Trends, demographic features and mortality of admissions to the Infectious Department, 2nd March Teaching Hospital, Sebha, South Libya.
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Date
2007
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Sebha University
Abstract
Objective: To study the trends and demographic features of admissions to the infectious department, 2nd March Hospital and to assess the impact of HIV on the trend of the admissions and mortality.
Materials and Methods: Hospital based retrospective analysis of files of patients admitted to infectious department 2nd March Hospital during the period from 1st July 2004 to 30th of June 2005. The files were analyzed regarding diagnosis, age, sex, residence, nationality, and mortality.
Results: Total number of the admissions was 310 cases. Children of 15 year and less were 79 cases represented (25.5%) and M:F ratio was 1.2:1. Non Libyan patients were (8.4%). The mortality rate was (4.8%), HIV cases accounted for (66.6%) of deaths. Vaccine preventable diseases represented (29.3%). Measles was (14.5%), hepatitis B (9.6%), tetanus (0.06%), mumps (0.03%) and pulmonary tuberculosis (5.8%). The main causes of admission were acute gastroenteritis, 75 cases (24.2%), hepatitis 67 cases (21.6%), HIV 50 cases (16.1%), and measles 46 cases (14.5%). Some areas were noticed to be the main sources of certain diseases, measles from Hi-Alkarama, hepatitis and HIV cases from Al-Manshia.
Conclusion: As there are a large number of cases admitted because of vaccine preventable diseases, provable high vaccination coverage and effective epidemiological control are necessary. The commonest cause of death was HIV. This emphasizes the need for early identification and treatment of HIV cases, probably by early screening tests. Some areas need more health promotion as they are the main sources of some health problems and diseases.