Browsing by Author "Nahla Ahmed Mohammed Abdelrahman"

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    Efficiency of Actolind Solution in Reduction of Jugular Catheter Site Infection in Sudanese Patients with End Stage Renal Disease
    (جامعة الشيخ عبدالله البدري, 2022-06-07) Areeg Salih Abdel Aziz Ahmed; Sahar Muddather Mohammed; Abdel Wahid Ali Abdel Wahid Mohamed; Gwahir Ebrahim Osman IbnIdriss; Nahla Ahmed Mohammed Abdelrahman; Mohammed Ahmed Ibrahim Ahmed; Mosab Nouraldein Mohammed Hamad
    Abstract: Background: Hemodialysis (HD) is the most extensively used dialysis method globally, and it necessitates vascular access. Arteriovenous fistulas (AVF), arteriovenous grafts, and central venous catheters (CVC), which can be tunneled or not, are all methods for gaining access. Vascular access is a major risk factor for bacteremia, hospitalization, and mortality among HD patients. The efficacy of Actolind solution in suppressing jugular catheter infection sites in patients with positive jugular catheter culture swab was investigated, as well as the efficiency of Actolind solution opposed to iodine. Methodology: This was a prospective, randomized, comparable efficacy clinical trial completed at the renal unit of the Port Sudan teaching hospital's renal dialysis center. The patient group was recruited from across the Red Sea State. A retrospective study of 50 End Stage Renal Disease (ESRD) patients who were either on upkeep HD or were scheduled to receive a kidney transplant as soon as possible. Sociodemographics, comorbidities, and microbiological growth outcomes were gathered prior to and after the interventional procedure. Results: According to the results, the male to female ratio was 4:1. There were 39 males and 11 females. All of the patients had ESRD, with 10 of them being hypertensive and diabetic, 34 being diabetic solely, and 16 being hypertension exclusively. Gram positive bacteria, gram negative bacteria, and yeasts constituted 32 (64%), 20 (40%), and 6 (12%) of the cultivars, respectively. Seven patients out of fifty had mixed infections (14%). Forty-one wound swab results after intervention were negative, while nine patients had persistent infection confirmed by positive cultures. Conclusion: Removal of CVC due to infection or catheter malfunction occurred less often with Actolind-based lock solutions. We present the prospective comparing Actolind - and iodine -based lock solutions yet. However, due to the retrospective observational nature of this study, conclusions with regard to superiority should be considering.
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    Incidence of Dengue Infection among Febrile Patients in Port Sudan
    (جامعة الشيخ عبدالله البدري, 2021-04-26) AreegSalih Abdel Aziz Ahmed; Tahani Bashir Mohammeddeen Ahmed; Mohammed Ahmed Ibrahim Ahmed; ElSheikh Mahgoub Gaafar; Nahla Ahmed Mohammed Abdelrahman; Nassreldeen Khalid Abdelrahman Adam; MosabNouraldein Mohammed Hamad; Dalal Salih Abdel-aziz; Marawa Ahmed Mohammed AbdErahman
    ABSTRACT Objective: Aiming to detect dengue virus antibodies in clinically suspicious patients’ serum, contributing to clinical and laboratory advancements in dengue infection management, exploring the association between a clinico-laboratory makeup and Dengue fever, and enhancing the capacity to anticipate, diagnose, and respond to dengue infection. Methods: At Port Sudan 2015, a descriptive cross-sectional hospital-based study was implemented. Six tertiary care hospitals in Port Sudan were included in the report. Patients who attended assigned hospitals with a suspected dengue infection were investigated. Individuals who are at least 9 months old, residency in study area for at least 7 days, pyrexia with unspecified cause for 2-7 days, thrombocytopenia in malaria negative blood film, as well as ages of 9 months and older considerably involved. Gender, age, residency, and clinical symptoms were used as independent variables while dengue patients posing as the dependent variable. Sample size approximation was created based on previous African community studies. To target respondents, a randomized cluster model was used. Information was gathered through direct interview, as well as questionnaire after signed a consent form. 5ml of venous blood withdraw by a professional nurse from each respondent, then examined for hematological indicators of dengue fever using Sysmex XP-300 Automated Hematology Analyzerand dengue specific IgM antibodies using Panbio® Dengue IgM Capture ELISA. Entering data and analysis of the volunteers’ characteristics, the Statistical Package for Social Sciences program (SPSS Inc., Chicago, IL, USA) version 20 was used. Incredibly simple descriptive statistics were used to analyze the laboratory results of the Dengue indicators as well as risk factors. Results: The study involved 83 cases out of 110 that were tested by ELISA at different hospitals in Port Sudan and determined to be diagnosed with the dengue virus.The incidence rate among febrile patients was 75% (68 cases), with DF documented in 80 cases (96%) and DHF in three scenarios (4%). higher prevalence within the (21-30) age category 50/110. (45%).High occurrence rate during July (63 cases) (57%). Fever was the most noticeable clinical feature 79/83(95%, more evident hematological indicators included thrombocytopenia and leucopenia (88%) 97 out of 110 (71%) 78/110 in each event. Most of study subjects were unaware regarding risk factors with exception of transmission mode. Conclusions: Study reported high incidence among suspected febrile participants. Most of patients presented as DF, with greater occurrence among reproductive age group and during July.Thrombocytopenia and leucopenia were more prominent clinical manifestations.With the exception of the mode of transmission, the majority of study respondents were unaware of the risk factors.
