age, cadre of work, and number of years in the hospital’s critical care units correlated positively with awareness level. CONCLUSION: Methicillin resistant Staphylococcus aureus awareness level among the HCGs in our hospital is just a little above 50.0% with substantial proportion of them not realizing the medical implication of the organism. However, majority are well disposed to MRSA screening. Inadequate publicity is a major contributor to poor knowledge and awareness. There is need for educational intervention and sensitization programs on MRSA and other infection control techniques for HCGs in developing nations especially Nigeria.Item Pattern of Bacterial Isolates in the Middle Ear Discharge of Patients with Chronic Suppurative Otitis Media in a Tertiary Hospital in North Central Nigeria(Published by Faculty of Medicine, Makerere University Kampala, Uganda, 2012) Afolabi, O.A.,; Salaudeen, A.G.,; Ologe, F.E.,; Nwabuisi, C.; Nwawolo, C.C.Background Otitis media (OM) is a major health problem in both developed and developing countries. Objective To determine the pattern of bacterial isolates in patients with chronic suppurative otitis media(CSOM) in Ilorin, Nigeria. Methods A prospective study carried out in University of Ilorin Teaching Hospital, Nigeria among consenting patients with CSOM attending the ENT clinic over a period of 7months. Informed consent was obtained from the patients or caregivers and approval for the study obtained from ethical committee. Structured questionnaire was administered and microbiological analysis done, data obtained was entered into SPSS statistical software and results presented in tables and figures. Results A total of 134 patients aged 5–64yrs with chronic suppurative otitis media were interviewed with a mean age of 17.0 (S.D. =15.1±1.30). About 55.2% of the respondents were under 10yrs. Seventy-two (53.7%) of the respondents were males with M:F=1.2:1. The gram stain showed predominantly gram negative organisms (71.6%). Pseudomonas aeruginosa was the commonest middle ear pathogenic organism identified and the sensitivity pattern highly favoured ciprofloxacin Conclusion CSOM is still a childhood problem among the under tens' more prevalent among males and the commonest agent is Pseudomonas aeruginosa. Ciprofloxacin is still the most sensitive antibiotics in vitro.Item Pattern of sexually transmitted infections in human immunodeficiency virus positive women attending antenatal clinics in north‑central Nigeria(Usmanu Danfodiyo University Teaching Hospital, Sokoto, Nigeria, 2014) Isiaka-Lawal, S.A.; Nwabuisi, C.; Fakeye, O.; Saidu, R.; Adeshina, K.T; Ijaiya, M.A.; Jimoh, A.A.G.; Omokanye, Lukman O.Background: Sexually transmitted infections (STIs) are prevalent during pregnancy and may have adverse sequalae in both mother and fetus. Interactions between these infections and human immunodeficiency virus (HIV) synergize and may cause adverse pregnancy outcomes and reverse the gains of prevention of mother to child transmission of HIV. Objectives: The objective of this study is to determine the prevalence of candidiasis, trichomoniasis, gonococcal infection, syphilis, and bacterial vaginosis in HIV pregnant women and compare with HIV negative controls. Materials and Methods: A case‑control study was conducted during the period from April to December 2010 at the Department of Obstetrics/Gynecology of University of Ilorin Teaching Hospital and three Primary Health Centers in Ilorin. A total of 160 HIV positive pregnant women attending antenatal clinics were recruited, along with the same number of HIV negative matched controls. A structured proforma was used to collect information from patients, vaginal examination was performed and samples were taken from the endocervix and the posterior vaginal fornix with swab sticks. Results: STIs were recovered from 142 women, giving overall prevalence of 44.4%. HIV infected women had a higher prevalence (60%) compared to uninfected (28.8%). The most prevalent STI was vaginal candidiasis (29.1%), followed by bacterial vaginosis (9.7%), and trichomoniasis (5.6%). The prevalence of candidiasis, bacterial vaginosis, and trichomoniasis was higher among HIV positive pregnant women compared to HIV negative controls (P < 0.05). No woman had syphilis or gonorrhea. Conclusion: The prevalence of candidiasis, bacterial vaginosis and trichomoniasis was higher in HIV infected pregnant women compared to uninfected. Routine screening of HIV infected pregnant women for these organisms is advocated.Item Sero-Prevalence of Hepatitis B and C among mentally ill patients attending a tertiary hospital in Nigeria(Annals of African Medicine Society and Usman Danfodiyo University Teaching Hospital, Sokoto, Nigeria, and is affiliated to the Usman Danfodiyo University Teaching Hospital, Sokoto, Nigeria,, 2021-03-23) Durotoye, I A.; Issa, B.A; Fadeyi, A; Yussuf, A.D; Salami, A.K; Shittu, O.A; Ajiboye, P.O; Olawumi, H.O.; Adegunloye, O.A; Nwabuisi, C.; Sulyman, D.Background: Mentally ill persons are vulnerable to sexually transmitted infections including hepatitis B and C because of their high level risky behaviors. This study is aimed at establishing the sero-prevalence of hepatitis B and C among the mentally ill individuals (MII) attending Psychiatric clinic of the University of Ilorin Teaching Hospital (UITH), Nigeria since it has not been documented. Methods: A total of 350 MII were recruited. HBsAg testing was by immunoassay test strip (Grand Medical DiagnosticR USA) while hepatitis C was tested by commercially prepared kits from ACON,R USA. Healthy adults who presented as donors in the Blood Bank of the hospital were used as controls. Results: A total of 700 participants including 350 MII and 350 blood donors (BDs) were recruited for the study. The mean ages of MII and control participants were 36.5 ± 12.3 and 31.4 ± 8.3, respectively.The sero-prevalence of hepatitis B and C among patients with mental illness was 10.0 and 12.6%, respectively, as compared to 10.9% and 1.1% of the blood donors. There was a significant difference in the prevalence of HCV among mentally ill when compared with the blood donors (P = 0.001, 2 = 33.97; OR (CI) =12.44 (5.33‑29.03). Conclusion: Mentally ill patients attending UITH were significantly infected with hepatitis C virus. There is need for interventional measures to reduce the prevalence of hepatitis C among the mentally ill population such as health education and early screening of mentally ill in our setting.