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Adrenal insufficiency in critically ill septic patients at Dr George Mukhari Hospital
Item type: Journal Article • Journal: Southern African Journal of Anaesthesia and Analgesia • Authors: MJ Mpe --- Department of Intensive Care, South Africa NC Muleba --- Department of Intensive Care, South Africa EM Selepe --- Department of Intensive Care, South Africa TG Mothabeng --- Department of Intensive Care, South AfricaRationale: Adrenal insufficiency occurs with varying frequency in critically ill patients. It is usually associated with a high mortality and poor clinical outcome. Objective: To determine the incidence of adrenal failure in patients with severe sepsis and septic shock admitted... -
A survey of corticosteroid use for the management of septic shock
Item type: Journal Article • Journal: Southern African Journal of Anaesthesia and Analgesia • Authors: K Govender --- Department of Anaesthetics, RN Rodseth --- Perioperative Research Group, Department of Anaesthetics,Background: Critical illness is associated with pituitary-adrenal axis dysfunction, and may cause adrenal insufficiency that manifests as septic shock that is poorly responsive to fluid or inotropic therapy. Administering a low-dose corticosteroid to these patients results in faster shock resolution,... -
First detected isolate of glycopeptide-intermediate resistant Staphylococcus aureus in a renal unit at a central academic hospital in Kwazulu-Natal
Item type: Journal Article • Journal: Southern African Journal of Epidemiology and Infection • Authors: K SweSwe-Han --- Department of Medical Microbiology, N Naidoo --- Department of Medical Microbiology, P Mahabeer --- Department of Medical Microbiology, K Mlisana --- Department of Medical Microbiology,Staphylococcus aureus is an important and common cause of healthcare and community-associated infections. Reduced susceptibility to glycopeptides in methicillin-resistant S. aureus is well documented. We report on the frst glycopeptide-intermediate S. aureus (GISA) isolate from a renal unit at a... -
Tropical diabetic hand syndrome: prevention through education
Item type: Journal Article • Journal: South African Journal of Clinical Nutrition • Authors: K. Akhuemokhan --- Department of Medicine, Edo State P. Echekwube --- Department of Medicine, Edo State F. Bakpa --- Department of Medicine, Edo State P. Okokhere --- Department of Medicine, Edo StateTropical diabetic hand syndrome describes an acute symptom complex found in patients with diabetes in the tropics, usually following minor trauma to the hand. Two different patients, both previously diagnosed with diabetes, suddenly developed an abscess of the hand that... -
Neonatal sepsis in a Nigerian Tertiary Hospital: Clinical features, clinical outcome, aetiology and antibiotic susceptibility pattern
Item type: Journal Article • Journal: Southern African Journal of Infectious Diseases • Authors: Adediwura O Arowosegbe --- Department of Microbiology, College of Biosciences, Nigeria David A Ojo --- Department of Microbiology, College of Biosciences, Nigeria Iyabode O Dedeke --- Department of Paediatrics, Nigeria Olufunke B Shittu --- Department of Microbiology, College of Biosciences, Nigeria Olusola A Akingbade --- Department of Medical Microbiology and Parasitology, NigeriaBackground: Neonatal sepsis is a significant cause of neonatal mortality in developing countries. The aetiological agents and their antimicrobial susceptibility patterns are dynamic. Objectives: This study determined clinical features, aetiology, antimicrobial susceptibility and clinical outcome of neonatal sepsis in a... -
Risk factors associated with nosocomial infections in the Neonatal Intensive Care Unit at Mahatma Gandhi Memorial hospital between 2014 and 2015
Item type: Journal Article • Journal: Southern African Journal of Infectious Diseases • Authors: Sharita Rameshwarnath --- Discipline of Public Health Medicine, School of Nursing and Public Health, South Africa Saloshni Naidoo --- Discipline of Public Health Medicine, School of Nursing and Public Health, South AfricaBackground: Nosocomial infections are one of the main causes of neonatal morbidity and mortality in low- and middle-income countries. The neonatal intensive care unit is a suitable environment for disseminating infections. The aim of this study was to identify risk...