Urine analysis in KUB calculi in a tertiary care hospital

Background: This study was conducted to study the complete urine examination in patients presented with stones in kidney ureter and bladder.Methods: A retrospective study was done in patients with KUB stones who are attended OP or admitted in Saveetha Medical College and Hospital from January 2019 to December 2019. The data was collected from the Department of Urology, Radiology and Clinical pathology and entered in excel sheet, analysed descriptively. In our study 1000 cases were found to be CT-KUB and their urine samples are examined by dipstick method, microscopic examination and computed tomography (kidney ureter bladder) remain the most accurate imaging modality to detect kidney stones and to direct management.Results: A cross-sectional study was conducted in 1000 patients with KUB stones and their urine examination was done. CT-KUB stones are found in the kidney of 540 patients, ureter- 440 patients, bladder- 20 patients respectively. In our study 17-70 years age group of patients were presented with stones and their urine examination showed RBC (30%), protein (21%), pus cells and leukocytes (26%).Conclusions: The present study found abnormal components are present in urine of KUB stone patients such as Red blood cells, Protein, Pus cells and leukocytes present. Hence it is mandatory to check the urine examination in-KUB Stone patients to prevent the further consequences in kidney, ureter and bladder.

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SOCIODEMOGRAPHIC AND ANTHROPOMETRIC PROFILE OF DIABETIC PATIENTS ATTENDING IN A DIABETIC CLINIC IN A TERTIARY MEDICAL COLLEGE AND HOSPITAL, WEST BENGAL

10.36106/9100420 ◽

2021 ◽

pp. 12-15

Author(s):

Smarajit Banik ◽

Sandip Saha ◽

Sudipan Mitra ◽

Ujjwal Pattanayak ◽

Rajib Sikder ◽

...

Keyword(s):

West Bengal ◽

Tertiary Care Hospital ◽

Tertiary Care ◽

Cross Sectional Study ◽

Diabetic Patients ◽

Care Hospital ◽

Diabetes Clinic ◽

Cross Sectional ◽

Medical College ◽

Study Participants

Background: Diabetes mellitus is one of the important causes of morbidity and mortality. With a rise in non communicable diseases in India, diabetes has become a modern epidemic showing a rising trend in West Bengal also. A large number of diabetes patients come to the diabetes clinic of our tertiary care hospital in North Bengal Medical College and Hospital, Darjeeling, West Bengal. The large proportion of patients presenting with this condition prompted us to study the Sociodemographic and Anthropometric Prole of such patients. Methods: This was a descriptive hospital based cross sectional study involving a total of 344 diabetic patients enrolled in the diabetes clinic of a tertiary care teaching hospital from December 2019 to February 2020. A self-administered questionnaire was used to collect data and was analyzed in Microsoft excel sheet and using SPSS 20.0 software. Results: Among the 344 study participants, we found that 220 (63.95%) were males and 124 (36.05%) were females. Diabetes was more common among those aged 51-60 years 108 (31.40%). Family history was present among 188 (54.65%) of the diabetic patients. Almost 160 (46.51%) patients have diabetes 1.1 – 5 years. Hypertension was present among 216 (62.79%) patients. Almost 218 (63.37%) of the patients were overweight and 84 (24.42%) were obese. Conclusions: The diabetic patients presenting to this tertiary care hospital belong lower socioeconomic strata and having limited education in their age group. There is high proportion of obesity and hypertension among them.

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Cough Variant Asthma in Medical Outpatient Department of a Tertiary Care Hospital in Bangladesh

Journal of Enam Medical College ◽

10.3329/jemc.v3i1.13871 ◽

2013 ◽

Vol 3 (1) ◽

pp. 29-31

Author(s):

Swapna Bhattacharjee ◽

Shekhar Bhattacharjee ◽

Rukhsana Parvin

Keyword(s):

