Research in shashemene referral hospital

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Research in shashemene referral hospital

Urinary tract infection UTI remains to be one of the most common infectious diseases diagnosed in developing countries. And a widespread use of antibiotics against uropathogens has led to the emergence of antibiotic resistant species. A laboratory based cross-sectional survey was conducted in Shashemene referral hospital to determine the prevalence and antibiotic susceptibility of uropathogens. We have collected clean catch mid-stream urine samples from all suspected UTI outpatients using sterile screw capped container.

The urine samples were cultured and processed for subsequent uropathogens isolation. The identified species were then exposed to selected antibiotics to test for their susceptibility. The overall prevalence of urinary tract infection in the area was Most frequently isolated uropathogen in our study was Escherichia coli While, Staphylococcus species Gentamicin was the most effective drug against most of the isolates followed by chloramphenicol and nitrofurantoin.

In contrast, amoxicillin, vancomycin and cephalexin were the antibiotics to which most of the isolates developed resistance. Urinary tract infection was highly prevalent in the study area and all uropathogens isolated developed a resistance against mostly used antibiotics. Peer Review reports. Urinary tract infection remains to be one of the most common infectious diseases diagnosed in outpatients [ 1 ]. It is most often caused due to bacteria, but may also include fungal and viral infections [ 2 ].

The relative frequency of uropathogens varies depending upon age, sex, catheterization, hospitalization and previous exposure of antimicrobials [ 567 ].

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The emergence of antibiotic resistance in the management of UTIs is a serious public health issue. Particularly in the developing world where there is high level of poverty, illiteracy and poor hygienic practices, there is also high prevalence of fake and spurious drugs of questionable quality in circulation [ 48 ].

The easy availability in the community without prescription and low cost make the drugs subject to abuse [ 9 ]. With regards to resistance rates in Ethiopia, a report showed that high incidence of resistance to the commonly prescribed antibiotic agents was observed in some regions [ 61011 ].

Even though, there are few published information concerning the etiology and resistance pattern of UTIs in some hospitals of Ethiopia [ 6101112 ], there was no previous study and published information on UTI in the study area. This study was conducted in order to assess the prevalence of bacterial uropathogens and their in vitro susceptibility patterns to commonly used antibiotic agents amongst outpatients with complaints of UTI in Shashemene referral hospital.

Three hundred and forty eight [ 13 ] outpatients volunteered in June—December of Laboratory and questionnaire-based cross-sectional survey study was used to collect samples from the outpatients. Questionnaire was developed to assess the possible risk factors associated with UTI and register clinical profile of the volunteer. Clean catch mid-stream urine samples were collected from all UTI suspected outpatients attending Shashemene referral hospital using sterile screw capped container.

The urine samples were also examined microscopically for pus cells and then inoculated on MacConkey agar and Blood agar media. The cultured plates were examined for growth and mixed colonies on a plate were re-inoculated further on blood agar and nutrient agar medium for growth of discrete colony.

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Gram staining was done for all isolates as per the standard procedures and the smears were examined microscopically for their morphology and staining reactions [ 15 ]. The antibiotic susceptibility test was done by the standard disk diffusion method on Mueller-Hinton agar MHA using commercial disks [ 17 ]. Turbidity standard protocol was followed in order to have homogenized bacterial inoculum suspension [ 15 ].

The following antibiotic discs, manufactured by Oxoid Ltd. Pearson Chi-square test was employed to test the existence of association between discrete variables. On the basis of microscopy of urine, it was found that Of the total urine samples, On the other hand, From the total patients with UTI compliant, Scientific Research An Academic Publisher.

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Date: January 28, Maternal delays in utilizing institutional delivery services, Bahir Dar, Ethiopia Articles.Although stroke has been consistently reported as one of the three leading causes of morbidity and mortality in the past years in Ethiopia, there is a paucity of data regarding treatment outcomes of stroke if sufficient.

Hence, the present study aimed to assess patterns of treatment outcomes and associated factors among hospitalized stroke patients at Shashemene Referral Hospital.

A retrospective cross-sectional study was conducted at the medical ward of Shashemene Referral Hospital.

research in shashemene referral hospital

A total of 73 hospitalized stroke patients during the period — were included in the study. Demographic characteristics, risk factors, and stroke types and their hospital outcomes were reviewed from the medical records of the patients.

The data were entered and analyzed using SPSS version Binary logistic regression was used to investigate the potential predictors of treatment outcome. Ischemic stroke was the most common type of stroke Hypertension More than half Dyslipidemics were prescribed to Age, sex, type of stroke, and type of comorbidity were not significant factors of stroke treatment outcome.

