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Article ; Online: Liver cancer surveillance in people with hepatitis B in Africa.

Ndububa, Dennis A

The lancet. Gastroenterology & hepatology

2024 Volume 9, Issue 6, Page(s) 491–492

MeSH term(s)	Humans ; Liver Neoplasms/epidemiology ; Africa/epidemiology ; Hepatitis B/epidemiology ; Hepatitis B/complications ; Carcinoma, Hepatocellular/epidemiology ; Hepatitis B, Chronic/epidemiology ; Hepatitis B, Chronic/complications ; Population Surveillance/methods ; Early Detection of Cancer/methods
Language	English
Publishing date	2024-04-06
Publishing country	Netherlands
Document type	Journal Article
ISSN	2468-1253
ISSN (online)	2468-1253
DOI	10.1016/S2468-1253(24)00087-6
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Article ; Online: Hepatitis D virus antibodies and liver function profile among patients with chronic hepatitis B infection in Abuja, Nigeria.

Abdulkareem, Lukman O / Ndububa, Dennis A / Uhunmwangho, Augustine O / Yunusa, Thahir

Journal of infection in developing countries

2021 Volume 15, Issue 1, Page(s) 141–146

Abstract: Introduction: Hepatitis D virus (HDV) is a satellite virus of hepatitis B virus (HBV). An estimated 5% of HBV infected individuals worldwide have HDV infection. There is paucity of studies in Nigeria on the burden of HDV infection. This study aimed at ... ...

Abstract	Introduction: Hepatitis D virus (HDV) is a satellite virus of hepatitis B virus (HBV). An estimated 5% of HBV infected individuals worldwide have HDV infection. There is paucity of studies in Nigeria on the burden of HDV infection. This study aimed at determining the prevalence rate of HDV antibodies among individuals with chronic hepatitis B (CHB) infection and comparing the liver function test (LFT) and disease severity among the anti-HDV positive (anti-HDV+) and anti-HDV negative (anti-HDV-) individuals. Methodology: A cross-sectional study of 180 CHB infected individuals who were clinically evaluated and tested for HDV antibodies using the Enzyme-linked Immunoassay method. Their LFT profile and Child-Turcotte-Pugh (CTP) were also assessed. Data were analyzed using the SPSS version 17. Results: Their mean age was 35.2 ± 10.4 years. There were 150 (83.3%) and 30 (16.7%) individuals with uncomplicated and complicated CHB infection respectively. Thirty-four (18.9%) of the participants were anti-HDV+. The mean serum ALT, AST, albumin and INR of the anti-HDV+ subjects were 16.5 ± 13.8 IU/L, 26.3 ± 32.6 IU/L, 38.9 ± 7.6 g/L, and 1.2 ± 0.2 respectively. The mean values for the same parameters of the anti-HDV- subjects were 10.8 ± 9.5 IU/L, 13.4 ± 11.2 IU/L, 41.4 ± 6.0 g/L and 1.1 ± 0.2 respectively (p < 0.05). The mean CTP scores in the anti-HDV+ and anti-HDV- subjects were 6.1 ± 2.1 and 5.5 ± 1.2 respectively (p= 0.03). Conclusions: Anti-HDV sero-prevalence rate was 18.9% and anti-HDV+ CHB patients had worse LFT results compared to those who were anti-HDV-.
MeSH term(s)	Adult ; Cross-Sectional Studies ; Female ; Hepatitis Antibodies/blood ; Hepatitis B virus/immunology ; Hepatitis B, Chronic/complications ; Hepatitis B, Chronic/epidemiology ; Hepatitis B, Chronic/immunology ; Hepatitis B, Chronic/virology ; Hepatitis D/complications ; Hepatitis D/epidemiology ; Hepatitis D/immunology ; Hepatitis D/virology ; Hepatitis Delta Virus/immunology ; Humans ; Liver/physiopathology ; Liver/virology ; Liver Function Tests ; Male ; Middle Aged ; Nigeria/epidemiology ; Prevalence ; Severity of Illness Index
Chemical Substances	Hepatitis Antibodies
Language	English
Publishing date	2021-01-31
Publishing country	Italy
Document type	Journal Article
ZDB-ID	2394024-4
ISSN	1972-2680 ; 2036-6590
ISSN (online)	1972-2680
ISSN	2036-6590
DOI	10.3855/jidc.13127
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Article: Gender disparity and stigma experience of patients with chronic hepatitis B virus infection: A prospective cross-sectional study from a hospital in Nigeria.

