Outpatient Conditions Research Articles

The experience of the combined use of Roncoleukin® and Viferon® in the treatment of patients with COVID-19

The article presents the results of the clinical use of Roncoleukin® (recombinant interleukin-2) and Viferon® (interferon alfa-2b) in the complex treatment of more than 300 patients with COVID-19 in outpatient and inpatient conditions from May to December 2020 in various regions of Russia and abroad. The obtained results indicate a dramatic improvement in the condition of patients with the inclusion of Roncoleukin® and Viferon® in the COVID-19 treatment regimen, which made it possible to achieve patient recovery in all cases and avoid death among patients with severe COVID-19. The article justifies the necessity of compulsory use of interleukin-2 and interferon alpha-2b in the treatment regimen of COVID-19 patients as the factors determining the timely activation of specific immune responses that block the growth of nonspecific immune reactions leading to the generalization of infectious and inflammatory processes (“cytokine storm”), decompensation of chronic diseases and death. The need to normalize the psychoemotional state as an important pathogenetically significant factor that has a considerable impact on both the course of coronavirus disease and its outcome is demonstrated.

97 - Increasing Capacity for Autologous STEM Cell Transplants By Outpatient Conditioning Therapy: A Quality Improvement Study

97 - Increasing Capacity for Autologous STEM Cell Transplants By Outpatient Conditioning Therapy: A Quality Improvement Study

Evaluation of anesthesia manual for strabismus correction surgeries in outpatient practice among children and impact of anesthesia on early recovery after surgery

The majority of strabismus correction surgeries are performed in outpatient conditions. Improving the quality of pain management is essential to avoid undesirable events, especially among children after general anesthesia during strabismus surgery. The use of opioid analgesia during surgery may be accompanied by a higher risk of postoperative nausea and vomiting, as well as longer sedation leading to delayed discharge from hospital. The local 0.4% hydrochloride oxybuprocaine anesthetic has a local pro-active analgesic effect on the operated eye prior to the surgical incision, and later the additional use of drops in the surgical field eliminates the need for further analgesic administration in the perioperative and postoperative period without any subsequent sedation or significant nausea and vomiting episodes that are observed with intravenous fentanyl injection. The results of the study showed that the local application of 0.4% oxybuprocaine is comparable in the effect with intravenous fentanyl injection in achieving the desired optimal effect in the perioperative and postoperative periods and contributes to discharge from hospital in the near future.

Лечение и профилактика рецидивирующих вульвовагинальных инфекций у пациенток с воспалительными заболеваниями органов малого таза

Objective. To study the influence of vaginal microbiocoenosis on the clinical course of pelvic inflammatory disease (PID) and evaluate the efficacy of the long-term use of probiotic Gynoflor E in case of recurrent vulvovaginal infections in patients of this group. Patients and methods. 117 patients diagnosed with «pelvic inflammatory disease, acute vulvovaginitis» were examined. Patients were divided into two groups: the main group consisted of 45 patients for whom Gynoflor E was prescribed (1 tablet per day for 6 days in the first phase of two subsequent menstrual cycles) in outpatient conditions after treatment of vulvovaginitis (Fluomizin intravaginally (1 tablet per day for 6 days) + Gynoflor E (intravaginally for 6 days); the comparison group included 28 women who received two-stage treatment: an antiseptic was prescribed (Fluomizin intravaginally, 1 tablet per day for 6 days), then Gynoflor E for 6 days (vaginal tablets containing eubiotic + estrogen). Evaluation of the effectiveness was carried out after the end of the treatment course in 3 and 6 months. Results. The effectiveness of two-stage treatment of vulvovaginitis with the inclusion of antiseptic and Gynoflor E in the complex of treatment was 94.5%. The long-term prescription of the drug Gynoflor E contributed to the maintenance of physiological vaginal microbiocoenosis after 6-month treatment in 82.0% of patients (in the comparison group – 46.4%) and reduced recurrence nearly twice. Conclusion. The study showed a high (89.7%) commitment to long-term treatment, however, it should be noted that these are not population indicators, but the group of patients with chronic PID and recurrent vaginal infections. Key words: antiseptic, pelvic inflammatory disease, vulvovaginitis, Gynoflor E, long-term microbiocoenosis correction scheme, recurrence, chronic course

The results of Ritleng bicanalicular silicone intubation for congenital and adult partially acquired nasolacrimal duct obstruction.

