Hospitals In Sokoto Research Articles

Clients' satisfaction with anti retroviral therapy services in a tertiary hospital in Sokoto, Nigeria

Patient satisfaction towards services has become a tool to gain attention and value amongst the patients as well as health care providers. Satisfied patients are more likely to comply with prescribed treatment and advice from the doctors; they are also more likely to return for additional care especially for those on long term treatment like human immunodeficiency virus/acquired immune deficiency syndrome (HIV/AIDS). This study aims to assess the satisfaction of people living with HIV/AIDS with services provided at anti-retroviral therapy centre in a tertiary hospital in Sokoto state, Nigeria. The study was a descriptive cross-sectional design carried out in Usmanu Danfodiyo University Teaching Hospital (UDUTH) in November, 2012. A total of 257 respondents were recruited into the study using systematic sampling. A set of semi structured questionnaire was used to obtain data from the respondents. Most of the respondents were females, Hausa/Fulani, HIV stage 2 disease and had been on Anti-retroviral therapy (ART) between 2 to 5 years. They were generally satisfied with most of the services rendered by the clinic. Dissatisfaction was expressed on only 3 components of the clinic services, home visits, the adherence unit and availability of drugs. The binary logistic regression model was able to distinguish between respondents who reported and those that have not reported satisfaction with the services of the centre; P < 0.005. Though our study shows most of the respondents were generally satisfied with services, there is still need for improvement of services in some areas where the patients showed dissatisfaction. There is a need to maintain high standards in all areas of services provided to ensure that patient optimize need to utilize the services and improve their general wellbeing. Key words: Human immunodeficiency virus/acquired immune deficiency syndrome (HIV/AIDS), patient satisfaction, antiretroviral treatment, people living with HIV/AIDS.

Emergency obstetric hysterectomy in a tertiary hospital in Sokoto, Nigeria

Background:Emergency obstetric hysterectomy (EOH) is a life-saving procedure which is often performed to treat some obstetric complications, as a last resort, to prevent maternal mortality.Objectives:This study was designed to determine the rate, indications, and complications of the EOH procedure at Usmanu Danfodito University Teaching Hospital (UDUTH), Sokoto.Materials and Methods:This retrospective study involved all the patients who had EOH at UDUTH, Sokoto, Nigeria, between January 2005 and December 2010. The case records of these patients were retrieved from the medical record library and information relating to age, parity, booking status, indications, type of hysterectomy, cadre of the surgeon, type of anesthesia, and complications of the procedure were extracted. The data were processed via SPSS version 11.5 and the χ2 test was used to analyze some of the results with the confidence limit set at 95%.Results:During the 6-year period, 83 EOH were performed out of 16,249 deliveries giving the rate of the former as 0.51%, i.e. 1 in 196 deliveries. However, the case records of only 74 patients (82.9%) were available for the study. The rate of EOH increased with advancing maternal age and increasing parity. The majority of the patients (89.2%) were unbooked for antenatal care, and the rate of the procedure among these patients (1.82%) was significantly higher than 0.07% observed amongst booked subjects (P<0.001). The main indication for the procedure was ruptured uterus (93.2%) and the majority of the patients (95.9%) had subtotal hysterectomy. Anemia (66.2%), excessive hemorrhage (35.5%), septicemia (18.9%), and wound infection (16.2%) were the leading complications. Excessive hemorrhage was significantly higher in the procedure performed by the senior registrars (51.2%) compared to those undertaken by consultants (16.2%); P=0.03. The case fatality rate of the EOH procedure was 12.1%. However, the case fatality rates in the procedure performed by consultants and senior registrars were 6.5% and 16.3%, respectively.Conclusion:The rate of EOH in the centre is relatively high and ruptured uterus is responsible for the majority of the procedure. Prevention of prolonged obstructed labor, and therefore uterine rupture, through antenatal care and supervision of labor will reduce the rate of EOH whereas performance of the procedure by the most experienced surgeon will minimize the maternal morbidity and mortality.

Ethnic density and prevalence of psychiatric morbidity among patients with hiv infection in Sokoto, Nigeria—A control study

Background: Previous studies among people living with HIV infection suggested that prevalence of psychiatric morbidity was high. In addition, among non-HIV infected patients, ethnic density influence the prevalence. The present study was aimed to determine the prevalence and effects of ethnic density on psychiatric morbidity among these patients in Sokoto, Nigeria. Methods: This prospective cross-sectional study was conducted among patients who had been diagnosed with HIV infection in a teaching hospital in Sokoto. Questionnaire relating to sociodemographic variables and psychiatric morbidity were administered to the patients. Data obtained were analyzed using SPSS version 16.0 while test for significance was set at P X2 = 4.43; P = 0.49 and X2 = 0.22; P = 0.64 respectively). Across the ethnicity (Hausa/Fulani and others), the subjects differ significantly with regard to religion (X2 = 0.68; P = 0.00), marital status (X2 = 15.05; P = 0.00), education (X2 = 30.56; P = 0.00) and employment status (X2 = 9.81; P = 0.01). The Hausa/Fulani ethnic group had less psychiatric morbidity. In addition, marital status had significant pathoplastic effect on depression across ethnicity (X2 = 0.42; P = 0.02). Conclusion: Ethnic density was associated with decrease prevalence of common mental disorder among patients with HIV infection. Environmental manipulation may play a role in the management of this patient.

