scholarly journals Risk factors and microbiological features of surgical site infections

2021 ◽  
Vol 7 (4) ◽  
pp. 201-206
Author(s):  
Dr. Atul Kumar ◽  
◽  
Dr. Shivani Sinha ◽  
Keyword(s):  
Tertiary Care ◽  
Invasive Procedure ◽  
Surgical Site Infections ◽  
Legal Aspects ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
E Coli ◽  
Study Results ◽  
Group A ◽  
One Year

Background: Surgical site infections are the infections of the tissues, organs or spaces exposed bysurgeons during the performance of an invasive procedure manifested in the postoperative periodwithin 30 days after a surgical procedure and up to one year if an implant was placed in the patient.SSI is still higher in India as compared to western data leading to increased morbidity and mortality.This study aimed to analyse the factors associated with SSI and its microflora in a tertiary carecentre. Methods: A descriptive cross-sectional study was done for one year in a tertiary care centrein Bareilly, U.P. All the patients who underwent surgeries related to git pathology in the surgerydepartment, either emergency or elective with surgical site infections, were included in this study.Patients less than 18, all cases operated else were, or re-operated were excluded from this study. Alltraumatic abdominal surgeries were also excluded from this study. Results: The present studyrevealed SSI was associated with 82 (9.4%) cases among elective and 80 (21%) in emergencysurgeries. Superficial incision SSI was found to be most common (90 cases), followed by deepincisional SSI (60 patients) and organ/space SSI (12 cases). Minor intestine surgeries were mostcommonly associated with SSI. The microbiological organism most widely isolated was E. Coli(41.2%), followed by Staphylococcus aureus (27.5%), Klebsiella (16.5%), group A beta-haemolyticStreptococci (9.1%) and Pseudomonas (5.5%). Conclusions: Surgical site infection still causesconsiderable morbidity and high cost to the health care system and is becoming increasingly crucialin medico-legal aspects. Prevention of SSI requires a targeted approach to improve health careworkers' knowledge, practising the guidelines strictly regarding asepsis and optimising the patientbefore surgery. Reduction in rate of SSI will improve cosmesis and make the results of operationsbetter as a whole.

scholarly journals Awareness, Behavior, and Practices of Nurses related to Nursing Ethics, in tertiary care Hospitals of Lahore, Pakistan

2021 ◽  
Vol 3 (3) ◽  
pp. 1-12
Author(s):  
Shazia Javed ◽  
Kousar Parveen ◽  
Mohammad Afzal ◽  
Prof. Dr Syed Amir Gillani
Keyword(s):  
Tertiary Care ◽  
Sampling Technique ◽  
Legal Aspects ◽  
Cross Sectional Study ◽  
Unique Contribution ◽  
Nursing Ethics ◽  
Policy And Practice ◽  
Cross Sectional ◽  
Study Results ◽  
History Of

Purpose: The objective is to determine nurse’s knowledge about Nursing Ethics and association with behavior and practice of these nurses. Methodology: Cross-sectional Study Design. This study is conducted in different hospital settings of Lahore. a total of 150 nurses are selected by convenient sampling technique. They are taken informed consent and the data was collected including demographics and the nursing ethics. Data was analysed on SPSS version 24.0 Results: Most of the nurses working in different hospital are females and in our participants, 76% are females while 24% are males. Mostly belongs to age group of 20-30 years. Nearly 87% of the participants are single, i.e. hasn’t married yet. The more qualified nurse, more the KAP of nursing ethics in hospitals Unique contribution to theory, policy and practice: The study results show that the nurses need to gain better insight into the legal aspects of their profession and to enhance their level of respect, particularly for nurses of lower age, with a history of employment and contractual strength.

