Background: Self-cleaning of ears with cotton bud is a common practice worldwide and the hazards ... more Background: Self-cleaning of ears with cotton bud is a common practice worldwide and the hazards associated with this action are well documented. Nevertheless very few studies have been done on this subject in Nigeria. Objective: To determine the prevalence of self-ear-cleaning and its sociodemographic correlates among health workers in Nigeria. Settings and Design: A cross-sectional survey conducted in a Tertiary institution in Nigeria. Methods: Semi-structured questionnaires were administered on a randomly selected sample of 150 respondents. The outcome variable was self-ear-cleaning. Independent variables were sociodemographic variables, materials used and ear-cleaning habits. The data collected were analyzed using SPSS version 15. Results: There were 150 respondents (M:F =1:1.41). Mean age was 33.9 (standard deviation=9.12). Prevalence of self ear cleaning was 94%. Cotton buds were the most frequently used object (in 87.3%). The commonest reason for this practice was ear itching...
AIM: This study aimed at determine clinical and epidemiological features of vertigo in Ado Ekiti,... more AIM: This study aimed at determine clinical and epidemiological features of vertigo in Ado Ekiti, south western part of Nigeria.
Objective: Malignant otitis externa is a potentially life threatening infection of external audit... more Objective: Malignant otitis externa is a potentially life threatening infection of external auditory canal and skull base in an immunocompromised person. The outcome tends to be fatal due to the skull base osteomyelitis, especially if diagnois is delayed or is poorly treated. This epidemiological study in developing country is aimed at sensitizing for high level of suspicious early diagnosis and treatment. Method: This is a prospective study of patients with diagnosis of malignant otitis externa managed in a tertiary hospital between year 2012 2016. All consented patients with the disorder were enrolled into the study. Data obtained were collated and analysed. Result: Nine patients with malignant otitis externa were seen during the study period. Male to female ratio was 1:1. The peak was between 61 and 70 years. The most frequent symptoms were otalgia 9 (100%) and hearing loss 9 (100%) while cranial neuropathy was encountered in 6 (66.7%). The most implicated microganisms was Pseudo...
The aim of the study was to define the point prevalence of nasal diseases in primary school child... more The aim of the study was to define the point prevalence of nasal diseases in primary school children in Ile – Ife and its suburbs located in the south western Nigeria. Six hundred (600) pupils were selected by a multi-staged stratified sampling technique from 10 government primary schools in IleIfe and suburbs using the Local Education Authority (LEA) list for common entrance code as the sampling frame. Pre-tested structured questionnaire was administered on each selected pupil with clarification from parent/ guardian where necessary and were examined. Each pupil was placed in the upper, middle and lower socioeconomic class based on Oyedeji’s classification. Six hundred (600) primary school pupils were enrolled in the study. Two hundred and eighty six (47.7%) were females and three hundred and fourteen (52.3%) were males. The overall prevalence of nasal diseases was 31.33%. Viral rhinosinusitis accounted for 10.7% (64) followed by persistent rhinosinusitis (10.2%) while nasal polyps...
Noise induced Hearing loss is a long recognized occupational hazard. The hearing loss is sensory ... more Noise induced Hearing loss is a long recognized occupational hazard. The hearing loss is sensory neural (SNHL), usually irreversible but preventable. The purpose of this study was to determine the prevalence and factors contributing to this condition at a cement company in Nigeria. A total of 143 respondents were randomly selected by systematic sampling method, they were categorized into Noise-exposed 76(53.9%) and Non-noise exposure 67(46.9%) based on their noise exposure level in work environment, each had an interviewer administered semi-structured questionnaire, otological examination, audiometric evaluation and noise mapping of their respective departments. The data were analyzed using EPI-INFO (Version 6) and results were presented in tables and graphs, p<0.05 was significant value. Fifty one (67.1%) of the noise-exposed workers had mild SNHL in the right ear and 9 (11.8%) had moderate SNHL in the right ear (p<0.005). All participants in the noise exposed group worked fo...