Adekanle, Olusegun / Komolafe, Akinwumi Oluwole / Ijarotimi, Oluwasegun / Olowookere, Anu Samuel / Ndububa, Dennis A

Journal of infection prevention

2022 Volume 23, Issue 6, Page(s) 263–268

Abstract: Backgound: Hepatitis B virus (HBV) infected persons often suffer stigma. Stigma can come from the society or be self-induced. This study assessed the gender differences and stigma experience of patients with HBV.: Methods: Prospective cross-sectional ...

Abstract	Backgound: Hepatitis B virus (HBV) infected persons often suffer stigma. Stigma can come from the society or be self-induced. This study assessed the gender differences and stigma experience of patients with HBV. Methods: Prospective cross-sectional design with a qualitative element using a pretested interviewer administered questionnaire and an in-depth oral interview of HBV infected patients. Quantitative data obtained were entered into SPSS version 20 and analyzed using simple descriptive and inferential statistics, while content analysis was used for the qualitative data. Results: Total of 242 respondents answered the quantitative questionnaire. There were 142(58.7%) males and 100 (41.3%) females; age range was 18-72 years with mean (SD) of 35.4(10.7) years. Overall stigma rate was 23.1%. Stigma resulted from a positive HBsAg test, and the experience was unaffected by other markers of HBV infection. Stigma was higher in the domain of disease transmission for both single and married respondents and was particularly higher among males than females. Stigma among females affected pre-marital engagements and also caused marital disharmony among married respondents. In-depth oral interview of 23 HBV infected respondents revealed that many exhibited self-stigma, had wrong knowledge of HBV infection modes, complications, and interpretation of HBV internet information which aggravated stigma reactions. Conclusions: Stigma of HBV is high and majorly in the domain of disease transmission. It is higher in males than females. Enlightenment campaign targeting singles and married couples and HBV infection modes is advocated.
Language	English
Publishing date	2022-09-14
Publishing country	England
Document type	Journal Article
ZDB-ID	2595000-9
ISSN	1757-1782 ; 1757-1774
ISSN (online)	1757-1782
ISSN	1757-1774
DOI	10.1177/17571774221127546
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Article ; Online: A 5-year review of research ethics applications in a tertiary health and educational institution in Nigeria.

Ndububa, Dennis Amajuoyi / Ogundokun, Akinjide Olurotimi / Ayoola, Oluwagbemiga Oluwole / Adeyemi, Adebanjo Babalola / Bolarinwa, Rahman Ayodele / Ogundipe, Taiwo Olumuyiwa / Salako, Abdulkadir Ayo / Aboderin, Aaron Oladiipo / Afolabi, Olusegun Temitope / Adenekan, Anthony Taiwo / Taiwo, Ige Oluwatosin / Akanbi, Oluwabanke Gold

African health sciences

2024 Volume 23, Issue 3, Page(s) 741–747

Abstract: Background: African contribution to global research output is said to be low. Poor funding and poor skills in grant writing have been suggested as important factors for this situation.: Objectives: Applications for research ethics clearance in a ... ...

