scholarly journals Knowledge on Newborn Life Support among the Healthcare Providers in a Tertiary Care Maternity Hospital in the Southern Province, Sri Lanka

2021 ◽  
Vol 2021 ◽  
pp. 1-5
Author(s):  
N. D. Liyanarachchi ◽  
B. H. H. Pradeepa
Keyword(s):  
Sri Lanka ◽  
Life Support ◽  
Tertiary Care ◽  
Healthcare Providers ◽  
Maternity Hospital ◽  
Good Knowledge ◽  
Southern Province ◽  
Maternity Hospitals ◽  
Significant Difference ◽  
The Difference

Introduction. The newborn life support (NLS) is a set of educational guidelines established by the academies of Paediatrics that outline the proper procedures for resuscitation of a newborn. The objective of this study was to determine the knowledge on NLS among the healthcare providers (HCPs) in a tertiary care maternity hospital in the Southern Province, Sri Lanka. Methods. A hospital-based cross-sectional study was carried out among doctors, nurses, and midwives, using a self-administered questionnaire. Comparison of knowledge among different categories was made using the chi-square test. Total sample of 191 consisted of 118 (61.8%) nurses, 33 (17.3%) midwives, and 36 (18.8%) doctors. The majority of HCPs (76.7%) had good knowledge of NLS; however, following guidelines on NLS among HCPs was poor (33%). According to the category, 91% of doctors and 78% of nurses had good knowledge, whereas only 48% of midwives had good knowledge. The difference of knowledge on NLS among different categories of HCPs was statistically significant ( p < 0.001 ). Only 33% of HCPs had good knowledge of following NLS guidelines. Of them, 52% were doctors, 31% were nurses, and only 18% were midwives. The difference in adherence to NLS guidelines among different categories of HCPs was highly significant statistically ( p = 0.003 ). Conclusion. The majority of the healthcare providers had good knowledge of NLS. There was a significant difference in the level of knowledge on NLS among different categories of HCPs. Gaps in the knowledge in following guidelines of NLS were noted in the majority. Newborn resuscitation has to be included in nursing and midwifery curricula, and training on NLS is essential in the orientation programs for newly recruited HCPs in maternity hospitals.

Abstract 14721: Impact of Covid-19 on Cardiology Consultation in Tertiary Care Hospital of a Developing Country

Circulation ◽  
2020 ◽  
Vol 142 (Suppl_3) ◽  
Author(s):  
ghufran adnan ◽  
Osman Faheem ◽  
Maria Khan ◽  
Pirbhat Shams ◽  
Jamshed Ali
Keyword(s):  
Emergency Department ◽  
Tertiary Care ◽  
Reduction Rate ◽  
Care Hospital ◽  
Chi Square ◽  
Coronary Syndrome ◽  
Significant Difference ◽  
Drastic Increase ◽  
Chi Square Test ◽  
The Difference

Introduction: COVID-19 pandemic has overwhelmed the healthcare system of Pakistan. There has been observation regarding changes in pattern of patient presentation to emergency department (ED) for all diseases particularly cardiovascular. The aim of the study is to investigate these changes in cardiology consultations and compare pre-COVID-19 and COVID-19 era. Hypothesis: There is a significant difference in cardiology consultations during COVID era as compared to non-COVID era. Method: We collected data retrospectively of consecutive patients who visited emergency department (ED) during March-April 2019 (non-COVID era) and March-April 2020 (COVID era). Comparison has been made to quantify the differences in clinical characteristics, locality, admission, type, number, and reason of Cardiology consults generated. Results: We calculated the difference of 1351 patients between COVID and non-COVID era in terms of cardiology consults generated from Emergency department, using Chi-square test. Out of which 880 (59%) are male with mean age of 61(SD=15). Analysis shows pronounced augmentation in number of comorbidities [Hypertension(6%), Chronic kidney disease (6%), Diabetes (5%)] but there was 36% drop in total cardiology consultations and 43% reduction rate in patient’s ED visit from other cities during COVID era. There was 60% decrease in acute coronary syndrome presentation in COVID era, but fortuitously drastic increase (30%) in type II myocardial injury has been noted. Conclusion: There is a remarkable decline observed in patients presenting with cardiac manifestations during COVID era. Lack in timely care could have a pernicious impact on outcomes, global health care organizations should issue directions to adopt telemedicine services in underprivileged areas to provide timely care to cardiac patients.

