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  1. Article: Efficacy of Tranexamic Acid in Reducing Myomectomy-Associated Blood Loss among Patients with Uterine Myomas at Federal Teaching Hospital Abakaliki: A Randomized Control Trial.

    Olaleye, Ayodele Adegbite / Adebayo, Joshua Adeniyi / Eze, Justus Ndulue / Ajah, Leonard Ogbonna / Anikwe, Chidebe Christian / Egede, John O / Ebere, Chidi Ikenna

    International journal of reproductive medicine

    2024  Volume 2024, Page(s) 2794052

    Abstract: Background: Myomectomy can be associated with life-threatening conditions such as bleeding. Excessive bleeding usually necessitates blood transfusion. Interventions to reduce bleeding during myomectomy will help reduce the need for blood transfusion ... ...

    Abstract Background: Myomectomy can be associated with life-threatening conditions such as bleeding. Excessive bleeding usually necessitates blood transfusion. Interventions to reduce bleeding during myomectomy will help reduce the need for blood transfusion with its associated complications. Tranexamic acid has been used to reduce bleeding in other surgical procedures, and its usage during myomectomy merits evaluation.
    Objective: To assess the efficacy of tranexamic acid in reducing myomectomy-associated blood loss.
    Materials and methods: This is a prospective double-blinded randomized trial conducted on women who had abdominal myomectomy. Patients were randomized into two groups. The study group received perioperative intravenous tranexamic acid (TXA) while the control group received a placebo. Intraoperative blood loss was calculated by measuring the volume in the suction apparatus and weighing the surgical swabs. In addition, blood collected postoperatively from the wound drains and drapes were measured. Haemoglobin concentrations were determined preoperatively and on second postoperative day for all cases. Any adverse effect was noted in both groups. The data was processed using Epi Info software (7.2.1, CDC, Atlanta, Georgia). The relationships between categorical data were analyzed using
    Results: Symptomatic uterine myomas constituted 17.3% of all gynaecological admissions and 21.3% of gynaecological operations at Federal Teaching Hospital Abakaliki. The mean intraoperative blood loss among patients that had perioperative tranexamic acid infusion was 413.6 ± 165.6 ml, while that of patients with placebo infusion was 713.6 ± 236.3 ml. Perioperative tranexamic acid infusion therefore reduced mean intraoperative blood loss by 300 ml, and this was statistically significant (SMD = -0.212, 95% CI: -403.932 to -196.067,
    Conclusion: The use of tranexamic acid during myomectomy reduced intraoperative and postoperative blood loss. It is also associated with decreased hospital stay. This trial is registered with NCT04560465.
    Language English
    Publishing date 2024-01-18
    Publishing country Egypt
    Document type Journal Article
    ISSN 2356-7104
    ISSN 2356-7104
    DOI 10.1155/2024/2794052
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Birth Preparedness and Complication Readiness among Pregnant Women in a Secondary Health Facility in Abakaliki, Ebonyi State, Nigeria.

    Anikwe, Chidebe Christian / Okorochukwu, Bartholomew Chukwunonye / Ikeoha, Cyril Chijioke / Asiegbu, Obiora G K / Nnadozie, Ugochukwu Uzodimma / Eze, Justus Ndulue / Obuna, Johnson Akuma / Okoroafor, Francis Chigozie

    BioMed research international

    2020  Volume 2020, Page(s) 9097415

    Abstract: Background: Birth preparedness and complication readiness (BP/CR) concept is based on the premise that preparing for birth and being ready for complications reduce all three phases of delay to a bad obstetric outcome.: Objectives: To determine the ... ...

