Publications by authors named "Hansa Haftu"

Article Synopsis
  • The study aimed to assess the prevalence of antibacterial resistance in hospitalized patients in Tigray, focusing on septic medical cases from March 2020 to January 2021.
  • A total of 153 patients were analyzed, where 55% of samples collected showed bacterial infections, and 45.6% of these patients demonstrated resistance to at least one antibiotic.
  • The most common resistant isolates were identified, with high resistance rates to ampicillin, cotrimoxazole, and ciprofloxacin, indicating the need for enhanced antimicrobial stewardship initiatives to address this issue.
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Article Synopsis
  • The armed conflict in Tigray from November 2020 to November 2022 led to a significant collapse of the region's healthcare system, heavily affecting the management of Type 1 Diabetes Mellitus in children.
  • A retrospective study compared diabetes care for children before the war (September 2019 to August 2020) with care during the war and siege (September 2021 to August 2022), revealing a drastic increase in diabetes-related complications.
  • Findings indicated a higher rate of diabetic ketoacidosis admissions during the conflict, with malnutrition and lack of healthcare access identified as major triggers, resulting in a case fatality rate that rose from 0% pre-war to 9% during the war.
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Introduction: Due to the war in Tigray, 2.1 million people (31% of the total population) were internally displaced. Epidemiological evidence shows that the burden of mental health is higher in war/conflict and post-conflict areas of the world compared to non-conflict places, especially for those who have experienced targeted ethnic violence as a result of civil and political unrest.

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The war and siege in Tigray led millions to displace internally. More than three-fourths of the health facilities were either destroyed or not functional as the equipment and other resources were stolen. Furthermore, the remaining functioning health facilities were flooded beyond their capacity, resulting in many patients received treatment late, and ending with complications including life loss.

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Background: Seizure is the most frequently observed symptom of neurological disorders and an important determinant of outcome during neonatal period. In clinical practice, it is prevalent and observed in neonates admitted to hospital in low-resources countries, but due to the paucity of studies in these regions, little is known about its pattern, clinical outcomes of hospitalization, and its predictors. Therefore, aims to evaluate seizure patterns, clinical outcomes, and its predictors among neonates admitted to the NICU of ACSH, Mekelle, and Tigray.

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Article Synopsis
  • Macrodactyly is a rare congenital condition affecting digit growth, with unclear causes and limited reports; it can be mistaken for other conditions like hemangiomas.
  • A 2-year-old boy had progressive growth of his left foot toes, leading to deformity and difficulty with footwear, and was diagnosed with macrodactyly after an X-ray.
  • Treatment involved surgical amputation of the affected toes, resulting in improved quality of life, highlighting the importance of early diagnosis and management, especially in resource-limited settings.
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Neuroshcistosomiasis is a life-threatening complication of schistosomiasis. Its prevalence in endemic populations is believed to be underreported at 1-4%. We report a four-year-old child who came to our hospital relatively late since the presentation of weakness and incontinence.

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Background: Hospital-acquired infection (HAI) is a significant cause of increased morbidity and mortality amongst hospitalized patients and represents a considerable health and economic burden worldwide. However, evidence about HAI in pediatric ICU is limited.

Objective: To identify the prevalence of hospital-acquired infection (HAI), clinical profile, and its risk factors for nosocomial infection in patients admitted to the pediatric intensive care unit (PICU).

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Background: An umbilical granuloma is one of the common umbilical masses in young children which appears after the cords fall off, mainly due to an inflammatory reaction to subclinical infections. Though there are different recommendations of treatment modalities, which management modality is the best is not clear yet.

Objective: This systematic review aimed to assess the effectiveness of salt treatment in terms of complete resolution of the granuloma, any adverse effect, and any recurrence risk in those patients treated as inpatient or outpatient care.

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Introduction: Umbilical granuloma (UG) is the most common cause of umbilical mass and it is formed in the first few weeks of life after the umbilical cord separates. Though there are different options of treatment described in the literature, there is no clear consensus on the best option of treatment. In our case, we will describe the complete resolution of granuloma with salt treatment with no adverse effect.

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Aim: Atypical diabetes is commonly reported in Africa. The objective of this case report is to highlight an unusual case of thin, severely hyperglycemic and ketone resistant teenager with history and signs of chronic under-nutrition to raise the awareness of clinicians on the existence of atypical phenotype of diabetes not fitting the current classification of diabetes.

Case Presentation: A 17-year-old male patient, known diabetic, was diagnosed in the health center as type1 diabetes for 8 months.

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Background: Wilson disease is a rare metabolic disorder involving copper metabolism, and patients may present with a variable degree of hepatic, neurologic, and psychiatric manifestations. In the case of hepatic presentation, treatment is usually initiated with potentially toxic copper chelators (D-penicillamine or Trenton). Although zinc is of low toxicity and low cost for treatment of Wilson disease, it has been limited to the adjunctive as a single maintenance drug or for asymptomatic patients.

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Though peripheral blood eosinophilia is common due to allergic diseases, drugs, parasitic infections, and malignancies, it is rarely reported due to tuberculosis (TB). The association between eosinophilia and TB is not well known. We have a case of the 9-year-old female present with abdominal pain in the right upper quadrant which is non-radiating associated with decreased appetite, weight loss, malaise and low-grade fever and vomiting of ingested of two weeks.

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Background: Iron folate supplementation is a cost-effective way of reducing iron deficiency anemia, low birth weight, and neural tube defects in resource-limited countries like Ethiopia. Late to start and poor adherence to iron-folate supplement has restricted its effectiveness. The aim of this study was to determine the time to start and adherence level of iron-folate supplementation to pregnant women attending at the Ayder Comprehensive Specialized Hospital.

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Objective: To describe admission pattern and outcome with its predictor variable on the mortality of children admitted to pediatric intensive care unit (PICU), Ayder Referral Hospital, Northern Ethiopia, from September 2012 to August 2014.

Result: From 680 admitted patients, 400 patients were analyzed. Average age at admission was 62.

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