Elective caesarean section in a tertiary hospital in Sokoto, north western Nigeria.

Background:Elective caesarean sections have been considered safer for both mother and the fetus compared to their emergency counterpart. However, emergency caesarean sections have continued to form bulk of caesarean deliveries in our facility.Objective:The objective of this study was to determine the caesarean section rate together with the trend, indications, and maternal mortality associated with elective caesarean operation.Materials and Methods:A retrospective analysis of clinical records of all the patients that had caesarean section between January 2002 and December 2010 (9 years) at Usmanu Danfodiyo University Teaching Hospital (UDUTH) Sokoto, Nigeria was conducted.Results:During the 9 year study period, 2284 caesarean sections were performed out of 22,985 total deliveries at UDUTH Sokoto, thus giving a caesarean section rate of 9.9%. Emergency and elective operations accounted for 1784 (78.2%) and 498 (21.8%) of the cases respectively. The rate of elective caesarean section increased from 1.7% in 2002 to 3.2% in 2007. Thereafter it declined gradually to 1.8% in 2010. Repeat caesarean section (30.7%) and malpresentation (17.1%) were the most common indications for elective caesarean operation. There were 18 maternal deaths from caesarean section and only one from the elective caesarean procedure.Conclusion:The rising trend in the elective caesarean section rate in this study underscores the need for better and improved patient selection together with counseling on its benefits and risks. This is because despite the fact that it is safer than emergency caesarean operation, it is not entirely devoid of complications. Routine use of spinal anesthesia in performing the procedure should be encouraged.

Obstetric outcome of teenage pregnancies at a tertiary care hospital in Sokoto, Nigeria

Context: Maternal age is an important factor in determinant of obstetric outcome. Teenage pregnancy constitutes ahigh risk pregnancy associated with complications arising from adverse physiological, anatomical and socio economic factors. Objective: To determine the obstetric outcome of adolescent pregnancies managed at Usman Danfodiyo University Teaching Hospital (UDUTH) Sokoto, Nigeria. Methods: A retrospective review of teenage pregnancies seen at UDUTH, Sokoto, Nigeria over a 2 year period, 2002 to 2003 was carried out. The outcome was analysed and compared with the controls. Results: Teenage pregnancies accounted for 11.8% of 4498 deliveries within the period. Majority of the teenagers (79.1%) were nullipara. Pregnancy induced hypertension, eclampsia, intrauterine fetal death, anaemia, cephalopelvic disproportion and preterm labour were the mains complications observed and were significantly higher in this group than in non- teenage mothers (P

An audit of diagnostic cytology in a teaching hospital in Sokoto, Nigeria

An audit of diagnostic cytology in a teaching hospital in Sokoto, Nigeria

The use of the pedicled supraclavicular flap in noma reconstructive surgery

Three noma patients with large unilateral facial defects were reconstructed using the pedicled supraclavicular flap technique in the Noma Children Hospital in Sokoto, Nigeria. The results are-although not completely perfect-encouraging enough to report and to repeat the technique in future reconstructive noma surgery after moderate modifications. It is advised not to tunnel the pedicle in the neck, but instead to open the neck. Then, the flap can be inset in a Z-plasty fashion to close the neck without the chance of compression of the pedicle of the flap. In this way flap necrosis can be prevented, without the risk of a scar contracture of the neck. Another technique, which can prevent partial flap necrosis and loss of tissue, with the need for secondary stage interventions, is a delay procedure of the flap. Incorporation of the fascia in the pedicled supraclavicular flap can be another option to fulfil the abovementioned requirements.

A 5-year review of measles cases admitted into the emergency paediatric unit of a tertiary hospital in Sokoto, North-Western Nigeria

Background: Measles is a vaccine preventable viral infection which is still responsible for significantly high morbidity and mortality in Sub-Saharan Africa. Failure of routine immunization programs heralds a dismal outlook for this potentially eradicable viral infection. The objective of this study was to determine the hospital prevalence, vaccination status, pattern of complications, and outcome of children admitted with measles into the Department of Pediatrics of Usmanu Danfodiyo University Teaching Hospital, Sokoto, Nigeria. Materials and Methods: This was a 5-year retrospective study from January 1, 2011 to December 31, 2015. Case folders of children below 15 years who were admitted with measles were retrieved, relevant information extracted, and entered into a pro forma. Data was analyzed using SPSS version 22. Results: Total admissions were 6104, out of which 204 were due to measles (prevalence, 3.3%). The mean age was 27.4 ± 18.9 months (range 6–96 months). Those aged 1–5 years were 144 (70.6%). The male-to-female ratio was 1.3:1. Only 28 patients (13.7%) had measles vaccination. Observed complications included bronchopneumonia in 168 (82.4%), acute laryngotracheobronchitis in 24 (11.8%), febrile convulsion in 20 (9.8%), encephalitis in 17 (8.3%), ocular complications in 12 (5.9%), and suppurative otitis media in 6 (2.9%) patients. The presence of complications was related to age