Chronic Cough ◽

Tertiary Care ◽

Complete Recovery ◽

Cross Sectional Study ◽

Outpatient Department ◽

Care Hospital ◽

College Hospital ◽

Cross Sectional ◽

Cough Variant Asthma ◽

Medical College

Background: Cough variant asthma (CVA) is a subset of asthma where the only symptom is chronic persistent cough. Many cases go unrecognized due to lack of proper evaluation. Response to asthma medication with features supportive of airway hypersensitivity helps in management of this disease. Objective: To find out the proportion of cough variant asthma among the patients attending medicine outpatient department of Enam Medical College, Savar, Dhaka. Materials and Methods: This cross sectional study was conducted in Enam Medical College Hospital, Savar, Dhaka over a period of two years from July 2009 to July 2011. Cough variant asthma was diagnosed mainly on clinical ground as chronic cough without wheezing, fever, weight loss, shortness of breath or sputum or any other apparent cause that persisted for more than eight weeks with absolutely normal physical examination of chest, normal chest radiography and blood count except raised eosinophil count and IgE level. Patients who met these criteria were given 2 weeks course of inhaler beclomethasone propionate and were assessed for improvement. Those who improved after steroid inhalation were categorised as having cough variant asthma. Results: Out of purposively selected 148 patients complaining only of chronic dry cough for more than eight weeks, 92 patients met the primary selection criteria for cough variant asthma. These 92 patients were given 2 weeks trial of 250 ìgm beclomethasone inhalation twice daily. Seventy nine patients reported almost complete recovery from chronic cough after 2 weeks and were categorized as having CVA. Thirteen patients did not improve and were not categorized as CVA. Conclusion: These findings suggest that cough variant asthma is the most common among the patients with chronic cough not due to any apparent cause. The efficacy of inhaled corticosteroid suggests that early intervention is effective in the treatment of this disease. DOI: http://dx.doi.org/10.3329/jemc.v3i1.13871 J Enam Med Col 2013; 3(1): 29-31

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Knowledge, attitude, and practices about contraceptive in Western Rajasthan, India

International Journal of Reproduction Contraception Obstetrics and Gynecology ◽

10.18203/2320-1770.ijrcog20182882 ◽

2018 ◽

Vol 7 (7) ◽

pp. 2786

Author(s):

Gayatri Aseri ◽

Sudesh Agrawal

Keyword(s):

Tertiary Care ◽

Cross Sectional Study ◽

Care Hospital ◽

Sources Of Information ◽

Cross Sectional ◽

Over The Counter ◽

Medical College ◽

Study Population ◽

Knowledge Attitude And Practice ◽

Structured Questionnaire

Background: This study was carried out to assess the knowledge, attitude, and practice of contraceptive methods among women attending a tertiary care hospital in Western Rajasthan.Methods: This cross-sectional study was conducted in the department of obstetrics and gynecology, PBM and the associated group of hospitals, attached to Sardar Patel Medical College, Bikaner, Rajasthan, India. Total 500 married women between age group 15-49 yrs were included. These all women interviewed using a structured questionnaire after approval of the hospital’s ethical committee.Results: Total 500 women interviewed for their knowledge, attitude, and practices about contraception. Out of which, 402 (80.4%) women had some knowledge of at least one contraception method at the time of the study. The most common sources of information about contraception were husband and family member. Amongst the various contraceptives most commonly known was condom (78.4%). Only 265 (53%) women were practicing contraception at present. Most commonly used contraceptive was condom (40.8%). The most common reason for the non-practice of contraception was need of more child or male child in 34.8% families followed by opposition from in-laws (12.4%).Conclusions: Literacy was positively associated with family planning related knowledge and practices. Preconception knowledge and practices about contraception are poor in our study population. Many of the women were getting MTP pills over the counter without consulting to health care persons and then later presents with complications.

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Phenotypic and Genotypic Isolation of MRSA from Burn Wound Infected Patients at a Tertiary Care Hospital in Bangladesh

Bangladesh Journal of Infectious Diseases ◽

10.3329/bjid.v7i1.48671 ◽

2020 ◽

Vol 7 (1) ◽

pp. 12-17

Author(s):

Anika Tasnim ◽

AKM Shamsuzzaman ◽

Md Shah Alam ◽

Jannatul Ferdose ◽

Fazlay Akbar Khan

Keyword(s):

