Pub Date : 2013-01-01DOI: 10.4103/1595-1103.141381
B. Fomete, B. D. O. Saheeb, Ep Onyebuchi, J. Ogbeifun
Introduction: Dermoid cysts are rare congenital lesions derived from pluripotential cells. They represent less than 0.01% of all oral cavity cysts and are also called non-odontogenic cysts. Dermoid cysts are frequently found in sites where embryonic parts fuse together. The majority of reported cases are in the midline of the body, as well as in the ovaries and in the testicles Patients and Methods: A retrospective analysis study that spanned the period of 2000-2012 was carried out at the Oral and Maxillofacial Surgery clinic of the Ahmadu Bello University Teaching Hospital, Zaria. The parameters studied included age, sex, duration of swelling, site, co-morbidity, complications and treatment. Results: Of the 16 patients, 10 (62.5%) were males and 6(37.5%) females in a ratio of 1.67:1, the age ranged between 2 months and 49 years. Of all the cysts, 11 were sublingual, 3 in the cheek, 1 sublingual-submental and1 lingual; 6 (37.5%) patients had co-morbid symptoms and the most common was Upper respiratory tract infection (100%) followed by anemia (2 patients) and measles one patient. Conclusion: Dermoid cysts can be congenital or acquired. Their early presentation were associated with both feeding and respiratory symptoms.
{"title":"Dermoid cysts of the oral cavity as seen in a Nigerian Tertiary Institution","authors":"B. Fomete, B. D. O. Saheeb, Ep Onyebuchi, J. Ogbeifun","doi":"10.4103/1595-1103.141381","DOIUrl":"https://doi.org/10.4103/1595-1103.141381","url":null,"abstract":"Introduction: Dermoid cysts are rare congenital lesions derived from pluripotential cells. They represent less than 0.01% of all oral cavity cysts and are also called non-odontogenic cysts. Dermoid cysts are frequently found in sites where embryonic parts fuse together. The majority of reported cases are in the midline of the body, as well as in the ovaries and in the testicles Patients and Methods: A retrospective analysis study that spanned the period of 2000-2012 was carried out at the Oral and Maxillofacial Surgery clinic of the Ahmadu Bello University Teaching Hospital, Zaria. The parameters studied included age, sex, duration of swelling, site, co-morbidity, complications and treatment. Results: Of the 16 patients, 10 (62.5%) were males and 6(37.5%) females in a ratio of 1.67:1, the age ranged between 2 months and 49 years. Of all the cysts, 11 were sublingual, 3 in the cheek, 1 sublingual-submental and1 lingual; 6 (37.5%) patients had co-morbid symptoms and the most common was Upper respiratory tract infection (100%) followed by anemia (2 patients) and measles one patient. Conclusion: Dermoid cysts can be congenital or acquired. Their early presentation were associated with both feeding and respiratory symptoms.","PeriodicalId":19188,"journal":{"name":"Nigerian Journal of Surgical Research","volume":"51 1","pages":"3 - 6"},"PeriodicalIF":0.0,"publicationDate":"2013-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86348716","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2013-01-01DOI: 10.4103/1595-1103.141390
C. Azodo, P. Erhabor
Dental treatment may trigger the reactivation and multiplication of latent herpes virus in the trigeminal nerve ganglion, manifesting as herpes labialis. However, the reported dental treatment involved the use of local anesthetic agent either in form of infiltration or block. This article reported two cases of herpes labialis in otherwise healthy 63-year-old female and 40-year-old male after non-surgical periodontal treatment without local anesthesia using ultrasonic and manual scalers, respectively. They were not bothered by the condition and did not request for any specific care. However, warm saline mouthwash, analgesics, antibiotics, and lubricating cream for the angle of mouth without antiviral prescription were recommended. In conclusion, herpes labialis may be considered a potential post scaling and root planing complication of manual and ultrasonic methods after excluding other trigger factors. Authors hereby recommend the following: 1. Minimal chairside time for scaling and employment of adequate precaution geared toward minimizing trauma to the oral mucosa during scaling among younger practitioner. 2. Inclusion of herpes labialis as a complication of scaling and root planing to reduce chances of possible litigation. 3. Prescription of preventive medications 24 hours before dental treatment and continued for two days afterwards.
