scholarly journals Analysis of prescribing pattern of antimicrobial agents and its rationality in tertiary care rural setup of Central India

2017 ◽  
Vol 6 (9) ◽  
pp. 2289
Author(s):  
Nitin D. Pise ◽  
Swapnil B. Kaikade
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Antimicrobial Agents ◽  
Antibiotic Prescription ◽  
Tertiary Care ◽  
Resistance Pattern ◽  
Care Providers ◽  
Prescribing Pattern ◽  
Cross Sectional ◽  
Resistant Strains

Background: Antimicrobial agents are most commonly prescribed drug and share major cost of the treatment. Excessive and inappropriate use of antimicrobial has become a global problem, resulting not only in substantial economic burden on healthcare system but also in contributing to the selective pressure favoring the emergence of antibiotic-resistant microorganisms. Antimicrobial agents which one uses for prophylactic, empiric and therapeutic purposes, depends upon the local epidemiology of infectious diseases, microbiology and resistance pattern as well as local clinical experience. Rational use of antibiotics is one of the most important way of preventing development of resistant strains to these drugs. However, for this, the health care providers should be aware of the available antibiotic prescription guidelines and should strictly adhere to it. Also, they should be updated of emerging resistant strains. Though the strict guidelines are available for the use of antibiotics, there are differences in level of knowledge and approach to antibiotic prescription among professional health care providers.Methods: The present cross sectional study was carried out in A.V.B.R. Teaching Hospital by collecting data from admitted patient’s case paper, tabulated in seven groups of diseases and different groups of antimicrobial agents prescribed.Results: Penicillin and quinolone group of antimicrobials show maximum use whereas sensitivity found more in cephalosporins and quinolone group of antimicrobials.Conclusions: It was found that Cephalosporins (3rd Gen.) are the most commonly prescribed antimicrobial agents followed by aminoglycosides (Gentamicin) and Fluroquinolones (Ciprofloxacin).

scholarly journals Health care providers knowledge, attitudes and perceived barriers towards emergency contraception in a sub-Himalayan state of India

2018 ◽  
Vol 7 (8) ◽  
pp. 3244
Author(s):  
Rajiv Kumar Gupta ◽  
Bhavna Langer ◽  
Parveen Singh ◽  
Rashmi Kumari ◽  
Najma Akhtar ◽  
...  
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Emergency Contraception ◽  
Tertiary Care ◽  
Unwanted Pregnancy ◽  
Unprotected Sex ◽  
Perceived Barriers ◽  
Family Welfare ◽  
Care Providers ◽  
Cross Sectional

Background: Emergency Contraception (EC) is a method of contraception used within 72 hours of unprotected sex to prevent unwanted pregnancy. More than ten years since its use, a study was conducted among health care providers to assess their knowledge, attitudes and perceived barriers towards EC.Methods: The current cross-sectional study was conducted among the health care providers (HCPs) in all the health institutions of Jammu city, one of which included a tertiary care teaching hospital. The HCPs for the purpose of the current study included Medical Officers (MOs), Lady Health Visitors/ Staff Nurses (LHV/ SNs) and pharmacists. A 24 item pre-tested questionnaire was administered to the respondents to gather the relevant information.Results: MOs and LHV/SNs were found to have better knowledge than the pharmacists. Higher proportion of LHV/SNs and pharmacists were willing to learn more about EC (p<0.05). About two-third of MOs and LHV/SNs agreed about shortage of time during clinic schedule to counsel the users about EC (p<0.05).Conclusions: Gaps in the knowledge of the respondents need to be taken care of with continuing in-service trainings along with behaviour change communication. Role of pharmacists as health care provider especially in the context of family welfare services needs to be reassessed.

scholarly journals A cross-sectional observational study to assess the awareness regarding needle prick injuries among health care providers of a tertiary care teaching hospital in Madhya Pradesh, India

2019 ◽  
Vol 6 (6) ◽  
pp. 2440
Author(s):  
Sunil K. Guleri ◽  
Ram K. Panika
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Tertiary Care ◽  
Post Exposure Prophylaxis ◽  
Care Providers ◽  
Cross Sectional ◽  
Needle Stick ◽  
Needle Stick Injuries ◽  
Needle Prick ◽  
Exposure Prophylaxis

