Browsing by Author "Deneke Andualem"

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    Bacteriuria, Candiduria And Antimicrobial Resistance Patterns Among Hemodialysis Patients at Selected Dialysis Centers, Addis Ababa, Ethiopia
    (Addis Ababa University, 2017-06) Seboka Tesfaye; Deneke Andualem
    Background: Hemodialysis patients are uniquely vulnerable for urinary tract infections at ratesof 3 to 4 times than the general population. It is mostly associated with increased rate ofcomplications due to often subclinical presentations and it is an important cause of morbidity andmortality among this group of patients. Objective: To determine the prevalence of bacteriuria, candiduria and antimicrobial resistancepattern among hemodialysis patients at selected dialysis centers, Addis Ababa, Ethiopia. Method: A cross sectional study was conducted from January to May 2017 at selected dialysiscenters, Addis Ababa, Ethiopia. A total of 222 hemodialysis patients were included. Urinesamples were collected and cultured on Blood agar and MacConkey agar for bacterial and onSabroud dextrose agar for Candida ssp. isolation. All culture positive samples were characterizedby colony morphology, gram stain and biochemical tests using the standard procedure. Candidaspp. was identified by germ tube technique. Antimicrobial susceptibility testing was performedfor bacterial isolates using Kirby-Bauer method. Data was analyzed using SPSS version 20. Result: The overall prevalence bacteria was 27.5% (n=61/222) and the predominant bacteriaisolated were E coli 37.7% (n=23/61) and K. oxytoca 23% (n=14/61). S. aureus 4.9% (n=3/61)was the only gram positive isolate. The prevalence of candiduria was 2.7% (n=6/222) in whichCandida albicans accounted 66.7% (n=4/6) while non- albicans were 33.3% (n=2/6). Multidrugresistance level was recorded 100% (n=61/61) for both Gram positive and Gram negativebacteria. Gram negative isolates were highly resistant to Ampicillin (88.5%), amoxicillin-clavulanic (82%) and chloramphenicol (82%). All isolated S. aureus were methicillin resistant. Conclusion: Assessing hemodialysis patients for bacterial UTIs at regular period is necessary forminimizing the possible occurrence of morbidity and/or mortality due to the infections.Isolations of Candida species from hemodialysis patients were significant in number. Thepossible choices of antibiotic options for treatment of urinary tract infections are few due to widescale resistance to commonly used antibiotics. To prevent further emergence and spread of MDRbacteria rational use of antibiotics and regular monitoring of antimicrobial resistance patterns isessential. Key terms: Bacteria, Candida, antimicrobial resistance, hemodialysis, Addis Ababa, Ethiopia
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    The Learning and Practice of Surgical Residents on Whole Person Care: The Issue of Counseling.
    (Addis Ababa University, 2016) Deneke Andualem; Kuper Ayelet
    Studies have shown that the perceived cleanliness of hospitals, the perceived empathy, experience and ability of health care workers, consultation duration, as well as educational status and occupation of patients are uniquedeterminants of patient satisfaction in health institutions in Ethiopia1,2However, a study at Tikur Anbessa Specialized hospital identified a significant deficiency of communication skills among all categories of physicians in the hospital.