{"title":"Herpes labialis after scaling and root planing: Related event or non-related event","authors":"C. Azodo, P. Erhabor","doi":"10.4103/1595-1103.141390","DOIUrl":"https://doi.org/10.4103/1595-1103.141390","url":null,"abstract":"Dental treatment may trigger the reactivation and multiplication of latent herpes virus in the trigeminal nerve ganglion, manifesting as herpes labialis. However, the reported dental treatment involved the use of local anesthetic agent either in form of infiltration or block. This article reported two cases of herpes labialis in otherwise healthy 63-year-old female and 40-year-old male after non-surgical periodontal treatment without local anesthesia using ultrasonic and manual scalers, respectively. They were not bothered by the condition and did not request for any specific care. However, warm saline mouthwash, analgesics, antibiotics, and lubricating cream for the angle of mouth without antiviral prescription were recommended. In conclusion, herpes labialis may be considered a potential post scaling and root planing complication of manual and ultrasonic methods after excluding other trigger factors. Authors hereby recommend the following: 1. Minimal chairside time for scaling and employment of adequate precaution geared toward minimizing trauma to the oral mucosa during scaling among younger practitioner. 2. Inclusion of herpes labialis as a complication of scaling and root planing to reduce chances of possible litigation. 3. Prescription of preventive medications 24 hours before dental treatment and continued for two days afterwards.","PeriodicalId":19188,"journal":{"name":"Nigerian Journal of Surgical Research","volume":"45 1","pages":"25 - 28"},"PeriodicalIF":0.0,"publicationDate":"2013-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85972433","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2013-01-01DOI: 10.4103/1595-1103.141386
B. Balogun, OO Olofinlade, R. Igetei, C. Onyekwere
Introduction: Liver abscesses, both amoebic and pyogenic, continue to be an important cause of morbidity and mortality in tropical countries. The management has improved significantly over the years with the advent of potent antimicrobial agents and advances in diagnostic imaging. Materials and Methods: From August 2007 to May 2013, 32 patients with liver abscess were referred to the Department of Radiology, Lagos University Teaching Hospital, Lagos, Nigeria for ultrasound-guided percutaneous aspiration or drainage. All patients had been treated with antibiotics or antimicrobials for at least 2 weeks before referral and were still being continued for another 6 weeks. Results: A total of 32 patients with liver abscess were successfully treated, consisting 31 males and 1 female. The age ranged from 2 to 72 years with a mean of 43.6 years. A total of -22 (68.75%) patients had percutaneous catheter drainage, while 12 (31.25%) had percutaneous needle aspiration. A total of 15 (46.87%) patients had single abscess, while 5 (15.63%) had two and 12 (37.50%) had more than 2. Most of the abscesses are located on the right in 25 (78.12%). One needle insertion was used per patient. The amount of aspirated pus ranged from 100 to 3000 mL with a mean of 850 mL. Only 10 (31.25%) patients were on admission at the time of drainage, while the others 22 (68.75%) were day cases. Conclusion: We found that needle aspiration and catheter drainage when combined with chemotherapy represents a successful therapeutic approach in the treatment of liver abscess whether pyogenic or amoebic.