International Journal of Otorhinolaryngology and Head and Neck Surgery, 2017
Background: Adenotonsillar hypertrophy is a common paediatric disorder in Otorhinolaryngological ... more Background: Adenotonsillar hypertrophy is a common paediatric disorder in Otorhinolaryngological practice worldwide. The prevalence, clinical manifestations and predisposing factors are well documented in developed countries. However, available data shows differences between the various studies. There is paucity of data from developing countries. Thus, this study is aimed at assessing the age group distribution, predisposing factors, clinical manifestation and complications of adenotonsillar hypertrophy in a developing country. Methods: It is a prospective study of children under 10 years over a period of 24 months. Interviewer assisted questionnaire was administered. Data obtained were statistically analysed using SPSS version 18. Results: Two hundred and fifty three, 253 subjects were enrolled into the study. Adenotonsillar hypertrophy affected all age groups studied. A high incidence was noted among the under 2 year olds. The Male: Female ratio was 2:1. Chronic cases constituted...
International journal of pediatric otorhinolaryngology, Jan 28, 2015
Despite the significance of the role of caregivers among children with Obstructive Adenotonsillar... more Despite the significance of the role of caregivers among children with Obstructive Adenotonsillar hypertrophy (OAT), their caregiving experience and emotional well-being are given poor attention in research, policy and service design. This study represents a novel effort sought to investigate the burden experienced by caregivers of children with OAT and the impact of emotional distress on their caregiving burden. A total of one hundred consecutive caregivers of children with OAT were interviewed with designed socio-demographic questionnaire. This was subsequently followed by administration of General Health Questionnaire-12 (GHQ-12) to ascertain emotional distress using cut-off score ≥3 and Zarit Caregivers Burden of care scale was used to characterize the pattern of burden experienced by these caregivers. In this study, the mean ages of children with OAT and their caregivers were 36.7(±21.8) months and 34.4(±5.4) years, respectively. The affected children were mainly males (68%), w...
Earwax impaction is a common ear disorder with presentation worldwide. This study aimed at determ... more Earwax impaction is a common ear disorder with presentation worldwide. This study aimed at determining the clinical presentation, patients&#39; perception of earwax, and its predisposing factors among Nigerians. This prospective study was conducted on consented patients with diagnosis of earwax impaction at the Ear, Nose, and Throat Clinic of the University Teaching Hospital, Ado Ekiti, Ekiti state, south west, Nigeria. The research was carried out over a period of one year (April 2008 and March 2009). All consented patients were told about the aim and scope of the study and their biodata were taken. Detailed history of the presenting complaints and otological complaints were taken and all data entered into structured questionnaires. Full-ear examination and otoscopy were performed and our findings were documented. From all these exercise, data obtained were collated and statistically analyzed. A total of 437 patients were diagnosed with earwax impaction and prevalence of 20.1% was found. There was 52.2% male preponderance with male to female ratio of 1:1. Bimodal peak age distribution of patients was found at the extreme ages of life. Most common sources of our patients referrals were 39.6% general medical practitioners with least from 6.2% self-reporting. Common presentations were 277 (63.3%) hearing loss, 268 (61.3%) earache (otalgia), and 234 (53.5%) tiinitus. Unilateral earwax impaction, 75.1% was more common than bilateral earwax impaction. Right ear was more affected than left ear. Recurrent earwax impaction of 66.1% was found in our study. About 382 (87.4%) believed earwax was due to dirt or dust. Most common predisposing factors among our patients were self-ear cleaning. Common predisposing factor of this high recurrent earwax impaction were wrong perception and preventable self-ear cleaning with indiscriminate objects including cotton tip swab. This condition could be reduced by health education of the community.