Background: Health care workers (HCW) are at risk of an occupational exposure to blood borne diseases like HIV and Hepatitis B through accidental needle stick injuries. This study was conducted to assess the awareness regarding needle prick injuries among health care providers and their exposure to NSIs in a tertiary care medical college hospital with 750 bed capacity.Methods: This cross sectional observational study was conducted on 300 voluntarily participated HCWs out of total 650 HCWs. A semi structured questionnaire was used to assess their knowledge about exposure to blood and body fluids, needle stick injuries and associated risks and post exposure prophylaxis. Details of previous exposures to NSIs in last one year (2017-18) were also asked and their opinion about role and responsibilities of hospital administration for management of NSI was also recorded.Results: More than 90% HCWs were aware of exposure to blood and body fluids, 80.7% were aware of needle stick injuries, all 100% were aware of transmission of HIV and Hepatitis B from NSis and 78% were aware of post exposure prophylaxis. 97 cases of NSIs occurred in last one year which was higher than estimated EPInet data. Injection needle was most commonly (93.8%) involved in causing accidental NSIs.Conclusions: Practice of universal precautions and standard injection procedures by HCWs should be followed and education, training, and group insurance should be provided by hospital administration for prevention of NSIs.

scholarly journals One for Everyone: A Study of User Satisfaction Among Health-Care Providers Regarding Extended Use of N95 Masks During the COVID-19 Pandemic

2020 ◽  
pp. 1-8
Author(s):  
Nishant Sharma ◽  
Anant Gupta ◽  
Makhdoom Killedar ◽  
Ashish Bindra ◽  
Asmita Patil ◽  
...  
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
User Satisfaction ◽  
Tertiary Care ◽  
Cross Sectional Study ◽  
Care Providers ◽  
Cross Sectional ◽  
Northern India ◽  
Large Tertiary Care

ABSTRACT Objective: This study was conducted to assess the feasibility of extended use of N95 masks in our hospital during the coronavirus disease 2019 (COVID-19) pandemic. We also studied the use pattern, user satisfaction, and issues faced during extended use of the mask. Methods: This cross-sectional study was conducted among health-care providers in a large tertiary care teaching hospital in northern India from April 1 to May 31, 2020. A list was prepared from the institute’s register, and participants were chosen by random sampling. The data collected from the physical forms were transferred to excel sheets. Results: A total of 1121 responses were received. The most common problem stated with reuse of N95 masks was loss of fit followed by damage to the slings, highlighted by 44.6% and 44.4% of the participants, respectively. A total of 476 (42.5%) participants responded that they would prefer “cup-shaped N95 mask with respirator”. The median scores regarding the satisfaction with the quality of masks and their fit was also 4 each. Conclusions: It was concluded that the extended use of N95 masks was acceptable, with more than 96% of the participants using these masks.

Neonatal Back Transport: Perspectives from Parents of Medicaid-Insured Infants and Providers

2007 ◽  
Vol 26 (5) ◽  
pp. 301-311 ◽  
Author(s):  
Krystal Hanrahan ◽  
Mohammad-Ali Attar ◽  
Alice Frohna ◽  
Molly Gates ◽  
Sylvia Lang ◽  
...  
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Information Exchange ◽  
Neonatal Intensive Care ◽  
Community Hospital ◽  
Tertiary Care ◽  
Cross Sectional Study ◽  
Care Providers ◽  
Cross Sectional ◽  
Early Communication

Purpose: To examine parents’ and health care providers’ perceptions of back transport from a tertiary care neonatal intensive care unit to a community hospital.Design: Qualitative, hypothesis-generating, cross-sectional study utilizing focus group methodology.Sample: Participants included 12 parents of back-transported infants insured by Medicaid, 6 regional NICU health care providers, and 17 community hospital special care nursery health care providers.Main Outcome Measures: Participant perceptions of factors that support or impede successful back transport.Results: Data from the focus groups were analyzed to identify five main themes: early communication about back transport, preparing parents for back transport, communication between hospitals at the time of back transport, follow-up and information exchange after back transport, and improving the back-transport experience for parents.

scholarly journals Knowledge of hand hygiene among healthcare providers in a tertiary care hospital, Bengaluru

2018 ◽  
Vol 5 (10) ◽  
pp. 4433
Author(s):  
Karavadi Sri Sai Vidusha ◽  
Margaret Menzil
Keyword(s):  
Health Care ◽  
Hand Hygiene ◽  
Health Care Providers ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Healthcare Providers ◽  
World Health ◽  
Care Hospital ◽  
Care Providers ◽  
Cross Sectional