{"title":"Ultrasound-guided percutaneous drainage of liver abscess: 6 years experience in Lagos State university teaching hospital, Lagos","authors":"B. Balogun, OO Olofinlade, R. Igetei, C. Onyekwere","doi":"10.4103/1595-1103.141386","DOIUrl":"https://doi.org/10.4103/1595-1103.141386","url":null,"abstract":"Introduction: Liver abscesses, both amoebic and pyogenic, continue to be an important cause of morbidity and mortality in tropical countries. The management has improved significantly over the years with the advent of potent antimicrobial agents and advances in diagnostic imaging. Materials and Methods: From August 2007 to May 2013, 32 patients with liver abscess were referred to the Department of Radiology, Lagos University Teaching Hospital, Lagos, Nigeria for ultrasound-guided percutaneous aspiration or drainage. All patients had been treated with antibiotics or antimicrobials for at least 2 weeks before referral and were still being continued for another 6 weeks. Results: A total of 32 patients with liver abscess were successfully treated, consisting 31 males and 1 female. The age ranged from 2 to 72 years with a mean of 43.6 years. A total of -22 (68.75%) patients had percutaneous catheter drainage, while 12 (31.25%) had percutaneous needle aspiration. A total of 15 (46.87%) patients had single abscess, while 5 (15.63%) had two and 12 (37.50%) had more than 2. Most of the abscesses are located on the right in 25 (78.12%). One needle insertion was used per patient. The amount of aspirated pus ranged from 100 to 3000 mL with a mean of 850 mL. Only 10 (31.25%) patients were on admission at the time of drainage, while the others 22 (68.75%) were day cases. Conclusion: We found that needle aspiration and catheter drainage when combined with chemotherapy represents a successful therapeutic approach in the treatment of liver abscess whether pyogenic or amoebic.","PeriodicalId":19188,"journal":{"name":"Nigerian Journal of Surgical Research","volume":"34 1","pages":"13 - 16"},"PeriodicalIF":0.0,"publicationDate":"2013-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80285204","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2013-01-01DOI: 10.4103/1595-1103.141392
A. Ibrahim, P. Enesi, P. Abur, A. Oguntayo, E. Garba
Gestational gigantomastia is characterized by a rapid and disproportionate growth of the breasts with a homogeneous increase in breast volume. Enlargement of the breasts with infection, ulceration and sepsis are potentially fatal for the patient and her fetus. The management is challenging, however the need for appropriate surgical intervention is rarely in question. A multidisciplinary approach regarding the decision for surgery and the timing of surgery is crucial to outcome. We report a case of gestational gigantomastia complicated by severe sepsis in a low resource setting to highlight the peculiar challenges of management.
{"title":"Bilateral gestational gigantomastia complicated by severe sepsis; case report of a preventable mortality","authors":"A. Ibrahim, P. Enesi, P. Abur, A. Oguntayo, E. Garba","doi":"10.4103/1595-1103.141392","DOIUrl":"https://doi.org/10.4103/1595-1103.141392","url":null,"abstract":"Gestational gigantomastia is characterized by a rapid and disproportionate growth of the breasts with a homogeneous increase in breast volume. Enlargement of the breasts with infection, ulceration and sepsis are potentially fatal for the patient and her fetus. The management is challenging, however the need for appropriate surgical intervention is rarely in question. A multidisciplinary approach regarding the decision for surgery and the timing of surgery is crucial to outcome. We report a case of gestational gigantomastia complicated by severe sepsis in a low resource setting to highlight the peculiar challenges of management.","PeriodicalId":19188,"journal":{"name":"Nigerian Journal of Surgical Research","volume":"12 1","pages":"29 - 32"},"PeriodicalIF":0.0,"publicationDate":"2013-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87475273","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2010-05-28DOI: 10.4314/NJSR.V8I3-4.54867
G. Sanda, C. Heyns, A. Soumana, S. Rachid
Objective : To discuss the clinical features and treatment of penile fracture in the light of the current practice. Patients/Method Three patients with penile fracture were seen at the Urology Clinic of Lamorde National Hospital in Niamey, Niger between January 2003 and April 2006. All underwent emergency surgery which involved an elective incision at the site of the fracture, debridement and primary repair of the tear in the tunica albuginea. Results : The mean age of patients was 32, 6 ± 7 years. Two of them were married and one was single. One patient presented within 3 hours after injury, the others within 7 and 15 days. Penile fracture was due to “faux pas of coit” in two cases and manipulation of the erect penis in one. The mean hospital stay was 16, 4 days (range 7 to 28 days). The only postoperative complications were wound infection, residual fibrosis due to extensive surgery, mild dysuria and penile angulation in one patient. All patients had full erection and no one needed additional treatment. Conclusion . To avoid serious complications and preserve penile function, immediate surgical intervention is recommended in case of penile fracture.
