Ademola E Fawibe

UNIVERSITY OF ILORIN TEACHONG HOSPITAL/UNIVERSITYY OF ILORIN · DEPARTMENT OF MEDCINE

Background: Respiratory diseases constitute a significant cause of morbidity globally. There is limited information on the epidemiology of respiratory diseases in North Central Nigeria particularly with the changing trend in risk factors. Aim: This study aimed at evaluating the pattern and morbidity related to respiratory diseases among adult ou...

Purpose: The burdens of chronic cough are mostly reported from Western and Asian countries. We aimed to determine the etiology and clinical patterns of chronic cough (CC) in the chest clinic of a tertiary hospital in Nigeria. Patients and methods: This survey was a cross-sectional study of 218 patients. Chronic cough was defined as cough >8 week...

Purpose: Urbanization is associated with the risk of developing allergic conditions. Few studies have evaluated the urban-rural disparity of allergic diseases in sub-Saharan Africa. Objective: To compare the epidemiology of adult asthma and allergies in urban and rural Nigeria. Subjects and methods: A population-based cross-sectional study was...

Introduction: Sexual dysfunction in HIV positive women is common and it is often associated with psychosocial distress. Not much scientific attention has been focused on this important aspect of the life of the HIV-positive woman especially in Nigeria and in the West African sub-region at large, where issues pertaining to sexuality are hardly ever...

Background: Lung cancer incidence and mortality rates have increased in some low and medium-resourced countries. Objectives: This study aimed to describe the clinicopathological pattern and management of lung cancer seen in our setting. Methods: We reviewed cases of pulmonary neoplasm diagnosed and managed at the University of Ilorin teaching...

Objectives The usefulness of biomarkers in community acquired pneumonia (CAP) has been under the research light with limited reports from Africa. This study aimed at evaluating the clinical usefulness of serum procalcitonin (PCT) in patients admitted with CAP in a tertiary hospital in Ilorin, Nigeria. Materials and Methods This was prospective sin...

Introduction: Latent Tuberculosis Infection (LTBI) screening is recommended for individuals with a known risk factor for progression to active disease especially in the setting of HIV infection. This will ensure early diagnosis and prompt treatment. The purpose of our study was to compare tuberculin skin test (TST) with Interferon Gamma Release As...

Background: A lot of attention has generally been given to the microbiology and treatment of pulmonary tuberculosis with relatively limited consideration on its impact on the physical, psychological and social domains of the individual especially after successful drug treatment. Aim and objectives: This study aimed at assessing the health-relate...

Background: The optimal management of community acquired pneumonia (CAP) depends on the clinical and microbiological profile in the locality. Objectives: To determine the clinical and microbiological profile of patients admitted with CAP in Ilorin, Nigeria. Methods: One hundred and two consenting consecutively selected patients with clinical a...

Background: Pulmonary tuberculosis (PTB) contributes significantly to morbidity and mortality worldwide, and despite microbiological cure for the disease, many patients still demonstrate residual respiratory symptoms and spirometric abnormalities. Aim and objectives: The study aimed at identifying the prevalence, pattern and factors associated w...

Background: National smoking cessation strategies in Nigeria are hindered by lack of up-to-date epidemiologic data. We aimed to estimate prevalence of tobacco smoking in Nigeria to guide relevant interventions. Methods: We conducted systematic search of publicly available evidence from 1990 through 2018. A random-effects meta-analysis and meta-r...

Background: The most recognized risk factor for chronic obstructive pulmonary disease (COPD) worldwide is cigarette smoking. However, recent surveys have revealed an increasing trend from nonsmoking causes especially from biomass exposure. This study, therefore, aimed to determine the proportion of patients and the clinical pattern of COPD among n...

Background: Local production of garri (cassava crisps) is associated with air pollution and consequently lung function abnormalities among garri processing workers. This study was aimed at describing lung function abnormalities among Nigerians engaged in cassava crisps (garri) processing. Methods: A total of 351 workers and 351 controls were rec...

Background The increasing importance of pulmonary function testing in diagnosing and managing lung diseases and assessing improvement has necessitated the need for locally derived reference equations from a sample of the general Nigerian population. Methods It was a cross sectional study in which we used linear regression models to obtain equations...

Background Pleural effusion (PE) is a primary manifestation or secondary complication of many disorders. This study reviews the pattern and management of PE in a Nigerian hospital. Materials and Methods The medical records of 213 patients with clinical diagnosis of PE over a period of 3 years were reviewed. Results PE accounted for 0.5% of the to...

Background: There is need for information on the medical care seeking behaviour of Nigerian doctors. Purpose: This work was therefore designed to study the medical care seeking behaviour of Nigerian doctors in Nigeria. Methods: It was a cross-sectional survey among doctors in Nigeria. Results: Data from 522 doctors were included in the analysis. Ma...

