E a s t a f r i c a n M E d i c a l J o u r n a l 269 most, of which are odontogenic in origin (1,2). While there is a uniform consensus to surgery as the cornerstone for the treatment of tumours and carcinomas (1,3) with radiotherapy indicated 6.5%, Prevotella melaninogenica 3.2%, Clostridium perfringens 3.2%). mixed aerobic and anaerobic aetiology occurred more in osteosarcoma and fibrosarcoma. Clostridium perfringens was isolated from a case of osteosarcoma with necrotic tissues. the anaerobic bacteria were 100% sensitive to metronidazole, ciprofloxacin and augmentin, 65-85% sensitivity to ampicloxacillin, amoxicillin and erythromycin. over 92% of the streptococci were sensitive to the β-lactams contrast low susceptibility with s. aureus and K. pneumoniae. Conclusion: Interruption of healthcare service was the sole factor identified in the development of sepsis as the patients could not be monitored to ensure compliance to prescription.
Objective:To determine the prevalence of undiagnosed HIV infection among patients attending the Dental Clinic of General Hospital Minna, Niger State, Nigeria.Materials and Methods:The study was a prospective study of 1080 dental patients of General Hospital Minna.Results:Out of the 1080 patients counseled, only 200 gave consent to participate in the study. Of the 200 participants, 8 tested positive for HIV, giving a prevalence of 4.0%. Females and participants in the sixth and fifth decades of life were found to have higher prevalence of undiagnosed HIV. Corpers and traders had higher prevalence of undiagnosed HIV. Participants with periodontal complaints (bleeding gums and shaking teeth) also had higher prevalence of undiagnosed HIV. The proportion of participants that reported having knowledge about the actual existence, risk factors, and prevention of HIV/AIDS was high. The proportion of participants who expressed willingness to receive more information on HIV-related issues was high.Conclusion:One out of 25 patients attending this secondary healthcare setting for dental services had undiagnosed HIV infection. This highlights the need for the establishment of voluntary counseling and testing (VCT) unit in the dental clinics and also re-emphasizes the strict compliance of standard precaution in dental practices.
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