Publications by authors named "Kenneth Opio"

Objectives: The high burden of infectious complications among patients receiving haemodialysis (HD) via central venous catheters increases morbidity and mortality. This study determined the incidence of catheter-related bloodstream infections (CRBSIs), microbiological profile of causative organisms, and associated predictors in patients on chronic HD.

Methods: A prospective single-centre cohort study of 121 adult patients with end-stage kidney disease was conducted from October 2019 to March 2020.

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Introduction: Both Human Immunodeficiency Virus (HIV) and infections are common in Uganda and can cause liver disease. No study has determined co-infection significance in Uganda. We carried out a study on the burden, pattern and factors that contribute to peri-portal fibrosis (PPF) in HIV infected patients attending a Primary healthcare setting at Pakwach.

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Background: Helicobacter pylori, a widespread infection particularly in developing countries has been associated with many adverse effects during pregnancy including hyperemesis gravidarum, neural tube defects in newborns, intrauterine fetal growth restriction and miscarriage. We sought to document the effects of H. pylori infection on birth weight in a low-income setting in Kampala, Uganda.

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Background: Hepatitis B virus (HBV) and HIV are endemic in Uganda. Co-infection is common and leads to rapid progression of liver disease. Burden of co-infection is unknown yet most patients are on lamivudine-only ART where resistance is frequent.

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Article Synopsis
  • Dyspepsia is ongoing abdominal pain that can be evaluated through endoscopy, but in areas with limited healthcare resources, non-invasive tests like the Helicobacter pylori stool antigen test (HPSAT) are being explored despite potential risks of missing serious conditions like gastric cancer.
  • A study at Mulago Hospital included 167 dyspeptic patients and found that H. pylori was present in 33.5% via HPSAT, with the test showing low overall validity (55.8% sensitivity) but somewhat better results for diagnosing peptic ulcer disease.
  • The study suggests using HPSAT in "test and treat" strategies for younger patients without severe symptoms in low-resource settings, although
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Introduction: Of more than the 2,323 recognized and operating medical schools in 177 countries (world wide) not all are subjected to external evaluation and accreditation procedures. Quality Assurance in medical education is part of a medical school's ethical responsibility and social accountability. Pushing this agenda in the midst of resource limitation, numerous competing interests and an already overwhelmed workforce were some of the challenges faced but it is a critical element of our medical profession's social contract.

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Introduction. While the introduction of highly active antiretroviral therapy decreased HIV-related morbidity and mortality rates in the sub-Saharan Africa, a subsequent increase in metabolic abnormalities has been observed. We sought to determine the prevalence of HIV-associated metabolic abnormalities among patients on first-line antiretroviral therapy (ART) in an ART clinic in Kampala, Uganda.

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Article Synopsis
  • Liver diseases are prevalent among HIV patients in Kampala, often linked to co-infections and medications.
  • A study of 77 HIV-infected patients revealed that 30% suffered from liver issues due to drug toxicity, with most recovering after stopping the offending drugs.
  • Comprehensive evaluations identified the cause of liver diseases in a majority of patients, highlighting the importance of drug history and lab tests in managing these complications.
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