Screeining of hepatitis "B" and "C" in hemodialysis unit in Al-Thawra general modern hospital, Sana'a 2005

To evaluate the prevalence of hepatitis B and C infection among hemodialysis unit patients and staff. Furthermore, to study the characteristic of patients and risk factors to exposure. Cross-sectional descriptive study of 123 patients in hemodialysis unit of Al-Thawra General Modern Hospital and 20 staff of this unite in the period starting from February 2005 till the end of October 2005. The ratio of men to women in this study was 2:1, while men to women ratio who got infection was 2.2:1. The mean age was 39 years with high incidence in the age group of 30-50 years. Thirty nine percent of the patients were positive for hepatitis C virus antibodies, while 8% were positive for hepatitis B surface antigen, and 17% were positive for both. Thirty eight percent of the patients were in active stage have raised [SGPT] enzyme as a marker. The percentage among staff members in this department was 15%. All of them were positive for hepatitis B surface antigen [two doctors and a nurse], non were positive for hepatitis C virus antibodies. This study showed that hemodialysis is a risk factor for contracting viral hepatitis with increase in the frequency of exposure and duration of the dialysis. There were other risk factors like blood transfusion, injections, level of education, exposure to surgery, but with lesser risk than hemodialysis per se. Increase percentage of infection with hepatitis C by 10 folds and double that one with hepatitis B of the general population. Reevaluation of regulations and rules must be reconsidered. Staff must be well-trained and educated about measures to avoid infection and to be vaccinated against hepatitis B infection

Load and pattern of patients visiting general emergency Al-Thawra hospital, Sana'a

This study aimed to determine the load on General Emergency Department [GED], pattern of admission into Al-Thawra General Modern Hospital [GMH] on 1998 and 1998. Retrospective study of the medical records of Al-Thawra GMH for the two years 1998 and 1999. 58570 patients sought medical advice in GED of Al-Thawra GMH in 1998, of them 24420 [45%] were admitted to different departments. While 65235 sought medical advice to GED in 1999, of them 14510 [22%] were admitted into the hospital. The average number of admission in 1998 was 67.8 patients per day. While -average admission in 1999 were 40.3 patients per day. Admission into obstetric ward topped the list [45%] with normal delivery as the leading cause of admission into this ward. Admission to medical ward was the second [14%] with acute MI and CVA as the commonest cause of admission to the same ward. Admission to surgical ward was the third [10%] with acute abdomen as the leading cause of admission. The rate of admission to the above department respectively was 4.5: 1.4: 1. There was a heavy load on GED of Al-Thawra GMH on 1998 and 1999 with variety of diseases, but with decrease of admission services. So, reevaluation and planning of health services of Sana'a and Yemen is m and atory.