Background: Healthcare providers (HCPs) have been identified as the most common vehicle for transmission of hospital acquired infections (HAIs) from patient to patient and within the healthcare environment. Hand hygiene has been identified as the single most important, simplest and least expensive means of preventing HAIs. This study was conducted to assess the knowledge of hand hygiene among healthcare providers in a tertiary care hospital in Bengaluru.Methods: A cross sectional descriptive study was conducted among all the health care providers who have been working in the hospital for more than one year. Total 122 health care providers were included in the study. A semi-structured, self-administered questionnaire was developed and used to obtain information on respondent’s socio-demographic characteristics, and knowledge of hand hygiene. For collecting data in this study, the World Health Organization (WHO) "Hand Hygiene Knowledge Questionnaire "revised 2009 edition was used. Descriptive statistics was used as necessary.Results: A total of 122 health care providers participated in the study. Among them 78 (63.9%) have received formal training in hand washing. The mean age of the study participants was 29.11±8.6 years. Majority opined that hand rubbing is required before palpation of the abdomen (86.9%) knowledge about hand hygiene was found to be moderate in majority of the study subjects (144 out of 200, 74%).Conclusions: In the present study the knowledge on hand hygiene among health care providers is moderate it highlights the importance of improving the current training programs targeting hand hygiene practices among health care providers.

scholarly journals Tourniquet application in snake bite: are we aware?

2020 ◽  
Vol 8 (8) ◽  
pp. 3031
Author(s):  
Gaveshna Gargi ◽  
Amit Saini
Keyword(s):  
Health Care ◽  
Health Facility ◽  
Health Care Providers ◽  
Snake Venom ◽  
Tertiary Care ◽  
First Aid ◽  
Snake Bite ◽  
Care Providers ◽  
Cross Sectional ◽  
Management Protocol

Background: To assess the use of tourniquets as mentioned in National Snake Bite Management Protocol among peripheral health care providers.Methods: This was a prospective cross-sectional study conducted in a tertiary care institute between June 2016 to June 2017. A total of 36 patients of snake bite referred from peripheral health facility were enrolled in the study and were evaluated for : date and time of bite, site of bite, weather snake was seen, type of envenomation, first aid given in Govt facility/alternative practitioner, tourniquet applied/not applied, anti snake venom given/not given as first aid and outcome.Results: The mean age of the study population was 39 years (17.38) range 18 years to 75 years. 18 patients were male and 18 were female. 30 (83.3%) patients had site of bite over the extremities’. The venom was hemotoxic in 12 (33.3%) patients and neurotoxic 21 (58.3%). 30 (83.3%) patients  received first aid in the Government health facility  manned by qualified in healthcare practitioner and 6 (16.7%) were treated by traditional healers. 29 (80.6%) patients had a tight tourniquet tied to the site of the bite when seen in emergency department of institute. None of the patients had their limbs splinted. 31 (86.1%) patients had received anti snake venom (ASV) at the peripheral health facility. The mortality rate was 5.6% with only 2 deaths.Conclusions: The majority of peripheral health care providers both qualified and unqualified use tourniquets in patients suffering with snake bite. The peripheral health care providers are not aware of importance of limb splinting and immobilisation. Though the rate of instilling ASV is good, the health care providers in the peripheral institutes should be made aware of recommendations of national snake bite management protocol with regard to use of tourniquets and limb splitting in snake bite patients.

scholarly journals Evaluation of prescribing pattern of antidiabetic drugs in medicine outpatient clinic of a tertiary care teaching hospital

2017 ◽  
Vol 6 (12) ◽  
pp. 2843
Author(s):  
Vineet Kumar ◽  
Manmeet Topno ◽  
Manju Gari ◽  
Megha Bansal ◽  
Kishor Chakraborty ◽  
...  
Keyword(s):  
Drug Utilization ◽  
Health Care Providers ◽  
Outpatient Clinic ◽  
Tertiary Care ◽  
Diabetic Patients ◽  
Care Hospital ◽  
Care Providers ◽  
Type 2 Diabetic Patients ◽  
Prescribing Pattern ◽  
Cross Sectional

Background: Diabetes is rapidly gaining the status of a potential epidemic in India with more than 62 million diabetics currently diagnosed with the disease. Drug utilization studies are of paramount importance for the optimization of drug therapy and promote rational drug use among health care providers. The aim of this study was to investigate the drug utilization pattern in type-2 diabetic patients. The objective of the study was to analyse the prescribing pattern of anti-diabetic drugs in a tertiary care hospital.Methods: A prospective, cross-sectional study was carried out in medicine outpatient clinic of tertiary care hospital, RIMS Ranchi for a period of 7 months. The data was analysed using WHO core indicators and Microsoft Excel 2013.Results: The total number of encounters surveyed was 94. Avg no of drugs per prescription was 3.04. Percentage of drugs prescribed by generic name was found to be 34.2%. Percentage of prescriptions was a) with antibiotics was 27.6%, b) with insulin was 14.89%, c) from essential drugs list 44.05%. Most common co morbid disease was found to be hypertension present in 27.6% cases.Most commonly use drug was found to be metformin followed by glimepiride.Conclusions: Implementation of WHO core prescribing indicators by the prescribers would help us to reduce the cost, to recognize and prevent potentially dangerous drug- drug interaction and antibiotic resistance.

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