Prevalence of Otomycosis in Outpatient Department of Otolaryngology in Tribhuvan University Teaching Hospital, Kathmandu, Nepal

2003 ◽  
Vol 112 (4) ◽  
pp. 384-387 ◽  
Author(s):  
Bibhu Pradhan ◽  
Nhuchhe Ratna Tuladhar ◽  
Ramchaya Man Amatya
Keyword(s):  
Candida Albicans ◽  
Teaching Hospital ◽  
Fungal Pathogen ◽  
Clinical Problem ◽  
University Teaching ◽  
Outpatient Department ◽  
Results Of Treatment ◽  
Causative Factors ◽  
Microbiological Examination

Otomycosis is a not-uncommon clinical problem encountered in our otolaryngology practice. We report 100 diagnoses (107 ears) of otomycosis, of which, on microbiological examination, 87 specimens (81.3%) showed positive fungal cultures. Of these, a single isolate was found in 85 cases (79.4%), mixed isolates were found in 2 cases, and 20 cases (18.7%) had no growth. The most common fungal pathogen found was Aspergillus, followed by Candida albicans. The causative factors for otomycosis were examined. The results of treatment with clotrimazole were analyzed.

scholarly journals Patients’ Opinion on Availability and Price of Drugs in the General Outpatient Department of a Teaching Hospital, Southeast Nigeria

2020 ◽  
pp. 200-208
Author(s):  
Edmund O. Ndibuagu ◽  
Onyinye H. Chime ◽  
Ejiofor T. Ugwu
Keyword(s):  
Health Care ◽  
Teaching Hospital ◽  
Care Delivery ◽  
Health Care Delivery System ◽  
University Teaching ◽  
Outpatient Department ◽  
Health Coverage ◽  
Cross Sectional ◽  
Enugu State ◽  
Cross Sectional Design

Aim: Patients perception of health care delivery system can be expressed as an opinion. The aim of the study is to assess patients’ opinion on availability and cost of drugs in the General Outpatient Department of a state teaching hospital in Nigeria. Study Design: The study was of descriptive, cross-sectional design. Place and Duration of Study: This study was conducted at the General Outpatient department, Enugu State University Teaching Hospital, Enugu state, Nigeria. It was conducted between August 1st and October 31st, 2017. Methodology: Information was collected from 313 patients exiting the Pharmacy unit, using structured interviewer-administered questionnaire. Statistical Package for Social Sciences (SPSS) was used for analysis, and the results expressed as frequencies and percentages. Education, sex, and age patterns of the responses were looked at. Results: A total of 313 patients responded, 131 (41.9%) males and 182 (58.1%) females. Out of these, 91 (29.0%) were of the opinion that drugs were reasonably or completely available, while 184(58.8%) reported that it was either few or completely unavailable; with 38(12.1%) having no opinion on availability. With respect to price; 198(63.3%) believed that price is affordable or very affordable, while 78(24.9%) thought it was exorbitant or very exorbitant; with 37(11.8%) being uncertain about the price of drugs. Conclusions: In LMIC, inadequate stock of drugs in health facilities is a common occurrence. More than half of patients that presented in the study health facility were of the opinion that only few prescribed drugs, or completely none were available. However, most of them believed that the price of drugs was affordable or very affordable. It is crucial that governments and health care managers redouble their efforts towards provision of drugs, if meaningful progress will be made in the area of global Universal Health Coverage.

scholarly journals Cutaneous Manifestations in Renal Transplant Recipients

2021 ◽  
Vol 19 (1) ◽  
pp. 42-49
Author(s):  
Anil Kumar Das ◽  
Ramesh Sharma ◽  
Ashish Karn
Keyword(s):  
Renal Transplant ◽  
Teaching Hospital ◽  
University Teaching ◽  
Outpatient Department ◽  
Renal Transplant Recipients ◽  
Gingival Hyperplasia ◽  
Transplant Recipients ◽  
Term Survival ◽  
Cutaneous Manifestations