SURGICAL SITE INFECTIONS AT A TERTIARY CARE CENTRE: A CROSS SECTIONAL STUDY

2021 ◽  
pp. 56-58
Author(s):  
G. D. Yadav ◽  
Kuldeep Kumar ◽  
Ashish Varshney ◽  
Himanshu Singh
Keyword(s):  
Tertiary Care ◽  
Surgical Site Infections ◽  
Healthcare Services ◽  
Cross Sectional Study ◽  
Care Centre ◽  
Tertiary Care Centre ◽  
Cross Sectional ◽  
Medical College ◽  
Cost Of Health Care ◽  
One Year

Background: Surgical site infections are associated with substantial morbidity and mortality, increase in hospital stay and enhanced cost of health care. Objective of present study is to identify the etiological pathogens and their antimicrobial susceptibility, resistance and risk factors for development SSIs. Methods: It is observational study carried out at Department of General Surgery at GSVM Medical College, Kanpur, India for a period of one year. It is a tertiary care centre and a teaching hospital. A predesigned and pretested proforma was used to collect data. Surgical sites were examined and culture with sensitivity was done for infected wounds. Results: The most commonly isolated bacteria were: Klebsiella, E. coli and Staphylococcus aureus. Increasing age and associated diabetes showed signicantly higher rates of infection compared to their counterparts. Universal resistance was present to ampicillin, cefoxitin, ceftriaxone and tetracycline, while organism were sensitive to Imipenam, Meropenam and Piperacillin. Conclusions: Post-operative abdominal wound infection represents a substantial burden of disease both for the patients and the healthcare services in terms of the morbidity, mortality and economic costs.

scholarly journals Increasing rates of cesarean section, an upcoming public health problem: an audit of cesarean section in a tertiary care center of North India based on Robson classification

2017 ◽  
Vol 6 (11) ◽  
pp. 4998
Author(s):  
Vinita Das ◽  
Namrata Kumar ◽  
Varsha Kumari ◽  
Anjoo Agarwal ◽  
Amita Pandey ◽  
...  
Keyword(s):  
Cesarean Section ◽  
Care Center ◽  
Caesarean Section Rate ◽  
Tertiary Care ◽  
Public Health Problem ◽  
Cross Sectional Study ◽  
North India ◽  
Cross Sectional ◽  
Group 5 ◽  
One Year

Background: Increasing rates of cesarean section during last three decades has become a cause of alarm since and a need for ongoing studies. Objective of present study was to investigate cesarean section rates as per modified Robsons Criteria and to determine area of concern which requires maximum focus to decrease overall caesarean rateMethods: This cross sectional study was conducted over a period of one year (From January 2016 to December 2016) in the Department of Obstetrics and Gynecology at King George’s Medical University, Lucknow.Results: Total number of deliveries for one year was 8526. Out of them, 4275 (50.1%) were vaginal and 4251 (49.9%) were abdominal. Overall maximum caesarean section rate was contributed by group 5 of modified Robsons criteria i.e. previous section, singleton, cephalic, ≥37 weeks (17.7%).Conclusions: Robson 10 group classification provides easy way in collecting information about Cesarean section rate which obtains good insight into certain birth groups. It is important that efforts to reduce the overall CS rate should focus on reducing the primary CS rate (group 1 and 2) and on increasing vaginal birth after CS (group 5). The caesarean rate is commonest in group 5 that is previous section (17.7%).

scholarly journals Multidrug-resistant urinary tract isolates of escherichia coli: Frequency and patient demographics in a Tertiary Care Hospital.

2020 ◽  
Vol 27 (02) ◽  
pp. 335-340
Author(s):  
Salman Azhar ◽  
Muhmmad Wasif Baig ◽  
Shahid Rasool ◽  
Rizwan Rasool Khan ◽  
Talha Munir ◽  
...  
Keyword(s):  
Urinary Tract ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Multidrug Resistant ◽  
Cross Sectional Study ◽  
Care Hospital ◽  
Cross Sectional ◽  
E Coli ◽  
Patient Demographics ◽  
Tract Infections

