1 10 23 https://repository.horizon.ac.id/files/original/993c2439cf40ce3533acd5fd464fed6e.pdf e8f6dddd260453cab3ebd5682cc9bce9 Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Jurnal Internasional Afrika vol. 12 issue 3 2022 Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Jurnal Internasional Aprika vol.12 issue 3 2022 African Journal of Emergency Medicine Factors associated with HIV testing among patients seeking emergent injury care in Kigali, Rwanda Subject The topic of the resource Rwanda HIV Emergency care Global health Low- and middle-income countries Description An account of the resource Introduction: Emergency centres (ECs) can be important access points for HIV testing. In Rwanda, one in eight people with HIV are unaware of their infection status, which impedes epidemic control. This could be addressed via increased testing. This cross-sectional study evaluated factors associated with EC-based HIV testing among injured patients at the Centre Hospitalier Universitaire de Kigali (CHUK), in Kigali, Rwanda. Methods: Adult injury patients were prospectively enrolled between January-June 2020. Trained study personnel collected data on demographics, injury aspects, treatments, HIV testing, and disposition. The primary outcome was the completion of EC-based HIV testing. Differences between those receiving and those not receiving testing were assessed. Regression models yielding adjusted odds ratios with associated 95% confidence intervals (CI) were calculated to quantify magnitudes of effect. Results: Among 579 patients, the majority were under 45 years of age (78.1%) and male (74.4%). The most common mechanism of injury was road traffic accidents (50.3%). EC discharge occurred in 54.4% of cases. HIV testing was performed in 221 (38.2%) cases, of which 5.9% had a positive result. HIV testing was more likely among males (aOR = 1.69, 95% CI: 1.02–2.78; p = 0.04), cases transported by prehospital services (aOR = 2.07, 95% CI: 1.28-3.35; p = 0.003) and those receiving surgical consultation (aOR = 3.13, 95% CI: 1.99-4.94; p < 0.001). Cases with lower acuity were less likely to be tested (OR = 0.70, 95% CI: 0.55-0.90; p = 0.004), as were those discharged (OR = 0.28, 95% CI: 0.18-0.43; p < 0.001). Conclusion: In the population studied, most patients did not undergo HIV testing. EC-based physician directed testing was more likely among male patients and patients with greater care needs. These results may inform approaches to increase EC-based testing services in Rwanda and other similar settings with high HIV burdens Creator An entity primarily responsible for making the resource Aly Beeman , Catalina Gonzalez Marques , Oliver Y. Tang , Chantal Uwamahoro , Spandana Jarmale , Zeta Mutabazi , Vincent Ndebwanimana , Doris Uwamahoro , Mediatrice Niyonsaba , Andrew Stephen , Adam R. Aluisio Source A related resource from which the described resource is derived www.elsevier.com/locate/afjem Date A point or period of time associated with an event in the lifecycle of the resource 5 May 2022 Contributor An entity responsible for making contributions to the resource PERI IRAWAN Format The file format, physical medium, or dimensions of the resource PDF Language A language of the resource ENGLISH Type The nature or genre of the resource TEXT Jurnal Internasional Keperawatan Rwanda HIV Emergency care Global health Low- and middle-income countries https://repository.horizon.ac.id/files/original/b25c542ca87fcfabbe99b965fc09466a.pdf f9beb1d3de10bc288f9abc8ab930c3ce Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Jurnal Internasional Afrika vol. 12 issue 3 2022 Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Jurnal Internasional Aprika vol.12 issue 3 2022 African Journal of Emergency Medicine Community ‐acquired pneumonia and its predictors of mortality in rural southwestern Nigeria: A ‐five year retrospective observational study Subject The topic of the resource Community-acquired pneumonia Predictors Mortality Rural Nigeria Description An account of the resource Introduction: The predictors of community-acquired pneumonia (CAP) mortality are important outcome measures in epidemiological studies and clinical trials. There is an observed paucity of data regarding the predictors of mortality of CAP in Nigeria. Few studies from the urban centres have been reported in the literature, with none from the rural centres. The objective of this study is to ascertain the clinical presentations, risk factors, and predictors of mortality among patients admitted for CAP in rural Southwestern Nigeria. Methods: A retrospective observational study using a data form and a standardised questionnaire reviewed the 176 patients admitted to