Background: The availability of potent immunosuppressants has paved the path towards decreased incidence of graft rejection and long term survival of the renal transplant recipients. But, with the increased life span of the patients and long term use of immunosuppressants, there has been an increase in various skin conditions; ranging from various infections to some life-threatening cutaneous malignancies. Objectives: This study was carried out to determine the pattern of different cutaneous manifestations in renal transplant recipients at Tribhuvan University Teaching Hospital, to identify the infectious and non-infectious skin manifestations in these patients and their relation with the duration of transplantation. Methodology: The present study was a hospital based cross-sectional descriptive study conducted at Tribhuvan University Teaching Hospital, Kathmandu; Department of Internal Medicine, Transplant Outpatient department and Outpatient department of Department of Dermatology from June 2013 to May 2014. A total of 114 renal transplant recipients were enrolled in the study. Results: A total of 114 renal transplant recipients with a mean age of 37.56±11.10 years were studied. The immunosuppressive regimen consisted of combinations including tacrolimus, prednisolone,   mycophenolate mofetil/azathioprine along with supportive medications like antivirals, antibiotics and antihypertensives. Out of all those studied, 60 patients had a total of 61 cutaneous manifestations. The mean duration from date of transplantation to presentation to the transplant OPD for infectious dermatoses was 688.4 days (1.88 years) and for iatrogenic dermatoses was 67.5 days. The most common cutaneous manifestation was acne (41%) followed by fungal infections (27.9%) consisting of pityriasis versicolor (n=9), dermatophytosis (n=6) and candidiasis (n=2); viral infections (18%) consisting of verruca (n=4), herpes zoster (n=4) and herpes simplex (n=3); bacterial infections (4.9%) consisting of folliculitis (n=2) and erythema chronicum migrans (n=1). Gingival hyperplasia was observed in a single patient. Other cutaneous manifestations like seborrheic dermatitis and xerosis were also observed in 2 patients each during the study.   Conclusion: Renal transplant recipients are susceptible to acquire various cutaneous manifestations as a result of long term immunosuppression and also due to adverse effects of the drugs used. This knowledge helps the transplant physicians for regular dermatologic screening of these patients for early diagnosis and treatment of the skin lesions.

scholarly journals Candida albicans infection among HIV positive and HIV negative women- Case study at Butare University Teaching Hospital (CHUB), Southern province of Rwanda

2020 ◽  
Vol 2 (1) ◽  
pp. 76-80
Author(s):  
Ella Larissa Ndoricyimpaye ◽  
Tuyishime Obed ◽  
Habiyakare Jean Claude ◽  
Manishimwe Jean d’Amour ◽  
Ntwali Denyse ◽  
...  
Keyword(s):  
Candida Albicans ◽  
Teaching Hospital ◽  
University Teaching ◽  
Hiv Positive ◽  
Southern Province ◽  
Candida Albicans Infection ◽  
Hiv Negative

scholarly journals Prevalence and Associated Factors of Pre-Hypertension Among Adults Visiting the Outpatient Department at Mizan Tepi University Teaching Hospital, Mizan-Aman, Ethiopia, 2021.

2021 ◽  
Author(s):  
Mirresa Guteta
Keyword(s):  
Blood Pressure ◽  
Teaching Hospital ◽  
Associated Factors ◽  
University Teaching ◽  
Outpatient Department ◽  
Outcome Variable ◽  
P Value ◽  
Multivariable Logistic Regression Model ◽  
Cross Sectional ◽  
Starting Point

Abstract Background: Prehypertension is a systolic blood pressure (SBP) of 120-139 millimeters of mercury (mmHg) and a diastolic blood pressure (DBP) of 80-89 millimeters of mercury (mmHg) According to JNC-7 report the new added category. It is considered as a starting point for cardiovascular and many other morbidities. Little is known about the magnitude of prehypertension and its associated factors in study area. Objective: To assess prevalence of Pre-hypertension and Associated factor among adults visiting the Outpatient department at Mizan Tepi university teaching hospital, Mizan-Aman, Ethiopia, 2021.Methods: Institution based cross sectional study design was conducted in Mizan Tepi University Teaching hospital. Simple random sampling method was used to recruit study participants. Data was entered into Epi data version 3.1 and exported to SPSS version 23 for data analysis. The descriptive analysis of data was done and the result presented using frequency tables and graphs. Multivariable logistic regression model was fitted, Adjusted Odds Ratio (AOR) at 95% confidence interval and p-value <0.05 were estimated to determine statistically significant association between predictors and outcome variable.Result: The prevalence of Prehypertension among adults visiting the Outpatient department at Mizan Tepi university teaching hospital was 30.7%. Significant association of prehypertension was found with age (AOR=1.22, 95% CI: 0.69, 2.15), educational status (AOR=0.32, 95% CI: 0.11, 1.00), physical exercise (AR=1.11, 95% CI: 0.57, 2.16) and Body Mass Index (AOR=4.14, 95% CI: 0.44, 39.34). Conclusion: Pre-Hypertension is high in the study area. As a result, concerned body should take action to enhance patients visiting Mizan Tepi University Teaching hospital about impact of Pre-Hypertension on individual health and how to control it.