Urinary tract infections (UTIs) are a major burden to the health care as it is estimated that around 150 million UTIs occur yearly worldwide. Enterobacteriaceae are the most common agent causing serious urinary tract infections; and MDR cases are increasing day by day. Objectives: To determine the frequency and patient demographics of multidrug resistant urinary tract isolates of Escherichia Coli in a Tertiary Care Hospital. Study Design: Retrospective cross sectional study. Setting: Medicine Department of Madinah Teaching Hospital / The University of Faisalabad, Faisalabad. Period: From May 2016 to Sep 2018. Material & Methods: 187 patients of age 15 to 90 years with positive E. coli on urine culture and sensitivity were included in this Retrospective cross sectional study. All those patients with history of dysuria (pain during urination) or frequent urination (more than 7 times per day) were advised urine complete analysis and those with >5 WBCs or pus cells /HPF or having positive for leukocyte esterase and/or nitrite, were advised urine culture and sensitivity. Main outcome variable was the frequency of MDRE cases among the culture positive E. coli UTI patients. Results: Among all the cases of E. coli UTI, frequency of MDRE UTI was 66.8% (n=125) and rest 33.2% (n= 62) cases were not MDR UTI. 97.3% patients were resistant to lactam antibiotics, 95.7% were resistant to quinolones and 68.4% were resistant to aminoglycosides.

scholarly journals The profile of patients’ complaints in a tertiary care hospital in South India

2018 ◽  
Vol 5 (8) ◽  
pp. 3567
Author(s):  
Mohammed Jezeel Nalakath ◽  
P. M. Thasneem ◽  
K. V. Deepak ◽  
N. A. Uvais
Keyword(s):  
Medical Staff ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
High Standard ◽  
Cross Sectional Study ◽  
High Rate ◽  
Care Hospital ◽  
Cross Sectional ◽  
Study Results ◽  
Research Population

Background: Complaints from patients and their carers are important indicators of problems in a healthcare system and provide valuable insights into safety-related problems within healthcare organisations. The objectives of the present study are to identify the frequency distribution of the people complained about, the units complained about and the total number of complaints.Methods: We employed a descriptive, cross-sectional study to conduct this research. The research population included cases registered at the complaints unit of a tertiary care hospitals in selected months of May 2017 to August 2017. The data were collected through observation of available documents. Excel software program was used for data analysis.Results: The administration received 692 complaints between the study period. The highest rate of complaints was filed against admission process (30.06%) and the lowest rate of complaints are filed against staff (2.51%). Our study results showed a significantly less complaints against nursing staff and no complaints against medical staff, indicates that the nursing and medical staff of the hospital might be observing medical ethics and professional commitment to a high standard and communicating well with the patients. High rate of complaints against admission unit, house keeping unit and high billing amount indicates the unrealistic expectations prevailing in the minds of clients from the health care provider.Conclusions: The current study generated the profile of patient’s complaints in a tertiary care hospital running in a charitable model. Such data can be utilised to identify common problems and to plan strategies. 

scholarly journals Study of genital dermatoses in pregnant females attending a tertiary care hospital

2019 ◽  
Vol 5 (3) ◽  
pp. 542
Author(s):  
Seeniammal Sivanu ◽  
Maalik Babu ◽  
Soundharyaa Moorthi Savadamoorthi
Keyword(s):  
Tertiary Care Hospital ◽  
Oral Candidiasis ◽  
Tertiary Care ◽  
Cross Sectional Study ◽  
Care Hospital ◽  
Cross Sectional ◽  
Sexually Transmitted ◽  
Pregnant Females ◽  
One Year ◽  
Infective Etiology

