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Biomedical subjects

J A Attapattu

Publications and source records attributed to J A Attapattu.

7 recordsLinked to original sources

A prospective study of asymptomatic Chlamydia trachomatis in Barbadian women.

A prospective study to determine the prevalence of asymptomatic female genital tract Chlamydia trachomatis infection was performed on 167 women at the Queen Elizabeth Hospital, Barbados, West Indies and at a private clinic. The ELISA (Microtrak, chlamydia EIA, Syva, CA) method was used to detect Chlamydia trachomatis antigen. Nineteen (11.4% 95% CI 6.5-16.3) women were found positive. The efficacy of a single 1 gram dose of azithromycin given orally to 18 patients was tested after 4 weeks. One patient who was pregnant was given 500 mg erythromycin four times daily orally for 1 week. Only six patients (including the pregnant patient) reported for follow up. All six repeat swabs were negative for C. trachomatis antigen. The prevalence of 11.4% asymptomatic chlamydial infection in endocervical swabs in Barbadian women is in agreement with a previous study which reported a prevalence of 18.4% +/7.8%. Patient compliance was assured, using a single dose of azithromycin. It was found to be as effective as doxycyline and ciprofloxacin as reported by other workers.

Journal Article↗

Survival of neonates born below thirty-five weeks gestation in a developing country (Barbados, the West Indies).

A retrospective study of the survival of babies born below 35 weeks of gestation over a period of five years from 1987 to 1991 at Queen Elizabeth Hospital was analysed. The births of 433 were evaluated taking into consideration the birth weights, periods of gestation and mode of delivery. The fetal outcome in relation to these parameters were examined. Twin pregnancies were excluded. A poor outcome was noted in babies below 1000 g. Increasing survival rates were observed with increasing birth weight and increasing period of gestation. Babies below 30 weeks gestation had a poor survival rate. Caesarian section was found to be better than a vaginal delivery for a favourable outcome when all 425 births were considered.

Barbados↗

Massive ascites and bilateral hydrothorax complicating severe pre-eclampsia.

Massive ascites and hydrothorax as additional complications of pre-eclampsia are rare. The case reported is one of ascites and bilateral hydrothorax in a patient with severe pre-eclampsia. Careful antenatal assessment may help in detecting more cases with this complication, which is often misunderstood and the diagnosis missed.

Adult↗

Abdominal pregnancy.

Two cases of Abdominal pregnancy are reported: one from the Castle Street Hospital for Women, Colombo, Sri-Lanka and the other from the Queen Elizabeth Hospital, Barbados, West Indies. The clinical manifestations, diagnosis and management are described. A review of the literature is presented.

Adult↗