scholarly journals Assessment of Rational Prescribing in General Outpatient Department of Kampala International University Teaching Hospital, Western Uganda

2019 ◽  
Vol 10 (01) ◽  
pp. 48-60
Author(s):  
Amamchukwu Ambrose Akunne ◽  
Wafula Innocent Lam ◽  
Joseph O. C. Ezeonwumelu ◽  
Jennifer Chibuogwu Ebosie ◽  
Bede Emeka Udechukwu
Keyword(s):  
Teaching Hospital ◽  
University Teaching ◽  
Outpatient Department ◽  
Rational Prescribing ◽  
International University ◽  
Western Uganda

scholarly journals Public Knowledge and Attitudes Towards Antibiotics Use and Resistance in Baghdad, Iraq: A Survey Conducted in Outpatient Department of University Teaching Hospital

2019 ◽  
Vol 12 (1) ◽  
pp. 567-574
Author(s):  
Berq J. Hadi Al-Yasseri ◽  
Nibras A. Hussain
Keyword(s):  
Teaching Hospital ◽  
Public Awareness ◽  
University Teaching ◽  
Outpatient Department ◽  
World Health ◽  
Antibiotics Resistance ◽  
Public Knowledge ◽  
Sources Of Information ◽  
Self Medication ◽  
Antibiotics Use

Introduction: Improper antibiotics utilization permits the emergence of resistant organisms. The World Health Organization has highlighted the role of people in preventing and controlling antibiotics resistance. Objectives: To investigate public knowledge and attitude towards antibiotics use and resistance in Baghdad, Iraq; and to identify deficiencies in these areas that need to be addressed. Methods: This was a cross-sectional study with an analytic element involving 500 participants attending outpatient department of university teaching hospital in Baghdad during the period of February through May, 2017. A questionnaire-form paper was used for data collection, including questions about sociodemographic characteristics; sources of information about antibiotics; knowledge about antibiotics indications, resistance, and side effects; and attitudes towards antibiotics self-medication. Results: People who knew antibiotics have no role in managing viral infection, coughs/colds, and pain/inflammation represented 42.4%, 20.0%, and 44.6% of study sample; respectively. Low proportions of participants realized the necessity to complete antibiotics course, 38.2%. Concerning attitude; those who were against keeping leftover antibiotics in home, taking antibiotics for cold/flu, and taking them for fever without consulting doctor were 37.2%, 42.2% and 46.4%; respectively. Higher education showed significant association with good knowledge (p<0.001) and appropriate attitude (p<0.001). The presence of family member with medical profession exhibited significant association with higher knowledge (p=0.011). Better knowledge was a predictor of better attitude (p<0.001). Conclusion: Public awareness about antibiotic resistance remains largely unrecognized in Baghdad. Many participants did not have sufficient knowledge about indications for antibiotics use and consequences of their over/misuse. Inappropriate attitude towards antibiotic self-medication was also identified largely in this study.

Ultrasound guided thyroid FNA with cytopathology in-attendance significantly improved accuracy in a university teaching hospital

2015 ◽  
Author(s):  
Mohamed Ahmed ◽  
Michael Jeffers ◽  
John Feeney ◽  
Pardeep Govender ◽  
Mark Sherlock ◽  
...  
Keyword(s):  
Teaching Hospital ◽  
University Teaching ◽  
Ultrasound Guided ◽  
Thyroid Fna ◽  
Improved Accuracy

Is one benign thyroid FNA cytology sufficient to out rule malignancy? A university teaching hospital experience

2015 ◽  
Author(s):  
Mohamed Ahmed ◽  
Michael Jeffers ◽  
John Feeney ◽  
Pardeep Govender ◽  
Mark Sherlock ◽  
...  
Keyword(s):  
Teaching Hospital ◽  
University Teaching ◽  
Hospital Experience ◽  
Thyroid Fna ◽  
Benign Thyroid
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