2020
DOI: 10.1007/s00381-020-04506-9
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A perspective in the management of myelomeningocoele in the KwaZulu-Natal Province of South Africa

Abstract: Background Myelomeningocoele (MMC) is common in the developing world. The purpose of this study was to investigate the clinical characteristics and management of myelomeningocoele and to identify factors contributing to outcomes. Methods This was a retrospective, observational study of consecutive children diagnosed with MMC managed in the Paediatric Neurosurgery Unit at Inkosi Albert Luthuli Central Hospital. Multiple logistic regression analysis identified clinical characteristics, demographics and surgical … Show more

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Cited by 8 publications
(3 citation statements)
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“…9 The use of personal protective equipment (PPE), intensity of animal contact, gender, age, awareness, and smoking have been reported to be associated with the spread of MRSA, the among slaughterhouse workers. [10][11][12][13] There are several studies conducted to address MRSA in Tanzania. They looked at patients attending regional hospitals, 14,15 MRSA contamination and distribution in patient's care environment, 16 health care workers in tertiary and regional hospitals.…”
Section: Methodsmentioning
confidence: 99%
“…9 The use of personal protective equipment (PPE), intensity of animal contact, gender, age, awareness, and smoking have been reported to be associated with the spread of MRSA, the among slaughterhouse workers. [10][11][12][13] There are several studies conducted to address MRSA in Tanzania. They looked at patients attending regional hospitals, 14,15 MRSA contamination and distribution in patient's care environment, 16 health care workers in tertiary and regional hospitals.…”
Section: Methodsmentioning
confidence: 99%
“…In LMICs, the incidence of MMC-associated hydrocephalus is high and can affect as many as 75% of cases (11, 12). Times to diagnoses and treatment are often delayed in these settings and, if treatment is not promptly initiated, most patients do not survive beyond infancy (4).…”
Section: Introductionmentioning
confidence: 99%
“…MMC affects 1 in every thousand births in the world ( 3 ) and 1.9 for every 10,000 live births in Brazil ( 4 ) , which can be identified throughout the vertebral extension, with prevalence in the lumbar, lumbosacral and sacral regions ( 2 , 5 ) . This location of the lesion is related to the extent of paralysis, sphincter dysfunction and orthopedic deficiencies ( 5 ) , as well as intracranial abnormalities, such as hydrocephalus, present in 80% of the MMC cases ( 2 ) .…”
Section: Introductionmentioning
confidence: 99%