    Abstract Background: Birth preparedness and complication readiness (BP/CR) concept is based on the premise that preparing for birth and being ready for complications reduce all three phases of delay to a bad obstetric outcome.
    Objectives: To determine the knowledge of BP/CR with its determinants and BP/CR index among pregnant women in Abakaliki, southeast Nigeria.
    Methods: A cross-sectional survey was done between 1
    Results: The birth preparedness and complication readiness index was 41.9%. Only 44.9% and 36.9% of the study population had adequate knowledge of birth preparedness (BP) and complication readiness (CR), respectively. Upper social class, lower educational level, urban residence, and less than 30 years of age were associated with increased odds of respondents having adequate knowledge of BP and CR (
    Conclusion: This study revealed that knowledge of BP/CR is suboptimal. The determinant of this knowledge is antenatal booking. It is recommended that women should have adequate antenatal care education to improve their knowledge of BP/CR. This will help to increase the low BP/CR index seen in our study.
    MeSH term(s) Adult ; Cross-Sectional Studies ; Delivery, Obstetric ; Female ; Health Facilities ; Health Knowledge, Attitudes, Practice ; Humans ; Nigeria ; Pregnancy ; Pregnant Women ; Prenatal Education ; Rural Population ; Surveys and Questionnaires
    Language English
    Publishing date 2020-07-25
    Publishing country United States
    Document type Clinical Trial ; Journal Article
    ZDB-ID 2698540-8
    ISSN 2314-6141 ; 2314-6133
    ISSN (online) 2314-6141
    ISSN 2314-6133
    DOI 10.1155/2020/9097415
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Birth Preparedness and Complication Readiness among Pregnant Women in a Secondary Health Facility in Abakaliki, Ebonyi State, Nigeria

    Chidebe Christian Anikwe / Bartholomew Chukwunonye Okorochukwu / Cyril Chijioke Ikeoha / Obiora G. K. Asiegbu / Ugochukwu Uzodimma Nnadozie / Justus Ndulue Eze / Johnson Akuma Obuna / Francis Chigozie Okoroafor

    BioMed Research International, Vol

    2020  Volume 2020

    Abstract: Background. Birth preparedness and complication readiness (BP/CR) concept is based on the premise that preparing for birth and being ready for complications reduce all three phases of delay to a bad obstetric outcome. Objectives. To determine the ... ...

    Abstract Background. Birth preparedness and complication readiness (BP/CR) concept is based on the premise that preparing for birth and being ready for complications reduce all three phases of delay to a bad obstetric outcome. Objectives. To determine the knowledge of BP/CR with its determinants and BP/CR index among pregnant women in Abakaliki, southeast Nigeria. Methods. A cross-sectional survey was done between 1st March 2019 and 31st July 2019 among 450 randomly selected antenatal attendees at Mile Four Hospital, Abakaliki, Nigeria. The data were obtained using a pretested interviewer-administered structured questionnaire adapted from the maternal and neonatal health program handbook of the Johns Hopkins Program for International Education in Gynaecology and Obstetrics (JHPIEGO). The data obtained were analyzed using percentages, chi-square, and odds ratios. The level of significance is at P value < 0.05. Results. The birth preparedness and complication readiness index was 41.9%. Only 44.9% and 36.9% of the study population had adequate knowledge of birth preparedness (BP) and complication readiness (CR), respectively. Upper social class, lower educational level, urban residence, and less than 30 years of age were associated with increased odds of respondents having adequate knowledge of BP and CR (P>0.05). However, only booking in the 1st or 2nd trimester was a significant determinant of the respondent’s adequate knowledge of BP (AOR=0.63, 95% CI 0.40-0.98) and CR (AOR=0.62, 95% CI 0.39-0.97). Identification of transport and saving of money was the commonest birth plan while the commonest danger sign known to the participants was bleeding. Conclusion. This study revealed that knowledge of BP/CR is suboptimal. The determinant of this knowledge is antenatal booking. It is recommended that women should have adequate antenatal care education to improve their knowledge of BP/CR. This will help to increase the low BP/CR index seen in our study.
    Keywords Medicine ; R
    Subject code 300
    Language English
    Publishing date 2020-01-01T00:00:00Z
    Publisher Hindawi Limited
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  4. Article ; Online: Eclampsia in rural Nigeria: The unmitigating catastrophe.

    Esike, Chidi Ochu Uzoma / Chukwuemeka, Ukaegbe Ikechi / Anozie, Okechukwu Bonaventure / Eze, Justus Ndulue / Aluka, Obioma Christian / Twomey, Deirdre Eilleen

    Annals of African medicine

    2017  Volume 16, Issue 4, Page(s) 175–180

    Abstract: Introduction: Eclampsia is one of the most dreaded causes of adverse outcomes of pregnancy worldwide. It is one of the greatest causes of maternal and perinatal morbidity and mortality world over. We do not know the prevalence, management outcome, and ... ...

