Case Report
Abstract
Full TextPDF Pilonidal sinus is a common disease of the sacrococcygeal region. The pilonidal sinus of the umbilicus is not frequently reported in the literature. The disease having an atypical presentation is often misdiagnosed. The presenting symptoms include pain and discharge. There is no consensus regarding the treatment hence, both conservative treatment and surgery have been suggested for the management of the disease. We present a case of umbilical pilonidal sinus (UPS), which was managed surgically after the conservative trial of management had failed. We have also discussed the current review of literature regarding the management of this rare clinical disorder.
Research Article
Abstract
Full TextPDF Background: All over the world, hundreds of millions of population suffer from common bacterial infections of the urinary tract every year. An increased risk of death, morbidity, and increased healthcare expenses in the critical care unit is linked to catheter-associated urinary tract infections (CAUTIs), which occur when bacteria enter the urinary tract through a urinary catheter. Since urinary catheterization is linked to urinary tract infections (UTIs), which are among the most common infections in healthcare settings and account for almost 30% of intensive care unit (ICU) reports, there is a significant opportunity for prevention.
Methods: An institutional-based cross-sectional study design is applied to determine the prevalence and associated factors of healthcare-associated urinary tract infections (HAUTIs) among selected adult patients accounting for 391 that were admitted to ICU in the two years at Addis Ababa Public Governmental Hospital, Addis Ababa, Ethiopia, from June–December 2020. Data was manually checked and entered into EpiData Manager version 4.6.1, and statistical analyses were performed using the SPSS version 23 software program. The strength of the association between dependent and independent variables is assessed using crude odds ratio (COR) and adjusted odds ratio (AOR) with a confidence interval (CI) of 95%. Variables with a value of P < 0.25 on bivariate analysis were directly forwarded to be analyzed by multivariable analysis. The goodness of the FIT test was also computed for logistic regression using the Hosmer-Lemeshow test, resulting in (sig = 0.073); finally, having P-values < 0.05 is considered statistically significant.
Results: The study finds that the prevalence of HAUTI among ICU admitted patients was 91 (23.3%) 95% CI; (19.2-27.4), while the length of stay, having tracheostomy, patients on mechanical ventilation, and taking proton pump inhibitor (PPI) drugs were associated with HAUTI in the study area.
Conclusion: HAUTI is a highly emerging clinical condition among ICU-admitted patients in the study areas.