European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery, Jan 26, 2014
Quality of Life (QoL) studies are increasingly being used as the primary outcome measure in chron... more Quality of Life (QoL) studies are increasingly being used as the primary outcome measure in chronic rhinosinusitis (CRS) globally. However, little is known about QoL and the interplay of identifiable factors on QoL in CRS in sub-Saharan Africa. This study investigated the correlation between disease severity and QoL in chronic rhinosinusitis patients. A total of 147 adults with subjective severity rating of CRS were studied. Participants were assessed using designed questionnaire, Individual Rhinosinusitis Symptom Severity Score Assessment (IRSSSA) and Rhinosinusitis Disability Index (RSDI) questionnaires to elicit socio-demographic/clinical profile, CRS symptom severity and QoL, respectively. The mean age of the participants was 36.86 ± 11.91 years. The mean severity score of all 147 CRS cases was 3.8 ± 1.13. The majority of participants (N = 80; 54.4 %) had moderate disease. The RSDI mean scores for the participants for overall HRQoL were 40.6 ± 19.8. (Median = 40; Range = 77), fo...
BACKGROUND Diabetic foot ulcer is an associated and an increasing problem among individuals with ... more BACKGROUND Diabetic foot ulcer is an associated and an increasing problem among individuals with diabetes. The aim of the present study was to evaluate the risk factors for amputation in patients with diabetic foot ulcer as well as common causes of increasing mortality in these patients. METHODS The design was an observational prospective study carried out between July 2015 and June 2018. The Demographic data of all patients with diabetic foot ulcer seen at Lagos University Teaching Hospital and Nigerian Navy Reference Hospital Lagos with their clinical signs and symptoms as well as basic laboratory results were documented. The ankle brachial index (ABI), history of neuropathy, nephropathy and the relationship between these and lower limb amputation and mortality were collected and analyzed. RESULTS There were 539 patients with diabetic foot ulcer seen during the 3-year period. The mean age was 62 + 13.7. There was male preponderance with a ratio of 1.7:1. Patient with amputation mo...
Background: Brain abscess in children is a neurosurgical emergency with potentially catastrophic ... more Background: Brain abscess in children is a neurosurgical emergency with potentially catastrophic outcome despite the advances made in neuroimaging techniques and antibiotic therapy. Symptoms are nonspecific and may vary with the child’s age, location, size, numbers and stage of abscess, and the primary source of infection. Treatment is usually with broad-spectrum antibiotics in combination and surgical evacuation in most cases or antibiotics alone in selected cases with clear-cut indications. This study was to document clinical characteristics, etiological factors, and spectrum of bacteriologic agents responsible for pediatric brain abscess in an African city, the challenges and management outcome over the study period. Methods: This was a retrospective study over an 11-year period involving 89 children who presented with brain abscess. Information of interest was extracted from the medical records of each participant. The results from data analysis were presented in charts and tabl...
The Malaysian journal of medical sciences : MJMS, 2015
PURPOSE To determine the association between isolates in the middle ear (ME) and nasopharynx of p... more PURPOSE To determine the association between isolates in the middle ear (ME) and nasopharynx of patients with chronic otitis media in Ilorin, north-central Nigeria. METHODS An ethically approved case control study was carried out in the Ear, Nose, and Throat clinic amongst consenting cases using normal subjects as controls. A microbiology investigation form giving the results for otoscopy, aspirate and swabs was filled out for both the ME and nasopharynx. The experimental procedure was carried out and bacteria were identified according to colony characteristics, morphological appearance, Gram-staining, and standard biochemical testing. Data obtained were analysed with SPSS version 16.0 and Epi Info 3.5.1 using the mean, standard deviation and chi-square results. RESULT A total of 140 cases and 70 controls, were recruited. The Gram stain reaction of the ME aspirates were positive in 28.6% and negative in 71.4% of cases. Nasopharyngeal swabs revealed 64.3% Gram positive and 35.7% nega...
Background:Repeated exposure to excessive noise will eventually lead to an irreversible increase ... more Background:Repeated exposure to excessive noise will eventually lead to an irreversible increase in hearing thresholds. In theory, the damage reflects both the intensity of the noise and the duration of exposure. This is not linear with respect to duration of exposure; rather, the worker may experience a disproportionate loss in the early years of exposure.Methods:A prospective study surveying workers of the production section (i.e. most noise-exposed area) of a bottling factory was carried out in December 2003 and in December 2005. A self-administered questionnaire was used to extract information about worker's demographic characteristics, drug intake, and medical and occupational history, as well as information on the use of hearing protection devices. Noise mapping of the various departments of the factory was carried out. Otological examination, tympanometry and audiometry were also carried out on selected subjects.Results:Eighty-four workers, 76 (90.5 per cent) men and eigh...