    Abstract Introduction: Eclampsia is one of the most dreaded causes of adverse outcomes of pregnancy worldwide. It is one of the greatest causes of maternal and perinatal morbidity and mortality world over. We do not know the prevalence, management outcome, and the devastation caused by this dreaded disease in our center hence the need for this work.
    Materials and methods: This is a 7-year retrospective review of all cases of eclampsia managed in Mater Misericordiae Hospital Afikpo, a rural secondary cum referral Catholic Mission Hospital in Afikpo, Ebonyi State in Southeastern Nigeria.
    Results: The prevalence of eclampsia in our center is 1.12% or one case of eclampsia for every 89 women that delivered in our facility. The majority of the women that had eclampsia in our center 56 (71.8%) were primigravidae. Seventeen women (21.8%) had various antenatal complications with 4 or 23.6% presenting with intrauterine fetal deaths and two (11.8%) each with intrauterine growth restriction, and domestic violence, respectively. Thirty-five or 44.9% of the women were delivered by emergency lower segment cesarean section. Fifteen or 17.9% babies were dead giving a perinatal mortality rate of 174 per 1,000After delivery, and 3 (3.8%) of the women had postpartum hemorrhage. Two women (2.6%) died giving a maternal mortality ratio of 2564 per 100,000 deliveries.
    Conclusion: Eclampsia is a dreaded obstetric disease with adverse fetal and maternal consequences that are not mitigating, and no effort should be spared in managing it effectively including public enlightenment.
    Language English
    Publishing date 2017-10
    Publishing country India
    Document type Journal Article
    ZDB-ID 2165792-0
    ISSN 0975-5764 ; 1596-3519
    ISSN (online) 0975-5764
    ISSN 1596-3519
    DOI 10.4103/aam.aam_46_16
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: A standardised Phase III clinical trial framework to assess therapeutic interventions for Lassa fever.

    Olayinka, Adebola Tolulope / Bourner, Josephine / Akpede, George O / Okoeguale, Joseph / Abejegah, Chukwuyem / Ajayi, Nnennaya A / Akude, Christian / Ayodeji, Oluwafemi / Bausch, Daniel G / de Clerck, Hilde / Dan-Nwafor, Chioma / Dunning, Jake / Erameh, Cyril / Eze, Justus Ndulue / Formenty, Pierre / Gillesen, Annelies / Jalloh, Sulaiman / Jaspard, Marie / Jegede, Tolulope /
    Maikere, Jacob / Malvy, Denis / Ogbaini-Emovon, Ephraim / Ojo, Olalekan Ezekial / Okogbenin, Sylvanus / O'Neill, Kwame / Orji, Maria-Lauretta / Owhin, Sampson Omagbemi / Ramharter, Michael / Samuels, Robert J / Shehu, Nathan / Merson, Laura / Salam, Alex Paddy / Kayem, Nzelle Delphine / Horby, Peter / Ihekweazu, Chikwe / Olliaro, Piero

    PLoS neglected tropical diseases

    2022  Volume 16, Issue 1, Page(s) e0010089

    Abstract: Background: Only one recommendation currently exists for the treatment of Lassa fever (LF), which is ribavirin administered in conjunction with supportive care. This recommendation is primarily based on evidence generated from a single clinical trial ... ...

    Abstract Background: Only one recommendation currently exists for the treatment of Lassa fever (LF), which is ribavirin administered in conjunction with supportive care. This recommendation is primarily based on evidence generated from a single clinical trial that was conducted more than 30 years ago-the methodology and results of which have recently come under scrutiny. The requirement for novel therapeutics and reassessment of ribavirin is therefore urgent. However, a significant amount of work now needs to be undertaken to ensure that future trials for LF can be conducted consistently and reliably to facilitate the efficient generation of evidence.
    Methodology: We convened a consultation group to establish the position of clinicians and researchers on the core components of future trials. A Core Eligibility Criteria (CEC), Core Case Definition (CCD), Core Outcome Set (COS) and Core Data Variables (CDV) were developed through the process of a multi-stakeholder consultation that took place using a modified-Delphi methodology.
    Results: A consensus position was achieved for each aspect of the framework, which accounts for the inclusion of pregnant women and children in future LF clinical trials. The framework consists of 8 core criteria, as well as additional considerations for trial protocols.
    Conclusions: This project represents the first step towards delineating the clinical development pathway for new Lassa fever therapeutics, following a period of 40 years without advancement. Future planned projects will bolster the work initiated here to continue the advancement of LF clinical research through a regionally-centred, collaborative methodology, with the aim of delineating a clear pathway through which LF clinical trials can progress efficiently and ensure sustainable investments are made in research capacity at a regional level.
    MeSH term(s) Antiviral Agents/pharmacology ; Clinical Trials, Phase III as Topic/methods ; Drug Development/methods ; Drug Discovery/methods ; Humans ; Lassa Fever/drug therapy ; Lassa virus/drug effects ; Research Design ; Surveys and Questionnaires
    Chemical Substances Antiviral Agents
    Language English
    Publishing date 2022-01-06
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2429704-5
    ISSN 1935-2735 ; 1935-2735
    ISSN (online) 1935-2735
    ISSN 1935-2735
    DOI 10.1371/journal.pntd.0010089
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article: Knowledge, Attitude and Practice of Healthcare Managers to Medical Waste Management and Occupational Safety Practices: Findings from Southeast Nigeria.