{"title":"Penile fracture a review of management","authors":"G. Sanda, C. Heyns, A. Soumana, S. Rachid","doi":"10.4314/NJSR.V8I3-4.54867","DOIUrl":"https://doi.org/10.4314/NJSR.V8I3-4.54867","url":null,"abstract":"Objective : To discuss the clinical features and treatment of penile fracture in the light of the current practice. Patients/Method Three patients with penile fracture were seen at the Urology Clinic of Lamorde National Hospital in Niamey, Niger between January 2003 and April 2006. All underwent emergency surgery which involved an elective incision at the site of the fracture, debridement and primary repair of the tear in the tunica albuginea. Results : The mean age of patients was 32, 6 ± 7 years. Two of them were married and one was single. One patient presented within 3 hours after injury, the others within 7 and 15 days. Penile fracture was due to “faux pas of coit” in two cases and manipulation of the erect penis in one. The mean hospital stay was 16, 4 days (range 7 to 28 days). The only postoperative complications were wound infection, residual fibrosis due to extensive surgery, mild dysuria and penile angulation in one patient. All patients had full erection and no one needed additional treatment. Conclusion . To avoid serious complications and preserve penile function, immediate surgical intervention is recommended in case of penile fracture.","PeriodicalId":19188,"journal":{"name":"Nigerian Journal of Surgical Research","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2010-05-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87571121","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Aims And Objectives : Intranasal tumours are likely to be incompletely excised if pernasal excisional biopsy alone is used. There are several other approaches for the removal of intranasal tumours one of which is lateral rhinotomy. This paper reviews 38 lateral rhinotomies performed in 30 patients in Sokoto Nigeria, over a 41/2 year period. Patients And Method : The record of 30 patients who underwent 38 lateral rhinotomies in Sokoto were reviewed. The indications for lateral rhinotomy, operative findings and histology results were analysed over a 41/2 year period. Results : 38 lateral rhinotomies were performed in 30 patients. There were 19 males (63.3%) and 11 females (36.7%) with a male to female ratio of 1.7:1. Their ages ranged between 6yrs and 65yrs. 29 patients (96.7%)had 37 lateral rhinotomies performed on them as a result of intranasal neoplasm while one (3.3%) had lateral rhinotomy performed for removal of local Arrow foreign body in the orbit and infratemporal fossa. Operative findings indicated that in only 8 surgeries (21.1%) were intranasal tumours confined to the nasal cavities, while in 27 surgeries (76.3%) intranasal tumour had extended beyond the nasal cavity. Conclusion : Lateral rhinotomy provides excellent exposure to intranasal tumours more than all other approaches in achieving tumour free margin during excisional biopsy pending the outcome of histology report with acceptable cosmetic results.
{"title":"Lateral rhinotomy-a review of 38 operations from Sokoto Nigeria","authors":"K. Iseh","doi":"10.4314/NJSR.V8I1.54823","DOIUrl":"https://doi.org/10.4314/NJSR.V8I1.54823","url":null,"abstract":"Aims And Objectives : Intranasal tumours are likely to be incompletely excised if pernasal excisional biopsy alone is used. There are several other approaches for the removal of intranasal tumours one of which is lateral rhinotomy. This paper reviews 38 lateral rhinotomies performed in 30 patients in Sokoto Nigeria, over a 41/2 year period. Patients And Method : The record of 30 patients who underwent 38 lateral rhinotomies in Sokoto were reviewed. The indications for lateral rhinotomy, operative findings and histology results were analysed over a 41/2 year period. Results : 38 lateral rhinotomies were performed in 30 patients. There were 19 males (63.3%) and 11 females (36.7%) with a male to female ratio of 1.7:1. Their ages ranged between 6yrs and 65yrs. 29 patients (96.7%)had 37 lateral rhinotomies performed on them as a result of intranasal neoplasm while one (3.3%) had lateral rhinotomy performed for removal of local Arrow foreign body in the orbit and infratemporal fossa. Operative findings indicated that in only 8 surgeries (21.1%) were intranasal tumours confined to the nasal cavities, while in 27 surgeries (76.3%) intranasal tumour had extended beyond the nasal cavity. Conclusion : Lateral rhinotomy provides excellent exposure to intranasal tumours more than all other approaches in achieving tumour free margin during excisional biopsy pending the outcome of histology report with acceptable cosmetic results.","PeriodicalId":19188,"journal":{"name":"Nigerian Journal of Surgical Research","volume":"6 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2010-05-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86771311","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2010-05-28DOI: 10.4314/NJSR.V8I3-4.54898
S. Adaji, S. Shittu, Sb Bature
Retained copper sleeve of copper-T IUCD and haematometria was observed in a patient. Same was retrieved with drainage of haematometria under general anesthesia with satisfactory outcome.
