Bacterial etiology and risk factors of Community acquired pneumonia (CAP) among adult patients in a Tertiary Care Hospital in South India

BACKGROUND:Retinal Vein Occlusion(RVO) is a multifactorial, with many systemic and ocular risk factors.The incidence of RVO has increased with increased life expectancy and increased incidence of risk factors. AIM:This study was done to determine the demographic characteristics and risk factors in a tertiary care hospital in South India. METHODS:100 consecutive newly diagnosed cases of RVO were included in the study. A detailed history, complete ophthalmic examination and systemic evaluation was done. RESULTS: The majority of the patients were aged more than 60 years(55%) with male preponderance(54%).The study also found that RVO was strongly associated with increasing age.Hypertension,dyslipidemia,diabetes mellitus,smoking and hyperhomocysteinemia were important systemic risk factors.Glaucoma was an important ocular risk factor.BRVO is the most common type of RVO. CONCLUSION:RVO is associated with many systemic and ocular diseases.Identifying and managing these risk factors help in preventing a second attack in either eye and thereby the visual morbidity.

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A study of incidence and risk factors of Surgical site infection following orthopedic surgical procedure in a tertiary care hospital in south India

International Journal of Medical Research and Review ◽

10.17511/ijmrr.2015.i9.182 ◽

2015 ◽

Vol 3 (9) ◽

pp. 983-989

Author(s):

Dr Ali Mohammed P ◽

◽

Dr Deep Sharma ◽

Dr D K Patro ◽

DR Jagdish Menon ◽

...

Keyword(s):

Risk Factors ◽

Surgical Site Infection ◽

Surgical Procedure ◽

South India ◽

Tertiary Care Hospital ◽

Tertiary Care ◽

Care Hospital ◽

Site Infection

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1702. Prevalence and Risk Factors for Endogenous Fungal Endophthalmitis in Adult Patients with Candidemia at a Tertiary Care Hospital in South Korea Over 13 years

Open Forum Infectious Diseases ◽

10.1093/ofid/ofz360.1566 ◽

2019 ◽

Vol 6 (Supplement_2) ◽

pp. S623-S623

Author(s):

Jong Hun Kim ◽

Jin Woong Suh ◽

You Seung Chung ◽

Young Kyung Yoon ◽

Jang Wook Sohn ◽

...

Keyword(s):

Risk Factors ◽

South Korea ◽

Tertiary Care Hospital ◽

Tertiary Care ◽

Adult Patients ◽

Ophthalmological Examination ◽

Care Hospital ◽

Fungal Endophthalmitis ◽

Endogenous Fungal Endophthalmitis ◽

Significant Difference

Abstract Background Endogenous fungal endophthalmitis is one of the critical complications of candidemia in adult patients. We conducted a study to investigate the prevalence and risk factors for endogenous fungal endophthalmitis in adult patients with candidemia. Methods Adult patients ≥19 years with candidemia who underwent ophthalmological examination after the diagnosis of candidemia at a tertiary care hospital in South Korea from 2006 to 2018 were enrolled, and clinical data were collected. Results There was a total of 152 adult patients with candidemia who underwent an ophthalmological examination. Endogenous fungal endophthalmitis was found in 29 patients (19.1%). Patients were categorized into two groups (Non-endophthalmitis [NE] and endophthalmitis [E]). Between two groups, there was no significant difference in terms of age, sex, underlying comorbidities. Also, no difference in clinical conditions at the diagnosis of candidemia was noted including concomitant bacteremia, presence of septic shock, receipt of recent surgery, presence of neutropenia, total parenteral nutrition, central venous catheter, urinary catheter, ventilator, dialysis, use of antibiotics, and Candida spp. colonization. However, there was a higher rate of abnormal alanine aminotransferase (ALT) in the E (35.7%) than in the NE (14.8%), P = 0.008. Moreover, the proportion of C. albicans candidemia was higher in the E (65.5%) than in the NE (35.8%), P = 0.003. In contrast, C. parapsilosis candidemia was more common in the NE (27.6%) than in the E (6.9%), P = 0.018. Although there was a trend of higher mortality rate in the E (51.7%) than in the NE (35.0%), no statistical significance was observed, P = 0.095. Multivariate logistic analysis showed C. albicans candidemia (odds ratio [OR] 4.122, 95% confidence interval [CI] 1.653–10.280, P = 0.002) and abnormal ALT (OR 3.839, 95% CI 1.427–10.333, P = 0.008) were significantly associated with E cases. Conclusion Endogenous fungal endophthalmitis occurred in 19% of adult patients with candidemia. C. albicans candidemia and abnormal ALT were significantly associated with endophthalmitis. Adult patients with candidemia caused by C. albicans or having abnormal ALT need to be closely monitored for the possibility of endophthalmitis. Disclosures All authors: No reported disclosures.