scholarly journals Impact of Fluoroquinolone Exposure Prior to Tuberculosis Diagnosis on Clinical Outcomes in Immunocompromised Patients

2016 ◽  
Vol 60 (7) ◽  
pp. 4005-4012 ◽  
Author(s):  
Ju Young Lee ◽  
Hyun Jung Lee ◽  
Yong Kyun Kim ◽  
Shinae Yu ◽  
Jiwon Jung ◽  
...  
Keyword(s):  
Median Time ◽  
Tertiary Care ◽  
Adverse Outcomes ◽  
Care Hospital ◽  
Immunocompromised Patients ◽  
Tb Treatment ◽  
Significant Difference ◽  
Tuberculosis Diagnosis ◽  
The Difference

ABSTRACTThere have been concerns about an association of fluoroquinolone (FQ) use prior to tuberculosis (TB) diagnosis with adverse outcomes. However, FQ use might prevent clinical deterioration in missed TB patients, especially in those who are immunocompromised, until they receive definitive anti-TB treatment. All adult immunocompromised patients with smear-negative and culture-positive TB at a tertiary care hospital in Korea over a 2-year period were included in this study. Long-term FQ (≥7 days) use was defined as exposure to FQ for at least 7 days prior to TB diagnosis. A total of 194 patients were identified: 33 (17%) in the long-term FQ group and 161 (83%) in the comparator, including a short-term FQ group (n= 23), non-FQ group (n= 78), and a group receiving no antibiotics (n= 60). Patients in the long-term FQ group presented with atypical chest radiologic pattern more frequently than those in the comparator (77% [24/31] versus 46% [63/138];P= 0.001). The median time from mycobacterial test to positive mycobacterial culture appeared to be longer in the long-term FQ group (8.1 weeks versus 7.7 weeks;P= 0.09), although the difference was not statistically significant. Patients in the long-term FQ group were less likely to receive empirical anti-TB treatment (55% versus 74%;P= 0.03). The median time from mycobacterial test to anti-TB therapy was longer in the long-term FQ group (4.6 weeks versus 2.2 weeks;P< 0.001), but there was no significant difference in FQ resistance (0% versus 3%;P> 0.99) or in the 30-day (6% versus 6%;P> 0.99) or 90-day (12% versus 12%;P> 0.99) mortality rate between the two groups. FQ exposure (≥7 days) prior to TB diagnosis in immunocompromised patients appears not to be associated with adverse outcomes.

scholarly journals Knowledge of sleep disorders among physicians at a tertiary care hospital in Qatar: A cross-sectional study. (Preprint)

2020 ◽  
Author(s):  
Irfan Ul Haq ◽  
Mansoor Ali Hameed ◽  
Merlin Marry Thomas ◽  
Khezar Shahzada Syed ◽  
Ahmad Mohammad Mahmoud Othman ◽  
...  
Keyword(s):  
Sleep Disorders ◽  
Medical Training ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Healthcare Providers ◽  
Sleep Medicine ◽  
Care Hospital ◽  
Cross Sectional ◽  
Major Health Problem ◽  
Significant Difference

BACKGROUND Sleep disorders (SD) constitute a major health problem because of their relatively high and rising prevalence. Several studies have analyzed the knowledge of SD among healthcare providers worldwide. We aimed to assess the knowledge of SD among physicians in Qatar OBJECTIVE To assess the knowledge of sleep medicine among physicians working in a tertiary care hospital. METHODS Total of 250 physicians were surveyed regarding their knowledge in sleep medicine using a validated 30 item “ASKME Survey”. The participants included residents, fellows and consultants in medicine and allied subspecialties. A score ≥60% was considered a high score implying adequate knowledge of SD. RESULTS Response was received from 158 physicians with a responder rate of 63.2%. We analyzed the data from 34 residents, 74 clinical fellows and 50 consultants. The overall mean score was 15.53± 4.42 out of 30. Only 57 (36%) respondents were able to answer ≥60% of the questions correctly. There was no statistically significant difference in the scores of the participants with regard to their ranks (residents, fellows, consultants) or years of training CONCLUSIONS This study demonstrates that healthcare providers in Qatar have decreased awareness and knowledge about sleep medicine which may reflect a lesser emphasis during medical school and medical training on SD. Increasing awareness regarding sleep medicine among non-specialist physicians will allow early detection and treatment of SD, improving the morbidity attached with these disorders CLINICALTRIAL The research was approved by the Institutional review board MRC-01-18-022

scholarly journals Comparative Study of Length and Diameter of Umbilical Cord in Normal Vs Gestational Hypertensive cases in a Tertiary Care Hospital in Eastern Nepal