1例患者观察到铜质IUCD和血液计的铜套残留。在全麻下取血引流，结果满意。
{"title":"Retained Copper Sleeve and haematometria, an unusual complication of Copper-T use","authors":"S. Adaji, S. Shittu, Sb Bature","doi":"10.4314/NJSR.V8I3-4.54898","DOIUrl":"https://doi.org/10.4314/NJSR.V8I3-4.54898","url":null,"abstract":"Retained copper sleeve of copper-T IUCD and haematometria was observed in a patient. Same was retrieved with drainage of haematometria under general anesthesia with satisfactory outcome.","PeriodicalId":19188,"journal":{"name":"Nigerian Journal of Surgical Research","volume":"4 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2010-05-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89011220","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Neurofibroma is a benign tumour that rarely affects the vulva. This report describes the case of a vulval neurofibroma in a 21-year old nulliparous woman with no history of trauma and no features of Von Recklinghausen’s disease. Treatment involved excision of the tumour with satisfactory results.
{"title":"Neurofibroma of the labium majus: A case report","authors":"Ts Sa’adatu, S. Shehu, H. Umar","doi":"10.4314/NJSR.V8I1.54862","DOIUrl":"https://doi.org/10.4314/NJSR.V8I1.54862","url":null,"abstract":"Neurofibroma is a benign tumour that rarely affects the vulva. This report describes the case of a vulval neurofibroma in a 21-year old nulliparous woman with no history of trauma and no features of Von Recklinghausen’s disease. Treatment involved excision of the tumour with satisfactory results.","PeriodicalId":19188,"journal":{"name":"Nigerian Journal of Surgical Research","volume":"22 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2010-05-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81590657","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2010-05-28DOI: 10.4314/NJSR.V8I3-4.54901
M. Asuquo, N. Ogbu, J. Udosen, R. Ekpo, C. Agbor, M. Ozinko, K. Emelike
Gossypiboma though uncommon is under-reported. It is an infrequent but avoidable surgical error. The retained sponge induces two types of reactions, fibrinous response resulting in granuloma formation and exudative response leading to abscess formation. This serious medical condition may result in significant morbidity and mortality with serious medico legal implications. We present two cases of retained guaze(gossypiboma) seen in a busy surgical unit within three months. The pathogenesis is due to gauze induced adhesions that may cause intestinal obstruction and abscess formation resulting in peritonitis . The plain abdominal radiograph was very valuable in the first line investigation of these patients. It is possible that gossypiboma is underreported and standard protocols are not common except for routine concern for detail while doing laparotomy.
