1
|
Banturaki A, Munyambalu DK, Kajoba D, Onchoke VB, Peris A, Ryamugwiza P, Amandua J, Akaba K. Chronic obstructive pulmonary disease burden, grades and erythrocytosis at a tertiary hospital in western Uganda. BMC Pulm Med 2024; 24:119. [PMID: 38448860 PMCID: PMC10918867 DOI: 10.1186/s12890-024-02944-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/17/2023] [Accepted: 03/01/2024] [Indexed: 03/08/2024] Open
Abstract
BACKGROUND Chronic obstructive pulmonary disease (COPD) is the third leading cause of death worldwide among people over 40 years of age, and erythrocytosis is one of the major complications associated with increased mortality among COPD patients. The study aimed to determine the proportion of COPD, associated factors, and the burden of erythrocytosis among COPD participants. METHODS AND MATERIALS A descriptive cross-sectional study design was used. A consecutive sampling technique was used to obtain study participants at the Fort Portal Regional Referral Hospital outpatient clinic. Focused history and physical examination were carried out to select eligible participants. Participants were screened using the COPD population screener for spirometry after consenting to participate. The study enrolled all adults at risk of having COPD based on the COPD population screener and able to undergo spirometry. Spirometry was carried out according to the Global Chronic Obstructive Lung Disease and European Respiratory Society guidelines, and haemoglobin concentration was measured. RESULTS One hundred eighty participants were enrolled in the study, most of whom were females. The modal and mean age of participants was 60 years with 139 (77.2%) females and primary as the highest education level 149(82.8%). The proportion of COPD was 25% (45) [95% CI 18.9 - 32] and highest among females (68.9%) and those aged 60 years and above (70%). The combined COPD assessment tool groups had a proportion of 55.6%, 37.8%, 4.4%, and 2.2% for groups A, B, C, and D, respectively. Age < 50 years was protective against COPD, while for every additional year of smoking, there was an associated 6.5% increased risk compared to the general population. Additionally, the proportion of erythrocytosis among COPD participants was 6.7%. CONCLUSIONS AND RECOMMENDATIONS There was a high proportion of COPD among study participants (25%), with a 6.7% proportion of erythrocytosis. We recommend a complete blood count for every patient in groups C and D of the ABCD COPD GOLD groups.
Collapse
Affiliation(s)
- Amon Banturaki
- Department of Internal Medicine, Kampala International University-Teaching Hospital, P.O. BOX 71, Ishaka- Bushenyi, Uganda.
| | - Dalton Kambale Munyambalu
- Department of Internal Medicine, Kampala International University-Teaching Hospital, P.O. BOX 71, Ishaka- Bushenyi, Uganda
| | - Dickson Kajoba
- Department of Paediatrics and Child Health, Kampala International University-Teaching Hospital, Ishaka- Bushenyi, Uganda
| | - Verah Bella Onchoke
- Department of Internal Medicine, Kampala International University-Teaching Hospital, P.O. BOX 71, Ishaka- Bushenyi, Uganda
| | - Alina Peris
- Department of Internal Medicine, Kampala International University-Teaching Hospital, P.O. BOX 71, Ishaka- Bushenyi, Uganda
| | - Prosper Ryamugwiza
- Department of Internal Medicine, Kampala International University-Teaching Hospital, P.O. BOX 71, Ishaka- Bushenyi, Uganda
| | - Jacinto Amandua
- Department of Internal Medicine, Kampala International University-Teaching Hospital, P.O. BOX 71, Ishaka- Bushenyi, Uganda
| | - Kingsley Akaba
- Department of Internal Medicine, Kampala International University-Teaching Hospital, P.O. BOX 71, Ishaka- Bushenyi, Uganda
| |
Collapse
|
2
|
Munyambalu DK, Hildago I, Bafwa YT, Lagoro CA, Sikakulya FK, Vahwere BM, Dafiewhare E, Martinez L, Charles FA. Prevalence and grade of diabetic peripheral neuropathy among known diabetic patients in rural Uganda. Front Clin Diabetes Healthc 2023; 3:1001872. [PMID: 36992747 PMCID: PMC10012102 DOI: 10.3389/fcdhc.2022.1001872] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/24/2022] [Accepted: 11/30/2022] [Indexed: 01/13/2023]
Abstract