2019 ◽  
Vol 7 (2) ◽  
pp. 68-71
Author(s):  
Abhishek Karn ◽  
Subodh Kumar Yadav ◽  
Renu Yadav ◽  
Rakesh Kumar Adhikari
Keyword(s):  
Umbilical Cord ◽  
Gestational Hypertension ◽  
Tertiary Care ◽  
Well Being ◽  
Care Hospital ◽  
Medical College ◽  
Number Of Factors ◽  
Significant Difference ◽  
The Difference ◽  
Umbilical Cords

INTRODUCTION :- The well being of the fetus and hence the baby is influenced by a number of factors among which the length and diameter of umbilical cord is one important aspect. Studies have found association between gestational hypertension and the structure of umbilical cord. The objective of this study was to determine the effects of gestational hypertension on the length and diameter of umbilical cord.  MATERIAL AND METHODS :- A total of 70 umbilical cords with placenta were collected in Nobel Medical College and Teaching Hospital for comparison of umbilical cords length and diameter between normotensives and patients with gestational hypertension. Data were statistically analyzed.  RESULTS :- The difference in umbilical cords' diameter was statistically significant between normotensives and patients with gestational hypertension whereas the length of the umbilical cord had no statistically significant difference.  CONCLUSION :- We concluded that gestational hypertension affects the diameter of umbilical cord by decreasing it significantly which may affect normal fetal development.

scholarly journals Mental Health Problems during Pregnancy and the Postpartum Period: A Multicenter Knowledge Assessment Survey among Healthcare Providers

2020 ◽  
Vol 2020 ◽  
pp. 1-7 ◽  
Author(s):  
M. Patabendige ◽  
S. R. Athulathmudali ◽  
S. K. Chandrasinghe
Keyword(s):  
Mental Health ◽  
Risk Factors ◽  
Sri Lanka ◽  
Postpartum Period ◽  
Mental Health Problems ◽  
Maternal Mental Health ◽  
Tertiary Care ◽  
Healthcare Providers ◽  
Health Problems ◽  
Questionnaire Response

Background. Mental illness related to pregnancy can have long-lasting consequences. Healthcare providers are often the most frequent medical contact with the potential for early detection of these. Objectives were to study the awareness regarding mental health problems during pregnancy and the postpartum period among healthcare providers. Methods. A cross-sectional study was carried out with healthcare providers including the nursing staff, midwifery staff, and medical officers working at obstetric wards in three tertiary care hospitals in Sri Lanka. A self-administered questionnaire assessed staff experience with mothers having mental problems, knowledge on mental health problems related to pregnancy, and knowledge about risk factors, common symptoms, and possible consequences on a five-point Likert scale from “Strongly Agree” to “Strongly Disagree.” Results. A total of 300 staff were approached and invited to participate. Only 152 responded to the questionnaire (response rate of 50.1%). Mean (SD) age was 35.8 (9.7) years and mean (SD) years of experience was 10.1 (9.1) years. Age more than 35 years of healthcare providers is associated with statistically significant (p=0.02) average knowledge scores on the consequences of maternal mental health problems. The symptom of “excessively worrying about baby’s health” had the lowest score across all three categories with an average of 34.2%. Only 42.8% have ever heard of EPDS. Overall awareness and knowledge about risk factors, symptoms, and consequences regarding pregnancy-related maternal mental health problems are generally good among the healthcare providers studied. However, some of the few aspects are not satisfactory. Health education of pregnant women, promoting regular in-service training sessions, improvement of infrastructure, and involvement of family members from the antenatal period were discussed by the majority. Conclusion. Despite good overall awareness and knowledge, application into practice with the utilization of validated assessments is poor. This may probably explain why Sri Lanka has a high prevalence of postpartum depression suggesting urgent attention.

scholarly journals Knowledge, attitude and practices of postgraduates, interns and nurses, on adverse drug reaction reporting in a tertiary care hospital: a comparative study

2020 ◽  
Vol 9 (3) ◽  
pp. 408
Author(s):  
Mohana S. ◽  
Narayanasamy S. ◽  
Asokan B. R. ◽  
Smita Kar
Keyword(s):  
Health Care Professionals ◽  
Adverse Drug Reaction Reporting ◽  
Tertiary Care ◽  
Good Knowledge ◽  
Care Hospital ◽  
Staff Nurse ◽  
Post Graduate ◽  
Adr Reporting ◽  
Validated Questionnaire ◽  
Significant Difference

