Assessment of empirical antibiotic therapy in a tertiary-care hospital: An observational descriptive study

Gk, Antony; Jp, Manjaly; Mukhtar, Lenah; Jp, Alva

doi:10.9790/0853-150906118124

Cited by 1 publication

(1 citation statement)

References 11 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Various authors have studied the referral pattern of obstetric referrals in tertiary hospitals. According to Shikha et al, [9] only 11.4% of obstetric patients were referred to SMGS Hospital, Jammu. Another report by Vandhana et al [10] reported that of the 18,245 obstetric admissions during the study period, approximately 14,500 patients were referred, accounting for 80% of all admissions.…”

Section: Introductionmentioning

confidence: 99%

Pattern of Referral of Obstetric Patients at a Tertiary Care Hospital in Southern Nigeria

John,

Alegbeleye

2024

ARSci

View full text Add to dashboard Cite

Background: Health challenges that are difficult to manage at primary health centres should be referred to secondary health facilities, and if untreated, to the tertiary hospitals. A good referral should include the patient's biography, such as age, gender, tribe, religion, occupation, medical history, the reason for the referral, treatments received, and clinical diagnosis. Objectives: To evaluate the referral patterns, indications for referrals, and feto-maternal outcomes for obstetric patients who were referred to the University of Port Harcourt Teaching Hospital. Materials and Methods: A prospective study of patients admitted to the Obstetric unit from January 1, 2021, to December 31, 2022. Data was collected from patients while on admission or clinic visits and recorded in an excel spread sheet. Data was analyzed with the Statistical Package for Social Sciences (SPSS) version 25. Results: Of the 3469 patients were admitted to the obstetric unit, 1476 and 1993 were admitted in 2021 and 2022, respectively. Most (70.35%) of the patients were in the 20-34 years age group, parity 1-4 was the most frequent (66.49%), while 85.39% of patients were booked. 10.46% of the booked patients were referred from other facilities, whereas 89.54% of patients were booked at our facility from the onset. Most common indications of referrals were previous caesarean section (CS) at term (40.09%) and hypertensive disorders of pregnancy (17.59%). The outcome for 2021 indicated 17 maternal deaths, 132 fetal deaths and 1010 live births, giving maternal mortality ratio (MMR) as 1810.44 per 100,000 live births and perinatal mortality ratio (PMR) of 130.7 per 1000 births respectively. In 2022, there were 17 maternal deaths, 130 fetal deaths and 1297 deliveries, giving a MMR of 1399 per 100,000 live births and a PMR of 100.2 per 1000 births. Conclusion: The pattern of referral among obstetric patients in this study shows that a lot of the patients do not get adequate care at the lower cadre of the referral system, hence adequate facilities should be made available in primary and secondary health centres to tackle obstetric emergencies.

show abstract

Section: Introductionmentioning

confidence: 99%