Southwestern Nigeria hospital between January 2015 and December 2019. The data were analysed using SPSS Version 22.0. The results were presented in descriptive and tabular formats. Results: A total of 176 patients were studied. Their mean age was 53.3 ± 16.8 years. There were more males, 112 (63.6%), than females. The most common clinical presentations were cough, fever and sputum expectoration. The case fatality rate was 9.1% and its predictors were older aged patients [Adjusted Odds Ration (AOR), 4.135: 95% Confidence Interval (CI) (1.389-12.315); p = 0.005], hypoxia [AOR, 11.118: 95% CI (2.607-47.405); p < 0.001], tobacco smoking [AOR, 3.632: 95% CI (1.459-9.039); p = 0.008], chronic obstructive pulmonary disease (COPD) [AOR, 10.111: 95%CI (2.370-43.139); p < 0.001], and human immunodeficiency virus (HIV) [AOR, 9.444: 95% CI (4.304-20.725), p < 0.001]. Conclusion: The case -fatality rate was 9.1%, and its predictors were older age patients, patients with hypoxia, tobacco smoking, COPD, and HIV. This study strengthens the argument on the higher prevalence of CAP and its mortality in rural Southwestern Nigeria. The findings may provide an impetus for prospective research on these outcomes. Creator An entity primarily responsible for making the resource Azeez Oyemomi IBRAHIM, Olabode Muftau SHABI, Shuaib Kayode AREMU , Emmanuel Olusegun OMOSANYA , Fasanmi Tolulope KOLAWOLE , Adewumi Oluwaserimi AJETUNMOBI Source A related resource from which the described resource is derived www.elsevier.com/locate/afjem Date A point or period of time associated with an event in the lifecycle of the resource 29 April 2022 Contributor An entity responsible for making contributions to the resource PERI IRAWAN Format The file format, physical medium, or dimensions of the resource PDF Language A language of the resource ENGLISH Type The nature or genre of the resource TEXT Community-acquired pneumonia Predictors Mortality Rural Nigeria Jurnal Internasional Keperawatan https://repository.horizon.ac.id/files/original/b0a0f2dc542a0c29e38adddcca25302e.pdf 02ce426e75f6940bb061aab130dd41d3 Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Jurnal Internasional Afrika vol. 12 issue 3 2022 Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Jurnal Internasional Aprika vol.12 issue 3 2022 African Journal of Emergency Medicine A prospective, internal validation of an emergency patient triage tool for use in a low resource setting Subject The topic of the resource Triage low resource setting predictive scores Emergency department Description An account of the resource Aim: Assess the performance of a simple triage disposition score based on mental status, mobility and either oxygen saturation or respiratory rate by three principal metrics: 24 h mortality, the need for hospital admission and the urgency ranking of patient presentations. Method: Prospective observational non-interventional study of consecutive patients presenting to the emergency and outpatient departments of a low-resource sub-Saharan hospital Results: Out of 14,585 consecutive patients arriving to hospital 1,804 (12.4%) were admitted and 39 died (0.3%) within 24 hours. No patients with normal mental status or a stable independent gait died within 24 h, and 95% of those who did had an oxygen saturation < 94%. The c statistic of the score for death within 24 hours was > 0.95 and not significantly changed if respiratory rate replaced oxygen saturation as a score component, or mental status was assessed subjectively or objectively. However, an objective measure of mental status significantly reduced the c statistic for hospital admission from 0.970 SE 0.003 to 0.956 SE 0.004, p 0.002. The score attributed a higher acuity rating than the South African Triage System urgency ranking of presentations to 11.1% of patients and a lower acuity rating to 1.3%. However, 53% of the patients given a higher acuity rating were subsequently admitted to hospital and 6.1% of them died. Conclusion: The score identified patients who subsequently required hospital admission and who were likely to die within 24 hours Creator An entity primarily responsible for making the resource Brian Kikomeko , George Mutiibwa , Pauline Nabatanzi , Alfred Lumala, John Kellett, on behalf of the Kitovu Hospital Study Group Source A related resource from which the described resource is derived www.elsevier.com/locate/afjem Date A point or period of time associated with an event in the lifecycle of the resource 26 May 2022 Contributor An entity responsible for making contributions to the resource PERI IRAWAN Format The file format, physical medium, or dimensions of the resource PDF Language A language of the resource