Abstract	Background: African contribution to global research output is said to be low. Poor funding and poor skills in grant writing have been suggested as important factors for this situation. Objectives: Applications for research ethics clearance in a hospital were reviewed to have an overview of the planned studies and the proportion of them that attracted national and international funding. Methods: A review of all applications for ethical clearance received by the institutional review board of a university teaching hospital at Ile-Ife, Nigeria, from 2016 to 2020. They were analysed according to study nature, scope, purpose, and sponsorship using descriptive statistics presented as frequency tables and charts. Results: A total of 878 applications were reviewed. There were 803 (91.5%) applications for local, 45 (5.1%) for national multicentre, and 30 (3.4%) for international multicentre studies. Applications for medical fellowship were 352 (40.0%) while 208 (23.8%) were from academic staff for non-degree research. There were 610 (69.5%) applications for self-sponsored studies. Only 18 (2.0%) and 26 (3.0%) received sponsorship from national and international donor agencies, respectively. Conclusions: Local studies formed the bulk of the submissions for ethics clearance. National and international donor funding of research is abysmally low in this Nigerian tertiary institution studied.
MeSH term(s)	Humans ; Nigeria ; Hospitals, University ; Hospitals, Teaching ; Universities ; Ethics, Research
Language	English
Publishing date	2024-02-03
Publishing country	Uganda
Document type	Review ; Journal Article
ZDB-ID	2240308-5
ISSN	1729-0503 ; 1680-6905
ISSN (online)	1729-0503
ISSN	1680-6905
DOI	10.4314/ahs.v23i3.85
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Article ; Online: Prospective cohort study of prevention of mother to child transmission of hepatitis B infection and 9 months follow-up of hepatitis B-exposed infants at Ile-Ife, Nigeria.

Ndububa, Dennis / Kuti, Oluwafemi / Awowole, Ibraheem / Adekanle, Olusegun / Ijarotimi, Oluwasegun / Makinde, Olufemiwa / Adeyemi, Adebanjo / Anyabolu, Chineme / Ijadunola, Macellina

BMJ open

2022 Volume 12, Issue 11, Page(s) e063482

Abstract: Objectives: Eliminating mother-to-child transmission (MTCT) of hepatitis B virus (HBV) is central to WHO's target of reducing hepatitis B infection in children to <0.1% by 2030. While Nigeria accounts for 8.3% of the global burden, interventional ... ...

Abstract	Objectives: Eliminating mother-to-child transmission (MTCT) of hepatitis B virus (HBV) is central to WHO's target of reducing hepatitis B infection in children to <0.1% by 2030. While Nigeria accounts for 8.3% of the global burden, interventional studies on prevention of MTCT of HBV are hardly available. This study aimed to assess the impact of prevention of MTCT interventions on vertical transmission of HBV among pregnant women in Nigeria. Design: A prospective cohort study. Setting: A University Teaching Hospitals Complex in Nigeria between 2015 and 2021. Participants: 10 866 pregnant women and their pre-existing children. Interventions: Eligible pregnant women were screened for HBsAg using chromatographic immunoassay (Micropoint, USA). HbsAg-positive women had HBV serological assay done and their pre-existing children were screened. Women with HBV DNA ≥2 00 000 IU/mL and those positive for hepatitis B e-antigen (HBeAg) had 300 mg/day of Tenofovir Disoproxil Fumarate (TDF) in the third trimester. The newborns had hepatitis B vaccines and HB immunoglobulin (HBIG) administered, followed by testing for HBsAg at 9 months postnatally. Primary outcome measures: Prevalence of chronic hepatitis B infection in pregnancy, and the incidence of MTCT of HBV. Results: Overall, 395 women had chronic HBV infection, giving a prevalence of 3.64%. Their mean age was 31.51±5.71 years, with a median parity of 1.2. Thirteen women (5.2%) were positive for HBeAg, seven (3.1%) of the 225 pre-existing hepatitis B-exposed children were HbsAg positive and 17 women had prenatal TDF. Overall, 376 women completed the study, with mean birth weight of 3.21±1.86 kg and perinatal mortality rate of 29.2/1000 births. Hepatitis Bvaccine-HBIG combination was administered to 260 newborns, while the others had hepatitis B vaccine alone. All the children tested negative to the HbsAg at 9 months. Conclusion: Eliminating MTCT of HBV infection through validated protocols in low and middle income countries with the highest burden of chronic HBV infections is feasible. National scale-up of such protocols is recommended.
MeSH term(s)	Infant ; Female ; Infant, Newborn ; Pregnancy ; Humans ; Adult ; Infectious Disease Transmission, Vertical/prevention & control ; Hepatitis B e Antigens ; Hepatitis B Surface Antigens ; Prospective Studies ; Follow-Up Studies ; Nigeria/epidemiology ; Pregnancy Complications, Infectious/epidemiology ; Pregnancy Complications, Infectious/prevention & control ; DNA, Viral ; Hepatitis B/epidemiology ; Hepatitis B/prevention & control ; Hepatitis B virus ; Hepatitis B Vaccines/therapeutic use ; Hepatitis B, Chronic/epidemiology ; Hepatitis B, Chronic/prevention & control ; Tenofovir/therapeutic use ; Immunoglobulins/therapeutic use
Chemical Substances	Hepatitis B e Antigens ; Hepatitis B Surface Antigens ; DNA, Viral ; Hepatitis B Vaccines ; Tenofovir (99YXE507IL) ; Immunoglobulins
Language	English
Publishing date	2022-11-08
Publishing country	England
Document type	Journal Article
ZDB-ID	2599832-8
ISSN	2044-6055 ; 2044-6055
ISSN (online)	2044-6055
ISSN	2044-6055
DOI	10.1136/bmjopen-2022-063482
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Article ; Online: Helicobacter pylori diagnosis and treatment in Africa: The First Lagos Consensus Statement of the African Helicobacter and Microbiota Study Group (AHMSG).