Background: Hoarseness/dysphonia of voice is the most common symptom of laryngeal disorder regard... more Background: Hoarseness/dysphonia of voice is the most common symptom of laryngeal disorder regardless of its pathology. This study aimed at determining the sociodemographic profile, aetiology, predisposing factors, clinical profile and management of hoarseness. Materials and Methods: This study was a prospective study carried out on all patients who presented hoarseness of voice via the Ear, Nose, and the Throat at the department of a tertiary institution in Nigeria. The study was carried out between October 2015 to September 2017. Data were obtained from patients who gave consent by using pre tested interviewer assisted questionnaire. All the data obtained were analyzed using SPSS version 16.0. Results: Prevalence of hoarseness was 2.4%. There were 58.4% males with male to female ratio being 1.5:1. Housewives were involved 27.6%, Singers 21.5%, Teachers 17.3%, and Clergy 13.1%. Main causes were 96.3% organic causes and 2.8% neurological causes. Common organic causes were 36.4% acu...
Background: Brain abscess in children is a neurosurgical emergency with potentially catastrophic ... more Background: Brain abscess in children is a neurosurgical emergency with potentially catastrophic outcome despite the advances made in neuroimaging techniques and antibiotic therapy. Symptoms are nonspecific and may vary with the child’s age, location, size, numbers and stage of abscess, and the primary source of infection. Treatment is usually with broad-spectrum antibiotics in combination and surgical evacuation in most cases or antibiotics alone in selected cases with clear-cut indications. This study was to document clinical characteristics, etiological factors, and spectrum of bacteriologic agents responsible for pediatric brain abscess in an African city, the challenges and management outcome over the study period. Methods: This was a retrospective study over an 11-year period involving 89 children who presented with brain abscess. Information of interest was extracted from the medical records of each participant. The results from data analysis were presented in charts and tabl...
Background: Self-cleaning of ears with cotton bud is a common practice worldwide and the hazards ... more Background: Self-cleaning of ears with cotton bud is a common practice worldwide and the hazards associated with this action are well documented. Nevertheless very few studies have been done on this subject in Nigeria. Objective: To determine the prevalence of self-ear-cleaning and its sociodemographic correlates among health workers in Nigeria. Settings and Design: A cross-sectional survey conducted in a Tertiary institution in Nigeria. Methods: Semi-structured questionnaires were administered on a randomly selected sample of 150 respondents. The outcome variable was self-ear-cleaning. Independent variables were sociodemographic variables, materials used and ear-cleaning habits. The data collected were analyzed using SPSS version 15. Results: There were 150 respondents (M:F =1:1.41). Mean age was 33.9 (standard deviation=9.12). Prevalence of self ear cleaning was 94%. Cotton buds were the most frequently used object (in 87.3%). The commonest reason for this practice was ear itching...
AIM: This study aimed at determine clinical and epidemiological features of vertigo in Ado Ekiti,... more AIM: This study aimed at determine clinical and epidemiological features of vertigo in Ado Ekiti, south western part of Nigeria.
Objective: Malignant otitis externa is a potentially life threatening infection of external audit... more Objective: Malignant otitis externa is a potentially life threatening infection of external auditory canal and skull base in an immunocompromised person. The outcome tends to be fatal due to the skull base osteomyelitis, especially if diagnois is delayed or is poorly treated. This epidemiological study in developing country is aimed at sensitizing for high level of suspicious early diagnosis and treatment. Method: This is a prospective study of patients with diagnosis of malignant otitis externa managed in a tertiary hospital between year 2012 2016. All consented patients with the disorder were enrolled into the study. Data obtained were collated and analysed. Result: Nine patients with malignant otitis externa were seen during the study period. Male to female ratio was 1:1. The peak was between 61 and 70 years. The most frequent symptoms were otalgia 9 (100%) and hearing loss 9 (100%) while cranial neuropathy was encountered in 6 (66.7%). The most implicated microganisms was Pseudo...
