Epidemiology of fungal infections in critical care setting of a tertiary care teaching hospital in North India: a prospective surveillance study

ABSTRACT Pharmaceutical procurement is a complex process that involves many steps, agencies, and manufacturers. Procurement lead time is defined as the time required to acquire the supplies and services and then placing them in the hands of the user. This study was done to study the lead time in drugs procurement at Government Medical College and Hospital, Chandigarh. It was aimed at calculating the average lead time in the procurement of drugs for year 2009—2010 in Pharmacy Department. Observational study along with retrospective record analysis was done to calculate the average internal and external lead time. Standardized format was used to retrieve data from the procurement records. Average lead time between the preparation of indent and receipt of drugs was observed to be 162 days, out of which 117 days (71%) accounted for internal lead time and external lead time was 47 days (29%). Internal lead time was approximately four times that of external lead time. Various reasons were noted for longer duration of internal lead time and every effort should be made to bring it down to the minimum, so as to ensure the availability of the right medicine in the right quantity, in the right time at the right place. How to cite this article Anand H, Siddharth V, Goyal V, Koushal VK. Lead Time in Drug Procurement: A Study of Tertiary Care Teaching Hospital of North India. Int J Res Foundation Hosp Healthc Adm 2016;4(1):16-19.

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Prescription pattern of antimicrobial drugs in pediatrics outpatient department of a tertiary care teaching hospital of North India

International Journal of Basic & Clinical Pharmacology ◽

10.5455/2319-2003.ijbcp20140426 ◽

2014 ◽

Vol 3 (2) ◽

pp. 1

Author(s):

Rajeev Mishra

Keyword(s):

Teaching Hospital ◽

Tertiary Care ◽

Outpatient Department ◽

North India ◽

Antimicrobial Drugs ◽

Prescription Pattern ◽

Tertiary Care Teaching Hospital ◽

Care Teaching

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A study to assess the knowledge and awareness regarding safe disposal of pharmaceutical wastes among 2nd year medical and para-medical students in a tertiary care teaching hospital in North India

International Journal of Basic & Clinical Pharmacology ◽

10.18203/2319-2003.ijbcp20200728 ◽

2020 ◽

Vol 9 (3) ◽

pp. 493

Author(s):

Shweta Kachhap ◽

Gajendra K. Singh ◽

Emmanuel A. Soreng ◽

Rani K. Beck ◽

Upendra Kumar

Keyword(s):

Teaching Hospital ◽

Health Care Professionals ◽

Tertiary Care ◽

Pharmaceutical Products ◽

North India ◽

Safe Disposal ◽

Tertiary Care Teaching Hospital ◽

Care Teaching ◽

Validated Questionnaire ◽

Awareness Programs

Background: The use of pharmaceutical products in our day to day life is escalating and one cannot deny their presence in every household. Unfortunately not all the medicines that reach our homes get consumed. Unused, unwanted and expired drugs get accumulated over time and are generally disposed along with other household trash thus contributing to environmental pollution. This turns our attention towards the significance of eco-pharmacovigilance. Assessing the level of knowledge and awareness of students under training as health care professionals regarding safe disposal of pharmaceutical wastes can help us to partly assess the magnitude of the problem of inappropriate disposal methods and help us to plan and initiate steps to prevent the hazards caused by improper disposal of these items.Methods: A questionnaire based cross-sectional study was conducted among medical and paramedical students of a tertiary care teaching hospital using a pre-validated questionnaire from previous studies.Results: Majority of the participants were not aware of the possible hazards of improper disposal of pharmaceutical wastes. They expressed the need for awareness programs regarding the subject.Conclusions: The study revealed the practice of drug accumulation at home. The disposal methods opted by the participants were not the recommended methods. There is a need to address this issue through awareness programs at various levels.

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Incidence, etiology, and course of hypercalcemia-induced AKI in a tertiary care center from northern India

The Egyptian Journal of Internal Medicine ◽

10.1186/s43162-021-00067-8 ◽

2021 ◽

Vol 33 (1) ◽

Author(s):

Nucksheeba Aziz Bhat ◽

Farhat Mustafa ◽

Rayees Yousuf Sheikh ◽

Imtiyaz Wani

Keyword(s):

