Use of Uncertainty of Measurement for Traceability of Test Results and Setting up of own Quality Goal for Methods having Lower Stability- A Tertiary Care Hospital study

Objectives: IABP is the most frequently used assist device in cardiac surgery. However, due to the poor socioeconomic status in our country, it is not always possible to use a brand new IABP when required. In these circumstances we use re-sterilized IABP catheters. Our aim was to compare the outcome of re-sterilized versus new IABP catheters in the set of patients who were provided surgery for IHD free of cost in a tertiary care hospital. Study Design: Retrospective study. Period: January 2007 to December 2013. Setting: National Institute of Cardiovascular Diseases (NICVD), Karachi, Pakistan. Methods: 3560 CABG procedures were performed. Those patients who could not afford a new IABP catheter were provided with the resterilized balloon catheters, free of cost. Total IABP usage was 286(8%) patients, of which the new balloon catheter was used in 214patients [74.8% (groupI)]. Re-sterilized catheters were used in 72patients [25.2% (groupII)]. All patients were screened for HIV, Hepatitis- B and Hepatitis-C.12(16.6%) of the balloon catheters were resterilized more than once and 3(4.1%) of these on three occasions. Results: The mean age of the patients was 52.59±13.32 years. 69 (24.1%) of the patients were female. The mode of insertion (sheath less versus with sheath) was found tobe an independent risk factor for the development of complications. The overall incidence of complications (p=0.29) was 6.9%. The incidence of balloon catheter related complications was 1.75%. When the two groups were compared with regard to morbidity and mortality, the resultswere found to be statistically insignificant. Conclusion: Use of re-sterilized IABP catheters is safe. However, strict guidelines should be instituted and followed for this purpose.

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Frequency of infantile colic in neonates presenting At Tertiary Care Hospital.

The Professional Medical Journal ◽

10.29309/tpmj/2020.27.11.4588 ◽

2020 ◽

Vol 27 (11) ◽

pp. 2357-2362

Author(s):

Anwar Muhammad ◽

Muhammad Asghar Ali ◽

Ali Hammad

Keyword(s):

Gestational Age ◽

Tertiary Care Hospital ◽

Tertiary Care ◽

Cross Sectional Study ◽

P Value ◽

Care Hospital ◽

Infantile Colic ◽

Cross Sectional ◽

Alternative Measures ◽

Hospital Study

Objectives: To determine the frequency of infantile colic in neonates presenting at tertiary care hospital. Study Design: Cross Sectional Study. Setting: Department of Neonatology, Civil Hospital, Bahawalpur. Period: From January 2018 to August 2018. Material & Methods: Total 467 neonates either male or female were selected for this study. Total 467 neonates with complaints of crying and fussing either male or female were selected for this study and infantile colic was assessed in selected neonates by using Wessel criteria. Results: Total 467 neonates were selected for this study. Mean age of the neonates was 24.94 ± 2.39 months, mean gestational age and mean weight was 39.42 ± 1.22 weeks and 3.27 ± 0.62g respectively. Infantile colic was found in 322 (69%) neonates. Infantile colic was found in 61 (33.33%) neonates, 136 (94.44%) neonates, 75 (87.21%) neonates and 50 (92.59%) neonates respectively. Statistically significant association between infantile colic and type of feeding with p value 0.000. Infantile colic was found in 147 (84.97%), 95 (67.86), 62 (49.21%) and 18 (64.29%) neonates respectively in 37 weeks, 38 weeks, 39 weeks and 40 weeks gestational age group. Statistically insignificant association between infantile colic and gestational age was noted with p value 0.000. Conclusion: Results of present study showed higher rate of colic in infants. Development of colic was highly associated with gestational age, birth weight and type of feeding. There is no effective medical treatment (like anti-colic and herbal drugs) but alternative measures may relieve or prevent further colic attacks.

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Antibiogram and hypermucoviscosity pattern among Klebsiella pneumoniae isolates from respiratory samples: A tertiary care hospital study in South India

IP International Journal of Comprehensive and Advanced Pharmacology ◽

10.18231/j.ijcaap.2019.028 ◽

2020 ◽

Vol 4 (4) ◽

pp. 134-138

Author(s):

Amar Sunil Lobo ◽

◽

M S Moosabba ◽

Keyword(s):

Klebsiella Pneumoniae ◽

South India ◽

Tertiary Care Hospital ◽

Tertiary Care ◽

Care Hospital ◽

Hospital Study

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Burden, types of diseases and outcome in LBW babies admitted at a Tertiary Care Hospital.

The Professional Medical Journal ◽

10.29309/tpmj/2020.27.03.3551 ◽

2020 ◽

Vol 27 (03) ◽

pp. 547-551

Author(s):

Shahid Iqbal ◽

Fazal Ur Rehman ◽

Muhammad Haneef

Keyword(s):

Birth Weight ◽

Analytical Study ◽

Distress Syndrome ◽

Tertiary Care Hospital ◽

Tertiary Care ◽

P Value ◽

Care Hospital ◽

Duration Of Hospital Stay ◽

Hospital Study ◽

Study Setting

Objectives: LBW has long been labeled as one of the major risk factor for mortality as well as morbidity in neonates. South Asia is said to have highest number of LBWs which estimated to be 1 in 4 newborns that weigh < 2500 grams. This study was planned with an aim to note the burden, types of diseases and outcome in LBW newborns admitted at a tertiary care hospital. Study Design: Descriptive analytical study. Setting: Included all neonates admitted to NICU of Sheikh khalifa Bin Zaid Al Nahyan Teaching Hospital, Rawlakot. Period: 1st July 2018 to 31st December 2018. Material & Methods: The prevalence of LBW amongst all admissions was calculated along with demographic features of all LBW babies like disease, reasons for the admission, duration of hospital stay along with outcome was noted on a predesigned proforma. Results: Out of total of 1410 admission in NICU during the study period, 512 (36.3%) were noted to be LBW. Amongst LBW babies, mean weight was 1.91 kg while 269 (52.5%) were male and 243 (47.5%) female. There were 364 (67.6%) babies born at full term. There were 82 (16.0%) with birth weight of less than 1.5 kg, 166 (32.4%) between 1.5 to 2 kg while 264 (51.6%) were above 2 kg. Amongst all LBW babies, mortality was reported in 185 (36.1%) while 112 (60.5%) died on the 1st day of admission. Respiratory distress syndrome (31.4%), sepsis (20.3%) and neonatal jaundice 58 (11.3%) were the commonest diseases seen. Highest mortality (56.1%) was seen in babies who had birth weight below 1.5 kg (p value = 0.001). Conclusion: LBW is a major cause of hospitalization and mortality. RDS and sepsis were the most frequent diseases noted in LBW babies. Immediate care following birth is vital for babies already at risk of LBW.

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