    Anozie, Okechukwu Bonaventure / Lawani, Lucky Osaheni / Eze, Justus Ndulue / Mamah, Emmanuel Johnbosco / Onoh, Robinson Chukwudi / Ogah, Emeka Onwe / Umezurike, Daniel Akuma / Anozie, Rita Onyinyechi

    Journal of clinical and diagnostic research : JCDR

    2017  Volume 11, Issue 3, Page(s) IC01–IC04

    Abstract: ... courses respectively. Staff insurance cover was offered by just one hospital (1.9%), while none ...

    Abstract Introduction: Awareness of appropriate waste management procedures and occupational safety measures is fundamental to achieving a safe work environment, and ensuring patient and staff safety.
    Aim: This study was conducted to assess the attitude of healthcare managers to medical waste management and occupational safety practices.
    Materials and methods: This was a cross-sectional study conducted among 54 hospital administrators in Ebonyi state. Semi-structured questionnaires were used for qualitative data collection and analyzed with SPSS statistics for windows (2011), version 20.0 statistical software (Armonk, NY: IBM Corp).
    Results: Two-fifth (40%) of healthcare managers had received training on medical waste management and occupational safety. Standard operating procedure of waste disposal was practiced by only one hospital (1.9%), while 98.1% (53/54) practiced indiscriminate waste disposal. Injection safety boxes were widely available in all health facilities, nevertheless, the use of incinerators and waste treatment was practiced by 1.9% (1/54) facility. However, 40.7% (22/54) and 59.3% (32/54) of respondents trained their staff and organize safety orientation courses respectively. Staff insurance cover was offered by just one hospital (1.9%), while none of the hospitals had compensation package for occupational hazard victims. Over half (55.6%; 30/54) of the respondents provided both personal protective equipment and post exposure prophylaxis for HIV.
    Conclusion: There was high level of non-compliance to standard medical waste management procedures, and lack of training on occupational safety measures. Relevant regulating agencies should step up efforts at monitoring and regulation of healthcare activities and ensure staff training on safe handling and disposal of hospital waste.
    Language English
    Publishing date 2017-03-01
    Publishing country India
    Document type Journal Article
    ZDB-ID 2775283-5
    ISSN 0973-709X ; 2249-782X
    ISSN (online) 0973-709X
    ISSN 2249-782X
    DOI 10.7860/JCDR/2017/24230.9527
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article ; Online: Evaluation of obstetricians' surgical decision making in the management of uterine rupture.

    Eze, Justus Ndulue / Anozie, Okechukwu Bonaventure / Lawani, Osaheni Lucky / Ndukwe, Emmanuel Okechukwu / Agwu, Uzoma Maryrose / Obuna, Johnson Akuma

    BMC pregnancy and childbirth

    2017  Volume 17, Issue 1, Page(s) 179

    Abstract: Background: Uterine rupture is an obstetric calamity with surgery as its management mainstay. Uterine repair without tubal ligation leaves a uterus that is more prone to repeat rupture while uterine repair with bilateral tubal ligation (BTL) or (sub) ... ...