The aim of the study was to define the point prevalence of nasal diseases in primary school child... more The aim of the study was to define the point prevalence of nasal diseases in primary school children in Ile – Ife and its suburbs located in the south western Nigeria. Six hundred (600) pupils were selected by a multi-staged stratified sampling technique from 10 government primary schools in IleIfe and suburbs using the Local Education Authority (LEA) list for common entrance code as the sampling frame. Pre-tested structured questionnaire was administered on each selected pupil with clarification from parent/ guardian where necessary and were examined. Each pupil was placed in the upper, middle and lower socioeconomic class based on Oyedeji’s classification. Six hundred (600) primary school pupils were enrolled in the study. Two hundred and eighty six (47.7%) were females and three hundred and fourteen (52.3%) were males. The overall prevalence of nasal diseases was 31.33%. Viral rhinosinusitis accounted for 10.7% (64) followed by persistent rhinosinusitis (10.2%) while nasal polyps...
Noise induced Hearing loss is a long recognized occupational hazard. The hearing loss is sensory ... more Noise induced Hearing loss is a long recognized occupational hazard. The hearing loss is sensory neural (SNHL), usually irreversible but preventable. The purpose of this study was to determine the prevalence and factors contributing to this condition at a cement company in Nigeria. A total of 143 respondents were randomly selected by systematic sampling method, they were categorized into Noise-exposed 76(53.9%) and Non-noise exposure 67(46.9%) based on their noise exposure level in work environment, each had an interviewer administered semi-structured questionnaire, otological examination, audiometric evaluation and noise mapping of their respective departments. The data were analyzed using EPI-INFO (Version 6) and results were presented in tables and graphs, p<0.05 was significant value. Fifty one (67.1%) of the noise-exposed workers had mild SNHL in the right ear and 9 (11.8%) had moderate SNHL in the right ear (p<0.005). All participants in the noise exposed group worked fo...
International Journal of Otorhinolaryngology and Head and Neck Surgery, 2017
Background: Adenotonsillar hypertrophy is a common paediatric disorder in Otorhinolaryngological ... more Background: Adenotonsillar hypertrophy is a common paediatric disorder in Otorhinolaryngological practice worldwide. The prevalence, clinical manifestations and predisposing factors are well documented in developed countries. However, available data shows differences between the various studies. There is paucity of data from developing countries. Thus, this study is aimed at assessing the age group distribution, predisposing factors, clinical manifestation and complications of adenotonsillar hypertrophy in a developing country. Methods: It is a prospective study of children under 10 years over a period of 24 months. Interviewer assisted questionnaire was administered. Data obtained were statistically analysed using SPSS version 18. Results: Two hundred and fifty three, 253 subjects were enrolled into the study. Adenotonsillar hypertrophy affected all age groups studied. A high incidence was noted among the under 2 year olds. The Male: Female ratio was 2:1. Chronic cases constituted...
International journal of pediatric otorhinolaryngology, Jan 28, 2015
Despite the significance of the role of caregivers among children with Obstructive Adenotonsillar... more Despite the significance of the role of caregivers among children with Obstructive Adenotonsillar hypertrophy (OAT), their caregiving experience and emotional well-being are given poor attention in research, policy and service design. This study represents a novel effort sought to investigate the burden experienced by caregivers of children with OAT and the impact of emotional distress on their caregiving burden. A total of one hundred consecutive caregivers of children with OAT were interviewed with designed socio-demographic questionnaire. This was subsequently followed by administration of General Health Questionnaire-12 (GHQ-12) to ascertain emotional distress using cut-off score ≥3 and Zarit Caregivers Burden of care scale was used to characterize the pattern of burden experienced by these caregivers. In this study, the mean ages of children with OAT and their caregivers were 36.7(±21.8) months and 34.4(±5.4) years, respectively. The affected children were mainly males (68%), w...