<p class="abstract"><strong>Background:</strong> Sexually transmitted infections (STI) prevalence in pregnancy is high and causes severe risk of transmission to the newborn. Usually they are asymptomatic and underdiagnosed. Most common STI’s are VVC, HPV, genital herpes, HIV, etc.</p><p class="abstract"><strong>Methods:</strong> A hospital-based cross-sectional study was done for a period of one year (September 2017- August 2018) and 31 pregnant genital dermatoses were encountered.<strong></strong></p><p class="abstract"><strong>Results:</strong> Among 31, infective etiology was seen in 15 cases (48%), non-infective etiology was seen in 3 cases (10%) and no STI’s were seen in 13 patients (42%). Vulvovaginal candidiasis was most common among pregnant females in 9 patients (60%) followed by genital warts in 3 patients (20%) followed by molluscum contagiosum, herpes genitalis and oral candidiasis in one patient (7%) respectively among infective etiology. Non-infective causes include vulval lymphangiectasia, epidermoid cyst and vascular swelling in one patient respectively (33.3%).</p><p><strong>Conclusions:</strong> Screening of antenatal cases is more important to prevent complications. </p>

scholarly journals Socio-Demographic Profile and Self-Injurious Behavior among Patients with Mania at a Tertiary Care Hospital

2017 ◽  
Vol 5 (1) ◽  
Author(s):  
L Versi
Keyword(s):  
Age Of Onset ◽  
Bipolar Affective Disorder ◽  
Tertiary Care ◽  
Total Duration ◽  
Cross Sectional Study ◽  
Variable Degree ◽  
Care Hospital ◽  
Impulsive Behavior ◽  
Cross Sectional ◽  
Study Results

Background: Mania is a common mood disorder. Mania associated with distractibility, irritability, impulsive behavior, great physical and mental activity. Irritability and impulsive behavior can lead to variable degree of self-injurious behavior. Self-injurious behavior more troublesome to patient and family members, there is a lack of proper research in the field of self-injurious behavior and mania. Objective: To assess the sociodemographic profile of self- injurious behavior in mania and self- injurious behavior in relation to severity of mania. Methods: Present study was a hospital based cross sectional study. The study was conducted at a tertiary care psychiatric hospital for a period of 6 months. 40 Patients with bipolar affective disorder with currently Mania with or without psychosis were included in the study. Patients with other psychiatric disorder were excluded from the study. Results: The mean age of study subjects was 29.75+7.012. The overall prevalence of self-injurious behavior among patients with mania was 37.5%. Cutting was seen in 4 males and 4 female patients. Burned with a cigarette and Burned with a lighter was seen only in one male patient. The age of onset of cutting and banged was seen at around 26 years of age. Total duration of mania for cutting was around 14 years and 17 years for head banged. Conclusion: The overall prevalence of self-injurious behavior among patients with mania was 37.5%. This was more in females as compared to males. But the difference is narrow and cannot be statistically significant.

scholarly journals A study of surgical profile of patients with hemorrhoids at a tertiary care hospital

2019 ◽  
Vol 6 (3) ◽  
pp. 916
Author(s):  
Prashant R. Shinde ◽  
Meghraj J. Chawada ◽  
Sudhir B. Deshmukh
Keyword(s):  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Vegetarian Diet ◽  
Cross Sectional Study ◽  
Care Hospital ◽  
Age Group ◽  
Cross Sectional ◽  
Normal Limits ◽  
Skin Tag ◽  
One Year

Background: In hemorrhoids, the anal canal venous plexuses become engorged. It can lead to bleeding, thrombosis, prolapse, pain. Study of surgical profile helps to educate the patients to take proper precautions to avoid the severe forms of it. The objective of the study was to study the surgical profile of patients with hemorrhoids at a tertiary care hospital.Methods: Present study was hospital based cross sectional study. It was carried out at a tertiary care hospital in the department of general surgery among 100 patients who presented with symptoms suggestive of hemorrhoids during the study period from 1st January 2017 to 31st October 2018.Results: Majority of the patients 41% were in the age group of 35-45 years. The number affected by hemorrhoids was more in males i.e. 56%. Incidence of hemorrhoids was more in upper class. Incidence of hemorrhoids was less i.e. 21% among those who took only vegetarian diet. Majority of the patients (78%) presented after one year of occurrence of treatment. 54% of the patients had third grade of hemorrhoids. Bleeding was present in the majority i.e. 98% of the patients. On anorectal examination, it was found that 44% of the patients had fissure and 23% of the patients had peri anal skin tag. Anorectal examination was within normal limits in 33% of the cases.Conclusions: Vegetarian diet may be protective against hemorrhoids. Bleeding was the most common presenting symptom. Thus, study helped to identify that being male, younger age group, non-veg diet may be the risk factors for hemorrhoids.