Ischemic stroke was the most common type of stroke diagnosed among the study participants while aspirin and statins were the most frequently used drugs in the management of stroke. According to the World Health Organization WHOstroke is defined as rapidly developing clinical signs of focal or global disturbance of cerebral function, with symptoms lasting 24 hours or longer or leading to death which may be either ischemic or hemorrhagic disturbances of the cerebral blood circulation [ 1 ].

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The Global Burden of Disease study reported that cerebrovascular diseases ranked the second leading cause of death after ischemic heart disease [ 3 ]. According to the WHO data published instroke accounted for 28, 4. Despite the high prevalence of stroke in Ethiopia, there is a paucity of data regarding treatment outcomes and other contributing factors in stroke patients. This study therefore aimed to assess the factors and treatment outcomes of hospitalized stroke patients at Shashemene Referral Hospital.

A retrospective cross-sectional study was conducted on hospitalized stroke patients in the medical ward of Shashemene Referral Hospital from March to April It is one of the oldest hospitals of Oromia region serving approximately 2.

Patients who had complete medical records, confirmed diagnosis of stroke, and admitted in the medical ward of the hospital during the period of March 1, —March 31,were included in the study. All patient cards that fulfilled the inclusion criteria were included in the study.

Hence, a total of 73 stroke patients who had been hospitalized during the five years — study period were used. Two qualified nurses from the medical ward of the Hospital were trained to assist in data collection. Identification card number of hospitalized stroke patients who had been hospitalized during the study period was collected from discharge summary of patients.

Using this identification card, all relevant information about each patient such as sociodemographic characteristics, clinical information, treatment regimens, and outcomes was recorded by reviewing medical records of the patients. A pretest was done on five patient cards to ensure the validity and reliability of the data collection instruments. After pretesting, all necessary adjustments were employed on the data collection instruments before implementing in the main study.

Good treatment outcome implies that the patient is discharged without any complication secondary to the stroke attack. The collected data were cleaned, entered, processed, and analyzed by SPSS version Binary logistic regression analyses were employed to investigate the potential predictors of treatment outcomes of hospitalized stroke patients. A total of 73 stroke patients were included in the study, comprising 42 The mean age and mean length of hospital stay of the patients were During admission, left-sided body weakness Hypertension 38, Ischemic stroke was the most frequently This observation is consistent with a study finding in India by Nandigam et al.

Up to two-thirds of patients On discharge, Childhood mortality is often used as broad indicator of the social development or a specific indicator of health conditions of a country. The objective of this study is to assess the prevalence of neonatal sepsis and associated factors among neonates admitted in neonatal intensive care unit at two hospitals in Shashemene town, Ethiopia.

research in shashemene referral hospital

An institution based cross-sectional study with retrospective document review method was conducted in NICUs of two governmental hospitals in Shashemene town. Sample size was calculated by using single population proportion sample formula and the final sample size was The study subject was selected by using systematic random sampling method, and adopted data collection tool was used.

Then the collected data was coded and entered in to SPSS for windows version Binary and multiple logistic regressions have been used to observe the association between independent variables and dependent variable. The overall prevalence of neonatal sepsis in this study was This study found out that age of neonates, birth asphyxia, and use of oxygen via mask were significantly associated with neonatal sepsis.

Conclusion and Recommendation. The most risk factors of neonatal sepsis were identified as age of neonates, birth asphyxia, and use of oxygen via mask strongly associated with prevalence of NS.

Based on this results we recommend the concerned body to focus on the prevention of risk factors rather than treating the disease after it occurs. The majority of these deaths occur in low income countries and almost 1 million of these deaths are attributable to infectious causes including neonatal sepsis, meningitis, and pneumonia.

Furthermore, neonatal mortality for different African countries ranges from 68 per live births in Liberia to 11 per live births in South Africa [ 1 ]. Neonatal sepsis contributes substantially to neonatal morbidity and mortality and is an ongoing major global public health challenge [ 2 ].

According to the World Health Organization WHOfour million newborn children die each year during the first four weeks of their lives. The common causes of neonatal mortality in Ethiopia are infection, asphyxia, and preterm birth [ 7 ].

Many women do not generally seek formal healthcare during pregnancy, child birth, and puerperal. This has a major impact on care seeking for and survival of the new born. Almost no one 3.

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Newborn survival is an issue of great concern to the world and especially to developing countries. Care for the neonate often receives little attention in maternal and child health programs. Though various efforts have been made by Ethiopian government to reduce neonatal mortality some studies in Gondar, Black Lion specialized hospital and Bishoftu general hospital, show that it is still high.

