Mulinda Nyirenda

Publications (4)0.66 Total impact

• Source

  Available from: ajol.info

  Article: Post exposure prophylaxis of HIV transmission after occupational injuries in Queen Elizabeth Central Hospital, Blantyre, Malawi, 2003 - 2008.

  Gerrit C van der Maaten, Mulinda Nyirenda, Micheal J Beadsworth, Alex Chitani, Theresa Allain, Joep J van Oosterhout
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  ABSTRACT: Health care worker (HCW) in Malawi may acquire HIV infection through occupational injuries, in particular since HIV prevalence among inpatients and incidence of occupational injuries are high. A post exposure prophylaxis (PEP) programme for occupational injuries at Queen Elizabeth Central Hospital (QECH) commenced in 2003. We performed an audit of this programme from 2003 through 2008. 203 Occupational injuries were reported. The majority were needle stick injuries (76.3%). Half of the clients were in a training position. A dual ART regimen was most frequently prescribed. Triple therapy use increased over time and was more frequent in expatriate students. Many nurses and clinical officers were not fully vaccinated for HBV. Based on previous incidence data, occupational injuries were likely to be underreported. Data on side effects were incomplete, however PEP discontinuation due to side effects occurred only twice. Follow up visits were poorly attended, therefore the efficacy of PEP could not be evaluated. Prevention efforts for occupational injuries should be increased and specifically target HCWs in training positions. Measures to improve quality of the PEP programme include effective publicity campaigns, compulsory Hepatitis B vaccination and active tracing of HCWs who default follow up after PEP.
  Malawi medical journal: the journal of Medical Association of Malawi 03/2010; 22(1):15-9.
• Source

  Available from: ajol.info

  Article: Ward round-- non-resolving pleural effusion in a patient with HIV infection.

  Mulinda Nyirenda, Katherine J Gray, Theresa J Allain, Joep J van Oosterhout
  Malawi medical journal: the journal of Medical Association of Malawi 12/2009; 21(4):182-3.
• Source

  Available from: medcol.mw

  Article: Ward round--Recurrent anemia and infection in an HIV-positive woman. Burkitt's lymphoma.

  Mulinda Nyirenda, Tom Latham, Simon Glover
  Malawi medical journal: the journal of Medical Association of Malawi 06/2009; 21(2):86, 88-9.
• Article: Challenges in HIV post-exposure prophylaxis for occupational injuries in a large teaching hospital in Malawi.

  Joep J G van Oosterhout, Mulinda Nyirenda, Michael B J Beadsworth, Joseph K Kanyangalika, Johnstone J Kumwenda, Eduard E Zijlstra
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  ABSTRACT: We describe the evaluation of the HIV post-exposure prophylaxis (PEP) programme for occupational injuries in Queen Elizabeth Central Hospital, Blantyre, Malawi. An audit was performed 1 year after introduction, by reviewing files of all clients who sought advice regarding PEP. In addition, the incidence of occupational injuries and awareness of the programme were assessed through interviews with nurses. The logistics of the programme were adequate. Of 29 clients who reported occupational injuries,19 started PEP. Only double antiretroviral drug therapy was available; side-effects were common but generally mild. Attendance of scheduled follow-up visits was poor, and few HIV test results after completion of PEP were obtained. Interviews with nurses revealed a high incidence of occupational injuries, but many did not report for advice about PEP; mostly because of unawareness of the programme and a reluctance to be tested for HIV.
  Tropical Doctor 02/2007; 37(1):4-6. · 0.66 Impact Factor