Smith, Stella I / Schulz, Christian / Ugiagbe, Rose / Ndip, Roland / Dieye, Yakhya / Leja, Marcis / Onyekwere, Charles / Ndububa, Dennis / Ajayi, Abraham / Jolaiya, Tolulope Funbi / Jaka, Hyasinta / Setshedi, Mashiko / Gunturu, Revathi / Otegbayo, Jesse Abiodun / Lahbabi-Amrani, Naima / Arigbabu, Anthony Oluwole / Kayamba, Violet / Nashidengo, Pueya Abdulrashid

Digestive diseases (Basel, Switzerland)

2024

Abstract: Background: Helicobacter pylori (H. pylori) infection is the most prevalent type of bacterial infection. Current guidelines from different regions of the world neglect specific African conditions and requirements. The African Helicobacter and Microbiota ...

Abstract	Background: Helicobacter pylori (H. pylori) infection is the most prevalent type of bacterial infection. Current guidelines from different regions of the world neglect specific African conditions and requirements. The African Helicobacter and Microbiota Study Group (AHMSG), founded in 2022, aims to create an Africa-specific consensus report reflecting Africa-specific issues. Summary: Eighteen experts from nine African countries and two European delegates supported by nine African collaborators from eight other countries prepared statements on the most important African issues in four working groups: (1) epidemiology, (2) diagnosis, (3) indications and prevention, and (4) treatment. Limited resources, restricted access to medical systems, and underdeveloped diagnostic facilities differ from those of other regions. The results of the individual working groups were presented for the final consensus voting, which included all board members. Key messages: There is need for further studies on H. pylori prevalence in Africa, with diagnosis hinged on specific African situation. Treatment of H. pylori in the African setting should be based on accessibility and reimbursement, while indication and prevention should be defined in specific African countries.
Language	English
Publishing date	2024-03-15
Publishing country	Switzerland
Document type	Journal Article ; Review
ZDB-ID	632798-9
ISSN	1421-9875 ; 0257-2753
ISSN (online)	1421-9875
ISSN	0257-2753
DOI	10.1159/000537878
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Article ; Online: Clinical and Biochemical Manifestations of Severe Sickle Cell Anemia in Adult Patients in Steady State in Ile-Ife, Nigeria

Oguntoye Oluwatosin Oluwagbenga / Ndububa Dennis A. / Yusuf Musah. / Bolarinwa Rahman A. / Ayoola Oluwagbemiga O.