So it is important to do additional research regarding this title typically on associated factors. Therefore, this research was conducted to find out the prevalence of neonatal sepsis and associated factors in Shashemene town at two governmental hospitals, South Ethiopia.

In addition it will provide opportunity for stake holders to reduce the problem by working on identified factors. This study was carried out using institution based cross section study with retrospective document review from February 5, to February 30, The sample size was determined by using single population proportion formula and the proportion was taken from the previous literature in Ethiopia.

According to study conducted at Black Lion specialized hospital, the prevalence of neonatal sepsis was Total number of our study population was less than 10, which means that the total number of neonates admitted to this two hospital within one year wasso correction formula was used; the final sample size was neonates. The study populations was neonate's card who were admitted and treated in NICUs of two government hospitals in the area.Childhood mortality is often used as broad indicator of the social development or a specific indicator of health conditions of a country.

The objective of this study is to assess the prevalence of neonatal sepsis and associated factors among neonates admitted in neonatal intensive care unit at two hospitals in Shashemene town, Ethiopia. An institution based cross-sectional study with retrospective document review method was conducted in NICUs of two governmental hospitals in Shashemene town. Sample size was calculated by using single population proportion sample formula and the final sample size was The study subject was selected by using systematic random sampling method, and adopted data collection tool was used.

Then the collected data was coded and entered in to SPSS for windows version Binary and multiple logistic regressions have been used to observe the association between independent variables and dependent variable.

The overall prevalence of neonatal sepsis in this study was This study found out that age of neonates, birth asphyxia, and use of oxygen via mask were significantly associated with neonatal sepsis. Conclusion and Recommendation. The most risk factors of neonatal sepsis were identified as age of neonates, birth asphyxia, and use of oxygen via mask strongly associated with prevalence of NS.

Based on this results we recommend the concerned body to focus on the prevention of risk factors rather than treating the disease after it occurs. The majority of these deaths occur in low income countries and almost 1 million of these deaths are attributable to infectious causes including neonatal sepsis, meningitis, and pneumonia. Furthermore, neonatal mortality for different African countries ranges from 68 per live births in Liberia to 11 per live births in South Africa [ 1 ]. Neonatal sepsis contributes substantially to neonatal morbidity and mortality and is an ongoing major global public health challenge [ 2 ].

According to the World Health Organization WHOfour million newborn children die each year during the first four weeks of their lives. The common causes of neonatal mortality in Ethiopia are infection, asphyxia, and preterm birth [ 7 ]. Many women do not generally seek formal healthcare during pregnancy, child birth, and puerperal.

This has a major impact on care seeking for and survival of the new born. Almost no one 3. Newborn survival is an issue of great concern to the world and especially to developing countries. Care for the neonate often receives little attention in maternal and child health programs.

Though various efforts have been made by Ethiopian government to reduce neonatal mortality some studies in Gondar, Black Lion specialized hospital and Bishoftu general hospital, show that it is still high.

research in shashemene referral hospital

So it is important to do additional research regarding this title typically on associated factors. Therefore, this research was conducted to find out the prevalence of neonatal sepsis and associated factors in Shashemene town at two governmental hospitals, South Ethiopia. In addition it will provide opportunity for stake holders to reduce the problem by working on identified factors.

This study was carried out using institution based cross section study with retrospective document review from February 5, to February 30, The sample size was determined by using single population proportion formula and the proportion was taken from the previous literature in Ethiopia.

According to study conducted at Black Lion specialized hospital, the prevalence of neonatal sepsis was Total number of our study population was less than 10, which means that the total number of neonates admitted to this two hospital within one year wasso correction formula was used; the final sample size was neonates. The study populations was neonate's card who were admitted and treated in NICUs of two government hospitals in the area. These two hospitals are selected purposively because these are the only hospitals in the area which have NICU and render service in this arena.

The number of study subjects for each hospital was allocated proportionally after identifying the number of admissions in each hospital in the last one year. Medical records with full information were used and if the chart is missing the next in the queue was used Figure 1. The data was collected using checklist prepared by reviewing different literatures; the check list contains contain three parts: sociodemographic characteristics; maternal information; and part neonatal information for neonatal sepsis.

This involves going through log book records of neonates with the diagnosis of sepsis between the times from to The medical files were traced using the patient card numbers on the log book registry.

If there was incomplete maternal information on the neonatal card, the maternal card was traced by using neonatal card number.Although stroke has been consistently reported as one of the three leading causes of morbidity and mortality in the past years in Ethiopia, there is a paucity of data regarding treatment outcomes of stroke if sufficient. Hence, the present study aimed to assess patterns of treatment outcomes and associated factors among hospitalized stroke patients at Shashemene Referral Hospital.

