There is a paucity of data describing hospital-acquired infections (HAIs) in Africa.To describe the prevalence and distribution HAIs acute care hospitals Ghana.Between September December 2016, point-prevalence surveys were conducted participating using protocols European Centre for Disease Prevention Control. Medical records eligible inpatients at or before 8am on survey date reviewed to identify present time survey.Ten surveyed, representing 32.9% all beds government hospitals. Of 2107 184...

Excessive and inappropriate use of antibiotics in hospitalised patients contributes to the development spread antibiotic resistance. Implementing a stewardship programme curb problem requires information on use. This study describes multicentre point prevalence among paediatric inpatients Ghana. Data were extracted from survey hospital acquired infections collected between September 2016 December ten hospitals through inpatient folder chart reviews using European Centre for Disease Control...

Improper use of antibiotics leads to the emergence resistant microorganisms as well drug toxicity, increased healthcare costs, morbidity and mortality. Globally, an estimated 25–68% hospitalized patients receive suboptimal antibiotic regimes. Information on extent this problem in Ghana is currently limited, particularly surgical units. To strategize for interventions, we prevalence departments a country-wide point survey (PPS) Ghana. Between October 2016 December 2016, conducted...

There is limited data to guide the prevention and management of surgical site infections (SSI) in low- middle-income countries. We prospectively studied aetiological agents associated with SSI their corresponding antibiotic susceptibility patterns a tertiary hospital Ghana.

To assess the cost-effectiveness of an active 30-day surgical site infection (SSI) surveillance mechanism at a referral teaching hospital in Ghana using data from healthcare-associated (HAI-Ghana) study.

Limited information is available on the financial impact of healthcare associated infections in Sub-Saharan Africa. A prospective case-control study was undertaken at Korle-Bu Teaching Hospital, Ghana, to calculate cost surgical site (SSI).

Surgical instruments, be they disposable or reusable, are essential in any surgical procedure. Reusable instruments should properly sterilized disinfected before use. However, the protocols not always followed accordingly. This results sterilization and disinfection failures, leading to a possible increase incidence of site infections. observational study report on bacterial contaminants identified used for procedures major teaching hospital resource-limited country. In total, 207...

Major surgery carried out in low- and middle-income countries is associated with a high risk of surgical site infections (SSI), but knowledge limited regarding contributory factors to such infections. This study explores related patients developing an SSI teaching hospital Ghana. A prospective cohort undergoing abdominal procedures was conducted at Korle Bu Teaching Hospital. Patient characteristics, environmental characteristics were recorded. 30-day daily surveillance used diagnose SSI,...

Introduction: Mucocoele of the appendix occurs in 0.2-0.7% people world without any well-defined clinical symptoms. It when there is an accumulation mucous lumen appendix.Case Presentation: We present three cases: a 48-year-old male admitted to emergency room with one-day history right iliac fossa pain. Abdominal examination was suggestive acute appendicitis. The initial abdominal computerised tomography scan reported as being unremarkable. At surgery, firm tumour found, and limited...

(1) Background: Breast cancer is the leading malignancy worldwide and in Ghana it has a poor overall survival. However, approximately 50% of cases are early stage disease with advances breast treatment improvement survival, quality life (QOL) becomes as im-portant disease. (2) Methodology: This was cross-sectional study survivors who had conserving surgery (BCS), mastectomy only (M) re-construction (BRS) from 2016 to 2020 at tertiary hospital Ghana, comparatively assessing their QOL using...

Abstract Background Intersphincteric resection (ISR) of the rectum for low-lying rectal cancer with colo-anal anastomosis was introduced years ago, allowing bowel continuity, and avoiding permanent stomas. The colorectal unit Korle Bu Teaching Hospital adopted this procedure in 2014 when indicated, management cancers, where hitherto, abdominoperineal a stoma indicated. This study aimed to assess morbidity, mortality, oncological outcomes associated ISR determine factors contributing these....

Malignancies affecting the gastrointestinal tract are among principal threats to global public health. In Ghana, these cancers responsible for a significant number of hospitalizations and mortalities at major health facilities across country. The increasing incidence malignancies necessitates an investigation association between lifestyle (modifiable risk factors) disorders.To determine patients attending Korle Bu Teaching Hospital (KBTH).This was cross-sectional prospective study where...

Bediako-Bowan, Antoinette M.B.Ch.B., F.W.A.C.S., Ph.D.; Yorke, Joseph M.D.; Brand, Nathan Panzer, Kate B.S.; Dally, Charles K Debrah, Samuel Agbenorku, Pius M.D., Nkrumah Mills, John Huang, Lyen C M.P.H.; Laryea, Jonathan Lowry, Ann Appeadu-Mensah, William M.B.Ch.B. F.G.C.S.; Adanu, Richard Kwakye, Gifty M.D. M.P.H. Author Information

To determine the prevalence of Peripheral Arterial Disease (PAD) and associated risk factors in patients undergoing amputation at Korle Bu Teaching Hospital (KBTH), Accra, Ghana.A cross- sectional study all lower extremity Department Surgery, KBTH.A coded questionnaire was used to ascertain for PAD. The Edinburgh Claudication Questionnaire symptomatic PAD a 5 mmHz hand held Summit® Doppler together with an Accoson ® sphygmomanometer its severity.Clinical diagnosis made using symptom-based...

Background: Excisional haemorrhoidectomy engenders considerable pain and has popularly been managed as an in-patient procedure. There anxiety over a major complication occurring in the community instead of hospital which is still pervasive developing world despite evidence to contrary. Aim: It compared post operative complications, time bowel action, post-operative scores patients who had open either under spinal anaesthesia or local day case Materials Methods: The study involved two...

A tailgut cyst is a rare congenital lesion that develops from residual posterior remnant of the intestine and presents as mass in presacral space. They are generally asymptomatic or have atypical symptoms, usually benign but may rarely become malignant. We report case 37-year-old female who initially presented to Surgical Department Korle Bu Teaching Hospital, Accra, Ghana with malignant after having repeated surgical procedures for recurrent perianal infective pathologies still had...

(1) Background: Breast cancer is the leading malignancy worldwide, and in Ghana, it has a poor overall survival rate. However, approximately 50% of cases are early-stage disease, with advances breast treatment improvements survival, quality life (QOL) becoming as important disease. (2) Methodology: This was cross-sectional study survivors who had breast-conserving surgery (BCS), mastectomy only (M) reconstruction (BRS) from 2016 to 2020 at tertiary hospital comparatively assessing their QOL...

Abstract Background: Diverticular disease of the colon, previously believed to be rare among Africans, is now an emerging entity in many African countries. The increasing morbidity and varied presentations are associated with this. Objectives: To determine prevalence diverticular patients who underwent lower gastrointestinal endoscopies over a 5-year period evaluate common presentations, interventions, treatment outcomes at Korle-Bu Teaching Hospital (KBTH), Ghana. Materials Methods: This...

Mucinous cystadenoma of the caecum is an exceptionally rare occurrence, particularly in paediatric patients. They have been rarely reported appendix, ovary, pancreas, and liver. This first report a mucinous (to best authors' knowledge) child. A can serve as pathological lead point intussusception. We case 3-year-old boy with causing The intussusception recurred after initial successful hydrostatic reduction. He had laparotomy which revealed caecal mass for limited right hemicolectomy was...