BackgroundDiabetic peripheral neuropathy (DPN) is the most common complication of diabetes mellitus (DM). Approximately 50% of diabetic patients are estimated to develop DPN, depending on disease duration and diabetic control. Early diagnosis of DPN will avoid complications, including non-traumatic lower limb amputation, which is considered the most debilitating complication, as well as significant psychological, social, and economical problems. There is a paucity of literature on DPN from rural Uganda. This study aimed to deliver the prevalence and grade of DPN among DM patients in rural Uganda.MethodsA cross-sectional study that recruited 319 known DM patients was conducted in an outpatient clinic and a diabetic clinic at Kampala International University-Teaching Hospital (KIU-TH), Bushenyi, Uganda, between December 2019 and March 2020. Questionnaires were used to obtain clinical and sociodemographic data, a neurological examination was carried out to assess the DPN, and a blood sample was collected from each participant (for random/fasting blood glucose and glycosylated hemoglobin analyses). Data were analyzed using Stata version 15.0.ResultsThe sample size was 319 participants. The mean age of study participants was 59.4 ± 14.6 years and there were 197 (61.8%) females. The prevalence of DPN was 65.8% (210/319) (95% CI 60.4% to 70.9%), and 44.8% of participants had mild DPN, 42.4% had moderate DPN, and 12.8% had severe DPN.ConclusionThe prevalence of DPN at KIU-TH was higher among DM patients and its stage might have a negative impact on the progression of Diabetes Mellitus. Therefore, clinicians should consider neurological examination as a routine during assessment of all DM patients especially in rural areas where resources and facilities are often limited so that complications related to Diabetic mellitus will be prevented.
Collapse
Affiliation(s)
- Dalton Kambale Munyambalu
- Department of Internal Medicine, Kampala International University-Teaching Hospital, Bushenyi, Uganda
| | - Idania Hildago
- Department of Clinical Chemistry Laboratory, Kampala International University-Teaching Hospital, Bushenyi, Uganda
| | - Yves Tibamwenda Bafwa
- Department of Internal Medicine, Kampala International University-Teaching Hospital, Bushenyi, Uganda
| | - Charles Abonga Lagoro
- Department of Internal Medicine, Kampala International University-Teaching Hospital, Bushenyi, Uganda
| | - Franck Katembo Sikakulya
- Department of General Surgery, Kampala International University-Teaching Hospital, Bushenyi, Uganda
- Faculty of Medicine, Université Catholique du Graben, Butembo, Democratic Republic of Congo
- *Correspondence: Franck Katembo Sikakulya,
| | - Bienfait Mumbere Vahwere
- Department of General Surgery, Kampala International University-Teaching Hospital, Bushenyi, Uganda
| | - Ephraim Dafiewhare
- Department of Internal Medicine, Kampala International University-Teaching Hospital, Bushenyi, Uganda
| | - Lazaro Martinez
- Department of Internal Medicine, Kampala International University-Teaching Hospital, Bushenyi, Uganda
| | - Fardous Abeya Charles
- Department of Internal Medicine, Kampala International University-Teaching Hospital, Bushenyi, Uganda
- Department of Internal Medicine, Mbarara University of Science and Technology, Mbarara, Uganda
| |
Collapse
|
3
|
Sikakulya FK, Munyambalu DK, Mambo SB, Mutsunga AK, Djuma SF, Djuna PA, Ndiwelubula E, Ngavo WA, Sahika SM, Kumbakulu PK, Adelard KN, Shindano TA. Level of screening for and vaccination against hepatitis B among healthcare workers in the Eastern Democratic Republic of the Congo: a public health concern. Infect Prev Pract 2022; 4:100226. [PMID: 35898603 PMCID: PMC9310114 DOI: 10.1016/j.infpip.2022.100226] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/05/2022] [Accepted: 06/13/2022] [Indexed: 11/30/2022] Open
Abstract
Background In low resource settings in sub-Saharan Africa healthcare workers (HCW) have a high risk of contracting hepatitis B infection. Vaccination of HCWs is to protect them from acquisition of hepatitis B from patients. Objective To evaluate the hepatitis B virus (HBV) serological and vaccination status of HCWs in the Butembo Antenna in the Eastern Democratic Republic of Congo (DR Congo) and to investigate the factors influencing hepatitis screening and vaccination. Methods A cross-sectional study using a structured questionnaire was carried out from 1st to 30th April 2021 among consenting HCWs in Butembo (≥18 years of age). Data was analysed using SPSS version 23. Results Of 373 participants, 178 (47.7%) had already been screened for HBV. Screening was more likely for HCWs in a rural or publicly owned facility (P<0.05). A total of 25 (6.7%) HCWs were fully vaccinated against HBV; the factors associated with full vaccination were: prior screening for HBV (odds ratio: 9.03 (2.51–38.61), P<0.0001), prior knowledge of the value of post-exposure prophylaxis (odds ratio 12.9 (2.89–80.44), P=0.0004), prior knowledge of hepatitis B vaccine benefits (adjusted odds ratio: 4.54 (1.66–13.05), P=0.002) and prior exposure to hepatitis B infection (adjusted odds ratio: 2.61 (1.08–6.39), P=0.039). Conclusion Screening and vaccination rates of HCWs for HBV are extremely low, and not high enough to prevent the spread of this serious illness and its complications. There is a dire need to increase vaccination rates among HCWs in Eastern DR Congo. The DRC government should issue vaccination against HBV as a recommendation at the national level.