ENGLISH Type The nature or genre of the resource TEXT Jurnal Internasional Keperawatan Triage low resource setting predictive scores Emergency department https://repository.horizon.ac.id/files/original/792fb48fd27e50d82066e1d6718202fd.pdf fc896681c05cf5a2512fa5d5875cb7c9 Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Jurnal Internasional Afrika vol. 12 issue 3 2022 Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Jurnal Internasional Aprika vol.12 issue 3 2022 African Journal of Emergency Medicine Bedside colorimetric reagent dipstick in the diagnosis of meningitis in low–and middle–income countries: A prospective, international blinded comparison with laboratory analysis Subject The topic of the resource Meningitis Reagent dipstick Bedside diagnosis Resource-limited Global health Description An account of the resource Background: Colorimetric reagent dipstick (CRD) for leukocyte esterase (LE) has shown potential for diagnosing and ruling out bacterial meningitis. Potential advantages over traditional cerebrospinal fluid (CSF) analysis in- clude the small quantity of CSF required, rapid results, and easy interpretation. Our study aimed to determine whether clinicians in LMICs could accurately diagnose bacterial meningitis using CRD at the bedside. Methods: A convenience sample of 143 patients requiring lumbar puncture for possible meningitis were enrolled from 1 October 2018 to 31 December 2019 at three hospitals, one each in rural Burundi, the Democratic Republic of Congo, and Kenya. CSF was analyzed using CRD followed by traditional laboratory-based analysis by techni- cians blinded to bedside results. Results were analyzed for concordance rates, sensitivity/specificity, positive and negative predictive values and impact on clinical decision-making. Results: One hundred and one patients were included in the analysis. The prevalence of bacterial meningitis in the convenience sample was 35% (35/101) as defined by microscopy or positive Gram stain. Using a threshold of “any positivity ”for LE on the CRD, bedside testing correctly identified 33/35 cases (sensitivity 94.3%) and had a NPV of 92%. When only a clearly positive ( ≥ “+ ”for LE) CRD criterion was used, sensitivity and NPV were 77.1% and 86.2%, respectively. Conclusion: Despite considerable promise, in our study, color reagent dipstick analysis of CSF did not perform well enough to rule out meningitis or screen samples for the need for microscopy. The development of a CSF-specific dipstick should be considered. Creator An entity primarily responsible for making the resource Carlan Bruce Wendler, Ladislas Mashimango , Temoi Remi , Patrick LaRochelle , Elliot Kang, B. Jason Brotherton Source A related resource from which the described resource is derived www.elsevier.com/locate/afjem Publisher An entity responsible for making the resource available ELSEVIER Date A point or period of time associated with an event in the lifecycle of the resource 11 April 2022 Contributor An entity responsible for making contributions to the resource PERI IRAWAN Format The file format, physical medium, or dimensions of the resource PDF Language A language of the resource ENGLISH Type The nature or genre of the resource TEXT Jurnal Internasional Keperawatan Meningitis Reagent dipstick Bedside diagnosis Resource-limited Global health https://repository.horizon.ac.id/files/original/e44ba90f1ddccc60a9259b90e85b6864.pdf 9c74b621bd291702cd8a465e6ebb0252 Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Jurnal Internasional Afrika vol. 12 issue 3 2022 Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Jurnal Internasional Aprika vol.12 issue 3 2022 African Journal of Emergency Medicine The activities and impacts of a community-based volunteer ambulance service in Cape Town, South Africa Subject The topic of the resource Volunteer Prehospital Community Emergency medical services Description An account of the resource Introduction: Volunteering yields valuable benefits to communities, yet globally there is limited published data regarding emergency medical volunteering in communities. Hout Bay Volunteer Emergency Medical Service is thought to be the oldest volunteer ambulance service in Cape Town. The objective of this paper is to quantify the contribution of the community service to the Western Cape Government Health: Emergency Medical Service. This paper describes the inputs, key stakeholder relationships, and the impact of COVID-19 on volunteer input and community needs. Methods: Electronic Computer-Aided Dispatch records were used for analysis. Data extracted included detailed information about all recorded incidents between 1 January 2015 to 31 December 2020. Data were