نتائج البحث - "Okunlola, Cecilia K"

الوصف: Background: The severe acute respiratory syndrome coronavirus‑2 was first reported by the World Health Organization in December 2019 and thereafter declared a pandemic. Its emergence affected all spheres of daily life including widespread lockdowns at the peak of the first wave of the pandemic. Several nonpharmacological preventive practices were adopted to curb the spread of the novel coronavirus amid the initial paucity of supporting scientific data. Aim: The study aimed to evaluate the level of awareness and preventive practices among the family caregivers of the patients admitted to a mixed hospital during the first wave of the COVID‑19 pandemic in Nigeria. Methods to Materials: This study was a self‑administered questionnaire‑based cross‑sectional survey carried out in June 2020 during the lockdown for the first wave of the COVID‑19 pandemic. The study participants were selected by the convenience sampling method. Participants consisted of one hundred family caregivers of the inpatients admitted for various ailments other than COVID‑19 in our hospital. Data on demography, awareness of COVID‑19, and preventive practices were obtained and analysed using IBM SPSS version 20. The results were presented using tables. Categorical data were summarised by frequencies and percentages, whereas continuous data were summarised using means and standard deviations (SDs). Results: The respondents were mainly married young adults (74%) with an age range between 15 and 66 years. The mean age was 37.7 ± 13.9 SD. Sixty‑four percent of the respondents were female, 92% were of the Yoruba ethnic group, and 60% were university graduate. Most family caregivers were first‑degree relatives (86%), and 14% were acquaintances or friend. The findings showed that 98% of the respondents were aware of the COVID‑19 pandemic, and 56% never experienced fear of contracting the disease. Fifty‑eight percent of the respondents observed physical distancing, whereas the remaining 42% practiced normal physical interaction despite the pandemic. Regular handwashing and the use of face masks were the most common nonpharmacological preventive practices. Cloth face masks were the most commonly used. Only 38% of the respondents were aware of the inhospital COVID‑19‑positive patients, and a majority of them got the information through the radio and from discussions among the patients’ relatives. Conclusion: Family caregivers are an integral part of the health‑care system, and females are more involved than males. Regular handwashing and the use of cloth face masks were the most common COVID‑19 nonpharmacological preventive practices among the family caregivers.

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https://www.ajol.info/index.php/njm/article/view/228900

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دورية

Routine sterile glove and instrument change at the time of abdominal wound closure to prevent surgical site infection (ChEETAh): a pragmatic, cluster-randomised trial in seven low-income and middle-income countries

المؤلفون: Ademuyiwa, Adesoji O, Adisa, Adewale O, Bhangu, Aneel, Brocklehurst, Peter, Chakrabortee, Sohini, Ghosh, Dhruva, Glasbey, James, Haque, Parvez D, Hardy, Pollyanna, Harrison, Ewen, Ingabire, JC Allen, Ismail, Lawani, Lillywhite, Rachel, Magill, Laura, Ramos de la Medina, Antonio, Moore, Rachel, Pinkney, Thomas, Winkles, Neil, Monahan, Mark, Morton, Dion, Nepogodiev, Dmitri, Ntirenganya, Faustin, Omar, Omar, Simoes, Joana, Smith, Donna, Tabiri, Stephen, Kadir, Bryar, Ismail, Lawani, Ghosh, Dhruva, Ramos de la Medina, Antonio, Moore, Rachel, Ntirenganya, Faustin, Tabiri, Stephen, Hardy, Pollyanna, Omar, Omar, Brant, Felicity, Li, Elizabeth, Lillywhite, Rachel, Picciochi, Maria, Bahrami-Hessari, Michael, Smith, Donna, Runigamugabo, Emmy, Ahogni, Didier, Ahounou, Aristide, Boukari, K. Alassan, Gbehade, Oswald, Hessou, Thierry K, Nindopa, Sinama, Nontonwanou, M.J. 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المصدر: The Lancet; November 2022, Vol. 400 Issue: 10365 p1767-1776, 10p

مستخلص: Surgical site infection (SSI) remains the most common complication of surgery around the world. WHO does not make recommendations for changing gloves and instruments before wound closure owing to a lack of evidence. This study aimed to test whether a routine change of gloves and instruments before wound closure reduced abdominal SSI.

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Awareness and COVID-19 Preventive Practices among Inpatients' Caregivers at a Mixed COVID-19 Treatment Hospital in Southwest Nigeria.

المؤلفون: Okunlola, Abiodun I., Babalola, Olakunle F., Okunlola, Cecilia K., Ibijola, Ajayi A., Ayokunle, Makanjuola D., Salawu, Adedayo I.

المصدر: Nigerian Journal of Medicine; May/Jun2022, Vol. 31 Issue 3, p315-318, 4p

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Intra-operative wound irrigation with ceftriaxone does not reduce surgical site infection in clean neurosurgical procedures.

المؤلفون: Okunlola, Abiodun I., Adeolu, Augustine A., Malomo, Adefolarin O., Okunlola, Cecilia K., Shokunbi, Matthew T.

