dc.contributor.author | Mbonye-Girasi, Ben | |
dc.date.accessioned | 2013-05-24T08:37:44Z | |
dc.date.available | 2013-05-24T08:37:44Z | |
dc.date.issued | 1981 | |
dc.identifier.citation | Masters of Medicine (Surgery) | en |
dc.identifier.uri | http://erepository.uonbi.ac.ke:8080/xmlui/handle/11295/25243 | |
dc.description.abstract | A retrospective study comprising of 101 patients
seen between 1st January, 1976 and 31st December 1980
was carried out. The data was obtained from the Orthopaedic
Unit, Kabete which deals with all the orthopaedic
problems at the Kenyatta National Hospital and is also
a referral Unit for all the orthopaedic conditions which
cannot be dealt with in the peripheral hospitals.
It was found that most of the patients presented
late and hence subsequent complications of acute osteomyelitis
going into its chronic stage cannot be prevented
by energetic medical treatment. Therefore, most of the
cases dealt with were either in subacute or chronic stage
with all sorts of possible complications.
The commonest organisms responsible for the disease
was found to be staphylococcus aureus which was resistant
to penicillin and ampicillin. However, septrin was
found to be effective for both the staphylococci aureus
and the Gram negative organisms which were isolated in
some cases. It was therefore thought to be an appropriate
drug for blanket cover before sensitivity results could
be achieved.
The management had no definite protocol and
antibiotic administration due to shortage of drugs was
poorly monitored.
Recommendations were therefore made to the department
to establish a protocol involving an aggressive
approach to the management of this disease and to
standardise the management for future guidance of younger
doctors. | en |
dc.language.iso | en | en |
dc.publisher | University of Nairobi | en |
dc.title | Mode of presentation and end results of management of haematogenous osteomyelitis at the orthopaedic unit Kenyatta National Hospital over a five year period | en |
dc.type | Thesis | en |
dc.description.department | a
Department of Psychiatry, University of Nairobi, ; bDepartment of Mental Health, School of Medicine,
Moi University, Eldoret, Kenya | |
local.publisher | School of Medicine | en |