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An epidemiological study of lower respiratory tract infections in Harare, Zimbabwe

Thesis (MSc)--Stellenbosch University, 2016.

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Bibliographic Details
Main Author: Mapondera, Prichard Tawanda
Other Authors: Whitelaw, Andrew Christopher
Format: Thesis
Language:en_ZA
Published: Stellenbosch : Stellenbosch University 2016
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access_status_str Open Access
author Mapondera, Prichard Tawanda
author2 Whitelaw, Andrew Christopher
author_browse Mapondera, Prichard Tawanda
Whitelaw, Andrew Christopher
author_facet Whitelaw, Andrew Christopher
Mapondera, Prichard Tawanda
author_sort Mapondera, Prichard Tawanda
collection Thesis
dc_rights_str_mv Stellenbosch University
description Thesis (MSc)--Stellenbosch University, 2016.
format Thesis
id oai:scholar.sun.ac.za:10019.1/100276
institution Stellenbosch University (South Africa)
language en_ZA
last_indexed 2026-06-10T12:44:53.996Z
license_str Other — see source repository
provenance_str_mv Harvested via OAI-PMH from SUNScholar — Stellenbosch University Repository
publishDate 2016
publishDateRange 2016
publishDateSort 2016
publisher Stellenbosch : Stellenbosch University
publisherStr Stellenbosch : Stellenbosch University
record_format dspace
source_str SUNScholar — Stellenbosch University Repository
spelling oai:scholar.sun.ac.za:10019.1/100276 An epidemiological study of lower respiratory tract infections in Harare, Zimbabwe Mapondera, Prichard Tawanda Whitelaw, Andrew Christopher Myles, Puja R. Stellenbosch University. Faculty of Medicine and Health Sciences. Dept. of Interdisciplinary Health Sciences. Community Health Harare (Zimbabwe) Diseases -- Causes and theories of causation Respiratory infections Epidemiology Lungs -- Diseases -- Patients – Mortality UCTD Thesis (MSc)--Stellenbosch University, 2016. ENGLISH SUMMARY : Background: Lower respiratory tract infections (LRTI) are a leading cause of mortality and morbidity in all age-groups. In Zimbabwe, few epidemiological studies have mapped the aetiology and distribution of LRTIs as well as risk factors for LRTI-related mortality. Understanding the epidemiological profile of LRTIs is important in many ways. The aim of this study was to describe the aetiology and clinical aspects of LRTIs in patients reporting to a referral hospital in Harare, Zimbabwe. Methods: The study was a cross-sectional survey of 103 patients who had microbiology reports associated with a clinical diagnosis of LRTI at the Harare Central Hospital during 2014. The records showed bacterial cultures were done on the majority of adult samples while most children samples were sent for viral testing. The record books had a lot of missing data. Results: Enterobacteriaceae were the most frequently isolated organisms in the laboratory (11.7%). Pneumonia (45.6%) and influenza (44%) were the most prevalent acute respiratory illnesses in the study. HIV infection and underlying cardiovascular disease were significant risk factors for mortality with odds ratio of 4.78, p= 0.016 and 4.42, p= 0.0028 respectively. Conclusion: Enterobacteriaceae were the most common isolates from patients with LRTI; with respiratory syncytial virus associated LRTIs being most common among children under 5. Being HIV positive and having cardiovascular disease is a strong predictor of death in patients with LRTIs. The amount of missing data also emphasized the importance of robust data management systems in hospitals to better inform epidemiological studies. AFRIKAANSE OPSOMMING : Geen opsomming beskikbaar. 2016-12-22T13:35:06Z 2016-12-22T13:35:06Z 2016-12 Thesis http://hdl.handle.net/10019.1/100276 en_ZA Stellenbosch University 28 pages ; includes annexures application/pdf Stellenbosch : Stellenbosch University
spellingShingle Harare (Zimbabwe)
Diseases -- Causes and theories of causation
Respiratory infections
Epidemiology
Lungs -- Diseases -- Patients – Mortality
UCTD
Mapondera, Prichard Tawanda
An epidemiological study of lower respiratory tract infections in Harare, Zimbabwe
title An epidemiological study of lower respiratory tract infections in Harare, Zimbabwe
title_full An epidemiological study of lower respiratory tract infections in Harare, Zimbabwe
title_fullStr An epidemiological study of lower respiratory tract infections in Harare, Zimbabwe
title_full_unstemmed An epidemiological study of lower respiratory tract infections in Harare, Zimbabwe
title_short An epidemiological study of lower respiratory tract infections in Harare, Zimbabwe
title_sort epidemiological study of lower respiratory tract infections in harare zimbabwe
topic Harare (Zimbabwe)
Diseases -- Causes and theories of causation
Respiratory infections
Epidemiology
Lungs -- Diseases -- Patients – Mortality
UCTD
url http://hdl.handle.net/10019.1/100276
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