Multiple Myeloma ◽

Critical Care ◽

Primary Hyperparathyroidism ◽

Serum Creatinine ◽

Serum Calcium ◽

Care Setting ◽

Care Center ◽

Tertiary Care ◽

Critical Care Setting ◽

Tertiary Care Center

Abstract Background Hypercalcemia is known to cause acute kidney injury (AKI). Literature related to hypercalcemic AKI is predominantly in the form of case reports and case series. The purpose of this study is to find the incidence, etiology, and course of hypercalcemia-induced AKI in a non-critical care setting. To our knowledge, this is the first study done to look for the incidence, etiology, and course of hypercalcemia-induced AKI in a non-critical care setting. This is a prospective observational study conducted in the Department of Medicine in a tertiary care center from Jammu and Kashmir, India, from June 2010 to June 2012. Patients admitted with hypercalcemia were assessed for AKI and evaluated and treated for hypercalcemia. Renal function was monitored during hospitalization and at 1 month of discharge. AKI and hypercalcemia were arbitrarily defined as serum creatinine > 1.5 mg/dl and corrected serum calcium of ≥ 11.5 mg/dl (as per reference hospital lab), respectively. Results Thirty patients are included. Hyperparathyroidism and multiple myeloma accounted for 13(43.3%) and 10 (33.3%) cases, respectively. Mean ±SD corrected serum calcium at diagnosis and after treatment at 1 month was 13.56 ± 1.86 mg/dl and 9.49±1.35 mg/dl, respectively; p < 0.001. Mean ±SD serum creatinine at baseline and after treatment of hypercalcemia was 2.87 ±1.68 mg/dl and 1.49±1.34 mg/dl, respectively; p < 0.001. Twenty-three (76.7%) patients had AKI. AKI recovered after treating hypercalcemia in 25 (83.3 %) patients. Mean ± SD days taken for the decrease in serum creatinine to ≤ 1.5 mg/dl was 8.28 ± 4.17 days. Mean ± SD serum creatinine after treatment of hypercalcemia in hyperparathyroidism group versus non-parathyroid group was 0.97 ± 0.35 mg/dl and 1.88 ±1.67 mg/dl, respectively; p value 0.009. Conclusions Hypercalcemia is commonly associated with AKI. Primary hyperparathyroidism and multiple myeloma account for the majority of the cases. Hypercalcemic AKI with primary hyperparathyroidism is less common and the outcome is better, as compared to non-hyperparathyroidism-related causes. AKI is reversible in most cases.

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A study on awareness regarding disposal of unused medicines among consumers at a tertiary care teaching hospital of north india

International Journal of Advances in Medicine ◽

10.18203/2349-3933.ijam20190111 ◽

2019 ◽

Vol 6 (1) ◽

pp. 91

Author(s):

Rohini Gupta ◽

Brij Mohan Gupta ◽

Apeksha Gupta

Keyword(s):

Teaching Hospital ◽

Health Care Professionals ◽

Tertiary Care ◽

Adverse Outcomes ◽

North India ◽

Cross Sectional ◽

Tertiary Care Teaching Hospital ◽

Care Teaching ◽

Knowledge And Attitude ◽

Semi Solid

Background: In the recent years, large number of human pharmaceuticals have been introduced to the environment by landfill when household medications are thrown to trash and liquid medications gain access to the environment via liquid drainage systems. There is lack of knowledge and awareness in the general public regarding the safe disposal of unused and expired medicines. The objective was to assess the awareness regarding disposal of unused medicines among consumers at a tertiary care teaching hospital of north IndiaMethods: It was a cross-sectional observational questionnaire-based study carried out on 220 consumers in medicine outpatient department (OPD) of a tertiary care teaching hospital in North India for 3 months. All the participants were provided the pre-validated self-administered questionnaire. The final questionnaire consisted of twelve questions to assess participants’ knowledge and attitude towards disposal of the medicines. The data was analyzed with the help of descriptive statistics.Results: It is quite evident from the present study that majority of participants 56.36% stated 1-5 drugs were left-over drugs at their homes. Most of the leftover medicines were analgesics in 59.1% followed by antibiotics in 51.36%. Most common dosage form of these leftover medicines were tablets in 85.9% of respondents. Majority of the respondents (55.9%) were not aware of the adverse outcomes of the pharmaceuticals in the environment. The most common method followed by majority of the participants for disposing of the solid, semi-solid and liquid dosage forms was garbage in 95%, 91.4% and 76.4% of consumers respectively. About 9.31% of the participants were in favour of initiating a program to collect unused medications from home.Conclusions: It can be concluded from the present study that the consumers had poor knowledge regarding the safe drug disposal techniques. Therefore, efforts need to be done by the health care professionals to make people educate regarding the safe drug disposal techniques.

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