analysed in Google Sheets using Pivot Tables and summary statistics. Results: Between 2015 and 2020 HBVEMS responded to approximately 12% of all call-outs in the Hout Bay area, which equates to 2187.16 h of operational time spent on calls. This excludes standby time, i.e., time spent waiting to be dispatched. There was an expected noticeable difference between response times for ambulances based within Hout Bay, and those from outside Hout Bay. Despite a decline in average call-out rate during the 2020 Level 5 lockdown, the volunteers were able to do more shifts and thus more calls within the community. Call-outs during 2020 were visualised as a ratio of trauma to medical calls. In this period there were noticeably fewer trauma calls. Conclusions: There is a growing need for emergency medical care, and volunteer ambulance services can have a meaningful impact on the continent. The findings support the benefit of developing community-based ambu- lance services, especially in areas that are remote due to distance or topography. The model can be expanded to other communities across the continent. A key factor for success is actively managing stakeholder relationships which include community-based relationships as well as governmental or formal emergency medical services relationships Creator An entity primarily responsible for making the resource Charmaine Cunningham , Matthew Rosenberg , Jurgen Kahle Source A related resource from which the described resource is derived www.elsevier.com/locate/afjem Publisher An entity responsible for making the resource available ELSEVIER Date A point or period of time associated with an event in the lifecycle of the resource 11 April 2022 Contributor An entity responsible for making contributions to the resource PERI IRAWAN Format The file format, physical medium, or dimensions of the resource PDF Language A language of the resource ENGLISH Type The nature or genre of the resource TEXT Jurnal Internasional Keperawatan Volunteer Prehospital Community Emergency medical services https://repository.horizon.ac.id/files/original/96e594c2309607ee3f8c8d6216c47c41.pdf 6e108ab5c9c61ef9a682f999bc1228f1 Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Jurnal Internasional Afrika vol. 12 issue 3 2022 Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Jurnal Internasional Aprika vol.12 issue 3 2022 African Journal of Emergency Medicine Analysis of the demographic characteristics and clinical profile of acute ischemic strokes admitted to the emergency centre in the Somalia population Subject The topic of the resource Acute Ischemic stroke Emergency department Somalia Sub-Saharan Africa Description An account of the resource Background: Stroke is a leading cause of death and chronic disability worldwide. In Sub-Saharan Africa (SSA), which includes Somalia, stroke represents a significant part of the chronic disease burden. However, there is relatively little data on risk factors, demographics, and clinical profiles. This study aimed to define the etiological, demographic characteristics, classification of stroke and functional status of patients with acute ischemic stroke (AIS) admitted to the emergency centre, and to create projections to evaluate the incidence and genetic aspects of stroke. Methods: The study population consisted of patients who applied to the emergency centre between 1 May 2017 and 1 May 2021 and were diagnosed with acute ischemic stroke (AIS). Patient demographics, season of onset, risk factors, laboratory data, imaging results, infarct location, AIS subtype and treatment outcomes were collected, and compared. Results: A total of 3,968 patients diagnosed with ischemia stroke were included in the study. The mean age was 51.12 ± 16.43 years, and we reported male predominance (65.7%). While hypertension, hyperlipidaemia, Diabetes mellitus (DM) were more frequent among the risk factors, smoking history and alcohol consumption history were very low. HIV-infected ischemic stroke was detected at a high rate (20.9%) and was common in a relatively young age group (31.8 ± 14.3). Large-artery atherosclerosis (LAA) subtype was detected with a high rate of 67.7%. The most common clot localization was in Supratentorial location (74.3%), and according to OSCP classification, partial anterior circulation infarcts (PACI) subtype (56.3%) was the most common. And these results were again different from other studies. Discussion: While the incidence of stroke and especially HIV-associated youthful ischemic stroke continues to increase rapidly in developing countries such as Somalia, with the addition of inadequate primary health care services, stroke has become a major public health problem