- Sepsis Diagnosis and Treatment
- Global Maternal and Child Health
- Pneumonia and Respiratory Infections
- Emergency and Acute Care Studies
- Child Nutrition and Water Access
- Vibrio bacteria research studies
- Disaster Response and Management
- Food Security and Health in Diverse Populations
Kamuzu University of Health Sciences
2022-2025
Kamuzu Central Hospital
2022-2025
To evaluate the feasibility, reliability, and diagnostic implications of performing pediatric Rapid Ultrasound for Shock Hypotension (p-RUSH) in children with undifferentiated shock upon hospital presentation a low-resource setting (LRS). Prospective observational study from February 2019 to December 2019. Pediatric emergency department (ED) large academic referral Blantyre, Malawi. Children (2 mo 16 yr old) ED. None. Thirty were enrolled, whom 14 died. The p-RUSH was performed admission ED,...
Shock is considered one of the most important mechanisms critical illness in children. However, data on paediatric shock sub-Saharan Africa limited, which constrains development effective treatment strategies. We aimed to describe prevalence, mortality, and aetiology a tertiary hospital Malawi. Children aged two months 16 years presenting with (FEAST criteria; respiratory distress and/or impaired consciousness, at least sign circulation; capillary refill>3 seconds, cold extremities, weak...
In low-resource settings, a reliable bedside score for timely identification of children at risk dying, could help focus resources and improve survival. The rapid Liverpool quick Sequential Organ Failure Assessment (LqSOFA) uses clinical parameters only performed well in United Kingdom cohorts. A similarly assessment-only has however not yet been developed paediatric populations sub-Saharan Africa. development cohort critically ill Malawi, we calculated the LqSOFA scores using age-adjusted...
This prospective cohort study from Malawi updates our understanding of the burden bacterial infections and drug resistance in children <5 years hospitalized with severe acute malnutrition. Urinary tract infection was diagnosed 20% bacteremia 10%. Resistance to first second-line antibiotics occurred >1/3 bacteria isolated.