{"title":"Acute abdomen from gossypiboma: A Case series and review of literature","authors":"M. Asuquo, N. Ogbu, J. Udosen, R. Ekpo, C. Agbor, M. Ozinko, K. Emelike","doi":"10.4314/NJSR.V8I3-4.54901","DOIUrl":"https://doi.org/10.4314/NJSR.V8I3-4.54901","url":null,"abstract":"Gossypiboma though uncommon is under-reported. It is an infrequent but avoidable surgical error. The retained sponge induces two types of reactions, fibrinous response resulting in granuloma formation and exudative response leading to abscess formation. This serious medical condition may result in significant morbidity and mortality with serious medico legal implications. We present two cases of retained guaze(gossypiboma) seen in a busy surgical unit within three months. The pathogenesis is due to gauze induced adhesions that may cause intestinal obstruction and abscess formation resulting in peritonitis . The plain abdominal radiograph was very valuable in the first line investigation of these patients. It is possible that gossypiboma is underreported and standard protocols are not common except for routine concern for detail while doing laparotomy.","PeriodicalId":19188,"journal":{"name":"Nigerian Journal of Surgical Research","volume":"78 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2010-05-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80077988","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
A. Oni, AF Ewete, At Gbaja, A. Kolade, W. Mutiu, D. Adeyemo, R. Bakare
Surgical wound infection is a good index of Hospital Acquired Infection (HAI). The programme of Surveillance of HAI in University College Hospital (UCH), Ibadan, Nigeria, started in January 1976. The last audit of the programme reported the situation between January 1989 and December 1991, whence the prevalence of HAI was found to be 4.9%. The programme of Surveillance of HAI from year 1995 to 2004 was audited. All wound swabs/biopsies sent for microscopy, culture and sensitivity were analysed. Previous incidence of nosocomial Infection in the environment was obtained from literature. The prevalence of HAI was 3.0%, Surgical Site Infection was the second most prevalent HAI. Surgical Site Infection was responsible for 27.9% of the nosocomial infections recorded. The ratio of Gram Positive to Gram Negative organisms was 1:2.3. Bacterial agents of Surgical Site Infection were Staphylococcus aureus 29.0%, Klebsiella spp 25.3%, Pseudomonas spp 21.7%, Proteus spp 11.7% E. coli 11.3%, Streptococcus pyogenes 0.6% and Enterococcus faecalis 0.3%. A decrease from 4.9% to 3.0% in prevalence rate of HAI was observed, compared with the earlier review as a result of refresher courses in Controls of Hospital Infections. To reduce the menace of Surgical Site Infections, prophylactic antibiotic with short courses of quinolone is advocated as well as adequate wound surveillance and Hospital Workers’ medical care.
{"title":"Nosocomial infections: surgical site infection in UCH Ibadan, Nigeria","authors":"A. Oni, AF Ewete, At Gbaja, A. Kolade, W. Mutiu, D. Adeyemo, R. Bakare","doi":"10.4314/NJSR.V8I1.54850","DOIUrl":"https://doi.org/10.4314/NJSR.V8I1.54850","url":null,"abstract":"Surgical wound infection is a good index of Hospital Acquired Infection (HAI). The programme of Surveillance of HAI in University College Hospital (UCH), Ibadan, Nigeria, started in January 1976. The last audit of the programme reported the situation between January 1989 and December 1991, whence the prevalence of HAI was found to be 4.9%. The programme of Surveillance of HAI from year 1995 to 2004 was audited. All wound swabs/biopsies sent for microscopy, culture and sensitivity were analysed. Previous incidence of nosocomial Infection in the environment was obtained from literature. The prevalence of HAI was 3.0%, Surgical Site Infection was the second most prevalent HAI. Surgical Site Infection was responsible for 27.9% of the nosocomial infections recorded. The ratio of Gram Positive to Gram Negative organisms was 1:2.3. Bacterial agents of Surgical Site Infection were Staphylococcus aureus 29.0%, Klebsiella spp 25.3%, Pseudomonas spp 21.7%, Proteus spp 11.7% E. coli 11.3%, Streptococcus pyogenes 0.6% and Enterococcus faecalis 0.3%. A decrease from 4.9% to 3.0% in prevalence rate of HAI was observed, compared with the earlier review as a result of refresher courses in Controls of Hospital Infections. To reduce the menace of Surgical Site Infections, prophylactic antibiotic with short courses of quinolone is advocated as well as adequate wound surveillance and Hospital Workers’ medical care.","PeriodicalId":19188,"journal":{"name":"Nigerian Journal of Surgical Research","volume":"5 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2010-05-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75514230","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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