Sudan Journal of Medical Sciences, Vol 14, Pp 1-

2018 Volume 12

Abstract: Background: There are documented established markers (indices) of disease severity in patients with sickle cell anemia (SCA) and they determine the course of the disease. This study investigated the pattern and prevalence of some of these markers of ... ...

Abstract	Background: There are documented established markers (indices) of disease severity in patients with sickle cell anemia (SCA) and they determine the course of the disease. This study investigated the pattern and prevalence of some of these markers of disease severity in adult patients with SCA in steady state attending the hematology clinic of a federal tertiary teaching hospital in Ile-Ife, Nigeria. Materials and Methods: This was a descriptive study. Basic demographic data and relevant clinical information was obtained using a well-structured questionnaire and the case files (hospital records) of 50 consecutive SCA (HbSS) patients. Results: The study group comprised of 21(42%) males and 29(58%) females. The age range was 18–45years with a mean( ± SD) of 27.6 ± 7.607. Hepatomegaly(64%), frequent episodes of vaso-occlusive crisis, that is, ≥ 3 episodes per year(30%) and Dactylitis in infanthood(26%) were the most common clinical parameters identified in these patients while a high serum total bilirubin of > 51µmol/L(26%) was the most common laboratory parameter seen in these patients. Conclusion: Markers of disease severity were identified in the patients with SCA in this study. The presence of these markers in an SCA patient connotes severe disease and they determine the course of the disease. Therefore, there is a need to pay more attention to these patients by following them up more closely.
Keywords	disease severity ; markers ; sickle cell anemia ; steady state ; adults ; patients ; Medicine ; R
Subject code	610
Language	English
Publishing date	2018-12-01T00:00:00Z
Publisher	Knowledge E
Document type	Article ; Online
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Article: Hepatitis B Infection: A Mixed Methods of Disclosure Pattern and Social Problems in the Nigerian Family.

Adekanle, Olusegun / Komolafe, Akinwumi Oluwole / Olowookere, Samuel A / Ijarotimi, Oluwasegun / Ndububa, Dennis Amajuoyi

Journal of patient experience

2019 Volume 7, Issue 2, Page(s) 208–216

Abstract: Background: Hepatitis B virus (HBV) infection has a high prevalence rate in Nigeria. Disclosure of infection status to close partner and the public attracts support for infected people. This study looks at disclosure and social challenges of infected ... ...

Abstract	Background: Hepatitis B virus (HBV) infection has a high prevalence rate in Nigeria. Disclosure of infection status to close partner and the public attracts support for infected people. This study looks at disclosure and social challenges of infected persons. Methods: Mixed methods of patients' administered questionnaire and an in-depth interview conducted on HBV-infected respondents in a hospital in Nigeria were used. The study recruited all participants who satisfied the inclusion criteria. Data were entered into SPSS version 20 and analyzed using simple and inferential statistics and content analysis for the in-depth interview. Results: A total of 205 participants completed the questionnaire study. Mean (standard deviation) age was 35.3 (±11.0) years. There were 121 married, 37 singles with noncohabiting partners and 47 singles without partners with disclosure rates being 96.7% versus 97.9% versus 89.2%, respectively. Singles disclosed infection more to their parents while married respondents disclosed infection more to their spouses. Singles had high rate of denial of sexual relationship (22.6%), emotional trauma (34.5%), broken relationships (11.4%), and surreptitious use of contraception for protection (67.6%). Married respondents had the highest rate of HBV vaccination of their family members (40.1%). Infection prevention and allaying fears of family members were their counseling needs. In-depth interview revealed that infected respondents usually expressed shock and depression at a positive test leading to fear and deception that put close associates at risk. Conclusion: Hepatitis B virus-infected respondents have high rate of disclosure. Family problems of these people can therefore be solved through public enlightenment and individual counseling.
Language	English
Publishing date	2019-03-07
Publishing country	United States
Document type	Journal Article
ZDB-ID	2857285-3
ISSN	2374-3743 ; 2374-3735
ISSN (online)	2374-3743
ISSN	2374-3735
DOI	10.1177/2374373519827965
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Article ; Online: Joint position statement from the Middle East and North Africa and sub-Saharan Africa on continuing to endorse the MAFLD definition.