Background: Pharmacovigilance is multidisciplinary field of the detection, assessment, understanding, and prevention of adverse drug reactions (ADRs). The incidences of ADRs about 95% are undocumented worldwide. However, there is a lack of information on ADR burden in developing countries due to lack of resources, infrastructure, and expertise.Methods: A cross-sectional questionnaire-based study was conducted on 90 staff nurses 90interns and 90 postgraduates. The validated questionnaire contained items to check knowledge including 7 questions, 9 questions to analyze attitude and 5 for practices. Comparison between knowledge, attitude and practice data obtained from resident doctors and nurses was performed using Chi square test.Results: A total of 270 healthcare professionals participated in the study. In our study the participants had good knowledge regarding the purpose of monitoring and reporting ADRs etc. The result shows that health care professionals felt reporting of ADRs is a professional obligation and all ADRs should be reported. There was no significant difference in the knowledge and attitude between interns and nurses but few questionnaires show significant variations between post graduate and staff nurse. The practice of ADR reporting was significantly higher in postgraduate compared to nurses.Conclusions: This study concluded that post graduate, intern and staff nurse had good knowledge and positive attitude towards pharmacovigilance and ADR reporting, but unfortunately the actual practice of ADR reporting is still deficient among staff nurse and intern. This can be improved by adequate training and motivation.

scholarly journals Prevalence and associated factors of antenatal depression of women attending antenatal clinics in two tertiary care maternity hospitals in Sri Lanka

BJPsych Open ◽  
2021 ◽  
Vol 7 (S1) ◽  
pp. S292-S293
Author(s):  
Chathurie Suraweera ◽  
Iresha Perera ◽  
L.L. Amila Isuru ◽  
Janith Galhenage
Keyword(s):  
Substance Use ◽  
Sri Lanka ◽  
Pregnant Women ◽  
Family Support ◽  
Associated Factors ◽  
Nuclear Family ◽  
Tertiary Care ◽  
Antenatal Depression ◽  
Maternity Hospitals ◽  
Antenatal Clinics

AimsTo determine the prevalence of depression among antenatal mothers in two tertiary care maternity hospitals in Colombo and associated factors of antenatal depression.MethodA descriptive cross-sectional study was conducted in antenatal clinics in two tertiary care maternity hospitals in Sri Lanka. Every second woman attending the clinic was recruited using systematic sampling until the calculated sample size was obtained. A structured questionnaire and Edinburgh Postnatal Depression Scale (EPDS) were used for data collection. Data were analysed using SPSS.ResultA total of 536 pregnant women were participated in the study. Around one third (180, 33.6%) of pregnant women had depression according to the EPDS score (Mean = 7.66, SD = 5.17). The mean age was 29.65(SD = 9.30) years and among them 387(74.3%) had at least secondary education. The majority lived with parents or in-laws (329, 61.4%) in addition to nuclear family members and 266(49.6%) were in their third trimester. Most women were in first pregnancy (149, 39.5%) and 11 (2.1%) had a history of psychiatric illness. Sixty (11.2%) women and 156(29.1%) of partners used psychoactive substances. Verbal abuse and physical abuse were reported by 5(0.9%) and 3(0.6%) respectively. Sixty one (11.4%) women have reported inadequate family support, and 226 (42.2%) had only support of the partner. Among them 346 (64.6%) reported excellent support from partner. One third (186, 34.7%) of pregnancies were unplanned, 328(61.2%) women reported a very good relationship with their partner. Complications were experienced by 123(22.9%) of women during this pregnancy and commonest was gestational diabetes. The presence of depression was significantly associated with living with extended family (p = 0.033) and in-laws(p = 0.014). Multi parity (>2 children) (p = 0.008), partner's substance use (p = 0.002), inadequate family support (p = 0.024), inadequate partner's support (p = 0.003), unsatisfactory relationship with partner (p = 0.000) and unplanned pregnancies (p = 0.001) were also associated with depression. Logistic regression analysis indicated a significant association between depression with partner's substance use, unavailability of family support and poor relationship with the partner.ConclusionAround one-third of mothers were having antenatal depression. Several spouse related factors and unsatisfactory family support were associated with depression among antenatal mothers.

scholarly journals 1677. Prevalence and Patterns of Outpatient Antibiotic Prescription at a Public Tertiary Medical Center in Southern Province, Sri Lanka