Earwax impaction is a common ear disorder with presentation worldwide. This study aimed at determ... more Earwax impaction is a common ear disorder with presentation worldwide. This study aimed at determining the clinical presentation, patients&#39; perception of earwax, and its predisposing factors among Nigerians. This prospective study was conducted on consented patients with diagnosis of earwax impaction at the Ear, Nose, and Throat Clinic of the University Teaching Hospital, Ado Ekiti, Ekiti state, south west, Nigeria. The research was carried out over a period of one year (April 2008 and March 2009). All consented patients were told about the aim and scope of the study and their biodata were taken. Detailed history of the presenting complaints and otological complaints were taken and all data entered into structured questionnaires. Full-ear examination and otoscopy were performed and our findings were documented. From all these exercise, data obtained were collated and statistically analyzed. A total of 437 patients were diagnosed with earwax impaction and prevalence of 20.1% was found. There was 52.2% male preponderance with male to female ratio of 1:1. Bimodal peak age distribution of patients was found at the extreme ages of life. Most common sources of our patients referrals were 39.6% general medical practitioners with least from 6.2% self-reporting. Common presentations were 277 (63.3%) hearing loss, 268 (61.3%) earache (otalgia), and 234 (53.5%) tiinitus. Unilateral earwax impaction, 75.1% was more common than bilateral earwax impaction. Right ear was more affected than left ear. Recurrent earwax impaction of 66.1% was found in our study. About 382 (87.4%) believed earwax was due to dirt or dust. Most common predisposing factors among our patients were self-ear cleaning. Common predisposing factor of this high recurrent earwax impaction were wrong perception and preventable self-ear cleaning with indiscriminate objects including cotton tip swab. This condition could be reduced by health education of the community.
European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery, Jan 26, 2014
Quality of Life (QoL) studies are increasingly being used as the primary outcome measure in chron... more Quality of Life (QoL) studies are increasingly being used as the primary outcome measure in chronic rhinosinusitis (CRS) globally. However, little is known about QoL and the interplay of identifiable factors on QoL in CRS in sub-Saharan Africa. This study investigated the correlation between disease severity and QoL in chronic rhinosinusitis patients. A total of 147 adults with subjective severity rating of CRS were studied. Participants were assessed using designed questionnaire, Individual Rhinosinusitis Symptom Severity Score Assessment (IRSSSA) and Rhinosinusitis Disability Index (RSDI) questionnaires to elicit socio-demographic/clinical profile, CRS symptom severity and QoL, respectively. The mean age of the participants was 36.86 ± 11.91 years. The mean severity score of all 147 CRS cases was 3.8 ± 1.13. The majority of participants (N = 80; 54.4 %) had moderate disease. The RSDI mean scores for the participants for overall HRQoL were 40.6 ± 19.8. (Median = 40; Range = 77), fo...
BACKGROUND Diabetic foot ulcer is an associated and an increasing problem among individuals with ... more BACKGROUND Diabetic foot ulcer is an associated and an increasing problem among individuals with diabetes. The aim of the present study was to evaluate the risk factors for amputation in patients with diabetic foot ulcer as well as common causes of increasing mortality in these patients. METHODS The design was an observational prospective study carried out between July 2015 and June 2018. The Demographic data of all patients with diabetic foot ulcer seen at Lagos University Teaching Hospital and Nigerian Navy Reference Hospital Lagos with their clinical signs and symptoms as well as basic laboratory results were documented. The ankle brachial index (ABI), history of neuropathy, nephropathy and the relationship between these and lower limb amputation and mortality were collected and analyzed. RESULTS There were 539 patients with diabetic foot ulcer seen during the 3-year period. The mean age was 62 + 13.7. There was male preponderance with a ratio of 1.7:1. Patient with amputation mo...
Background: Brain abscess in children is a neurosurgical emergency with potentially catastrophic ... more Background: Brain abscess in children is a neurosurgical emergency with potentially catastrophic outcome despite the advances made in neuroimaging techniques and antibiotic therapy. Symptoms are nonspecific and may vary with the child’s age, location, size, numbers and stage of abscess, and the primary source of infection. Treatment is usually with broad-spectrum antibiotics in combination and surgical evacuation in most cases or antibiotics alone in selected cases with clear-cut indications. This study was to document clinical characteristics, etiological factors, and spectrum of bacteriologic agents responsible for pediatric brain abscess in an African city, the challenges and management outcome over the study period. Methods: This was a retrospective study over an 11-year period involving 89 children who presented with brain abscess. Information of interest was extracted from the medical records of each participant. The results from data analysis were presented in charts and tabl...