Collapse
Affiliation(s)
- F K Sikakulya
- Department of General Surgery, Kampala International University, Western Campus, Bushenyi, Uganda.,Faculty of Medicine, Université Catholique du Graben, Butembo, Democratic Republic of the Congo
| | - D K Munyambalu
- Department of Internal Medicine, Kampala International University, Western Campus, Bushenyi, Uganda
| | - S B Mambo
- Youth Alliance for Reproductive Health, Goma, Democratic Republic of the Congo.,Department of Public Health, School of Allied Health Sciences, Kampala International University, Western Campus, Bushenyi, Uganda
| | - A K Mutsunga
- Faculty of Medicine, Université Catholique du Graben, Butembo, Democratic Republic of the Congo
| | - S F Djuma
- Faculty of Medicine, Université Catholique du Graben, Butembo, Democratic Republic of the Congo
| | - P A Djuna
- Faculty of Medicine, Université Catholique du Graben, Butembo, Democratic Republic of the Congo
| | - E Ndiwelubula
- Faculty of Medicine, Université Catholique du Graben, Butembo, Democratic Republic of the Congo
| | - W A Ngavo
- Faculty of Medicine, Université Catholique du Graben, Butembo, Democratic Republic of the Congo
| | - S M Sahika
- Faculty of Medicine, Université Catholique du Graben, Butembo, Democratic Republic of the Congo
| | - Patrick Kumbowi Kumbakulu
- Department of Paediatrics and Child Health, Kampala International University, Western Campus, Bushenyi, Uganda
| | - Kalima Nzanzu Adelard
- Department of General Surgery, Kampala International University, Western Campus, Bushenyi, Uganda
| | - T A Shindano
- Department of Internal Medicine, Hôpital Provincial Général de Référence de Bukavu (HPGRB), Bukavu, Democratic Republic of the Congo.,Faculty of Medicine, Université Catholique de Bukavu (UCB), Bukavu, Democratic Republic of the Congo.,University of Kindu, Kindu, Maniema, Democratic Republic of the Congo
| |
Collapse
|
4
|
Kamabu LK, Lekuya HM, Iranya RN, Kasusula BM, Sikakulya FK, Kicaber S, Valimungighe MM, Nganza SK, Butala ES, Sikiminywa ZM, Kathaka LM, Munyambalu DK, Ahuka Longombe TY, Katsioto AK, Mumbere B, Kalima Nzanzu A, Kavughe F, Kambere TK, Ssebuufu R. Determinants of Knowledge, Attitudes, and Practices of Frontline Health Workers During the First Wave of COVID-19 in Africa: A Multicenter Online Cross-Sectional Study. Infect Drug Resist 2022; 15:4595-4610. [PMID: 36003988 PMCID: PMC9394649 DOI: 10.2147/idr.s372952] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/09/2022] [Accepted: 08/04/2022] [Indexed: 11/23/2022] Open
Abstract
Background During its first wave of COVID-19 infection in sub-Saharan Africa, there was insufficient understanding of the pandemic among frontline health workers. This study was carried out to determine the knowledge, attitude, and practices (KAP) of frontline health workers (HWs) towards COVID-19 in Africa and their related factors. Methods This was a multicenter online cross-sectional study conducted between April 2020 and July 2020 using a Google survey link among frontline HWs involved in the COVID-19 response in 26 African countries. Bivariate and multivariate logistic regression were used to analyse the determinants of KAP. Data were analyzed using STATA ver 16; all tests were two-sided with 95% confidence interval. Results Five hundred and seventeen participated in this study from 26 African countries; 289 (55.9%) were male and 228 (44.1%) female. Most of HWs, 379 (73.3%) showed poor knowledge about COVID-19 infection and preventive measures. In contrast, majority of them showed good attitude (89%) and practice (90.3%) towards prevention of COVID-19 infections. Knowledge varied among countries; Uganda had the greatest number of HWs with good knowledge (OR: 28.09, p<0.0001) followed by Ghana (OR=10.92, p=0.001) and DRC (OR: 4.59, p=0.015). The cadre of HWs also influenced knowledge; doctors were the most knowledgeable as compared to other cadres (OR: 3.4, p= 0.005). Attitude and practice were both influenced by HWs country of workplace and their cadre (p<0.05). Conclusion Majority of the frontline HWs in the African region had an overall good attitude and practice towards COVID-19 infection and practice measures despite relatively poor knowledge. The KAP is influenced by HWs country of workplace, their cadre. The knowledge of HWs in Africa should be increased to concourt with their attitude and practice to reduce the burden of intra-hospital transmission of the COVID-19.