2019 ◽  
Vol 6 (Supplement_2) ◽  
pp. S614-S614
Author(s):  
Helen L Zhang ◽  
Gaya B Wijayaratne ◽  
Pasangi Jayatissa ◽  
Bhagya Piyasiri ◽  
Tianchen Sheng ◽  
...  
Keyword(s):  
Sri Lanka ◽  
Antibiotic Prescription ◽  
Medical Center ◽  
Care Center ◽  
Tertiary Care ◽  
Electronic Prescribing ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Southern Province ◽  
Duration Of Illness

Abstract Background The global emergence of antimicrobial resistance poses a major public health threat. However, there are little data regarding antimicrobial use from many low- or middle-income countries. In this study, we determined the prevalence and patterns of antibiotic prescription among outpatients at a tertiary healthcare facility in Sri Lanka. Methods The study was conducted at the Outpatient Department (OPD) of the largest public tertiary care center in Southern Province, Sri Lanka. This is a free walk-in clinic serving upwards of 1,000 patients per day. Adult and pediatric OPD patients were recruited for a cross-sectional survey in February–April 2019. Pre-visit and post-visit questionnaires were verbally administered to obtain information regarding participants’ demographics and presenting illness. The OPD pharmacy’s electronic prescribing system was queried to calculate the prevalence of antibiotic prescriptions among enrolled patients. Logistic regression was performed to identify features associated with antibiotic prescription. Results Of 408 patients surveyed, 246 (62.9%) were female and 88 (21.7%) were children <18 years. Median age was 38 (IQR 19–54) years, and median duration of illness at enrollment was 7 (IQR 3–30) days. Medications were prescribed for 291 (72.4%) patients during the OPD visit, with 146 (35.8% of all patients) receiving an antibiotic. The most frequently prescribed antibiotics were amoxicillin (41, 28.1%), first-generation cephalosporins (38, 26.0%), and amoxicillin/clavulanate (30, 20.5%). The most frequent chief complaints among antibiotic recipients were cough (35, 24.0%), rhinorrhea/congestion (26, 17.8%), and fever (18, 12.3%). Diagnostic investigations were ordered for 38 (26.0%) antibiotic recipients. On bivariable analysis, younger age (P = 0.01), shorter duration of illness (P < 0.001), and lack of prior evaluation (P = 0.001) were positively associated with antibiotic prescription. Conclusion We show a high prevalence of outpatient antibiotic prescription despite limited diagnostic evaluation at a tertiary medical facility in Southern Province, Sri Lanka. Antibiotic stewardship efforts, especially targeting respiratory illness, may help improve antibiotic use in this setting. Disclosures All authors: No reported disclosures.

scholarly journals Assessment of the knowledge and practices regarding standard precaution among nursing staff at a tertiary care hospital of Raipur city, Chhattisgarh

2019 ◽  
Vol 6 (4) ◽  
pp. 1516
Author(s):  
Ritu Rochwani ◽  
Mini Sharma
Keyword(s):  
Nursing Staff ◽  
Tertiary Care ◽  
Healthcare Providers ◽  
Staff Nurses ◽  
Good Knowledge ◽  
Care Hospital ◽  
Standard Precautions ◽  
Cross Sectional ◽  
Strict Adherence ◽  
Standard Precaution

Background: Nurses as healthcare providers obliged to protect herself and patients against infections. Therefore, nurses should have knowledge and strict adherence to standard precautions. Hence, this study was undertaken to assess the knowledge and practices of nursing staff regarding standard precautions. Aims and objectives of the study were to assess the knowledge of nursing staff regarding standard precaution and to observe the practices of nursing staff regarding standard precaution.Methods: This was a cross sectional study conducted among staff nurses working in Bhim Rao Ambedkar Memorial Hospital, Raipur, and Chhattisgarh, from January to March 2017 among 100 staff nurses. Pretested predesigned semi-structured questionnaires were used. Data collected were entered in Microsoft excel sheet. The statistical analysis was done by using epi info 7. Frequencies and percentage were presented for categorical variables.Results: The overall knowledge regarding standard precaution were excellent (>75% score) in 8% nurses. Good knowledge (50 to 75%) in 83% and average (25 to 50%) in 9%. The Practises regarding standard precautions among the nurses were good in 72%, excellent in 17% and average in 11%.Conclusions: Based on the findings of the present study, it can be concluded that in spite of having good knowledge regarding standard precaution among the nurses, practices were not to up to the mark. 

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