scholarly journals Occupational Stress among Nurses of tertiary Care Hospitals in Tiruvarur

2018 ◽  
Vol 6 (02) ◽  
Author(s):  
R. Sasikala ◽  
Dr.G. Ramu
Keyword(s):  
Occupational Stress ◽  
Tamil Nadu ◽  
Tertiary Care ◽  
Cross Sectional Study ◽  
Teaching Hospitals ◽  
Probability Method ◽  
Mild Stress ◽  
Cross Sectional ◽  
Study Results ◽  
Related Stress

Stress is physiological and psychological response towards any occurrences. It is very much vitalto learn about occupational stress because as it deters health and decreases the quality of work of nurses. The main objective was to determine prevalence, intensity and causes of occupational stress among nurses.Hospital based analytical cross-sectional study was conducted from January to November 2017 at two tertiary care teaching hospitals of Tiruvarur. The study was carried out on 265 registered nurses, having valid license by Tamil Nadu Nursing Council. Convenient non-probability method was used to access subjects. After taking consent, semi-structured and pre-tested occupational stress questionnaire was used to obtain the data. The study results revealed that majority of nurses 125 (47.2%) were between 25 to 30 years of age.Maximum ratio of nurses were female 160(60.4%) and out of them 148(55.8%) were married. Two hundredand one (75.8%) were diploma holders in nursing, while only 2(0.8%) had done their master in nursing. Thestudy participants reported to suffer with job related stress; mild stress 2.0%, moderate stress 36.5% and severe61.5%.

scholarly journals Frequency of blood group sub-type in patients with ischemic stroke at Nishtar Hospital Multan.

2019 ◽  
Vol 26 (08) ◽  
pp. 1333-1338
Author(s):  
Muhammad Tahir ◽  
Gohar Ali ◽  
Ali Ismail
Keyword(s):  
Ischemic Stroke ◽  
Blood Group ◽  
Cross Sectional Study ◽  
Blood Groups ◽  
Cross Sectional ◽  
Blood Group A ◽  
Increased Risk ◽  
Study Results ◽  
Group A ◽  
Group B

The objective of this study was to determine the blood groups among the patients presenting with ischemic stroke either AB blood group or O blood group is more common (frequent) among these patients irrespective of other known factors responsible for stroke. Study Design: Descriptive, Cross-sectional study. Setting: Department of Medicine, Nishtar Hospital Multan. Period: January 2015 to August 2015. Materials & Methods: We included total 292 patients (40-70 years of age), with ischemic stroke documented on CT scan brain of both gender (male and female). Blood sample of these patients were sent to the central laboratory of Nishtar hospital for blood group determination using standard techniques. Results: Mean age was 56.26 ± 8.28 years. Out of the 292 patients, 163 (55.82%) were male and 129 (44.18%). Frequency of blood group A, B, AB and O in patients with ischemic stroke was found to be 114 patients having blood group A (39.04%), 53 patients having blood group B (18.15%), 26 patients having blood group AB (8.90%) and 99 patients having blood group O (33.90%) respectively. Conclusion: Our study results concluded that there is an association between ABO blood groups and ischemic stroke, irrespective of other risk factors. Our study results have observed that individuals belonging to non-O blood groups (A, B, or AB) are at an increased risk of ischemic stroke as compared to O blood group carriers however we did not control possible impact of confounders such as diabetes, hypertension and dyslipidemia etc. Many studies proved that persons with AB blood groups are at increased of atherosclerosis but no study showed that these persons have increased risk of ischemic stroke or not.

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