Setting: Ilorin metropolis in the middle-belt region of Nigeria. Objectives: To determine the awareness about warning signs and risk factors for lung cancer and the anticipated delay before seeking medical care in the middle-belt population of Nigeria. Design: This was a cross-sectional study performed among 1125 adults. Lung cancer awareness...

Post-tuberculosis destroyed lung is a fatal complication of pulmonary tuberculosis which can manifest with severe life-threatening haemoptysis. Its occurrence during pregnancy is rare and challenging because of the significant risk to both the mother and the foetus. We present an unbooked 36 year old G6P4+1 (4 alive) woman who presented with chroni...

Background: Chronic obstructive pulmonary disease (COPD) is one of the leading causes of morbidity and mortality in most countries. Few data exist on the pattern of COPD in Sub Saharan Africa. Objectives: This study aimed at reviewing the incidence and clinical pattern of COPD managed at the University of Ilorin Teaching Hospital (UITH) Ilorin, Ni...

SETTING: Ilorin metropolis in the middle-belt region of Nigeria. OBJECTIVES: To determine the awareness about warning signs and risk factors for lung cancer and the anticipated delay before seeking medical care in the middle-belt population of Nigeria. DESIGN: This was a cross-sectional study performed among 1125 adults. Lung cancer awareness measu...

SESSION TITLE: Asthma Posters I SESSION TYPE: Original Investigation Poster PRESENTED ON: Wednesday, October 29, 2014 at 01:30 PM - 02:30 PM PURPOSE: Purpose: Although asthma control is achievable in most patients, it is far from optimal globally. This study aims at evaluating the relationship of asthma medication to the level of its control in Ilo...

Background: For the establishment and monitoring of the immune status, CD4 count is critical. Objectives: To determine the CD4 count range of apparently healthy Nigerians resident in Ilorin and compare with the national value. Methods: An automated blood analyzer was used to determine the full blood count and CD4 count. The percentage of CD4 c...

Aims and Objectives: The objective of this study was to determine the factors that affect the interest in respiratory medicine (RM) as a subspecialty of choice among internal medicine residents in Nigeria. Subjects, Materials and Methods: This was a cross-sectional study of 136 internal medicine residents recruited from seven teaching hospitals fro...

Abnormalities of QT parameters together with cardiac autonomic neuropathy (CAN) confer significant risks of cardiac morbidity and mortality in patients with diabetes mellitus. We questioned whether or not CAN influences occurrence of QT interval prolongation and dispersion in patients with sickle cell anaemia (SCA). Forty stable adult sickle cell p...

The prevalence of asthma in our society is rising and there is need for better understanding of the asthma patients' perception and treatment practice of physicians. The study was aimed at determining asthma attitudes and treatment practices among adult physicians and patients in Nigeria, with the goal of identifying barriers to optimal management....

Few data exist on the understanding and adherence to the Global Initiative for Chronic Obstructive Lung Disease (GOLD) guidelines in resource-limited settings, which are mostly in sub-Saharan Africa. To assess physicians' understanding, adherence, and barriers to implementation of GOLD guidelines in Nigeria. A questionnaire based on the recommendat...

Objectives. To determine the awareness of the warning signs, risk factors, and treatment of tuberculosis among urban Nigerians. Methods. This was a cross-sectional survey among 574 adults in Ilorin, Nigeria. Semistructured questionnaire was administered by trained interviewers to obtain information about awareness of tuberculosis warning signs, ris...

SESSION TYPE: Respiratory Infections Posters IPRESENTED ON: Wednesday, October 24, 2012 at 01:30 PM - 02:30 PMPURPOSE: Despite being a curable disease, TB may be complicated by fatal complications. Unilateral post-TB destroyed lung is a serious disabling condition associated with high mortality. We designed this study to assess the outcome of unila...

According to the Global Initiative for Asthma (GINA) guidelines, the goal of asthma management is to achieve clinical control. Uncontrolled asthma places a significant social and economic burden on patients. The two aims of this study were to (1) assess the level of asthma control (according to the GINA definition of "control") among adult patients...

Background: Cough is the commonest symptom for which patients seek medical attention and may be a warning sign of an impending disease. Objective: To determine the prevalence of cough among adults in an urban community in Nigeria. Methods: We conducted a cross sectional study among subjects aged >18 years from May 2009 to October 2009 in Ilori...

A wide range of medications are now available for the treatment of asthma and selection of the optimal treatment combination of agents is essential. This study was designed to evaluate a self-reported drug prescribing pattern for asthma among Nigerian doctors in general practice. It was a cross-sectional survey conducted among general practitioners...

Previous studies have reported abnormal pulmonary function and pulmonary hypertension among Nigerians with sickle cell disease, but there is no report of interstitial lung disease among them. We report a Nigerian sickle cell patient who presented with computed tomography proven interstitial lung disease complicated by pulmonary hypertension and cor...

