A Clinical Study of Prognostic Factors in Typhoid Ileal Perforation: in a Tertiary Hospital

2016 ◽  
Vol 3 (5) ◽  
pp. 1-12
Author(s):  
Manikanta K S ◽  
◽  
Sharangouda C Patil ◽  
Mir Md.NoorUl Hassan
2010 ◽  
Vol 39 (12) ◽  
pp. 1193-1203 ◽  
Author(s):  
T. Sugai ◽  
M. Yoshizawa ◽  
T. Kobayashi ◽  
K. Ono ◽  
R. Takagi ◽  
...  

2021 ◽  
pp. 004947552110646
Author(s):  
Webster Musonda ◽  
Derek Freitas ◽  
Kaunda Yamba ◽  
William Jim Harrison ◽  
James Munthali

Our study aimed to identify prognostic factors for surgical site infection following long bone fracture intramedullary nailing at a tertiary hospital in a low-resource setting. This was a longitudinal observational study involving 132 participants enrolled over a one-year period with femoral and tibial diaphyseal fractures scheduled for ORIF. Participant median age was 30 years (range: 26 – 42). The prevalence of surgical site infection was 16%. Male sex (AOR=0.26, 95% CI [0.70–0.98]; p = 0.047) was associated with lower odds of surgical site infection while associated non-musculoskeletal injuries were associated with higher odds of developing surgical site infection. Our study confirms a higher surgical site infection rate than normally accepted. However, intramedullary nailing in our setting is justified as it allows an early return to a pre-injury state. These interventions must be carried out in the best possible circumstances. Future studies could explore alternative methods of fracture fixation.


2019 ◽  
Vol 10 (1) ◽  
pp. 56-61
Author(s):  
Afsana Yasmin ◽  
ASM Bazlul Karim ◽  
Md Rukunuzzaman ◽  
Kamal Hossen ◽  
Luthfun Nahar ◽  
...  

Introduction: Acute liver failure is one of the common causes of death in pediatric gastroenterology and hepatology department. Outcome is different according to aetiology. Objective: To observe the aetiology, outcome and prognostic factors of pediatric acute liver failure. Methods: Consecutive 62 children aged 2 to 16 years of age who were diagnosed as acute liver failure from November 2015 to April 2018 were included in this study. All the clinical profiles, laboratory data and outcome were recorded in a preformed data sheet. Data were analysed by SPSS for Windows version 20. Results: Mean age was 8.5 years. Thirty-nine (62.9%) patients were between 5-10 years of age. Male were 53%. We made a diagnosis of 39 (63%) patients as Wilson disease alone, Another 3 Wilson disease acute liver failure patients had concomitent with either HAV, HEV or HSV in each one. HAV only was responsible for 17 patients and HEV for 1. One patient was Haemophagocyic lymphohistiocytosis and aetiology could not be identified in 1 patient. The overall death in study population was 48% (30). Twenty-four (57%) of 42 acute liver failure patients due to Wilson disease had died. Five (29%) of 17 patients due to HAV infection and 1 patient with HLH died. Ascites, high total bilirubin, high INR and etiology like Wilson disease were the worse pronostic factors for outcome of acute liver failure in children. Conclusion: Wilson disease was the most common aetiology of acute liver failure in children in this study. Early diagnosis is essential as outcome was worse. Majority of viral etiology improved with supportive care. Anwer Khan Modern Medical College Journal Vol. 10, No. 1: Jan 2019, P 56-61


2019 ◽  
Vol 152 (3) ◽  
pp. 83-89
Author(s):  
Alejandro Callejas-Díaz ◽  
Cristina Fernández-Pérez ◽  
Antonio Ramos-Martínez ◽  
Elena Múñez-Rubio ◽  
Isabel Sánchez-Romero ◽  
...  

2014 ◽  
Vol 24 (3) ◽  
pp. 305-310
Author(s):  
Noriomi Suzuki ◽  
Koichiro Wasano ◽  
Taiji Kawasaki ◽  
Hideo Nameki

2020 ◽  
Author(s):  
Yu Tang ◽  
Hang Liu ◽  
Jinxin Zhao ◽  
Jiaqi Zou ◽  
Yingzhu Chen ◽  
...  

Abstract Background Hypervirulent klebsiella pneumoniae (hvKP) is responsible for various invasive diseases and is associated with high mortality. However, the clinical and microbiological factors of hvKP infection to affect prognosis are not well studied. The purpose of this study is to evaluate prognostic factors of in-hospital mortality of hvKP infection, mainly focusing on clinical and microbiological characteristics. Methods A retrospective study was conducted in southwestern China from February 2018 to June 2019 and strains positive for aerobactin and string test were defined as hvKP. According to the clinical outcomes during hospitalization, hvKP infected patients were divided into non-survivor group and survivor group. The clinical characteristics, capsule serotypes, multi-locus sequence types, virulence genes and antimicrobial susceptibility were compared between the two groups. Results A total of 135 patients were classified as hvKP infection, with a prevalence rate of 22% and an in-hospital mortality rate of 11.9%. Univariate analysis exhibited that admission to intensive care unit (ICU)(p=0.008) and antimicrobial resistance of hvKP such as ampicillin/sulbactam(p=0.028), cefepime(p=0.033), aztreonam(p=0.049) and harboring iroN gene(p=0.023) were associated with higher in-hospital mortality. On the contrary, the rmpA gene showed an inverse association with in-hospital mortality(p=0.017). Multivariate logistic regression analysis revealed that admission to ICU (odds ratio [OR]=3.452, 95% confidence interval [CI]=1.052-11.329; P=0.041) and presence of iroN (OR=9.278, 95% CI=1.654-52.035; P=0.011) was considered to be the independent prognostic factors for in-hospital mortality of hvKP infection. Conclusion Emerging hvKP infection may lead to relatively high in-hospital mortality. Therefore, early surveillance and better management are necessary for patients admitted to ICU and infected with hvKP harboring iroN gene.


2014 ◽  
Vol 3 (17) ◽  
pp. 4441-4445 ◽  
Author(s):  
Anil Markose P ◽  
Thomas Rony K M ◽  
Sajeev George

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