Culture Media ◽

Tertiary Care ◽

Meca Gene ◽

Cross Sectional Study ◽

Diffusion Method ◽

Care Hospital ◽

Burn Wound ◽

College Hospital ◽

Cross Sectional ◽

Medical College

Background: Patients of burn wound are generally more susceptible to infection due to concurrent status of malnutrition and immunosuppression. Among many bacteria, MRSA has appeared as a challenging pathogen irrespective of effective antibiotic therapy. Objective: The purpose of the present study was to detect the prevalence and antibiogram of MRSA in burn wound infected patients. Methodology: The present cross sectional study was conducted at Department of Microbiology in Rajshahi Medical College, Rajshahi, Bangladesh. The samples were collected from Burn and Plastic Surgery Unit of Rajshahi Medical College Hospital, for a period of one year. Phenotypic detection of MRSA were done by cefoxitin disc diffusion method and genotype (mecA gene) was detected by PCR which was conducted at Dhaka Medical College, Dhaka among all the S. aureus isolates. Result: A total of 212 wound swabs were subjected to bacteriological culture media for isolation of MRSA and other organisms. As a whole 89.62% samples yielded growth in culture of which Pseudomonas aeruginosa was the predominant pathogen (34.18%). Out of 21 S.aureus isolates, 07(33.33%) were detected as MRSA by cefoxitin resistance and presence of mecA gene. Although over 85% MRSA were resistance to ciprofloxacin and ceftriaxone, but the present study could not detect any vancomycin resistant MRSA. Conclusion: The high prevalence and decreased sensitivity of MRSA to commonly used antibiotics has been observed in Burn Unit of RMCH. Therefore it is necessary to establish an antimicrobial surveillance system in hospital settings to prevent the spread of MRSA. Bangladesh Journal of Infectious Diseases 2020;7(1):12-17

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An Audit of Rational Use of Antibiotics in a Tertiary Hospital

Delta Medical College Journal ◽

10.3329/dmcj.v2i2.20526 ◽

2014 ◽

Vol 2 (2) ◽

pp. 64-67 ◽

Cited By ~ 1

Author(s):

Tanzima Begum ◽

Md Ismail Khan ◽

Shamima Kawser ◽

Md Ehsanul Huq ◽

Nadira Majid ◽

...

Keyword(s):

Tertiary Care Hospital ◽

Tertiary Care ◽

Antibiotic Use ◽

Tertiary Hospital ◽

Cross Sectional Study ◽

Care Hospital ◽

Cross Sectional ◽

Medical College ◽

Number Of Patients ◽

Rational Use Of Antibiotics

Background: Drug can cure ailment when used rationally on the other hand they may become harmful or even may threaten a life when used irrationally. Absence of guidelines for antibiotic use, protocols for rational therapeutics and infection control committees, have led to overuse and misuse of antimicrobials even in different specialized units in hospitals. Objective: The study has been designed to get a picture of use of antibiotics in a tertiary care hospital of Bangladesh. Materials and method: Cross sectional study was conducted in the department of Medicine of Sir Salimullah Medical College and Mitford Hospital, Dhaka, Bangladesh, for 3 months from 1st January 2009 to 31st March 2009. Admitted patients of Medicine unit-1 who got antibiotics were included in the study. Total number of patients was 1563. Results: Five hundred out of 1563 patients were prescribed antibiotics (38%). Out of 500 prescriptions, 68(14%) prescriptions were found irrational. Conclusion: Continuous surveillance should be carried out to reduce the irrational use of antibiotics. DOI: http://dx.doi.org/10.3329/dmcj.v2i2.20526 Delta Med Col J. Jul 2014; 2(2): 64-67

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Needlestick Injuries among Nurses in a Tertiary Care Hospital: A Work Hazard or Lack of Awareness?

Asian Journal of Medical Sciences ◽

10.3126/ajms.v5i1.4971 ◽

2013 ◽

Vol 5 (1) ◽

pp. 58-62 ◽

Cited By ~ 1

Author(s):

Archana Angrup ◽

Thakur Kamlesh ◽

Jaryal Subhash Chand ◽

Sood Anuradha ◽

Chandel Lata

Keyword(s):

Nursing Staff ◽

Work Experience ◽

Tertiary Care ◽

Medical Science ◽

Cross Sectional Study ◽

Needlestick Injury ◽

Care Hospital ◽

Cross Sectional ◽

Medical College ◽

Care Workers

Objectives: The present study addresses this important issue of NSI and aims at determining their occurrence among the nursing staff in Dr Rajendra Prasad Government Medical College (RPGMC) and hospital, Kangra at Tanda (H.P). Methods: A cross sectional study undertaken amongst the nursing staff of Dr RPGMC and hospital, Kangra at Tanda. Results: Out of the 164 respondents, 35(21.3%) reported to having one or more NSIs in their career and the maximum of these were amongst the nurses whose work experience was less than five years (13.4%). Conclusions: The results of this study confirm the importance of the need for an increased awareness of the risk of needlestick injury, the need to provide for the training and education of health-care workers DOI: http://dx.doi.org/10.3126/ajms.v5i1.4971 Asian Journal of Medical Science Vol.5(1) 2014 pp.58-62

