Browsing by Author "Ramyil, M.S.C."
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Item Appraisal of Antibiotic Prescribing Profile of Patients sent for Laboratory Investigations in a Tertiary Hospital, Jos - Nigeria(IOSRPHR, 2020-11-02) Ogundeko, T.O.; Builders, M.; Ramyil, M.S.C.; Adu, P.J; Onuwe, A.A.; Ogbole, E.A.; Onubi, J.; Bassi Amos Paul; Bello, C.S.S.; Sokomba, E.N.Background: The danger associated with unguided and unmonitored prescribing of antibiotics in health institutions calls for antibiotic policies in order to avoid deviation from the standard recommended by the World Health Organization (WHO). Institutions that uphold compliance should be highly commended. This study was aimed to evaluate the prescribing pattern of antibiotics in Bingham University Teaching Hospital (BHUTH), Jos Nigeria. Materials and Methods: Trend and adherence-check on antibiotics prescriptions in compliance with the WHO and the institutions essential drug lists (IEDL), identification of prevalent infections especially from clients sent to the laboratory for various investigations before prescriptions were reviewed from 620 Hospital cards of the General Out-Patients Department (GOPD). Results: Gender distribution was females 343(55.3%) than males 277 (44.7%), with the majority age range of 25-34 years 227 (36.6%). From a total of 820 (single and multiple requests), stool specimen 257 (31%) was the highest, followed by urine, blood and sputum. Though, the females had higher percentage of request from the GOPD of BHUTH, but with no significant difference between the number of laboratory investigations in relation to gender at p<0.05 (p=0.7022). In addition, the most frequently prescribed class of antibiotics was Quinolones (51.8%). This was followed by Penicillins (21.6%), Sulfonamides (13.5%), Tetracyclins (12.2%) and Cephalosphorins (0.9%) respectively from monotherapy (90.5%) and multiple therapies (9.5%). Also, there is no significant difference between the category of antibiotics prescribed and gender at p<0.05 (p=0.6788) in BHUTH. The most common indication for antibiotics prescribing was respiratory tract infections (26.3%). Present study indicated significant relationship between gender and common diagnoses to antibiotics prescribing at p<0.05 (p=3.88) in BHUTH. All (100%) prescribed antibiotics were found in both WHO and BHUTH Essential Drug Lists. Conclusion: This study points out good compliance antibiotic prescribing practice with WHO and institutional recommended standards. It further showed that females are prescribed with antibiotics more than their male counterparts.Item Substance Abuse and its Prevalence Among Secondary School Adolescents in Kagoro, Kaduna State, Nigeria(World Journal of Research and Review (WJRR), 2017-07-02) Bassi, A.P.; Ogundeko, T.O.; Ramyil, M.S.C.; Abisoye-Ogunniyan, A.; Ogbole, E.A.; Thilza, S.A.; SuleUredo’, O.; Ante, E.B.; Baba, A.I.; Chimbuoyim, I.N.Despite the existing scanty data on patterns of drug abuse in specific groups in the Nigerian communities due to the tendency of changing patterns in illicit drug use with various alarming reports on same points to the need to constantly update information on the use of drugs among Nigerian adolescents. This was a cross sectional, descriptive study on the prevalence of substance use amongst adolescents. A total number of 400 Senior Secondary Schools 1,2,3 students from two selected schools in Kagoro Chiefdom of Kaura local government area in Kaduna State (Nigeria) were randomly administered with a pre-coded four sections (socio-demographic information, drug awareness and use, attitude of the students to drug abuse and practice of substance abuse). Out of a total of 400 respondents, which males constituted 75% and females 25% of substance users. 89.20% were aware of substance use and 10.80 % were not aware. Substances used were alcohol (52.58%), analgesics (33.7%), marijuana (2.59%), cigarette (1.72%), glue/solution (0.86%) and other local substances (8.62%) respectively. Family setting of respondents taking substance (66.6%:5.95%:27.4%) from monogamous, polygamous and extended families respectively. Factors responsible for engagement in substance use was curiosity 38.10%, peer pressure 19.05%, depression 7.14%, energy for work 4.76%, home problems 1.19%, festivities aura 11.90% beliefs 5.96%, others 11.90%. 58.3% of respondents were introduced to substance use by friends, while 25% were introduced by their family members. Curiosity and peer pressure which is a characteristic of this age group are the major reasons for indulgence in substance use as well the ease at obtaining substances. Family also plays a role.