Evidence map›Paper›PMID 31324225›Full record

ArticleBMC infectious diseases2019

Cervicofacial necrotizing fasciitis among patients attending the Muhimbili National Hospital, Dar es Salaam, Tanzania.

Arnold A Mtenga, Boniphace M Kalyanyama, Sira S Owibingire, Karpal S Sohal, Elison N M Simon

Open access · goldAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in BMC infectious diseases, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
1.3field-weighted citation impact, top 18% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 14 citations in OpenAlex.

  1. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 2 institutions in 1 country.

Arnold A MtengaDepartment of Dental Services, Muhimbili National Hospital, Dar es Salaam, Tanzania.
Boniphace M KalyanyamaDepartment of oral and maxillofacial surgery, Muhimbili University of Health and Allied Sciences, P.O. Box 65014, Dar es Salaam, Tanzania.
Sira S OwibingireDepartment of oral and maxillofacial surgery, Muhimbili University of Health and Allied Sciences, P.O. Box 65014, Dar es Salaam, Tanzania.
Karpal S SohalDepartment of oral and maxillofacial surgery, Muhimbili University of Health and Allied Sciences, P.O. Box 65014, Dar es Salaam, Tanzania. karpal@live.com.ORCID http://orcid.org/0000-0001-5214-6843
Elison N M SimonDepartment of oral and maxillofacial surgery, Muhimbili University of Health and Allied Sciences, P.O. Box 65014, Dar es Salaam, Tanzania.
Muhimbili University of Health and Allied Sciences · TZMuhimbili National Hospital · TZ

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCervicofacial necrotizing fasciitis (NF) is a rare life-threatening infection in the head and neck region that characteristically spreads along the fascial planes to involve subcutaneous tissues, fascia and fat, however, in late stages it can involve muscles and skin. The aim of this study was to determine the occurrence of cervicofacial NF among patients attending treatment at the Muhimbili National Hospital (MNH).

methodsThis was a prospective descriptive cross-sectional hospital-based study which was carried at Muhimbili National Hospital (MNH) from May 2013 to April 2014. It included 42 patients with cervicofacial NF. They were interviewed for demographic information, chief complaints, symptoms, duration and treatment received before reporting at MNH. A thorough assessment of general health condition of the patients and laboratory investigations were followed by management according to MNH protocol. Data obtained from these patients were analyzed using Statistical Package for Social Sciences SPSS 20.

resultsDuring the study period, 151 patients reported at MNH with odontogenic infections. A total of 42 (27.8%) patients satisfied our diagnostic criteria for cervicofacial NF. The age range was 15 years to 83 years (mean 43.95, SD +/- 16.16). Greater (35.7%) proportion was in the age group of 30-39 years with 31 (73.8%) males and 11 (27.2%) females making a male to female ratio of 2.8:1. Fifteen (35.7%) patients had at least one co-existing systemic condition, which included anaemia in 5 (11.9%) patients, followed by diabetes mellitus (DM) and malnutrition 4 (9.5%) patients each and HIV infection 2 (4.8%) patients. Others were combination of; HIV infection and malnutrition, HIV infection and anaemia and diabetes mellitus and anaemia each in one (2.4%) patient. There was a mortality of 42.9% comprising of 14 (33.3%) males and 4 (9.6%) females.

conclusionsCervicofacial NF is a polymicrobial infection, requiring surgery, antibiotics and management of co-existing systemic conditions. Anaemia, diabetes mellitus and malnutrition were the main co-existing systemic conditions. The rather high mortality was mainly attributable to late reporting.

Indexed as

AdolescentAdultAgedAged, 80 and overAnemiaAnti-Bacterial AgentsCross-Sectional StudiesFasciitis, NecrotizingFemaleHIV-2HIV InfectionsHumansMaleMalnutritionMiddle AgedMortalityAnti-Bacterial AgentsCervicofacialNecrotizing fasciitisTanzania

Identifiers

PMID31324225
PMCPMC6642492
OpenAlexW2962996239

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.