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An observational study of adverse drug reactions reported in a rural tertiary care hospital

International Journal of Basic & Clinical Pharmacology ◽

10.18203/2319-2003.ijbcp20194638 ◽

2019 ◽

Vol 8 (11) ◽

pp. 2367

Author(s):

Ravi D. Mala ◽

D. M. Ravichand ◽

B. V. Patil ◽

B. S. Payghan ◽

Anurag Yadav

Keyword(s):

Adverse Drug Reactions ◽

Antimicrobial Agents ◽

Tertiary Care ◽

Cross Sectional Study ◽

Care Hospital ◽

Unintended Effects ◽

Drug Reactions ◽

Cross Sectional ◽

Physician Visits ◽

Medical College

Background: Adverse drug reactions (ADRs) are noxious and unintended effects of a drug that occurs at doses normally used in humans. ADRs may also result in diminished quality of life, increased physician visits, hospitalizations, and even death. The objectives of this study are to analyze and assess the causality and severity of reported ADRs.Methods: A cross sectional study of ADRs reported to Pharmacovigilance cell of MNR Medical College and Hospital Sangareddy in a year. The details of the various ADRs were statistically analyzed to find out pattern of ADRs. The WHO-UMC causality category and Hartwig-Seigel Scale were used to assess causality and severity of ADRs respectively.Results: The study shows, out of 60 suspected ADRs, the majority of ADRs were adults (68.3%) and out of whom 56% were females. According to the WHO-UMC Causality categories, 43.3% of the ADRs were categorized under Probable/likely, followed by possible (35%). The Hartwig-Siegel severity assessment scale shows that the majority (90%) of suspected ADRs were of mild category.Conclusions: The pattern of ADRs reported in our study is comparable to other studies. The commonest organ system affected was gastrointestinal tract, nervous and cutaneous system. Antimicrobial agents were causing maximum ADRs and medicine and allied departments have more number of ADRs. This study provides a valuable database for ADRs due to all commonly used drugs at hospitals and also helps in creating awareness regarding safe & judicious use of drugs to prevent ADRs.

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Knowledge, attitude and practices about hemovigilance among practitioners: a cross-sectional study

International Journal of Basic & Clinical Pharmacology ◽

10.18203/2319-2003.ijbcp20194801 ◽

2019 ◽

Vol 8 (11) ◽

pp. 2553

Author(s):

Roshi . ◽

Vishal R. Tandon

Keyword(s):

Tertiary Care Hospital ◽

Tertiary Care ◽

Cross Sectional Study ◽

Care Hospital ◽

Blood Products ◽

Sectional Study ◽

Cross Sectional ◽

Medical College ◽

Institutional Ethics ◽

Transfusion Reactions

Abstract: Transfusion by blood and blood products forms an important part of treatment. But this is not free from transfusion reactions which may be in the form of fever, rashes, shivering, anaphylaxis or even death. Hemovigilance is a programme of reporting such events.Materials and Methods: The present study was conducted in a tertiary care hospital of Jammu, (J& K). Permission was taken from Institutional Ethics Committee, Govt. Medical College, Jammu. A pretested questionnaire was prepared and circulated among practitioners. They were given time of 15 minutes to fill that questionnaire. After 15 minutes, the filled questionnaire were collected and were analysed. The data was presented in tabulated form.Results: Total 50 practitioners were included in the study. All the practitioners had knowledge about transfusion reactions. Only 10% of the practitioners had knowledge that transfusion reactions can be prevented, 40% of the practitioners had knowledge about hemovigilance programme and had an idea that transfusion reactions can be reported. But only 10% of the practitioners knew where to report and who can report, 6% knew how to report. Only 48% of the practitioners thought that transfusion reactions should be reported, 70% of the practitioners thought that transfusion reactions can be dangerous. 40% of practitioners told that seminars/CMEs should be planned. 80% of practitioners had encountered transfusion reactions, but only 2% had documented the same. 10% of the practitioners had attended seminars, CMEs. Many reasons were quoted for not reporting transfusion reactions.Conclusion: Overall, most of the practitioners have a positive attitude towards transfusion reaction reporting but knowledge regarding the haemovigilance concept is poor and the majority of them never reported such reaction. Hence, our study demands increased awareness and continued training to strengthen the haemovigilance system.