OBJECTIVE:Our aim was to evaluate the long-term results of Ritleng bicanalicular silicone intubation for congenital and adult partially acquired nasolacrimal duct (NLD) obstruction.METHODS:We evaluated 28 eyes of the 26 patients treated with lacrimal intubation with the Ritleng method retrospectively. Patients were divided into two groups. Patients with congenital NLD obstruction (n: 16) constituted Group 1 and patients with adult partially acquired NLD obstruction (n: 10) constituted Group 2. The Ritleng probe was inserted from the canaliculus into the inferior meatus. Success was defined within two parameters: (1) Intubation of the silicone tube without complications and (2) recovery of the previous signs and symptoms and a normal fluorescein dye test.RESULTS:Mean of the patients’ ages was 2.4±1.6 years in Group 1 and 49±15 years in Group 2. The intubation was successful in all of the patients (100%) in Group 1, meanwhile in Group 2, false passage was observed in 2 patients (20%). Silicone tube was removed through the punctum in outpatient clinic conditions between 2 weeks and 3 months (mean: 2.1 months) in Group 1 and 4–6 months (mean: 5.2 months) in Group 2. Patients in Groups 1 and 2 were followed for 26±18.6–36±25 months, respectively. Previous signs and symptoms were recovered in 75% of the patients in Group 1 and the dye tests of these patients were normal. In Group 2, only two patient’s symptoms were resolved (20%). For the adult patients whose symptoms were not resolved, an external dacryocystorhinostomy operation was performed.CONCLUSION:The Ritleng lacrimal intubation system is an effective procedure for the treatment of congenital NLD obstruction for both short and long term. On the other hand, the effectiveness of the procedure is limited for the adult partially acquired NLD obstruction.

Çocuklarda Pilonidal Sinüs Hastalığı Tedavisinde Kristalize Fenol Uygulaması Sonuçları Tek Merkez Deneyimlerimiz

Objective: The debate about the etiology of Pilonidal Sinus Disease (PSD) continues over whether the disease is congenital or acquired. After determining the etiologic factora, new pilonidal sinus treatment methods have been developed. Method: The 6-month follow-up results of patients who were treated with crystallized phenol (CF) application with the diagnosis of PSD between March 2020 and August 2020 in the Pediatric Surgery Clinic were retrospectively analyzed. The patients were evaluated by age, height, weight, gender, body mass index, number of sinus mouths, sinus mouth width, sacral cupping distance and cyst diameter by imaging method and pilonidal sinus area measurement. After three consecutive weeks of CF administration, a two-week break was given. Every three weeks of treatment was considered as one treatment cycle. CF treatment was considered unsuccessful for patients whose pilonidal sinus cavity was not closed at the end of three cycles and the complaint of discharge persisted. Results: During the study period, 21 patients with PSH and a maximum of three sinus orifices were treated with CF in our clinic. Including 15 (71.4%) male and 6 (18.6%) female cases. The median age of the patients was 16 (14-17.5) years. In two patients (9.5%) who received three cycles of treatment, the treatment was considered as CF treatment failure because of the persistence of discharge complaints, and surgical treatment was planned for the patient. In the findings obtained as a result of the follow-up of the patients, it was observed that three patients (14.2%) had temporary painless transient dermatitis during follow-up due to phenol applied. Conclusion: The application of CF in the PSD treatment in pediatric age group should be considered as an acceptable method that can be easily applied by any surgeon with its short hospital stay, its applicability under local anesthesia in outpatient clinic conditions, low postoperative complications, high success rates, and low cost.

Algorithm of ultrasonographic examination of patency of venous stents

Analysed in the article are the results of ultrasonographic examination of patency of venous stents implanted in 86 patients with obstructive lesions of the iliofemoral segment of deep veins. The authors proposed an algorithm of triplex scanning, making it possible to optimize ultrasonographic examination, as well as increasing the accuracy of assessing the state of the stent and patency of the stented segments of veins. The first stage was to examine the state of the stented venous segment in the mode of grey-scale scanning (B-mode), for which purpose the study was performed in the longitudinal and transverse projections. This made it possible to determine the qualitative state of the stent as either presence or absence of its migration and deformation, completeness of expansion, extravasal compression. The second stage was to locate the venous stent in the mode of colour Doppler mapping (CD-mode), thus making it possible to assess stent patency. The third stage was examination in the spectral Doppler mode with the use of the distal compression test. Ultrasonographically detected phasic, respiration-synchronized blood flow with an increase of its linear velocity proximal to the stent in distal compression (positive compression test) is suggestive of no obstructive alterations in the stent's lumen. Determination of the blood flow velocity makes it possible to evaluate the stent patency or stenotic alterations. Monophasic low-velocity blood flow in the ipsilateral common femoral artery may also be indirectly indicative of impaired stent patency (pronounced stenosis, thrombosis, occlusion). The proposed algorithm of ultrasonographic triplex study of patency of venous stents may be used in out-patient conditions repeatedly and safely for the patient.