Journal of hepatology

2024 Volume 80, Issue 5, Page(s) e194–e197

MeSH term(s)	Africa South of the Sahara ; Africa, Northern ; Middle East ; Fatty Liver/diagnosis
Language	English
Publishing date	2024-02-10
Publishing country	Netherlands
Document type	Letter
ZDB-ID	605953-3
ISSN	1600-0641 ; 0168-8278
ISSN (online)	1600-0641
ISSN	0168-8278
DOI	10.1016/j.jhep.2024.01.033
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Zs.A 2027: Show issues

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Article: Endoscopic management and clinical outcomes of obstructive jaundice.

Alatise, Olusegun Isaac / Owojuyigbe, Afolabi Muyiwa / Omisore, Adeleye Dorcas / Ndububa, Dennis A / Aburime, Ekinadese / Dua, Kulwinder S / Asombang, Akwi W

The Nigerian postgraduate medical journal

2020 Volume 27, Issue 4, Page(s) 302–310

Abstract: Background: This study aimed at evaluating the endoscopic management and clinical outcomes in patients with obstructive jaundice undergoing Endoscopic Retrograde Cholangiopancreatography (ERCP) within a newly established apprenticeship teaching model at ...

Abstract	Background: This study aimed at evaluating the endoscopic management and clinical outcomes in patients with obstructive jaundice undergoing Endoscopic Retrograde Cholangiopancreatography (ERCP) within a newly established apprenticeship teaching model at an academic centre in a resource-limited setting. Materials and methods: We employed an apprenticeship-style model of ERCP training with graded responsibility, multidisciplinary group feedback and short-interval repetition. We collected sociodemographic and clinicopathologic data on consecutive patients who underwent ERCP from March 2018 to February 2020. Results: A total of 177 patients were referred, of which 146 patients had an ERCP performed for obstructive jaundice and 31 excluded during the study period. The median age was 55 years, age range from 8 to 83 years. The most common referral diagnosis was pancreatic head cancer 56/146 (38.1%), followed by choledocholithiasis 29/146 (19.7%), cholangiocarcinoma 22/146 (15.0%) and gall bladder cancer 11/146 (7.5%). In all, 102 patients had a malignant indication for ERCP. The cannulation rate was 92%. The most common site for malignant biliary obstruction was proximal bile stricture in 31/102 (30.4%), followed by distal bile strictures in 30/102 (28.4%), periampullary cancer 20/102 (19.6%) and mid bile duct stricture in 9/102 (8.8%). The common benign obstructive etiology includes choledocholithiasis in 33/44 (75%) and mid duct obstruction from post-cholecystectomy bile duct injury in 3/44 (2.9%) while 2/44 (2.0%) patients had choledochal cyst. Overall complications were post-ERCP pancreatitis (8/146 patients), cholangitis (3/146 patients), stent migration and post-sphincterotomy bleeding (one patient each). Peri-procedural mortality was 5/146 (3.4%). Conclusion: ERCP is an effective and safe method of treatment of patients with benign and malignant biliary obstruction. The low morbidity and mortality and its immediate therapeutic benefits, together with the short duration of hospitalization, indicate that this procedure is an important asset in the management of such patients.
MeSH term(s)	Adolescent ; Adult ; Aged ; Aged, 80 and over ; Child ; Cholangiopancreatography, Endoscopic Retrograde ; Choledocholithiasis/diagnostic imaging ; Choledocholithiasis/epidemiology ; Choledocholithiasis/surgery ; Humans ; Jaundice, Obstructive/epidemiology ; Jaundice, Obstructive/etiology ; Jaundice, Obstructive/therapy ; Middle Aged ; Nigeria ; Pancreatic Neoplasms ; Young Adult
Language	English
Publishing date	2020-10-28
Publishing country	Nigeria
Document type	Journal Article
ZDB-ID	2171096-X
ISSN	1117-1936
ISSN	1117-1936
DOI	10.4103/npmj.npmj_242_20
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