Outcome of cholera admissions in Bauchi, Nigeria

Type Journal Article - Southern African Journal of Epidemiology and Infection
Title Outcome of cholera admissions in Bauchi, Nigeria
Author(s)
Volume 28
Issue 3
Publication (Day/Month/Year) 2013
Page numbers 143-146
URL http://www.tandfonline.com/doi/pdf/10.1080/10158782.2013.11441536
Abstract
In 2007, the World Health Organization Regional Committee for Africa officially noted the resurgence of cholera in the Africa
subregion, and called for strengthening of policies on water supply and sanitation. We study the mortality profile of patients
admitted for cholera and factors associated with adverse outcomes. Records of patients admitted with cholera between
1 November 2010 and 31 October 2011 were studied. Patients’ age, sex, duration of symptoms before hospitalisation, duration
of hospitalisation, and outcome after hospitalisation, were noted. One thousand, two hundred and twenty cholera cases were
admitted during the study period, accounting for 39.3% of 3 108 admissions to the medical wards. Of the 1 220 managed cases
of cholera, 38 died, providing a case fatality of 3.1%. The mean age of the non-survivors (42.3 ± 16.2) was higher (p-value
= 0.01) than that of the survivors (34.9 ± 15.1). Similarly, the mean duration of symptoms before hospitalisation, and duration
of hospitalisation, was higher in non-survivors than it was in survivors (p-value 0.001, 0.001 respectively). The mortality profile
in women was better than it was in men (p-value = 0.02). Case fatality was high in managed patients with cholera because of
their late presentation to the hospital. There is a need to increase personal hygiene and environmental sanitation campaigns in
urban and rural areas.

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