6 results match your criteria: "Pietermaritzburg Metropolitan Hospitals Complex[Affiliation]"

Background: Multisystem inflammatory syndrome in children (MIS-C) following severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection has been infrequently described in Africa.

Objective: To describe the clinical characteristics, outcomes and associations of severe disease in children hospitalized with MIS-C in KwaZulu-Natal.

Methods: Retrospective multicenter study of children (0-13 years) who met the Centers for Disease Control and Prevention criteria for MIS-C.

View Article and Find Full Text PDF

Bacteraemia and antibiotic sensitivity in a tertiary neonatal intensive care unit.

S Afr J Infect Dis

January 2021

Department of Paediatrics, Pietermaritzburg Metropolitan Hospitals Complex, KwaZulu-Natal Department of Health, Pietermaritzburg, South Africa.

Background: Neonatal sepsis is an important cause of mortality and morbidity in neonatal intensive care populations worldwide. Data on rates of bacteraemia and antibiotic resistance patterns are limited, particularly in the developing world.

Methods: We retrospectively reviewed positive blood cultures obtained in the neonatal intensive care unit between 01 January 2015 and 31 December 2015.

View Article and Find Full Text PDF

Soft Tissue Sepsis Places a Massive Burden on Regional and Tertiary Surgical Services in KZN Province South Africa.

World J Surg

August 2020

Department of Surgery, Pietermaritzburg Metropolitan Hospitals Complex, Grey's Hospital, 201 Townbush Road, Private Bag X9001, Pietermaritzburg, 3200, South Africa.

Background: Frequently, surgical intervention is needed to treat soft tissue sepsis (STS). Ideally, most STS should be managed at the lowest level of surgical care close to the patient's home and a well-functioning surgical service will be able to deliver this safely and effectively. This study interrogates the burden of STS in the province of KwaZulu-Natal and reviews at which level in the health system the operative management of STS is being dealt with.

View Article and Find Full Text PDF

Background: Hospital-acquired infections (HAIs) impact care and costs in hospitals across the globe. There are minimal data on HAIs in sub-Saharan Africa and data specific to paediatrics are especially limited.

Objective: To describe the incidence of HAIs in the paediatric medical units at Grey's Hospital, a tertiary government hospital in KwaZulu-Natal, South Africa.

View Article and Find Full Text PDF

The incidence, spectrum and outcomes of traumatic bladder injuries within the Pietermaritzburg Metropolitan Trauma Service.

Injury

May 2016

Pietermaritzburg Metropolitan Trauma Service, Pietermaritzburg Metropolitan Hospitals Complex, Pietermaritzburg, South Africa; School of Clinical Medicine, University of KwaZulu-Natal, Nelson R Mandela School of Medicine, South Africa.

Introduction: The purpose of this study is to provide a comprehensive overview of the incidence, spectrum and outcomes of traumatic bladder injury in Pietermaritzburg, South Africa, and to identify the current optimal investigation and management of patients with traumatic bladder injuries.

Methods: The Pietermaritzburg Metropolitan Trauma Service (PMTS) trauma registry was interrogated retrospectively for all traumatic bladder injuries between 1 January 2012 and 31 October 2014.

Results: Of 8129 patients treated by the PMTS over the study period, 58 patients (0.

View Article and Find Full Text PDF

Advances in fetal genetic diagnosis and therapy: ethical issues and appropriate technology in cost-restrained countries.

Best Pract Res Clin Obstet Gynaecol

October 2012

Department of Obstetrics and Gynaecology, Pietermaritzburg Metropolitan Hospitals Complex, Grey's Hospital, KwaZulu-Natal, South Africa.

The advent of ultrasound in the 1970s heralded a milestone that could give real-time information about fetal abnormalities, and thereby improve diagnostic accuracy. This knowledge could not be used effectively to benefit the fetus for which it was intended. The 1980s saw science catching up with diagnostic advances, and fetal abnormalities could realistically be treated with an expectation of satisfactory outcomes.

View Article and Find Full Text PDF