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Colour Doppler Ultrasonography of External Carotid Arteryin Cases of Acute Ischemic Stroke and Association of Risk Factors: A Two year study at A Tertiary Care Hospital of South India

International Journal of Neurology and Neurosurgery ◽

10.21088/ijnns.0975.0223.11319.2 ◽

2019 ◽

Vol 11 (3) ◽

pp. 176-182

Author(s):

Basam Venugopal DM ◽

Keyword(s):

Risk Factors ◽

Ischemic Stroke ◽

Doppler Ultrasonography ◽

South India ◽

Tertiary Care Hospital ◽

Tertiary Care ◽

External Carotid ◽

Care Hospital ◽

Colour Doppler ◽

Colour Doppler Ultrasonography

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Metabolic syndrome and its socio demographic and behavioral correlates: a cross sectional study among adult patients attending medicine outpatient department in a tertiary care hospital, West Bengal

International Journal of Community Medicine and Public Health ◽

10.18203/2394-6040.ijcmph20191388 ◽

2019 ◽

Vol 6 (4) ◽

pp. 1585 ◽

Cited By ~ 1

Author(s):

Sanjoy Kumar Kunti ◽

Santanu Ghosh ◽

Amrita Samanta ◽

Indranil Chakraborty

Keyword(s):

Risk Factors ◽

Metabolic Syndrome ◽

West Bengal ◽

Tertiary Care Hospital ◽

Tertiary Care ◽

Adult Patients ◽

Care Hospital ◽

Chi Square ◽

Cross Sectional ◽

Junk Foods

Background: Metabolic syndrome (MS) is a pre-condition for cardiovascular diseases and type 2 diabetes mellitus (T2DM) which are major contributors to morbidity and mortality worldwide.Methods: The cross-sectional, observational study was conducted to estimate the proportion of MS and to explore crucial risk factors for MS among adult patients attending medicine OPD in a tertiary care hospital in West Bengal. The estimated final sample size was 315. Baseline socio demographic information and information on risk factors for MS, such as dietary habit, physical activity status, substance use, intake of related drugs, and presence of co-morbidities were collected by interviewing the patients with the help of a predesigned, pretested, structured schedule. Anthropometric measurements such as weight, height, waist circumference recordings were taken, and blood pressure was measured.Results: About 64% of the final study population (210/330) suffered from MS. On bivariate analysis, significant association between female gender (df=1, Pearson chi-square=5.06, p=0.024), weekly frequency of consumption of junk foods (df=3, Pearson chi-square=10.40, p=0.015) and obesity according to BMI (independent samples Mann-Whitney U test, p=0.010) at 5% level of significance were observed. Performing binary logistic regression analysis, obesity according to BMI (AOR=1.388, 95% CI=1.064-1.810) was found to be significant.Conclusions: Majority of the population suffered from MS who were mostly female, obese and consumers of junk foods. Appropriate interventional measures in terms of life style modification both at community and at tertiary care level are the need of the hour.

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