in African countries regarding its costs at social, psychological, and economic levels. Creator An entity primarily responsible for making the resource Ebubekir Arslan , Osman Cetinkaya Source A related resource from which the described resource is derived www.elsevier.com/locate/afjem Date A point or period of time associated with an event in the lifecycle of the resource 22 April 2022 Contributor An entity responsible for making contributions to the resource PERI IRAWAN Format The file format, physical medium, or dimensions of the resource PDF Language A language of the resource ENGLISH Type The nature or genre of the resource TEXT Acute Ischemic stroke Emergency department Somalia Sub-Saharan Africa Jurnal Internasional Keperawatan https://repository.horizon.ac.id/files/original/2f43d7916f4a4e2f5078ca56eac0ebcc.pdf 2087b866622ba6d76dc6f77e34e35f10 Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Jurnal Internasional Afrika vol. 12 issue 3 2022 Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Jurnal Internasional aprika vol.12 issue 3 2022 African Journal of Emergency Medicine A cohort of pediatric injury patients from a hospital-based trauma registry in Northern Tanzania Subject The topic of the resource Pediatric injuries Sub-Saharan Africa Trauma registry Global health Description An account of the resource Introduction: Pediatric injuries in low- and middle-income countries are a leading cause of morbidity and mortality worldwide. Implementing hospital-based trauma registries can reduce the knowledge gap in both hospital care and patient outcomes and lead to quality improvement initiatives. The goal of this study was to create a pediatric trauma registry to provide insight into the epidemiology, outcomes, and factors associated with poor outcomes in injured children. Methods: This was a prospective observational study in which a pediatric trauma registry was implemented at a large zonal referral hospital in Northern Tanzania. Data included demographics, hospital-based care, and out- comes including morbidity and mortality. Data were input into REDCap©and analyzed using ANOVA and Chi- squared tests in SAS(Version 9.4)©. Results: 365 patients were enrolled in the registry from November 2020 to October 2021. The majority were males (n = 240, 65.8%). Most were children 0–5 years (41.7%, n = 152), 34.5% (n = 126) were 6–11 years, and 23.8% (n = 87) were 12–17 years. The leading causes of pediatric injuries were falls (n = 137, 37.5%) and road traffic injuries (n = 125, 34.5%). The mortality rate was 8.2% ( n = 30 ). Of the in-hospital deaths, 43.3% were children with burn injuries who also had a higher odds of mortality than children with other injuries (OR 8.72, p < 0.001). The factors associated with in-hospital mortality and morbidity were vital sign abnormalities, burn severity, abnormal Glasgow Coma Score, and ICU admission. Conclusion: The mortality rate of injured children in our cohort was high, especially in children with burn injuries. In order to reduce morbidity and mortality, interventions should be prioritized that focus on pediatric injured pa- tients that present with abnormal vital signs, altered mental status, and severe burns. These findings highlight the need for health system capacity building to improve outcomes of pediatric injury patients in Northern Tanzania Creator An entity primarily responsible for making the resource Elizabeth M. Keating , Francis Sakita , Blandina T. Mmbaga , Getrude Nkini , Ismail Amiri , Chermiqua Tsosie , Nora Fino , Melissa H. Watt , Catherine A. Staton Source A related resource from which the described resource is derived www.elsevier.com/locate/afjem Publisher An entity responsible for making the resource available elsevier Date A point or period of time associated with an event in the lifecycle of the resource 18 April 2022 Contributor An entity responsible for making contributions to the resource Peri Irawan Format The file format, physical medium, or dimensions of the resource pdf Language A language of the resource english Type The nature or genre of the resource text Jurnal Internasional Keperawatan Pediatric injuries Sub-Saharan Africa Trauma registry Global health https://repository.horizon.ac.id/files/original/516ca7c2a1f2794e44feb878cdc38daa.pdf e67ba351ba98182ea681933b90e3267e Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Jurnal Internasional Afrika vol. 12 issue 3 2022 Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Jurnal Internasional Aprika vol.12 issue 3 2022 African Journal of Emergency Medicine Non-specialist emergency medicine qualifications in Africa: Lessons from the South African Diploma in Primary Emergency Care Subject