Effects of a national policy advocating rational drug use on decreases in outpatient antibiotic prescribing rates in Thailand

Objective:This study examined the effects of a national policy advocating rational drug use (RDU), namely, the ‘RDU Service Plan’, starting in fiscal year 2017 and implemented by the Thai Ministry of Public Health (MOPH), on trends in antibiotic prescribing rates for outpatients. The policy was implemented subsequent to a voluntary campaign involving 136 hospitals, namely, the ‘RDU Hospital Project’, which was implemented during fiscal years 2014-2016.Methods:Hospital-level antibiotic prescribing rates in fiscal years 2014-2019 for respiratory infections, acute diarrhea, and fresh wounds were aggregated for two hospital groups using equally weighted averages: early adopters of RDU activities through the RDU Hospital Project and late adopters under the RDU Service Plan. Pre-/post-policy annual changes in the prescribing levels and trends were compared between the two groups using an interrupted time-series analysis.Results:In fiscal years 2014-2016, decreases in antibiotic prescribing rates for respiratory infections and acute diarrhea in both groups reflected a trend that existed before the RDU Service Plan was implemented. The immediate effect of the RDU Service Plan policy occurred in fiscal year 2017, when the prescribing level among the late adopters dropped abruptly for all three conditions with a greater magnitude than in the decrease among the early adopters, despite nonsignificant differences. The medium-term effect of the RDU Service Plan was identified through a further decreasing trend during fiscal years 2017-2019 for all conditions in both groups, except for acute diarrhea among the early adopters.Conclusions:The national policy on rational drug use effectively reduced antibiotic prescribing for common but questionable outpatient conditions.

Use of amniotic membrane at outpatient conditions for acute ocular surface involvement of Stevens Johnson Syndrome

Use of amniotic membrane at outpatient conditions for acute ocular surface involvement of Stevens Johnson Syndrome

1473. Guideline Adherence in Pediatric Ambulatory Visits for Acute Otitis Media

BackgroundAcute otitis media (AOM) is the most common pediatric outpatient condition treated with antibiotics in the United States. Over 30% of children receive inappropriate antibiotics for AOM, contributing to increasing antimicrobial resistance and unnecessary adverse events. Strict adherence to diagnostic and treatment guidelines has been proposed by the American Academy of Pediatrics (AAP) Committee on Infectious Diseases as one strategy to combat inappropriate antibiotic use. Our objective was to describe adherence to the 2013 AAP guidelines on AOM.MethodsWe performed a cross-sectional study on a random sample of visit notes for patients 3 to 59 months old diagnosed with otitis media based on ICD-10-CM codes (H65, H66, H67) and treated with antibiotics between 9/1/2017 and 8/31/2018 in an association of pediatric practices across Massachusetts. Children with tympanostomy tubes or a chronic medical condition increasing their risk for AOM were excluded. Based on the 2013 AAP diagnostic criteria, tympanic membrane exam descriptions were reviewed and classified as describing AOM or not. Antibiotic choices were classified as appropriate or inappropriate. Notes were then labeled as “fully adherent” (exam consistent with AOM and appropriate antibiotic choice), “partially adherent” (exam inconsistent with AOM or inappropriate antibiotic choice), and “non-adherent” (exam inconsistent with AOM and inappropriate antibiotic choice).ResultsThree hundred and ninety-four visit notes from 39 different practices were analyzed. One hundred and sixty-six notes (42%) were “fully adherent” to the AAP guidelines, 183 (46%) were “partially adherent” and 45 (11%) were “non-adherent” (Figure 1). In the “partially adherent” and “non-adherent” groups combined, exams were inappropriate in 179 notes (45.4%) and antibiotic choice was inappropriate in 94 notes (23.9%). Cefdinir was the most frequent inappropriate antibiotic (44/94, 46.8%) (Table 1). “Watchful waiting” occurred in only 7% (16/229) of eligible cases.Figure 1. Breakdown of encounters by adherence type Table 1. Cross-table of indicated and prescribed antibiotics ConclusionOur analysis of independent pediatric practices showed moderate adherence to the AAP guidelines for AOM. Substantial room exists for improvement in diagnosing and treating AOM in young children, especially regarding the potential for watchful waiting.Disclosures All Authors: No reported disclosures

Evaluation of the SPECTRUM training programme for real-time continuous glucose monitoring: A real-world multicentre prospective study in 120 adults with type 1 diabetes.

