Browsing by Author "Mugisha Rwenyonyi, Charles"
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Item Periodontal conditions, low birth weight and preterm birth among postpartum mothers in two tertiary health facilities in Uganda(BMC oral health, 2014) Muwazi, Louis; Mugisha Rwenyonyi, Charles; Nkamba, Moses; Kutesa, Annet; Kagawa, Mike; Mugyenyi, Godfrey; Kwizera, Godfrey; Okullo, IsaacLiterature reports have indicated an increase in research evidence suggesting association between periodontal disease and the risk of pre-term birth (PTB) and low birth weight (LBW). Periodontal diseases in Uganda have been documented as a public health problem, but their association to adverse pregnancy outcomes is unknown. This study was conducted to assess the association between periodontital diseases in postpartum mothers and PTB and LBW of babies in Mulago and Mbarara referral hospitals. Methods: This was a cross sectional study using medical records, clinical examination and oral interview of mothers at the two tertiary health facilities. Mothers with singleton babies from Mulago (n = 300) and Mbarara Hospital (n = 100) were recruited for the study. The women were clinically examined for periodontal disease by 2 trained and calibrated dentists. Data on PTB and LBW were retrieved from medical records. The data were analyzed to determine the relationship between the four parameters for periodontal disease (bleeding gingiva, periodontal pockets, gingival recession and calculus with plaque deposits) and the adverse pregnancy outcomes. Frequency distribution was used to describe the data. Bivariate and multivariate analyses were used to study the association between the periodontal diseases and adverse pregnancy outcomes. Results: Approximately 26% and 29% of the postpartum mothers examined had bleeding gingiva and periodontal pockets of 4 mm or more deep, respectively. Advanced periodontitis i.e. pocket depth ≥ 6 mm was recorded in 13 (3.6%) of the mothers. Calculus with plaque deposits were recorded in 86% (n = 343) of the mothers. Gingival recession was recorded in 9.0% of the mothers and significantly and directly related to birth weight (p < 0.05). Conclusion: Periodontal conditions of postpartum mothers in this study were found to be better than previously reported amongst the Ugandan population. Bivariate analysis showed a significant association only between gingival recession and low birth weight. However, this finding should be interpreted with caution as it could have occurred by chance.Item Prevalence of Latent Tuberculosis Infection among Paramedical Students in Two Hospitals in Uganda(International Journal of Research Studies in Medical and Health Sciences, 2017) Okullo, Isaac; Kaducu, Felix; Katamba, Achilles; Muwazi, Louis; Nkamba, Moses; Kutesa, Annet; Mugisha Rwenyonyi, CharlesThe risk of transmission of Mycobacterium tuberculosis to health-care workers in many low and middle-income countries is greater when large numbers of infectious (smear positive) tuberculosis (TB) patients are managed at health facilities. The present study was carried out in Mulago and Gulu teaching hospitals in Uganda among 291 students on the Public Health Dentistry (n=73), Clinical Officers (n=92) and Nursing (n=126) programmes to determine their latent TB infection status. Socio-demographic factors of the participants were recorded and TST induration was read after 48 to 72 hours. Chi-square statistics were used to compare latent TB infection among pre-clinic and clinical year students in different study programmes. About 87% (n=254) of the respondents had Bacillus Calmette–Guérin vaccination skin scar. Of the 291 respondents (response rate, 89.5%), 92.4% developed an induration after TST. The mean diameter of the induration was 12.61 mm (95% CI: 11.95-13.26). A prevalence of latent TB infection (80.4%) with TST induration reading of ≥10 mm was found among the respondents. Significantly more Nursing had an induration ≥10 mm than the Dental (p=0.046) and the Clinical Officer students (p=0.047). The observed prevalence of latent TB infection was high, indicating a high level of transmission of Mycobacteria tuberculosis among the young health worker students, which is a risk to patients under their care. It is important to screen trainees upon entering into the study programmes in order to determine the magnitude of latent TB infection for better policy guidance.Item Socioeconomic and nutritional factors associated with age of eruption of third molar tooth among Ugandan adolescents(Journal of forensic dental sciences, 2019) Mutebi Kutesa, Annet; Ndagire, Barbara; Ssanyu Nabaggala, Grace; Lutalo Mwesigwa, Catherine; Kalyango, Joan; Mugisha Rwenyonyi, CharlesThis study aimed to establish the influence of socioeconomic and nutritional factors on the age of eruption of the mandibular third molar among Ugandans aged 10–20 years. Materials and Methods: This was a cross‑sectional study carried out in a dental clinic of Mulago Hospital between January and December 2017. The background information was obtained from the participants using a questionnaire in the form of an oral interview. The anthropometric measurements were obtained using a tape measure and a weighing scale, while dental radiographs were used to determine the eruption stages of the mandibular third molar. Statistical Analysis: The data were analyzed using STATA 13 and summarized using descriptive statistics and multivariate analyses. Statistical significance was inferred at P < 0.05. Results: Participants in the overweight body mass index category were statistically significantly associated with the age of the mandibular third molar eruption (P < 0.05) compared to their normal counterparts. There was no statistically significant association between socioeconomic status and age of eruption of third molar teeth (P > 0.05). Age of eruption was statistically significantly higher among males than females (P > 0.05). Conclusion: The findings of the present study reveal that overweight influences early eruption of the mandibular third molar tooth, although there is no trend between socioeconomic status and the age of eruption of the mandibular third molar.