A prospective study of the importance of enteric fever as a cause of non-malarial febrile illness in patients admitted to Chittagong Medical College Hospital, Bangladesh

Typhoid and paratyphoid fevers, collectively known as enteric fever, is caused by Salmonella enterica subspecies serovars Typhi and Paratyphi A, B and C. Despite this declining global trend, enteric fever is still considered to be a major public health hazard in Bangladesh and other developing countries due to poor sanitation, inadequate food safety measures and poor personal hygiene. In Bangladesh, the incidence of typhoid fever was reported to be 200 episodes per 100,000 person-years during 2003–2004. Multidrug-resistant (resistance to the first-line antimicrobials ampicillin, cotrimoxazole, and chloramphenicol) strains of S. Typhi and S. Paratyphi are on the rise globally and even cases of extensively drug-resistant (XDR) typhoid cases resistant to chloramphenicol, ampicillin, trimethoprim-sulfamethoxazole, third generation cephalosporins and fluoroquinolones are being reported from many corners of the world. This descriptive, observational study was carried out in Rajshahi Medical College Hospital Hospital, Rajshahi, Bangladesh from July 2017 to June 2019. Antibiotic sensitivity pattern of total 76 cases of enteric fever due to Salmonella Typhi were studied. Blood culture was carried out by BACT ALERT-3D, Automated blood culture analyzer from BioMeriuex SA, France Patented FAN Plus method. Based on the minimum inhibitory concentration (MIC), the organism was categorized as sensitive, intermediate, and resistant against the respective antibiotics as per Clinical and Laboratory Standards Institute (CLSI) criteria. We are reporting antibiotic sensitivity and resistant patterns of S. Typhi documented in Rajshahi Medical College Hospital, a large tertiary care hospital in Northern Bangladesh. TAJ 2020; 33(2): 10-14

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Outcome of pterygium surgery by using conjunctival autograft attachment with fibrin glue: a prospective study

International Journal of Research in Medical Sciences ◽

10.18203/2320-6012.ijrms20205831 ◽

2020 ◽

Vol 9 (1) ◽

pp. 134

Author(s):

Happy Kaur ◽

Babar Maqbool ◽

Manpreet Kaur

Keyword(s):

Prospective Study ◽

Fibrin Glue ◽

Operating Time ◽

Treatment Modalities ◽

College Hospital ◽

Medical College ◽

Department Of Ophthalmology ◽

Pterygium Surgery ◽

One Year ◽

A Prospective Study

Background: Pterygium is a degenerative condition of sub conjunctival tissues that proliferates as vascularised granulation tissue to invade cornea. Treatment modalities may be medical or surgical. Objectives were to asses results of pterygium surgery in patients with pterygium, in terms of operative time, post-operative symptoms, overall graft success and post-operative complications conducted at government medical college, hospital, Jammu during one year.Methods: Prospective study conducted on 25 patients by using fibrin glue over a period of one year in upgraded department of ophthalmology at GMC Jammu.Results: Mean operating time was 23.20 minutes by using fibrin glue, severity of post-operative symptoms were less. Graft successfully attached in all cases.Conclusions: Present study concluded that use of fibrin glue associated with less operating time and less post-operative discomfort in terms of severity and duration

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Clinico-epidemiological profile of patients with febrile illness attending malaria clinic at medical college hospital of Surat, Gujarat, India

International Journal of Medical Science and Public Health ◽

10.5455/ijmsph.2014.280320143 ◽

2014 ◽

Vol 3 (6) ◽

pp. 686

Author(s):

Jitendra Patel ◽

Naresh Godara

Keyword(s):

Febrile Illness ◽

Medical College Hospital ◽

College Hospital ◽

Medical College ◽

Malaria Clinic ◽

Epidemiological Profile

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BLOOD TRANSFUSION

The Professional Medical Journal ◽

10.29309/tpmj/2011.18.02.2054 ◽

2011 ◽

Vol 18 (02) ◽

pp. 212-214

Author(s):

REHMATULLAH SOOMRO ◽

MUHAMMAD RIZWAN JAVED ◽

SARA AHMAD ALI

Keyword(s):

Surgical Procedures ◽

Medical College Hospital ◽

College Hospital ◽

Medical College ◽

Elective Surgical Procedures ◽

Transfusion Ratio ◽

A Prospective Study ◽

Surgical Unit ◽

Cross Matching ◽

Cross Match

Objective: To evaluate Blood Ordering and Transfusion ratios for elective surgical procedures. Study Design, Setting & Duration: This was a prospective study carried out at Muhammad Medical College Hospital Mirpurkhas from January 2007 to December 2007. Patients & Methods: A total of 1032 patients were included, both male & female. All patients who underwent elective surgical procedures in Surgical Unit, Muhammad Medical College hospital, Mirpurkhas from January 2007 to December 2007 were included in this study. Blood units cross matched and units transfused intra-operatively and post-operatively were recorded apart from patient demography and hepatitis profile. Results: A total of 1032 patients underwent elective surgical procedures during the study period. Total 1500 blood units arranged, among these only 74 units of blood were transfused. This means only 4.9% of blood was utilized while 95.1% of blood was not utilized. Cross-match to transfusion ratio (C/T) = 20.27, Transfusion probability (Tp) = 7.1 and Transfusion index (Ti) = 0.07. Conclusion: For elective surgical procedures, there is no need for routine cross matching of blood. However, one must confirm the availability of blood for Hepatitis B and Hepatitis C reactive patients, and for cases, where the bleeding is inevitable like transvesical / transurethral removal of prostate.

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Endoscopic sinus surgery: experience of 60 cases

Bangladesh Journal of Otorhinolaryngology ◽

10.3329/bjo.v17i2.8849 ◽

1970 ◽

Vol 17 (2) ◽

pp. 104-109

Author(s):

Md Golam Mustafa ◽

Khabiruddin Ahmed ◽

Mahmudal Hasan

Keyword(s):

Endoscopic Sinus Surgery ◽

Neck Surgery ◽

Medical College Hospital ◽

Sinus Surgery ◽

College Hospital ◽

Medical College ◽

Post Operative Period ◽

A Prospective Study ◽

Surgery Department

Objective: To study the quality of life in patient who underwent ESS operation. Design and setting: A prospective study conducted over a period of one(01) year; from July 2004 to June 2005 in Otolaryngology – Head & Neck Surgery Department of Shaheed Suhrawardy Medical College Hospital and Dhaka Medical College Hospital, Dhaka, Bangladesh. Results: Hospital admitted 60(Sixty) cases of ESS patients were included and analyzed. 42 cases were male; whereas 18 cases were female in this study. 21-40 years (44 cases) were the commonest age group of study people. No significant/ alarming complications were recorded during post operative period. Conclusion: Instead of all limitations, outcome of ESS is more acceptable in comparison with conventional sinus surgery. The main symptoms, like nasal obstruction, discharge, headache and facial pain get relieved off dramatically which is compatible with other recognized study. Key words: Endoscopic sinus surgery; open the sinuses; restore normal air flow. DOI: http://dx.doi.org/10.3329/bjo.v17i2.8849 BJO 2011; 17(2): 104-109

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