Collapse
Affiliation(s)
- Larrey Kasereka Kamabu
- Department of Surgery, School of Medicine, Université Catholique du Graben, Butembo, Democratic Republic of the Congo.,Department of Surgery, School of Medicine, Makerere University, Kampala, Uganda
| | - Hervé Monka Lekuya
- Department of Surgery, School of Medicine, Makerere University, Kampala, Uganda
| | | | - Bienvenu Muhindo Kasusula
- Department of Internal Medicine, Matanda Teaching Hospital, Butembo, Democratic Republic of the Congo
| | - Franck Katembo Sikakulya
- Department of Surgery, School of Medicine, Université Catholique du Graben, Butembo, Democratic Republic of the Congo.,Department of surgery, Kampala International University, Western Campus, Kampala, Uganda
| | - Saviour Kicaber
- Department of Surgery, School of Medicine, Makerere University, Kampala, Uganda
| | - Moise Muhindo Valimungighe
- Department of Surgery, School of Medicine, Université Catholique du Graben, Butembo, Democratic Republic of the Congo.,Department of General Surgery, Université d'Abomey Calavi, Cotonou, Republic of Benin
| | - Sifa Katungu Nganza
- Department of Surgery, School of Medicine, Université Catholique du Graben, Butembo, Democratic Republic of the Congo.,Department of Surgery, School of Medicine, Makerere University, Kampala, Uganda
| | - Eric Sadiki Butala
- Department of Obstetrics and Gynecology, Consolata Hospital Mathari, Nyeri Town, Kenya
| | - Zacharie Muhindo Sikiminywa
- Department of Ophthalmology, Kinshasa Teaching Hospital, Université de Kinshasa, Kinshasa, Democratic Republic of the Congo
| | - Louange Maha Kathaka
- Department of Surgery, School of Medicine, Université Catholique du Graben, Butembo, Democratic Republic of the Congo
| | | | - Thérèse Yenyi Ahuka Longombe
- Department of Anesthesia and Critical Care, School of Medicine, University of Cheikh Anta Diop de Dakar, Dakar, Senegal
| | - Agnès Kavira Katsioto
- Department of Surgery, School of Medicine, Université Catholique du Graben, Butembo, Democratic Republic of the Congo.,Department of Emergency Medicine, Alexandria University, Alexandria, Egypt
| | - Bienfait Mumbere
- Department of surgery, Kampala International University, Western Campus, Kampala, Uganda
| | - Adelard Kalima Nzanzu
- Department of Surgery, School of Medicine, Université Catholique du Graben, Butembo, Democratic Republic of the Congo.,Department of Internal Medicine, Matanda Teaching Hospital, Butembo, Democratic Republic of the Congo
| | - Frederic Kavughe
- Department of Education and Psychology, Faculty of Education and Psychology, Adventist University of Lukanga, Lukanga, Democratic Republic of the Congo
| | - Thaddée Katembo Kambere
- Department of Public Health Sciences, Faculty of Medicine, Adventist University of Lukanga, Lukanga, Democratic Republic of the Congo
| | | |
Collapse
|