A Case of Severe Sepsis Following Transrectal Prostate Biopsy

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The profile of tuberculosis infection at the Babcock University Teaching Hospital

Background: Tuberculosis is the leading cause of death from any single pathogen and it has consistently continued to be a major public health challenge globally. Data show that Nigeria ranks tenth among the 22 high tuberculosis burden countries.Aim: This study intends to describe the profile of tuberculosis infections in Babcock University Teaching Hospital.Methods: This was a retrospective cross sectional study of patients presenting to the Tuberculosis Laboratory of Babcock University Teaching Hospital.Results: Patients presenting to BUTH were 2.29 times more likely to have a positive AFB sputum smear result when compared to samples from Primary Health Care Centers – P = 0.05, χ2 = 3.83, O.R = 2.29, R.R = 1.17, CI = 1.0 – 5.34. Patients presenting to BUTH were more likely to be HIV positive when compared to those from PHC’s p = 0.00, χ2 = 24.74, df = 2.Conclusion: The burden of tuberculosis is still high in our environment and challenges in its rapid and accurate diagnosis still remain. In order to strengthen tuberculosis control, attention needs to be placed on rapid diagnosis and prompt treatment.Keywords: Tuberculosis, HIV, Primary Healthcare Centre, Ziehl Neelson stain, Directly Observed Treatment Short Course, pathoge

Management protocol of hospitalized patients with COVID-19 in Babcock University Teaching Hospital, Ilishan-Remo, Ogun State, Nigeria

Coronavirus infection became a global pandemic in March 2020. The number of hospitalized cases in Nigeria and Ogun State has been on a steady increase with a concomitant rise in Mortality. This necessitates a coordinated and a more systemic approach in the management of this deadly disease. As a result of the potential effects of the disease on the socio-economic development of Ogun State, the state government granted Babcock University Teaching Hospital, Ilishan-Remo the permission to diagnose, admit and manage cases in line with Nigeria Centre for Disease Control (NCDC)/World Health Organization (WHO) guidelines. This led to the establishment of a molecular laboratory and a COVID-19 task force to oversee the treatment of confirmed cases of COVID-19 disease. This protocol is developed to serve as a template for the diagnosis, admission, treatment of cases of COVID-19 diseases presenting for care in the hospital and to prevent the spread of the disease among healthcare workers within the hospital environment

HIV Non-Occupational Post-Exposure Prophylaxis Awareness Among Undergraduate Students of a Private University in South-West Nigeria

Objectives: The Human Immunodeficiency virus causes an infection of public health importance with about 71% of the global burden in Sub-Saharan Africa. In Nigeria, 3.2 million people are living with HIV, and 838,000 - 1.3 million of the cases are found among youths. Although Non- Occupational Human Immunodeficiency Virus (HIV) post-exposure prophylaxis (nPEP) is a safe and efficacious method of HIV prevention, it remains an underutilized prevention strategy in Nigeria.  This study aimed to determine the awareness level of nPEP after sexual and other non-occupational exposure to HIV among undergraduate students of a private University. Methods: A descriptive cross-sectional survey was conducted among 395 undergraduates’ students. Data was collected by pre-tested structured self-administered questionnaires. Data obtained from the study were analyzed using the IBM SPSS Statistics version 20 software program and Frequency distribution tables with percentages and cross-tables were used for data description. Results: About 42.8% were aware of nPEP. Most of the respondents 361 (91.4%) knew that PEP is to be given after HIV exposure risk following sexual intercourse. Although 79.5% of the respondents indicated that they will see their physician after unprotected sexual intercourse and other non-occupational exposure to HIV, the majority neither knows about nPEP initiation time, 247 (62.5%) nor its duration, 286 (72.4%). Conclusions: A low level of awareness was observed among our study participants, therefore, consistent health education and promotion of nPEP will improve its awareness, uptake, and possibly reduce the prevalence of HIV among our youths