Managing urine retention among children in Kumasi

Purpose

To describe our experience in the management of children with urine retention at the Konfo Anokye Teaching Hospital in Kumasi

Methods

From 1st April to 30th November, 2012, data on children presenting with urine retention at the Komfo Anokye Teaching Hospital, Kumasi was obtained. The data collected was entered, cleaned, validated and analyzed using SPSS 16.0 for Windows.

Results

Thirteen male children presented with urine retention during the study period. Their mean age was 5.9±5.1 (range1-14) years. The causes of urine retention were; posterior urethral valves 9(69.2%), neurological disorder 2(15.4%) and one each of phimosis and bladder calculus.

Conclusion

Posterior urethral valve was the main cause of urine retention among children who presented to urologist in Kumasi. Immediate relief of urine retention was varied requiring the use of urethral catheterization, suprapubic cystostomy, or vesicostomy. Definitive management was varied and tailored to the underlying cause.

Human Rabies in Kumasi: A Growing Public Health Concern

Rabies is a source of concern for Public Health Officials. It is known to have a case fatality of 100% worldwide. Of all cases reported, 95% occurred in Africa and Asia put together. The Ghana Office of Rabies in West Africa (RIWA) suggests that the numbers in Ghana maybe underreported due to ineffective surveillance systems. The study therefore reviewed medical records of all suspected rabies cases and case-based forms filed by Disease Control Officers to the Disease Surveillance Unit of the Ghana Health Service. Twenty-one cases of suspected human rabies cases were reported in the Komfo Anokye Teaching Hospital (KATH) from January 2013 to January 2015. A little of 50% of cases were males. A third of the cases did not receive PEP though they reported to a health facility. On the average cases were reported 2 months after the exposure. This study also reported 100% fatality with 60% dying within 24 hours post admission. It is recommended that there is effort aimed at Public Education and also to control stray dogs. Governments are also admonished to make available PEPs at health facilities.

Investigating epidemic prone diseases: knowledge and practices of clinical health staff in Ghana

BACKGROUND: Early detection and prompt reporting of epidemic prone diseases (EPD’s) has been cited as the pivot in the surveillance and control of outbreaks. The contributions by clinical staff towards early detections is highly relevant, however the level of knowledge and attitude towards reporting remains unknown. The study was therefore conducted to examine the knowledge and reporting standards of clinical staff towards outbreak investigations. METHODS: A cross sectional study design was conducted in Komfo Anokye Teaching Hospital (KATH), tertiary hospital in Kumasi-Ghana between February and May 2013. Stratified, simple random sampling was used to select 111 participants and a structured questionnaire used as the instrument for data collection. RESULTS: The mean age was 31.1(±6.8) years. About 87% (n=95/111) indicated knowledge of EPD’s. More than half of these, 62.1% (n=59/95) had no idea of the definition and 30.5% (n=29/95) gave correct definition of EPD’s but had limited knowledge on the laboratory specimen required for its investigation. About 48% (n=46/95) of the respondents indicated that they would consult the nurse-in-charge of the ward instead of the public health official when an outbreak is suspected. CONCLUSION: The knowledge level of EPD’s was generally low but was found to be high with meningitis and poliomyelitis. The study has shown that the procedure for reporting EPD’s remains a challenge in the Komfo Anokye Teaching Hospital. A protocol on outbreak investigation procedures would address the gaps identified in the study.