Comprehensive knowledge, specific skills and data-analysis competences are prerequisites for the successful use of continuous glucose monitoring (CGM) systems. SPECTRUM is a structured training programme for real-time CGM (rtCGM) consisting of a web-based introduction and six group sessions of 90min each. The 'CGM-TRAIN study' evaluated the efficacy and acceptance of SPECTRUM and rtCGM systems among adults with insulin therapy. Participants (n=120) were recruited from 10 German diabetes centres in which they were treated under usual care conditions. Outcome measures were rtCGM knowledge, practical skills, satisfaction with the training programme, satisfaction and acceptance of rtCGM system and glycaemic control. Data were collected at study entry, after training completion and at 6-month follow-up. All participants were diagnosed with type 1 diabetes (56% women, mean age 42.4±13.4years, diabetes duration 21.6±11.6years), 110 participants completed the course. After training completion, rtCGM-specific knowledge had improved by 43% (scale: 0-40 points) from 21.2±7.6 to 30.4±4.5 points; p<0.001. The knowledge-level persisted until follow-up (29.4±4.5). Participants were able to master nearly all the practical requirements of the technology. In addition, rtCGM was highly accepted, and participants were motivated to use their systems continuously. HbA1c improved slightly from 61±14mmol/mol (7.7±1.3%) before training to 60±14mmol/mol (7.6±1.3%) at follow-up (p=0.04). The training programme itself was favourably rated by participants. Under usual out-patient daily care conditions, the training programme SPECTRUM improved knowledge and skills about rtCGM in adults with type 1 diabetes. This was associated with a reduced HbA1c , high satisfaction and acceptance of rtCGM (Clinical Trials Registry no.: DRKS00014380).

Express diagnostics of accelerated human aging using the questionnaire

Abstract. An express method of diagnosing accelerated aging of a person has been developed with the help of a questionnaire, which includes 15 indications of somatic aging, 12 indications of psychological aging and 10 objective indicators. The Bayesian method is used for the calculation of biological age. The accuracy of the definition for the biological age was 8.3 years. The method developed is notable for its simplicity, ease and accessibility for use in the outpatient and inpatient conditions. This method can be used for pre-selection of the patients with the risk of accelerated aging for the further in-depth studies. Keywords: biological age; accelerated aging; indicators of aging; Bayesian formula

Express diagnostics of accelerated human aging using the questionnaire

Abstract. An express method of diagnosing accelerated aging of a person has been developed with the help of a questionnaire, which includes 15 indications of somatic aging, 12 indications of psychological aging and 10 objective indicators. The Bayesian method is used for the calculation of biological age. The accuracy of the definition for the biological age was 8.3 years. The method developed is notable for its simplicity, ease and accessibility for use in the outpatient and inpatient conditions. This method can be used for pre-selection of the patients with the risk of accelerated aging for the further in-depth studies. Keywords: biological age; accelerated aging; indicators of aging; Bayesian formula

Duration of Outpatient Antibiotic Therapy in Common Outpatient Infections, 2017

Background: Community-acquired pneumonia (CAP), urinary tract infection (UTI), pharyngitis, acute otitis media (AOM), and skin and soft-tissue infection (SSTI) are among the most common outpatient conditions for which antibiotics are prescribed. The objective of this study was to describe the observed duration of outpatient antibiotic therapy compared with guideline recommendations for these common conditions in 2017 in the United States to identify antibiotic stewardship targets. Methods: We estimated therapy duration for oral and parenteral antibiotic prescriptions associated with CAP, AOM, pharyngitis, acute cystitis, pyelonephritis, SSTI, and sinusitis diagnoses from the IQVIA National Disease and Therapeutic Index 2017 dataset, a two-stage stratified cluster sample of office-based physician visits. We excluded azithromycin due to its unique pharmacokinetics, and we limited our study to prescriptions from emergency medicine, family practice, general practice, geriatrics, internal medicine, osteopathic medicine, and pediatrics physicians. We excluded observations with antibiotic prescriptions for multiple conditions. We used NDTI projection weights and complex sample methods to estimate antibiotic prescription numbers and durations by condition and age group. Results: Table 1 shows antibiotic prescriptions by condition and population. The median antibiotic therapy duration for all conditions except acute cystitis was 10 days. The median duration for acute cystitis was 7 days. Conclusions:Clinicians prescribed 10-day antibiotic courses for the most common outpatient conditions, regardless of guideline-recommended duration. Antibiotic stewardship efforts targeting excessive durations of antibiotic therapy for common outpatient conditions, particularly sinusitis in adults, CAP, SSTI, and acute cystitis, are needed.Funding: This work was supported by the Centers for Disease Control and Prevention. The findings and conclusions in this report are those of the authors and do not necessarily represent the official position of the Centers for Disease Control and Prevention.Disclosures: Laura M. King is a contractor employed by Northrop Grumman Corporation to fulfill research needs at the Centers for Disease Control and Prevention as part of a contract covering many positions and tasks. All other authors declare no conflicts.