    Abstract Background: Uterine rupture is an obstetric calamity with surgery as its management mainstay. Uterine repair without tubal ligation leaves a uterus that is more prone to repeat rupture while uterine repair with bilateral tubal ligation (BTL) or (sub)total hysterectomy predispose survivors to psychosocial problems like marital disharmony. This study aims to evaluate obstetricians' perspectives on surgical decision making in managing uterine rupture.
    Methods: A questionnaire-based cross-sectional study of obstetricians at the 46th annual scientific conference of Society of Gynaecology and Obstetrics of Nigeria in 2012. Data was analysed by descriptive and inferential statistics.
    Results: Seventy-nine out of 110 obstetricians (71.8%) responded to the survey, of which 42 (53.2%) were consultants, 60 (75.9%) practised in government hospitals and 67 (84.8%) in urban hospitals, and all respondents managed women with uterine rupture. Previous cesarean scars and injudicious use of oxytocic are the commonest predisposing causes, and uterine rupture carries very high incidences of maternal and perinatal mortality and morbidity. Uterine repair only was commonly performed by 38 (48.1%) and uterine repair with BTL or (sub) total hysterectomy by 41 (51.9%) respondents. Surgical management is guided mainly by patients' conditions and obstetricians' surgical skills.
    Conclusion: Obstetricians' distribution in Nigeria leaves rural settings starved of specialist for obstetric emergencies. Caesarean scars are now a rising cause of ruptures. The surgical management of uterine rupture and obstetricians' surgical preferences vary and are case scenario-dependent. Equitable redistribution of obstetricians and deployment of medical doctors to secondary hospitals in rural settings will make obstetric care more readily available and may reduce the prevalence and improve the outcome of uterine rupture. Obstetrician's surgical decision-making should be guided by the prevailing case scenario and the ultimate aim should be to avert fatality and reduce morbidity.
    Language English
    Publishing date 2017-06-08
    Publishing country England
    Document type Journal Article
    ISSN 1471-2393
    ISSN (online) 1471-2393
    DOI 10.1186/s12884-017-1367-8
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article ; Online: Pregnancy Outcome among Elderly Primigravidae

    Okechukwu Bonaventure Anozie / Johnbosco Emmanuel Mamah / Chidi U Esike / Obiora Godfrey Asiegbu / Lucky Osaheni Lawani / Justus Ndulue Eze / Robinson Chukwudi Onoh

    Journal of Clinical and Diagnostic Research, Vol 13, Iss 1, Pp QC01-QC

    A Five-year Review at Abakaliki, Ebonyi State, Nigeria

    2019  Volume 04

    Abstract: Introduction: Maternal age is an important determinant of pregnancy outcome and women aged 35 years or more at their first pregnancy are considered high risk pregnancy due to increased risk of feto-maternal morbidity and mortality. Aim: To evaluate the ... ...

    Abstract Introduction: Maternal age is an important determinant of pregnancy outcome and women aged 35 years or more at their first pregnancy are considered high risk pregnancy due to increased risk of feto-maternal morbidity and mortality. Aim: To evaluate the outcome of pregnancy in primigravid women who were aged 35 years and above. Materials and Methods: A five-year retrospective study among elderly primigravidae was conducted. The study assessed 78 booked primigravidae aged 35 years or more who delivered at the Federal Teaching Hospital Abakaliki from 1st January 2012 to 31st December 2016. Each elderly primigravida was matched with two primigravid women aged 20-25 years who delivered during the same period. Postnatal visit was also assessed. Results: During the study period, there were 11,329 deliveries and 78 of these were elderly primigravidae giving an incidence of 0.69% or 1:145 deliveries. The mean age of the elderly primigravidae was 36.28±1.20 years. The study group had more antepartum complications with anaemia, antepartum haemorrhage, hypertensive disorders of pregnancies, diabetes mellitus and preterm labour (p<0.05). Intrapartum complications such as poor progress of labour and cephalo-pelvic disproportion were also significantly higher. Almost half of the study group were delivered by caesarean section, the commonest indication being maternal request based on prolonged infertility (16.67%). The study group had higher incidence of preterm delivery and perinatal mortality of significant proportion. However, they were more likely to come for the 6th week postnatal visit 71.2% versus 32.1%. Conclusion: The problems of elderly primigravidae are still germane and relevant in present day obstetrics. Efforts should be intensified towards identifying this high-risk group with a view to take proactive measures aimed at minimising pregnancy related complications so as to achieve the best outcome for them and their babies.
    Keywords advanced maternal age ; maternal morbidity ; parturient ; perinatal complications ; reproductive outcome ; Medicine ; R
    Subject code 610
    Language English
    Publishing date 2019-01-01T00:00:00Z
    Publisher JCDR Research and Publications Private Limited
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  9. Article: A 10-year appraisal of cesarean delivery and the associated fetal and maternal outcomes at a teaching hospital in southeast Nigeria.

    Onoh, Robinson Chukwudi / Eze, Justus Ndulue / Ezeonu, Paul Olisaemeka / Lawani, Lucky Osaheni / Iyoke, Chukwuemeka Anthony / Nkwo, Peter Onubiwe

    International journal of women's health

    2015  Volume 7, Page(s) 531–538

    Abstract: Background: The global rise in cesarean delivery rate has been a major source of public health concern.: Aim: To appraise the cesarean deliveries and the associated fetal and maternal outcomes.: Materials and methods: The study was a case series ... ...

