Tetanus is still a major problem in sub-Saharan African countries. This study aims to evaluate tetanus disease and vaccine awareness among healthcare workers in Mogadishu. This descriptive, cross-sectional study was scheduled for January 2–7, 2022. A questionnaire consisting of 28 questions was applied in a face-to-face manner to 418 healthcare workers. Only health workers aged≥18 living in Mogadishu were included. Questions about sociodemographic characteristics, tetanus disease, and vaccines were developed. 71.1% of the participants were female, 72% were ˂25 years old, 42.6% were nursing students, and 63.2% had a university education. It was observed that 46.9% of the volunteers had an income level of <$250, and 60.8% resided in the city center. 50.5% of the participants received a tetanus vaccine in their childhood. Questions to determine participants’ level of knowledge about tetanus and the tetanus vaccine were responded to with an accuracy of between 44 and 77%. Although 38.5% of the participants reported that they were exposed to trauma at least once a day, the rate of those who had three or more doses of the vaccine was only 10.8%. On the other hand, 51.4% reported that they had received training about tetanus and vaccination. There was a significant difference (p < .001) in terms of knowledge level among sociodemographic characteristics. The fear of side effects was the most important reason for not being vaccinated. Healthcare workers in Mogadishu have little awareness of tetanus disease and vaccines. Efforts to improve education and other factors will be sufficient to eliminate the disadvantage brought about by the socio-demographic structure.

Purpose: In this study, it was aimed to determine the 5-year prevalence of intestinal parasites in patients admitted to the Microbiology laboratory of a tertiary hospital in Somalia. Intestinal parasites; Types of patients, age and sex of the patients, and the distribution by years were examined. Patients and Methods: Stool samples were examined using wet preparation, native lugol and trichrome staining methods. Statistical analysis was performed using IBM SPSS V23 software and a P value of < 0.05 was considered statistically significant. Tables and figures were used to show the results. Results: One or more parasites were detected in 6766 of 56,824 stool samples examined. It was observed that Giardia lamblia had a higher prevalence than other parasites (60.84%) in a five-year period. Entamoeba histolytica (33.07%) second rank and Ascaris lumbricoides (3.18%) third rank according to their prevalence. When the distribution of the parasite population by gender is evaluated; no statistically significant difference was found (p = 0.235). When the frequency of parasites was evaluated according to age groups, it was seen that the prevalence of parasites between the ages of 0– 15 was higher (45.5%) compared to other age groups. A statistically significant difference was found between the distribution of parasite groups according to age groups (p < 0.001). Conclusion: Considering the effects of intestinal parasites on public health, it is still considered to be an important health problem for developing countries. It is thought that the frequency of parasitic diseases in society will decrease with the education of individuals, effective diagnosis, treatment, and implementation of preventive measures.

Introduction: Historically, antimicrobials have been used to treat microbial illnesses in humans and animals. But throughout this time, antibiotics that had been successful against particular microorganisms started to lose their effectiveness due to rising inappropriate use brought on by ignorance, negligent attitudes, and improper methods. Our goal in conducting this study was to ascertain the knowledge, attitudes, and practices of doctors with relation to the use of antibiotics in light of the growing global and Sub-Saharan African problem of antimicrobial resistance. Methods: In a tertiary hospital in Mogadishu, Somalia, a cross-sectional survey study was carried out to assess experts’ and research assistants’ knowledge, attitudes, behavior, awareness, and practices regarding the use of antibiotics and antibiotic resistance. A questionnaire consisting of 2 sections and 22 questions was applied to the participants on a voluntary basis. Results: Among the 202 doctors that participated in the study, 49 (24.3%) were specialists, and 153 (75.7%) were assistants. Prescriptions for one to ten antibiotic boxes per week on average were reported by 146 respondents (72.3%). Of the physicians, just 27 (13.4%) did not require assistance when prescribing an antibiotic. The most often accessed sources of support were experts in infectious diseases (43.1%) and national/international antimicrobial guidelines (32.2%). The top three factors contributing to antibiotic resistance in Somalia include misuse of antibiotics (61.4%), unnecessary prescriptions written by doctors (44.6%), and an absence of infectious disease specialists in most institutions (44.1%). Conclusion: As an alarming level of antimicrobial resistance has been observed globally in recent years, the results of our survey will help educate our doctors by gauging their perceptions, attitudes, and knowledge about rational antibiotic use in Sub-Saharan Africa. This will provide better patient outcomes.

Tuberculosis is especially common in African countries where HIV is common. Although pulmonary tuberculosis is generally seen, testicular tuberculosis can rarely be seen in young men. Especially in African countries, it is not possible to study acid-resistant bacilli, polymerase-chain reaction and culture due to financial impossibility. For this reason, history, physical examination, scrotal ultrasonography and fine needle biopsy help in diagnosis in suspected cases of testicular tuberculosis. Cure is possible with six months of treatment.

This study aimed to determine the prevalence, distribution, and antimicrobial susceptibility patterns of multidrug-resistant (MDR) bacterial isolates in ad

Background: Mycetoma is a public health problem with a high prevalence in Africa. Materials and Methods: The study included 50 cases presenting at a tertiary care research hospital, retrospectively (cases we visited and followed up between November 2022 and March 2023) and prospectively between 1 August and 30 September 2024. Demographic characteristics, clinical features, physical examination findings, and diagnostic methods were reported. Results: Out of 50 patients, 76% were male and 24% were female. The mean age (mean ± SD) of all cases was 35.50 ± 15.14. The most affected occupational group was farmers (44%). All patients presented with complaints of swelling. Symptoms continued for > 1–5 years in about 30 percent of cases. The diagnosis was made by pathological biopsy in 62% of the cases. The lower extremities were most commonly affected (80%), and subcutaneous soft tissue and muscle involvement was also commonly encountered. Bone involvement was higher in eumycetoma cases as compared to actinomycetoma. Conclusion: The frequency of myçetoma cases, which can involve all parts of the lower extremities, was determined, especially in Somali farmers. Difficulties in diagnosis and follow‐up were analyzed.