A retrospective cross-sectional study was conducted at the medical ward of Shashemene Referral Hospital. A total of 73 hospitalized stroke patients during the period — were included in the study. Demographic characteristics, risk factors, and stroke types and their hospital outcomes were reviewed from the medical records of the patients.

The data were entered and analyzed using SPSS version Descriptive statistics such as percent and frequency were used to summarize patients' characteristics. Binary logistic regression was used to investigate the potential predictors of treatment outcome.

Ischemic stroke was the most common type of stroke Hypertension More than half Dyslipidemics were prescribed to Age, sex, type of stroke, and type of comorbidity were not significant factors of stroke treatment outcome. Ischemic stroke was the most common type of stroke diagnosed among the study participants while aspirin and statins were the most frequently used drugs in the management of stroke.

According to the World Health Organization WHOstroke is defined as rapidly developing clinical signs of focal or global disturbance of cerebral function, with symptoms lasting 24 hours or longer or leading to death which may be either ischemic or hemorrhagic disturbances of the cerebral blood circulation [ 1 ].

The Global Burden of Disease study reported that cerebrovascular diseases ranked the second leading cause of death after ischemic heart disease [ 3 ]. According to the WHO data published instroke accounted for 28, 4. Despite the high prevalence of stroke in Ethiopia, there is a paucity of data regarding treatment outcomes and other contributing factors in stroke patients.

This study therefore aimed to assess the factors and treatment outcomes of hospitalized stroke patients at Shashemene Referral Hospital. A retrospective cross-sectional study was conducted on hospitalized stroke patients in the medical ward of Shashemene Referral Hospital from March to April It is one of the oldest hospitals of Oromia region serving approximately 2.

Patients who had complete medical records, confirmed diagnosis of stroke, and admitted in the medical ward of the hospital during the period of March 1, —March 31,were included in the study. All patient cards that fulfilled the inclusion criteria were included in the study.

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Hence, a total of 73 stroke patients who had been hospitalized during the five years — study period were used. Two qualified nurses from the medical ward of the Hospital were trained to assist in data collection.Client satisfaction is considered as one of the desired outcomes of health care and it is directly related with utilization of health services.

Nonetheless, there is no adequate information on users' perception about the service provided in the hospital after the implementation of Business process re-engineering reform. Hence, the objective of this study was to assess the perceived levels of clients' satisfaction with health services rendered at Jimma University Specialized Hospital.

A cross sectional study was conducted from March 1—8, on a sample of service users of the hospital using systematic random sampling technique. Data was collected using structured questionnaire and analyzed by SPSS for windows version Statistical tests were employed where necessary at 0. The questionnaire was administered to a total of clientsof which, Satisfaction was reported to be highest This study showed higher clients' satisfaction level in the University Specialized Hospital when compared to previous studies in the same hospital as well as other similar studies in the country.

Lack of drugs and supplies, poor information provision, long waiting time, poor cleanliness, lack of privacy and inadequate visiting hours, were found to be the major causes of dissatisfaction. Therefore, the Hospital management should understand these weak service areas and plan for a better service delivery.

Client satisfaction is the level of satisfaction that clients experience having used a service. It therefore reflects the gap between the expected service and the experience of the service, from the client's point of view. Moreover, the quality assurance and accreditation process in most countries requires that the satisfaction of clients be measured on a regular basis 1.

Asking patients what they think about the care and treatment they have received is an important step towards improving the quality of care, and ensure local health services are meeting patients' needs 2. It is an established fact that satisfaction influences whether a person seeks medical advice, complies with treatment and maintains a continuing relationship with practitioners 34.

Donabadian, arguably the leading theorist in the area of quality assurance, has emphasized that Client satisfaction is of fundamental importance as a measure of the quality of care because it gives information on the provider's success at meeting those client values and expectations, which are matters on which the client is the ultimate authority 56.

In the prior years when hospitals were symbols of humanitarian efforts for community welfare, accountability for performance was of little concern. Today however, people are increasingly concerned about hospital's performance because: -1 Hospitals use an increasing proportion of scarce community resources.

Moreover, addressing those service aspects of healthcare that consumers most readily appreciate, such as access, provider relationship, availability of information and opportunity for participation can influence health care quality outcomes 78. A recent study from Bangladesh reported that the most powerful predictor for client satisfaction with health services was provider behavior, especially respect and politeness 9. It is indicated that health care systems in most developing countries suffer from serious deficiencies in financing, efficiency, equity and quality and are poorly prepared to meet these challenges


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