The topic of the resource Education Dip PEC Non-specialist Training Africa South Africa Description An account of the resource Introduction: Non-specialist emergency medicine qualifications are an important step in developing the specialty of emergency medicine. The Diploma in Primary Emergency Care (Dip PEC) of the Colleges of Medicine of South Africa is one of the oldest registrable qualifications. Reviewing its changing role over time has lessons for academics developing Emergency Medicine training in Africa. Methods: Through a series of meetings and stakeholder engagements, the Council of the College of Emergency Medicine conducted a three year review of the qualification focusing on the curriculum, assessment processes, success rate and role of the qualification in the South African medical context. A survey of the perceptions of graduates over the last six years was also conducted. Results: The survey showed candidate numbers increased dramatically from 2011 to 2017, resulting in an entry cap. Lessons identified included ensuring that the qualification is responsive to the state of development of emergency medicine in the country, needing aligned and valid assessment processes and maintaining the value of the qualification in context. Discussion: Emergency medicine qualifications are dynamic in and of themselves and how they relate to their context. Program designers must prioritize ongoing evaluation from the start Creator An entity primarily responsible for making the resource H. Geduld , D. Cloete , R. Dickerson , A. Groenewald , T. Stephens , D. Fredericks , A. Parker , W. Jooste , S. Lahri Source A related resource from which the described resource is derived www.elsevier.com/locate/afjem Publisher An entity responsible for making the resource available ELSAVIER Date A point or period of time associated with an event in the lifecycle of the resource 11 April 2022 Contributor An entity responsible for making contributions to the resource PERI IRAWAN Format The file format, physical medium, or dimensions of the resource PDF Language A language of the resource ENGLISH Type The nature or genre of the resource TEXT Education Dip PEC Non-specialist Training Africa South Africa Jurnal Internasional Keperawatan https://repository.horizon.ac.id/files/original/a39210030f5040746d816d7bcc92ebf5.pdf ca5ef4f13aa69068e673772b0b6c970b Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Jurnal Internasional Afrika vol. 12 issue 3 2022 Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Jurnal Internasional Aprika vol.12 issue 3 2022 African Journal of Emergency Medicine Predictors of mortality in emergency centre patients with acute pesticide poisoning in Uganda Subject The topic of the resource Acute pesticide poisoning Triage Mortality Description An account of the resource Introduction: Although the global suicide deaths due to intentional pesticide poisoning disproportionately occur in low income countries (LIC) and lower to middle income Countries (LMIC), there is a scarcity of reports on emergency centre (EC) mortality and its predictors in these settings. Our goal was to determine the case fatality rate of Acute Pesticide Poisoning (APP) presenting to Mbarara Regional Referral Hospital (MRRH) EC and find out whether initial triage category predicted mortality in these patients. Methods: This was a prospective observational longitudinal study. Patients presenting with APP were enrolled using data collection forms. Data collected included initial triage category, vital signs, demographics, initial assessment, and management. They were followed up for 1 week. Results: Out of 66 patients admitted with suspected pesticide poisoning, 61 had complete follow up during the study period. However, only 58 patients had the pesticide ingested confirmed. These were predominantly males 48 (73%) and farmers 28(42%) with a median age of 23 years (IQR 18-31). Majority of patients 58 (88%) were suicide attempts and had ingested mostly organophosphates 23 (35%), amitraz 11(17%), zinc phosphide 7(10%), and aluminium phosphide 4(6%). The median time from ingestion to presentation was 4hours (IQR 2.5-8). More than half 41(62%) of the patients were in the red triage category (ESI-1). The overall case fatality rate of APP was 18%. Majority of patients who died were in the red triage category but the initial triage category was not significantly associated with mortality (p = 0.381). Male gender (p = 0.018), time of admission (p = 0.037), and triage vitals including hypothermia (p = 0.020), hypoxia (p = 0.004), hypotension (p = 0.031), and tachypnea (p = 0.031) were significantly associated with mortality. Discussion: Although initial