Knowledge of Hepatitis B Vaccine and Vaccination Status of Theatre Personnel at ATBUTH, Bauchi.

BACKGROUND: Hepatitis B virus infection affects millions of people worldwide and is transmitted vertically and through contact with infected blood or body fluids. Frontline Healthcare workers are at increased risk of contracting HBV infection and the HBV vaccine is a crucial preventive measure recommended by WHO to safeguard healthcare workers. OBJECTIVES: To investigate the awareness and knowledge of hepatitis B virus infection, to evaluate current vaccination status among theatre personnel, and to identify factors influencing vaccine uptake. METHODOLOGY: This is a cross-sectional study conducted among 85 theatre personnel of ATBUTH Bauchi. Convenience sampling method was used to select participants, each participant gave consent to participate in this study. A structured questionnaire was used to collect data, which was analysed using SPSS version 25. RESULT: Hepatitis B virus vaccine is safe according to 85% of respondents, 92% agreed that they would recommend the vaccine to other surgical staff and that it should be given as part of workplace safety. However, only 33% of respondents had completed their vaccination, while 31% had not started. The main reasons given for not being vaccinated were because they had no time to attend and did not know about the vaccine or did not have enough information regarding it. CONCLUSION: The majority of study respondents were aware of and had a good knowledge of HBV and its' vaccine. However, vaccination status is very low among theatre personnel of ATBUTH Bauchi. Healthcare workers should be enlightened about the benefits of the HBV vaccine.

CONTEXTE: L'infection par le virus de l'hépatite B affecte des millions de personnes dans le monde et est transmise verticalement et par contact avec du sang infecté ou des liquides biologiques infectés. Les travailleurs de la santé de première ligne sont plus susceptibles de contracter une infection par le VHB et le vaccin contre le VHB est une mesure préventive cruciale recommandée par l'OMS pour protéger les travailleurs de la santé. OBJECTIFS: Enquêter sur la sensibilisation et les connaissances de l'infection par le virus de l'hépatite B, évaluer le statut de vaccination actuel parmi le personnel du théâtre, et identifier les facteurs influençant l'acceptation du vaccin. MÉTHODOLOGIE: Il s'agit d'une étude transversale menée auprès de 85 membres du personnel du théâtre de l'ATBUTH Bauchi. La méthode d'échantillonnage de convenance a été utilisée pour sélectionner les participants, chaque participant ayant donné son consentement pour participer à cette étude. Un questionnaire structuré a été utilisé pour collecter les données, qui ont été analysées à l'aide du logiciel SPSS version 25. RÉSULTAT: Selon 85 % des répondants, le vaccin contre le virus de l'hépatite B est sûr, 92 % ont convenu qu'ils recommanderaient le vaccin à d'autres membres du personnel chirurgical et qu'il devrait être administré dans le cadre de la sécurité au travail. Cependant, seuls 33 % des répondants avaient terminé leur vaccination, tandis que 31 % n'avaient pas commencé. Les principales raisons données pour ne pas être vaccinées étaient qu'elles n'avaient pas le temps d'assister et ne connaissaient pas le vaccin ou n'avaient pas suffisamment d'informations à ce sujet. CONCLUSION: La majorité des répondants de l'étude étaient conscients et avaient une bonne connaissance du VHB et de son vaccin. Cependant, le statut de vaccination est très faible parmi le personnel du théâtre de l'ATBUTH Bauchi. Les travailleurs de la santé devraient être informés des avantages du vaccin contre le VHB. MOTS-CLÉS: Hépatite B, Statut de vaccination, Personnel du théâtre, Bauchi.

Traumatic Intracranial Aerocele With Progressive Blindness - A case report.

BACKGROUND: Traumatic intracranial aerocele, also known as pneumocephalus, is an uncommon condition that may be asymptomatic or may present with progressive neurological deficits and life threatening conditions that demand urgent decompressive craniotomy to reduce the acute rise in intracranial pressure and the sequelae. AIMS & OBJECTIVES: A high degree of suspicion and continuous neurological monitoring are essential for the early detection and the prompt neurosurgical intervention demanded for the achievement of a good outcome in patients following traumatic acute severe head injury with life threatening neurological complications. METHOD: Presentation of a young motorcyclist who was not wearing a crash helmet and was involved in a road traffic accident in which he sustained a compound cranio-facial injury with loss of consciousness and symptomatic intracranial aerocele. RESULTS: The case of a 28-year old motorcyclist without a helmet, following a road traffic accident, sustained compound skull fracture with CSF rhinorrhea, ventricular aerocele and progressive blindness who recovered his vision fully following bitemporal decompressive craniotomy. CONCLUSION: A high index of suspicion enabled early detection and prompt decompressive craniotomy that stemmed the progressive loss of vision in this patient with an uncommon but symptomatic intracranial aerocele and cranio-facial compound head injury.

Fracture of the penis. A report of two cases.

We present two cases of fracture of the penis in two young men at the extremes of the social strata the first an unemployed tailor while the other a practicing engineer. The first one was a bachelor while the other was married with children. In the first case, the fracture occurred during masturbation while in the second case it occurred during consensual intercourse with his wife on top. In the first case the fracture occurred at the base of the penis with associated rupture of the deep dorsal vein while in the second case it affected the mid-shaft with urethral rupture and blood at the tip of the penis at presentation. Both of them presented within two hours of their injuries with deformed, swollen and tender penis. Laubscher's subcoronal sleeve operation with evacuation of clots and repair of the tear with absorbable sutures to ensure a leak-proof repair was promptly performed with no complications. Both patients experienced spontaneous erection whilst in hospital even with indwelling catheter in place. The wife of the second case became pregnant six months after the repair. Counseling was successful with the engineer but was unsuccessful with the tailor-bachelor who continued with masturbation despite professional help. Though we published the first case of fracture of the penis in this centre almost a decade ago, we still found it necessary to report these new cases managed after we created awareness of this uncommon condition in our environment in order to highlight the presentations and the factors that influenced outcome.

The management of prostatic haematuria.

BACKGROUND: Prostatic haematuria is a common clinical problem. In this report, we have reviewed the incidence, precipitating/co morbid factors, treatment and outcome of haematuria in patients with benign prostatic hyperplasia and prostate cancer METHODS: A two year prospective review of 37 patients who presented with haematuria associated with benign prostatic hyperplasia and prostate cancer Each patient had full clinical assessment, including any associated precipitating or co morbid factors. All patients had urethral catheterization; and cystoscopy to exclude bladder tumours or bladder stones. Subsequent management depended on severity of bleeding; and consisted of one of the following: observation only, irrigation only, irrigation and blood transfusion and emergency prostatectomy. Upon stabilization, the definitive treatment in each patient was based on primary pathology. RESULTS: A total of 134 patients who had either benign prostatic hyperplasia or prostate cancer were treated. Thirty seven (27.6%) patients presented with haematuria. The incidences of haematuria in benign prostatic hyperplasia and prostate cancer were 26.7% and 29.2% respectively. Haematuria was precipitated in 17 (45.9%) patients; while nine (24.3%) patients had 12 associated co morbidities. Seventeen (45.9%) patients had blood transfusion. A total of 34 (91.8%) patients were managed conservatively. There were four (10.8%) deaths. CONCLUSION: Prostatic haematuria is a common urologic challenge. In most cases conservative management is the key In the absence of modern facilities, emergency open prostatectomy may be needed to control bleeding, in those in whom conservative approach has failed; or when specifically indicated based on the individual patient or as dictated by other local factors.