Parkinson's Disease Profile – A 17-Year Patient Analysis

Objective: Idiopathic Parkinson's disease (IPD) is a progressive degenerative disease, which increases over the age of 65 years and causes disability in advanced stages. The main pathology is the degeneration of the basal ganglia, especially the substantia nigra. In the clinic, motor and non-motor findings (NMF) are seen, and treatment approach is symptomatic. Factors that increase the risk in Parkinson's disease are male gender, old age, white race, environmental conditions, trauma, vascular diseases, family history, and genetic mutations. In this study, idiopathic Parkinson's patients who came to our movement disorders outpatient clinic in the last 17 years were evaluated retrospectively. We aimed to determine the IPD profile in our region through demographic and clinical findings and treatments used and compare the results with the literature. Methods: We evaluated 1150 patients admitted to the neurology department of movement disorders outpatient clinic due to parkinsonism. Five hundred seventy-eight patients with IPD were included in the study. Demographic data such as age, sex, place of birth, place of residence (rural/urban), comorbidities, family history, and habits were recorded. Results: A total of 63.5% of the patients were male. The mean age of the patients was 68.51(SD ± 10.35) years old for males and 68.37(SD ± 11.22) years old for females, 62.61(SD ± 11.31) for males and 62.55(SD ± 12.46) for females. 66.4% of the patients had the first clinical finding as tremor, while 55.4% had the tremor as the leading complaint. It was seen that 57% of the patients had NMF. It was observed that 52.8% of the patients did not have dementia. As the clinical stage progressed, it was determined that there was a significant increase in dementia rate. Hypertension (HT) (M/F%:35,2/47,2 p=0.01) and thyroid diseases (M/F%:2.3/10.3 p=0,00) were more frequent in female patients than in male patients. Impulsive-compulsive behaviors (ICBs) which are treatment-related problems were more common in males than in females (M/F%:17.8/8.5 p=0,00). Conclusion: The results were found to be similar to the literature. In this study, we have noticed the neglected, incomplete, or inadequately questioned parameters in routine-intensive outpatient conditions. Taking these results into consideration, we had the opportunity to correct our shortcomings in our future studies.

Duration of Outpatient Antibiotic Therapy for Common Outpatient Infections, 2017.

Our objective was to describe the duration of antibiotic therapy for the management of common outpatient conditions. The median duration of antibiotic courses for most common conditions, except for acute cystitis, was 10 days, in many cases exceeding guideline-recommended durations.

The medical statistical characteristics of children received services in ultrasound diagnostic in out-patient conditions

The purpose of the study was to estimate contingent of children that underwent ultrasonography in outpatient conditions of children hospital and to investigate reserves for improvement of actual ultrasonography service. The method of expert evaluation was applied to analyze medical documentation of 1171 children aged 0-18 years that underwent ultrasonography. The analysis was applied to demographic data, number of previous ultrasonography, specialty of physician involved into investigation, children chronic diseases and type of ultrasonography applied. The wide range of ultrasonic examinations were carried out in out-patient conditions of multidisciplinary children hospital was established. Their spectrum was determined by the age of patients. Children were most often referred to ultrasonography by cardiologist, pediatrician and gastroenterologist. In examined patients dominated diseases of digestive organs, congenital abnormalities, diseases of nervous and urinary systems, circulatory system. In the structure of morbidity, proportion of diseases of endocrine system, circulatory and digestive systems increased with age and the proportion of diseases of nervous, musculoskeletal systems and congenital abnormalities decreased. Among the types of ultrasonic examination, the first places in frequency took studies of circulatory system, abdominal organs, kidneys and retroperitoneal space. The large proportion of patients underwent ultrasound testing again. The comparative analysis demonstrated increasing of proportion of ultrasound studies of endocrine and reproductive organs and decreasing of musculoskeletal system and brain. It is proposed to apply received results in studying particularities of children that underwent ultrasonography in the inpatient and outpatient conditions. The received data can be used in planning of required volume of different diagnostic services at different levels.

