Volume-7, Issue-10, October 2021

Abstract

Introduction: Helicobacter pylori (H pylori) are a ubiquitous organism that is present in about 50% of the global population. H pylori is the leading bacterial cause of both malignant and non-malignant gasrtoduodenal disease and can lead to other serious complications. Sudan is one of the developing countries in which there is high prevalence without available and enough data about current situation. The last statistics had been done by ministry of health in Khartoum state in 2019 revealed that about 16242 persons were infected with h pylori from all ages and both sexes. Poor knowledge and wrong attitude toward treatment and route of transmission among helicobacter pylori patients will increase the prevalence and its complications in our country. Since there are no previous studies about the knowledge and attitude towards treatment among Helicobacter pylori patients in Sudan, we conducted this study to assess the knowledge and attitude among Sudanese helicobacter pylori patients towards treatment. 

Methods: A descriptive cross sectional study was done with sample size equal to 284. The data was analyzed using SPSS. A score was developed to assess the overall level of knowledge that ranged from 0 to 23. 

Results: Most of population had good level of knowledge 192 (77%). Also, a score from 0 to 3 was used to assess the level of attitude among the participants. The majority was found to have a positive attitude 127 (77%).

Keywords: Helicobacter pylori, Knowledge, Attitude, Patients.

References

Keywords: Helicobacter pylori, Knowledge, Attitude, Patients.

Abstract

Aims and Objectives: Most of the studies published so far compare one or two out of the three clinical scores for assessing the severity of acute pancreatitis namely BISAP, Ranson and APACHE II scores with the Radiological Score of Modified Computed Tomography Severity Index. There is a paucity of studies that compare all three Clinical Scores with the Radiological Score of Modified Computed Tomography Severity Index. The aim of this study is to compare all three clinical scores with the radiological score mentioned above. 

Materials and Methods: This is a cross sectional study which was conducted in the Department of Medicine and Department of Radiology, ABVIMS and Dr. Ram Manohar Lohia Hospital, New Delhi. A total of 40 patients were studied from November 2018 to March 2020. Admitted patients who fit into the New Diagnostic Criteria of the Revised Atlanta Classification for acute pancreatitis were taken into the study after getting the informed consent signed. CECT abdomen was done during the hospital stay and modified CTSI score was calculated. Patients with BISAP score ≥ 3, Ranson score ≥ 3, APACHE II score ≥ 8 and modified CTSI ≥ 4 (4-6: moderately severe, 8-10: severe; Note that in modified CTSI score, the final scores are always in even number) were classified as severe acute pancreatitis. 

Results: The results of our study showed that the Modified CTSI score has the highest accuracy among the four scores in predicting severity of acute pancreatitis (AUC 0.969, P value <0.0001) which is statistically significant. Among the bedside scores namely APACHE II, Ranson and BISAP scores, the AUC was high in APACHE II score (AUC 0.750, P value 0.001) in comparison with Ranson score (AUC 0.688, P value <0.0001) and BISAP score (AUC 0.656, P value 0.0002).

Keywords: BISAP, Ranson, APACHE-II, Modified CTSI scores.

References

Keywords: BISAP, Ranson, APACHE-II, Modified CTSI scores.