    Abstract Background: The global rise in cesarean delivery rate has been a major source of public health concern.
    Aim: To appraise the cesarean deliveries and the associated fetal and maternal outcomes.
    Materials and methods: The study was a case series with data collected retrospectively from the records of patients delivered by cesarean section at the Ebonyi State University Teaching Hospital, Abakaliki over a 10-year period, from January 2002 to December 2011. Ethical approval was obtained.
    Results: Of 14,198 deliveries, 2,323/14,198 (16.4%) were by cesarean deliveries. The overall increase of cesarean delivery was 11.1/10 (1.1%) per annum from 184/1,512 (12.2%) in 2002 to 230/986 (23.3%) in 2011. Of 2,097 case folders studied, 1,742/2,097 (83.1%) were delivered at term, and in 1,576/2,097 (75.2%), the cesarean deliveries were emergencies. The common indications for cesarean delivery were previous cesarean scars 417/2,097 (19.9%) and obstructed labor 331/2,097 (15.8%). There were 296 perinatal deaths, giving a perinatal mortality rate of (296/2,197) 134.7/1,000 births. Also, 129/2,097 (6.1%) maternal case fatalities occurred, giving a maternal mortality rate of 908.6/100,000 total births. Hemorrhage 57/129 (44.2%) and sepsis 41/129 (32.6%) were the major causes.
    Conclusion: The study recorded a significant increase in cesarean delivery rate. Previous cesarean scars and obstructed labors were the main indications. Perinatal and maternal case fatalities were huge. Hence, there is need for continued community education for its reduction.
    Language English
    Publishing date 2015-05-13
    Publishing country New Zealand
    Document type Journal Article
    ZDB-ID 2508161-5
    ISSN 1179-1411
    ISSN 1179-1411
    DOI 10.2147/IJWH.S81338
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Article ; Online: Knowledge, Attitude and Practice of Healthcare Managers to Medical Waste Management and Occupational Safety Practices

    Okechukwu Bonaventure Anozie / Lucky Osaheni Lawani / Justus Ndulue Eze / Emmanuel Johnbosco Mamah / Robinson Chukwudi Onoh / Emeka Onwe Ogah / Daniel Akuma Umezurike / Rita Onyinyechi Anozie

    Journal of Clinical and Diagnostic Research, Vol 11, Iss 3, Pp IC01-IC

    Findings from Southeast Nigeria

    2017  Volume 04

    Abstract: ... courses respectively. Staff insurance cover was offered by just one hospital (1.9%), while none ...

    Abstract Introduction: Awareness of appropriate waste management procedures and occupational safety measures is fundamental to achieving a safe work environment, and ensuring patient and staff safety. Aim: This study was conducted to assess the attitude of healthcare managers to medical waste management and occupational safety practices. Materials and Methods: This was a cross-sectional study conducted among 54 hospital administrators in Ebonyi state. Semi-structured questionnaires were used for qualitative data collection and analyzed with SPSS statistics for windows (2011), version 20.0 statistical software (Armonk, NY: IBM Corp). Results: Two-fifth (40%) of healthcare managers had received training on medical waste management and occupational safety. Standard operating procedure of waste disposal was practiced by only one hospital (1.9%), while 98.1% (53/54) practiced indiscriminate waste disposal. Injection safety boxes were widely available in all health facilities, nevertheless, the use of incinerators and waste treatment was practiced by 1.9% (1/54) facility. However, 40.7% (22/54) and 59.3% (32/54) of respondents trained their staff and organize safety orientation courses respectively. Staff insurance cover was offered by just one hospital (1.9%), while none of the hospitals had compensation package for occupational hazard victims. Over half (55.6%; 30/54) of the respondents provided both personal protective equipment and post exposure prophylaxis for HIV. Conclusion: There was high level of non-compliance to standard medical waste management procedures, and lack of training on occupational safety measures. Relevant regulating agencies should step up efforts at monitoring and regulation of healthcare activities and ensure staff training on safe handling and disposal of hospital waste.
    Keywords health hazard ; healthcare workers ; medical waste disposal ; occupational exposure ; Medicine ; R
    Language English
    Publishing date 2017-03-01T00:00:00Z
    Publisher JCDR Research and Publications Private Limited
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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