triage category was a poor predictor, triage vital signs, gender, and time of admission were significantly associated with mortality in patients with APP Creator An entity primarily responsible for making the resource Justine Athieno Odakha, Derek Harborne, Harry Chen Source A related resource from which the described resource is derived www.elsevier.com/locate/afjem Publisher An entity responsible for making the resource available ELSAVIER Date A point or period of time associated with an event in the lifecycle of the resource 26 May 2022 Contributor An entity responsible for making contributions to the resource PERI IRAWAN Format The file format, physical medium, or dimensions of the resource PDF Language A language of the resource ENGLISH Type The nature or genre of the resource TEXT Acute pesticide poisoning Triage Mortality Jurnal Internasional Keperawatan https://repository.horizon.ac.id/files/original/0ad1c811f49164c0a8c160669220084c.pdf fd49f31cc6b0c943c63892a4d2fcb65b Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Jurnal Internasional Afrika vol. 12 issue 3 2022 Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Jurnal Internasional Aprika vol.12 issue 3 2022 African Journal of Emergency Medicine SARS-CoV-2 in children and their accompanying caregivers: Implications for testing strategies in resource limited hospitals Subject The topic of the resource SARS-CoV-2 Symptom screening Children and accompanying caregivers Description An account of the resource Background: Identification of SARS-CoV-2 infected individuals is imperative to prevent hospital transmission, but symptom-based screening may fail to identify asymptomatic/mildly symptomatic infectious children and their caregivers. Methods: A COVID-19 period prevalence study was conducted between 13 and 26 August 2020 at Tygerberg Hos- pital, testing all children and their accompanying asymptomatic caregivers after initial symptom screening. One nasopharyngeal swab was submitted for SARS-CoV-2 using real-time reverse-transcription polymerase chain re- action (rRT-PCR). An additional Respiratory Viral 16-multiplex rRT-PCR test was simultaneously done in children presenting with symptoms compatible with possible SARS-CoV-2 infection. Results: SARS-Co-V 2 RT-PCR tests from 196 children and 116 caregivers were included in the analysis. The SARS-CoV-2 period prevalence in children was 5.6% (11/196) versus 15.5% (18/116) in asymptomatic care- givers ( p < 0.01). Presenting symptoms did not correlate with SARS-CoV-2 test positivity; children without typical symptoms of SARS-CoV-2 were more likely to be positive than those with typical symptoms (10.2% [10/99] vs 1% [1/97]; p < 0.01). Children with typical symptoms (97/196; 49.5%) mainly presented with acute respira- tory (68/97; 70.1%), fever (17/97; 17.5%), or gastro-intestinal complaints (12/97; 12.4%); Human Rhinovirus (23/81; 28.4%) and Respiratory Syncytial Virus (18/81; 22.2%) were frequently identified in this group. Children- caregiver pairs’ SARS-CoV-2 tests were discordant in 83.3%; 15/18 infected caregivers’ children tested negative. Symptom-based COVID-19 screening alone would have missed 90% of the positive children and 100% of asymp- tomatic but positive caregivers. Conclusion: Given the poor correlation between SARS-CoV-2 symptoms and RT-PCR test positivity, universal test- ing of children and their accompanying caregivers should be considered for emergency and inpatient paediatric admissions during high COVID-19 community transmission periods. Universal PPE and optimising ventilation is likely the most effective way to control transmission of respiratory viral infections, including SARS-CoV-2, where universal testing is not feasible. In these settings, repeated point prevalence studies may be useful to inform local testing and cohorting strategies. Creator An entity primarily responsible for making the resource Liezl Smit , Andrew Redfern , Sadia Murray , Juanita Lishman , Marieke M. van der Zalm , Gert van Zyl , Lilly M. Verhagen , Cornéde Vos , Helena Rabie , Annemarie Dyk , Mathilda Claassen , Jantjie Taljaar , Marina Aucamp , Angela Dramowski Source A related resource from which the described resource is derived www.elsevier.com/locate/afjem Date A point or period of time associated with an event in the lifecycle of the resource 18 April 2022 Contributor An entity responsible for making contributions to the resource PERI IRAWAN Format The file format, physical medium, or dimensions of the resource PDF Language A language of the resource ENGLISH Type The nature or genre of the resource TEXT Jurnal Internasional Keperawatan SARS-CoV-2 Symptom screening Children and accompanying caregivers