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Full-Text Articles in Medicine and Health Sciences
Bacillus Calmette-Guerin (Bcg) Lymphadenitis: Changing Trends And Management, Zafar Nazir, Saqib Hamid Qazi
Bacillus Calmette-Guerin (Bcg) Lymphadenitis: Changing Trends And Management, Zafar Nazir, Saqib Hamid Qazi
Section of Paediatric Surgery
Background: Bacillus Calmette-Guérin (BCG) vaccination is performed as a part of expanded Programme of Immunization (EPI). Suppurative lymphadenitis is the common complication of BCG vaccination. The optimum treatment for this complication is debated.
Methods: All cases of BCG lymphadenitis presenting to pediatric surgical service over a 17-year study period were reviewed to determine the optimum treatment for this problem.
Results: Sixty children were referred for the management of BCG lymphadenitis during the study period. Most patients (n=43) presented during 1988 and 1990. Children were healthy and received BCG (Pasteur strain) vaccination at EPI during first 2 months of life. Initially …
Outcome For Hospitalized Road Trauma Patients At A Tertiary Hospital In Kenya, Hassan Saidi, William Macharia, John Ating'a
Outcome For Hospitalized Road Trauma Patients At A Tertiary Hospital In Kenya, Hassan Saidi, William Macharia, John Ating'a
Paediatrics and Child Health, East Africa
Background: The developing world continues to experience a disproportionate burden of injury. About one half of injury deaths are due to motor vehicle collisions. Road traffic fatalities per 10,000 vehicles are ten to 20 times higher in Africa compared to Europe.
Patients and Methods: 233 patients were consecutively analyzed. Injury acuity was determined by calculating Injury Severity Scores (ISS) for each patient. Information on the care and treatment outcome was obtained from patient interviews, case notes and discharge summaries. Data analysis was performed using the SPSS version 10.0 statistical software.
Results: Injury accounted for 48.8% of all emergency hospitalizations into …
Ceftriaxone Or Hiv Associated Angio-Oedema? Case Report, William Macharia, C. Mbaabu, L. Wachira, S.O.M. Muhudhia, G. Moniz
Ceftriaxone Or Hiv Associated Angio-Oedema? Case Report, William Macharia, C. Mbaabu, L. Wachira, S.O.M. Muhudhia, G. Moniz
Paediatrics and Child Health, East Africa
Angio-oedema may be hereditary or acquired and is characterised by episodes of potentially life threatening localised tissue oedema and swelling resulting from deficiency of compliment pathway C1 esterase inhibitor. Acquired angio-oedema is about ten times less frequent than the hereditary type and has been associated with immune-deficiency disorders, malignancies and exposure to specific medications and food substances. We present a case of seven year old, human immune-deficiency virus positive girl, who developed gross swelling of the tongue and neck while on treatment for pneumococcal meningitis with ceftriaxone. Difficulties in arriving at a definitive diagnosis of angio-oedema in a resource poor …
A Systematic Review Of Existing National Priorities For Child Health Research In Sub-Saharan Africa, George Swingler, James Irlam, William Macharia, Felix Tietche, Martin Meremikwu
A Systematic Review Of Existing National Priorities For Child Health Research In Sub-Saharan Africa, George Swingler, James Irlam, William Macharia, Felix Tietche, Martin Meremikwu
Paediatrics and Child Health, East Africa
Background: We systematically reviewed existing national child health research priorities in Sub-Saharan Africa, and the processes used to determine them.
Methods: Collaborators from a purposive sample of 20 WHO-AFRO Region countries, assisted by key informants from a range of governmental, non-governmental, research and funding organisations and universities, identified and located potentially eligible prioritisation documents. Included documents were those published between 1990 and 2002 from national or nationally accredited institutions describing national health research priorities for child health, alone or as part of a broader report in which children were a clearly identifiable group. Laboratory, clinical, public health and policy research …