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Assessment of knowledge on hand hygiene among final year medical undergraduates

International Journal of Research in Pharmaceutical Sciences ◽

10.26452/ijrps.v11i4.3195 ◽

2020 ◽

Vol 11 (4) ◽

pp. 5584-5588

Author(s):

Khaja Moinuddin S ◽

Kavita Y ◽

Manibalan V ◽

Thirumaran ◽

Karthikeyan

Keyword(s):

Hand Hygiene ◽

Tertiary Care ◽

Cross Sectional Study ◽

Care Hospital ◽

Cross Sectional ◽

Medical College ◽

Medical Graduates ◽

Healthcare Settings ◽

Hygiene Practices ◽

Medical Undergraduates

Inadequate hand hygiene remains one of the main reasons for the spread of hospital-acquired infections, and now it is regarded as a key element of infection control activities. Hand hygiene practices are faulty in most healthcare settings. The present study was aimed to determine knowledge on hand hygiene among final year medical undergraduates. This was an institution-based descriptive cross-sectional study. The study was conducted at a tertiary care hospital and medical college in the department of obstetrics and gynaecology after obtaining ethical clearance from the institution. Informed consent was obtained from all the participants. All participants were given self-reporting questionnaires to fill. The questionnaire form contained questions based on hand hygiene knowledge assessment (obtained from the 2009 Global patient safety strategy initiative WHO guidelines). A total of 110 medical undergraduates were included in the study. (male,47 (42.7%) , female, 63(57.3%). A total of 14 participants scored less than 50% and accounted for 12.7%. Seventy-eight participants scored between 50-74, which accounted for 70.9%. It was noticed that good knowledge (≥ 75) on hand hygiene was least and accounted for 16.4%In the present study, knowledge on hand hygiene was found to be a moderate level in the majority of final year medical graduates.

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Correlation of days of illness on which oseltamivir was started with outcome in swine flu patients, in Government Medical College, Aurangabad (Jan-2015 to May 2015)

International Journal of Scientific Reports ◽

10.18203/issn.2454-2156.intjscirep20150953 ◽

2015 ◽

Vol 1 (6) ◽

pp. 245

Author(s):

Mangala S. Borkar ◽

Sagar P. Patil ◽

Vimlesh R. Pandey ◽

Gajanan A. Surwade ◽

Uddhav S. Khaire

Keyword(s):

Tertiary Care ◽

Time Lag ◽

Cross Sectional Study ◽

Swine Flu ◽

Care Hospital ◽

Government Medical College ◽

Invasive Ventilation ◽

Cross Sectional ◽

Medical College ◽

Non Invasive Ventilation

Background: Since 2009, Government Medical College, Aurangabad, a tertiary care hospital in the Marathwada region of Maharashtra, India, has been regularly admitting cases of pneumonia and ARDS, that are labeled as swine flu suspects. Oseltamivir is effective in swine flu cases if given within 48 hours and better, within 24 hours of start of illness. However most of our patients do not get oseltamivir within 48 hours. Hence we decided to compare the outcome in patients who received oseltamivir within 48 hours and after that.Methods: This is an observational, cross-sectional study comparing the time lag between the start of symptoms and getting the first dose of oseltamivir. 59 H1N1 positive patients were admitted to the swine flu ward between January to May 2015. We compared the two groups, one that received oseltamivir within 48 hours of start of symptoms and one that received after 48 hours and compared it with the outcome, i. e survival or death.Results: 38 patients (64.40%) in our study belonged to the age group of 31-50. Out of 59 positive patients, only 7 received oseltamivir within 48 hours, of whom 4 died. 52 received oseltamivir after 48 hours of whom 20 died. All the 11 who were given non-invasive ventilation, whereas only 1 of the 25 on invasive ventilation survived. Conclusions: Oseltamavir does not appear to have made a difference for survival whether it was given within 48 hours as compared to after 48 hours of onset of symptoms. However, these two groups were not comparable.

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