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    Patterns of Presentation and Management of Differentiated Thyroid Cancer at the National Cancer Institute - Central Sudan
    (جامعة الشيخ عبدالله البدري, 2021-09-10) Ahmed Mahjoub Awad Ali; Mohamed Nasreldin Mohamed; Mohamed Soud Mohamed Saadeldien; Mohammed Ahmed Ibrahim Ahmed; Nahla Ahmed Mohammed Abdelrahman; Nassreldeen Khalid Abdelrahman Adam; Mosab Nouraldein Mohammed Hamad; ElhajIdris Tibin
    Abstract: Background: Thyroid cancer is the second most common cause of mortality amongst endocrine malignancies, after ovarian cancer. Thyroid tumors that are differentiated account for around 95% of all thyroid malignancies. Thyroid cancer now outnumbers all other cancers in terms of occurrence. Objective: The study aimed to investigate the pattern of presentation and management of differentiated thyroid cancerat the National Cancer Institute in Wad Medani, Gezira State–Sudan. Methods: This is a retrospective descriptive hospital-based research that included all patients with differentiated thyroid carcinoma who presented to the National Cancer Institute Wad Medani between September 2016 and September 2020. The information is gathered using a standard structured data collection sheet and evaluated with SPSS for scientific class packaging for the social meaning of statistical packaging for social sciences version 24, USA. Results: Females 56 (76%) out of 74 patients with differentiated thyroid carcinoma at the National Cancer Institute Wad Medani had a male-to-female ratio of 1:3.2, and18 of them (24.3%) were in the 41-50 year age category. Sixty-nine (93.2%) of patients exhibited anterior neck swelling, whereas 15 (20.3%) reported shortness of breath. Sixty-six (89.2%) of patients had euthyroid status, and forty-nine (66.2%) had multinodular findings on ultrasonography, while the lateral compartment of lymph nodes was implicated in 8 (10.8 %) patients, the lateral and central compartments were engaged in 6 (8.1 %) patients, and the rest of the patients had no affected lymph nodes, 60 (81.1 %) had cold nodules on radioisotope scan, and 63 (85.1%) had cold nodules. Long-term goiter, which was reported in 20 of the research subjects, was the most prevalent risk factor (27 %).Papillary carcinoma is the most common histological form, accounting for 38.4% of all cases. Were 41(55%) with TNM stage-I. The scalp is the first site of metastases 6 (8.1%) in eighteen (24.3%) cases. The 38.4% of the patients had a total thyroidectomy, which was proceeded by radioactive iodine therapy in 47.4% of the cases. Conclusion: Early thyroid cancer identification is critical for effective management of differentiated thyroid carcinoma.
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    Prevalence of Bacterial Contamination on Mobile Phones of Medical Staff in Shendi Hospitals-Sudan
    (جامعة الشيخ عبدالله البدري, 2021-09-10) Neimat Osman Bashir; Marwa Mohamed Ali Gaid; Hiba Alla Mohammed Ahmed; Esraa Fateh Alrhman Abdaelqader; ManahiBalla Jomaa; SuhaAbdalmannan Badwi; Haghamad Allzain; Omran M. Ahmed; MazinBabekir Musa; Mohamed AhmedIbrahim Ahmed; Nahla Ahmed Mohammed Abdelrahman; Mosab Nouraldein Mohammed Hamad; Nassreldeen Khalid Abdelrahman
    Abstract: Back ground: The goal of this cross-sectional descriptive study was to isolate and identify several bacterial species in mobile phones among hospital staff at Almak Nimer University Hospital and Shendi Teaching Hospital in Shendi town, River Nile State, North of Sudan. Between December 2019 and November 2020, the research was carried out. Methodology: One hundred (100) swabs were randomly taken from the phones of male and female medical staff volunteers from Almak Nimer University Hospital and Shendi Teaching Hospital, Blood agar and MacConkey agar were used to grow the specimens. Finally, colonial morphology, gram stain, and biochemical tests were used to identify the isolated bacteria. Results: Eighty-seven (87) mobile phones were discovered to be cultured positive in the research (87 %). The isolated organisms were: S. aureus (28; 32%), Coagulase gram negative staphylococci (26; 30%), Bacillus spp (16; 18%), P. aeruginosa (7; 8%), K. pneumonia (5; 6%), E. coli (4; 4%) and Diphteroid (1; 1%). Laboratory technicians (93%) were the most likely to be contaminated, followed by nurses (88%), physicians (80%), and pharmacists (50%). In terms of gender contamination, females account for 87%, while males account for (86 %). Conclusion: The results of this study showed that medical staff's phones might be a source of nosocomial infection.