المصدر: British Journal of Neurosurgery; Dec 2021, Vol. 35 Issue 6, p766-769, 4p, 7 Charts

مصطلحات موضوعية: SURGICAL site infections, ANTIBIOTIC prophylaxis, CEFTRIAXONE, BRAIN abscess, IRRIGATION (Medicine), SALINE irrigation

مستخلص: The spectrum of post-operative infections in neurosurgical practice includes scalp infection, bone flap osteomyelitis, meningitis and intracranial abscesses and is associated with significant morbidity and mortality. There is a wide variation across neurosurgical centres in the use of perioperative antibiotic prophylaxis. The aim of this study was to determine whether intraoperative wound irrigation with ceftriaxone provides additional prevention of surgical site infection (SSI) in patients already receiving the drug parenterally. This was a prospective randomized clinical study of patients 18 years and above scheduled for clean neurosurgical procedures and assigned to either study or control group using table of random numbers. Both groups had parenteral ceftriaxone at the induction of anaesthesia and for 24-h post-operation. In the study group, there was intra-operative wound irrigation with a ceftriaxone-in-normal saline solution while the wound in the control group was irrigated with only normal saline. Clinical and or laboratory evidence of SSI was used as the outcome measure. One hundred and thirty-two patients aged 18 years and above were recruited for this study. There were 66 patients in each group. The overall frequency of SSI was 2.27% (3 out of 132). The frequency in the ceftriaxone group was 3% (2 out of 66) while that in the control group was 1.5% (1 out of 66). These values were not significantly different (p = 1.00). There were four cases of wound edge necrosis, three of which developed SSIs. In this study, intraoperative antibiotic irrigation did not confer additional benefit in the prevention of SSI in clean neurosurgical procedures in which prophylactic intravenous antibiotics were administered to the patient. Wound edge necrosis was the most significant but preventable risk factor for the development of SSI in the setting of this work. [ABSTRACT FROM AUTHOR]

: Copyright of British Journal of Neurosurgery is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

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Assessing the Correlation Between Patient-Specific Characteristics and Braden Pressure Injury Risk Score at a Suburban Tertiary Hospital in Nigeria.

المؤلفون: Salawu AI; Department of Surgery, Federal Teaching Hospital, Ido-Ekiti, NGA.; Department of Surgery, Afe Babalola University, Ado-Ekiti, NGA., Ipinnimo TM; Department of Community Medicine, Federal Teaching Hospital, Ido-Ekiti, NGA., Bamidele TA; Department of Community Medicine, Federal Teaching Hospital, Ido-Ekiti, NGA., Babalola OF; Department of Surgery, Federal Teaching Hospital, Ido-Ekiti, NGA.; Department of Surgery, Afe Babalola University, Ado-Ekiti, NGA., Okunlola CK; Department of Medicine, Federal Teaching Hospital, Ido-Ekiti, NGA., Adeleye MO; Department of Medicine, Afe Babalola University, Ado-Ekiti, NGA., Nkereuwem PE; Department of Medicine, Afe Babalola University, Ado-Ekiti, NGA.

المصدر: Cureus [Cureus] 2023 May 23; Vol. 15 (5), pp. e39373. Date of Electronic Publication: 2023 May 23 (Print Publication: 2023).

نوع المنشور: Journal Article

بيانات الدورية: Publisher: Cureus, Inc Country of Publication: United States NLM ID: 101596737 Publication Model: eCollection Cited Medium: Print ISSN: 2168-8184 (Print) Linking ISSN: 21688184 NLM ISO Abbreviation: Cureus Subsets: PubMed not MEDLINE

مستخلص: Background and objective Pressure injury (PI) is a frequent complication of hospital admissions, and it increases healthcare costs, morbidity, and mortality. This study aimed to use the Braden scale to assess the PI risk among hospitalized patients without PI and determine its association with patient-specific factors. Methods A cross-sectional study was conducted at a suburban tertiary hospital involving a total of 211 hospitalized patients recruited during the study period (October 2022). Patients were assessed using the Braden scale and their sociodemographic data were also recorded. Data analysis was performed using IBM SPSS Statistics version 26.0 (IBM Corp., Armonk, NY). Results The mean age of the patients was 41.8 ±23.0 years and 54.0% of the patients were females. The average Braden score of the patients was 19.01 ±3.42, and more than half (58.3%) of the patients showed no risk while only 0.9% of the patients had a severe risk of PI. There was a statistically significant association between PI risk and patients' age (r=-0.353, R=12.5%, p<0.001), pre-admission occupation (F=10.290, p<0.001) as well as the ward of admission (F=11.915, p<0.001). However, gender and social support were not significantly associated. Conclusion The age, pre-admission occupation, and ward of admission of patients were found to be significantly associated with the risk of developing PI. It is recommended that more resources be channeled toward preventing PI among high-risk patients in resource-limited settings.
Competing Interests: The authors have declared that no competing interests exist.
(Copyright © 2023, Salawu et al.)

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