Modern Technologies of Medical Rehabilitation of Upper Limb Injury in Children

The relevance of the problem of children with upper limb trauma medical rehabilitation is determined by the high frequency elbow joint fractures; the risk of complications development, disabilityc of the patient. A comprehensive medical rehabilitation program assumes a personalized approach and a differentiated prescription of physical factors, depending on the time period of rehabilitation. Early physical rehabilitation is a key link in the complete recovery of the function of a patient’s limb with damage to the elbow joint. The purpose of this work is to analyze literature and summarize the results of our own research to determine the optimal approaches and methods for medical rehabilitation of children with upper limb injury. The medical rehabilitation program includes various methods of kinesiotherapy, robotic mechanotherapy, massage, a wide range of apparatus physiotherapy to improve the trophism of the periarticular tissues, to maintain mobility in joints free from immobilization; gain of the full range of motion in the damaged joint; normalizing tone and strengthening the muscles of the upper limb. Medical rehabilitation of children with elbow joint injury is carried out from the earliest stage, in stationary conditions, during the period of immobilization. The rehabilitation measures continue in outpatient and polyclinic conditions, during the entire period of immobilization (2–4 weeks) and then in the post-immobilization period until the limb function is fully restored. It is necessary to monitor the main indicators of the function of the upper limb during the entire period of rehabilitation to assess the effectiveness of rehabilitation measures, objectify the course of the rehabilitation process and the continuity of rehabilitation programs. Definition of the tasks of medical rehabilitation, differentiated for each stage; the choice of modern, pathogenetically grounded rehabilitation technologies with an assessment of their effectiveness contribute to a significant increase in the effectiveness of comprehensive rehabilitation programs for children with upper limb trauma.

Analysis of personnel resources of doctors according to «dentistry» profile in units providing medical care in outpatient and inpatient conditions

In the health-care system in the Russian Federation, the units providing medical care in outpatient and inpatient conditions employ more than 55,000 individuals of dental doctors of various specialties, dental doctors and dental hygienists every year from 2014 to 2018. The availability of dentistry by doctors tends to decline from 4.20 (2014) to 3.75 (2018). By 2018, 99.45% of dentistry doctors and 99.3% of dental doctors have a specialist certificate and accreditation certificate. 38.16% of dentistry doctors and 54.88% of dental doctors confirmed their qualification category. In dynamics there is a tendency to decrease the passing of certification for obtaining qualification category by these specialists. These facts show a decrease in the availability and quality of dental care, as it is ensured by the availability of the necessary number of health workers and their level of qualification.

Out-patient neurological disorders in Tanzania: Experience from a private institution in Dar es Salaam.

Background and introductionLow and middle-income countries (LMIC) have a considerable burden of neurological disorders. Available profile of neurological disorders in our environment is biased towards neurological admissions. There is a paucity of data on out-patient neurological conditions in sub-Saharan Africa.ObjectiveTo determine the frequency and demographic data of neurological illnesses being managed at the adult out-patient neurology clinic of the Aga Khan Hospital, Dar es Salaam (AKHD).Materials and methodsThe electronic medical records of all cases with neurological diseases who presented to the adult neurology clinic of the AKHD between January 2018, and December 2019 were retrospectively reviewed and analyzed. Neurological disorders are categorized according to the international classification of diseases version-11(ICD-11).ResultsOf the 1186 patients seen in a period of 2 years, there were 597 (50.4%) females and 588(49.6%) males, with median age (IQR) of 38 (30.0–52.0) and 42 (33.0–54.5) years respectively (p = 0.001). Headache disorders (27.0%); disorders of the nerve root, plexus or peripheral nerves (23.4%); epilepsy (9.3%), cerebrovascular disorders (8.9%); movement disorders (3.6%) and disorders of cognition (3.5%) were the primary neurological conditions encountered. Musculoskeletal disorders (7.5%) and mental/behavioral disorders (5.4%) were other conditions seen in the clinic.ConclusionThe pattern of neurological disorders in this cohort mirrors that of high-income countries. However, the manpower to tackle these conditions pales in comparison. Increasing the neurology workforce and paying extra attention to non-communicable disorders in SSA is advocated.