The Malaysian journal of medical sciences : MJMS, 2015
PURPOSE To determine the association between isolates in the middle ear (ME) and nasopharynx of p... more PURPOSE To determine the association between isolates in the middle ear (ME) and nasopharynx of patients with chronic otitis media in Ilorin, north-central Nigeria. METHODS An ethically approved case control study was carried out in the Ear, Nose, and Throat clinic amongst consenting cases using normal subjects as controls. A microbiology investigation form giving the results for otoscopy, aspirate and swabs was filled out for both the ME and nasopharynx. The experimental procedure was carried out and bacteria were identified according to colony characteristics, morphological appearance, Gram-staining, and standard biochemical testing. Data obtained were analysed with SPSS version 16.0 and Epi Info 3.5.1 using the mean, standard deviation and chi-square results. RESULT A total of 140 cases and 70 controls, were recruited. The Gram stain reaction of the ME aspirates were positive in 28.6% and negative in 71.4% of cases. Nasopharyngeal swabs revealed 64.3% Gram positive and 35.7% nega...
Background:Repeated exposure to excessive noise will eventually lead to an irreversible increase ... more Background:Repeated exposure to excessive noise will eventually lead to an irreversible increase in hearing thresholds. In theory, the damage reflects both the intensity of the noise and the duration of exposure. This is not linear with respect to duration of exposure; rather, the worker may experience a disproportionate loss in the early years of exposure.Methods:A prospective study surveying workers of the production section (i.e. most noise-exposed area) of a bottling factory was carried out in December 2003 and in December 2005. A self-administered questionnaire was used to extract information about worker's demographic characteristics, drug intake, and medical and occupational history, as well as information on the use of hearing protection devices. Noise mapping of the various departments of the factory was carried out. Otological examination, tympanometry and audiometry were also carried out on selected subjects.Results:Eighty-four workers, 76 (90.5 per cent) men and eigh...
Background: Hoarseness/dysphonia of voice is the most common symptom of laryngeal disorder regard... more Background: Hoarseness/dysphonia of voice is the most common symptom of laryngeal disorder regardless of its pathology. This study aimed at determining the sociodemographic profile, aetiology, predisposing factors, clinical profile and management of hoarseness. Materials and Methods: This study was a prospective study carried out on all patients who presented hoarseness of voice via the Ear, Nose, and the Throat at the department of a tertiary institution in Nigeria. The study was carried out between October 2015 to September 2017. Data were obtained from patients who gave consent by using pre tested interviewer assisted questionnaire. All the data obtained were analyzed using SPSS version 16.0. Results: Prevalence of hoarseness was 2.4%. There were 58.4% males with male to female ratio being 1.5:1. Housewives were involved 27.6%, Singers 21.5%, Teachers 17.3%, and Clergy 13.1%. Main causes were 96.3% organic causes and 2.8% neurological causes. Common organic causes were 36.4% acu...
Background: Brain abscess in children is a neurosurgical emergency with potentially catastrophic ... more Background: Brain abscess in children is a neurosurgical emergency with potentially catastrophic outcome despite the advances made in neuroimaging techniques and antibiotic therapy. Symptoms are nonspecific and may vary with the child’s age, location, size, numbers and stage of abscess, and the primary source of infection. Treatment is usually with broad-spectrum antibiotics in combination and surgical evacuation in most cases or antibiotics alone in selected cases with clear-cut indications. This study was to document clinical characteristics, etiological factors, and spectrum of bacteriologic agents responsible for pediatric brain abscess in an African city, the challenges and management outcome over the study period. Methods: This was a retrospective study over an 11-year period involving 89 children who presented with brain abscess. Information of interest was extracted from the medical records of each participant. The results from data analysis were presented in charts and tabl...
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Papers by C Nwawolo