Unilateral tuberculous lung destruction is a serious chronically disabling and often fatal complication of pulmonary tuberculosis. A few previous studies have dealt with some aspects of this entity among Nigerians with pulmonary tuberculosis but these studies may not truly reflect its current trends. To describe the presenting profiles and outcome...

Despite the benefits of regular follow-up in the long-term care of asthma, no previous study has reported on it among asthma patients in Nigeria. This survey was designed to evaluate GP-reported follow-up visits among asthma patients in North Central Nigeria. It was a cross-sectional survey conducted among GPs in three North Central states of Niger...

Tobacco control policy can only succeed if the burdens of smoking are known. The objective of this study was to determine the prevalence and correlates of secondhand smoke (SHS) exposure among nonsmoking adults in two Nigerian cities. We carried out a cross-sectional study from October 2009 to April 2010 among adult population of two Nigerian citie...

Smoking control is urgently needed to prevent the epidemic of tobacco-related diseases and deaths in developing countries. This requires data on smoking, especially among vulnerable groups like students. We have surveyed cigarette smoking among undergraduates of the University of Ilorin, in the North Central region of Nigeria. This was a questionna...

Background: Many students in higher institutions tend to be exposed to environmental tobacco smoke. This work was designed to survey the exposure to environmental tobacco smoke and awareness of the dangers associated with it among undergraduates of university of llorin. Method: It was a cross-sectional study among undergraduates of the University o...

The aim of this study was to determine the rate of spirometry utilisation among hospitalised patients with clinical findings of chronic obstructive pulmonary disease (COPD) in a tertiary hospital in Nigeria. A case record review of hospitalised patients with clinical findings of COPD from January 2002 to June 2009 from the record of the cardiopulmo...

BACKGROUND: Unilateral tuberculous lung destruction is a serious chronically disabling and often fatal complication of pulmonary tuberculosis. A few previous studies have dealt with some aspects of this entity among Nigerians with pulmonary tuberculosis but these studies may not truly reflect its current trends. OBJECTIVE: To describe the presentin...

The rapid scale-up of antiretroviral therapy (ART) is associated with the challenges of ensuring that HIV care delivered to clients is of the highest quality. This study was designed to evaluate the pretreatment and 12 month follow-up monitoring of clinical and laboratory profiles of HIV-infected patients at the adult HIV clinic of the University o...

PURPOSE: Purpose: Although the management of patients with asthma in Nigeria is largely performed by general practitioners (GPs), no previous study in the country has evaluated asthma management among them. We designed this study to assess the knowledge of drug treatment of asthma among GPs in North Central Nigeria. METHODS: Methods: This was a cro...

Spirometry is a noninvasive and cost-effective physiologic test that greatly complements other investigative procedures in evaluation of respiratory conditions. This study was aimed at auditing the spirometry performed at the University of Ilorin Teaching Hospital (UITH) Ilorin, Nigeria, and highlighting some of the challenges associated with the p...

Sickle cell chronic lung disease (SCLD) is often underappreciated by health care providers because its exact prevalence and methods of diagnosis have not been well studied. To describe the pattern of SCLD among young adult Nigerians with sickle cell anaemia (SCA).its exact prevalence and methods of diagnosis have not been well studied. To describe...

Though tetanus is a major cause of preventable morbidity and mortality in Nigeria, there is a paucity of data on the pattern and outcome of the disease among the sub-urban and rural populations. This retrospective study of adult tetanus at a suburban tertiary hospital in Nigeria reports a high case fatality rate of 57.1% in 35 patients with a mean...

Despite the fact that acute chest syndrome contributes immensely to morbidity and mortality in patients with sickle cell anaemia, its exact aetiopathogenesis is very complex and not yet well understood. Therefore, a high index of suspicion is needed in its diagnosis, and appropriate treatment should be commenced as soon as possible to prevent letha...

The pulmonary complications of sickle cell disease (SCD) among adults are expected to increase since more of them are expected to survive into adulthood with improved healthcare delivery systems. Such complications, especially the chronic ones, which are usually collectively referred to as SCCLD (sickle cell chronic lung disease), are often under-a...

To determine the incidence, microbiological pattern and prognostic factor of bacterial pneumonia in AIDS patients. Prospective study of AIDS patients from July 2001 to Dec 2002. Adults AIDS patients on HAART drugs that develop acute fever, cough with bronchial breathing or lung crepitations had diagnostic evaluation that included chest x-ray, paire...

This report is part of the ongoing highly active antiretroviral therapy (HAART) trial, 167 patients were enlisted, but current analysis was restricted to 107 patients that were about a year old on the programme. The baseline weight, CD4+ cell count and serum albumin of 59 males and 48 females age 15-60 years, were compared with values at 12 months...