EAS Publisher | East African Scholars Journal of Medical Sciences

3 Downloads | Dec. 28, 2024

ABSTRACT
Background: Adenoid and tonsils which play a protective role against infections in healthy individuals may become a reservoir for pathogenic microorganisms. Infection of the adenoid and palatine tonsils continue to be a major burden among children in our environment. Bacteria colonize the surface and core of the adenoid and tonsils. In University of Port-Harcourt Teaching Hospital, there is a practice of taking surface swab of palatine tonsils for microscopy, culture and sensitivity to guide antimicrobial therapy which may not reflect the core pathogens. There may be a difference between surface and core aerobic bacteriology of adenoid and tonsils hence this study. Aim: To compare surface versus core aerobic bacteria of adenoid and tonsillar tissues in children undergoing adenotonsillectomy at University of Port-Harcourt Teaching Hospital. Materials and Methods: This was a hospital based cross-sectional study involving fifty(50) paediatric participants aged 3-7years undergoing adenotonsillectomy. Informed consent was sought from patient’s caregiver and a pretested proforma was used to recruit the participants for the study. Surface swabs of the tonsils and adenoid were taken following general anaesthesia and orotracheal intubation in the theatre. The core tissue specimens of adenoid and tonsils were collected after adenotonsillectomy. The core specimens and surface swabs were sent immediately to microbiology laboratory for processing. Isolation of bacteria by Gram staining and biochemical testing was done, followed by susceptibility testing and beta-lactamase production detection. Results were analyzed using the Statistical Product and Service Solutions (SPSS) version 20. Pearson’s chi square statistics was used to determine the difference in the bacteriology between the surface and core of the adenoid and tonsils. A p-value of less than 0.05 was considered statistically significant. Results: In the demographic characteristics of the study group, age range less ...

Original Research Article

Epidemiological and Clinical Profile of Leprosy in Zinder
ISSA ABDOU Kadidia, HAROUNA Moussa, MAHAMADOU Doutchi, OUEDRAOGO Maïmouna, MAMAN KOREY Boukar
East African Scholars J Med Sci, 2024; 7(12): 514-517
DOI: https://doi.org/10.36349/easms.2024.v07i12.003

Abstract

13 Downloads | Dec. 24, 2024

Case Report

Concurrent Acute Appendicitis and Epiploic Appendagitis: A Rare Clinical Case
Haytham Al Khalili, Ayman Jaafar, Ashraf ALakkad
East African Scholars J Med Sci, 2024; 7(12): 510-513
DOI: https://doi.org/10.36349/easms.2024.v07i12.002

Abstract

22 Downloads | Dec. 17, 2024

Original Research Article

Prevalence, Management Modalities and Outcome of Impacted Cerumen among Patients Attending a Tertiary Hospital in Northern Tanzania
Peter S. Shija, Kenneth Mlay, Desderius Chussi, Aveline Kahinga, Philbert Mtenga, Denis Katundu, Christopher K. Mwinuka
East African Scholars J Med Sci, 2024; 7(12): 503-509
DOI: https://doi.org/10.36349/easms.2024.v07i12.001

Abstract

55 Downloads | Dec. 7, 2024

ABSTRACT
Background: Cerumen is a natural substance secreted by sebaceous and ceruminous glands in the outer third of the external auditory canal (EAC). It serves by preventing infections, moisturizing the ear canal, and acting as a barrier against insects and water. Impacted cerumen affects approximately 6% of the general population, 10% of children, and over 30% of the elderly. Symptoms of impacted cerumen include tinnitus and hearing loss. In children, it can hinder language and speech development, while in adults, it can lead to depression, embarrassment, career limitations, and occupational stress. Treatment methods for impacted cerumen include the use of cerumenolytics (e.g., 3% hydrogen peroxide), syringing, manual removal, and microsuction under microscopic guidance. Objectives: This study intends to determine the prevalence of impacted cerumen in patients attending the ENT department, describe the management modalities of impacted cerumen and determine the outcomes of management of impacted cerumen. Methodology: A cross-sectional, hospital-based study was conducted for six months from December 2022 to May 2023. All patients attending Ear nose and Throat (ENT) clinic were included. Participants with impacted cerumen were consented and assessed using a structured questionnaire, followed by audiological examination with pure tone audiometry. Management outcomes were recorded immediately and on seventh day post-treatment. Data were analyzed using SPSS version 25.0, and audiometric data compared using an unpaired sample t-test. Results: The study included 1,717 participants, of whom 161 had impacted cerumen, with median age of 19 years (IQR: 12-28 years). Those over 50 years old were 85, (52.8%), and 82 (50.9%) were males. The prevalence was 9.4%. Treatment methods included microsuction 53.4%, manual removal under microscopic guidance 11.2%, and a combination of microsuction and cerumenolytics 35.4%. There was a significant improvement in symptoms following cerumen ...

Case Report

Child with Rifampicin‑Resistant Tuberculous Meningitis: A Case Report
Boudriiya Tamer, El Mamoune Mostaine, Mejdoub Sara, Souly Karim, Zouhdi Mimoun
East African Scholars J Med Sci, 2024; 7(11): 498-502
DOI: https://doi.org./10.36349/easms.2024.v07i11.008

Abstract

58 Downloads | Nov. 29, 2024

Original Research Article

Social Anxiety Disorder (SAD) and Its Association with Employment Rate
Rawan Mosaddeque, Sanya Sharar, Murad Ahmed Mun
East African Scholars J Med Sci, 2024; 7(11): 492-497
DOI: https://doi.org./10.36349/easms.2024.v07i11.007

Abstract

86 Downloads | Nov. 22, 2024

Original Research Article

Assessment of Oxidative Stress Markers and Antioxidants Status of Pulmonary Tuberculosis Patients on First- And Second-Line Drugs in a Nigerian Tertiary Institution
Sabiu Aminu, Musa Dungus Musa, Dalili Mohammed Shabbal, Jibril Abubakar4, Mohammed Mansur Birnin-kebbi, Idris Yahya Mohammed, Zainab Uba Ibrahim, Asmau Suraj Murtala, Sumayyah Bala Abdullahi, Uchenna
East African Scholars J Med Sci, 2024; 7(11): 484-491
DOI: https://doi.org./10.36349/easms.2024.v07i11.006

Abstract