scholarly journals Trend of clients attending an integrated councelling and testing centre of a tertiary care hospital in North Karnataka: a record based study

Author(s):  
Rakesh K. Nayak ◽  
Raghavendra D. Kulkarni ◽  
Ganavalli S. Ajantha

Background: The prevalence of HIV among the adult population has continued a steady decline at the national level from an estimated peak of 0.4% in 2000 down to 0.26% in 2015. The data generated by ICTC may provide important clues to understand the epidemiology of the disease in a specific area, as well as pattern of risk behavior of the population.Methods: The present retrospective record based cross sectional study was carried out at the ICTC Centre of SDM College of Medical Sciences and Hospital, Dharwad. Retrospective data for the past six years (2012-13 to 2017-18) on clients visiting the ICTC was collected from the ICTC registers.Results: A total of 45,066 clients attended the ICTC over a period of 6 years, among which 61.6% were females and 38.4% were males. Among the total females, 55% were antenatal mothers. Out of the total clients tested, 99.75% of clients underwent post-test counseling. Among the total clients, 669 were HIV sero-positive clients out of which majority (61.7%) were males. The total positivity rate was 1.48% among the ICTC attendees. 47 clients had co-infections with TB.Conclusions: The challenge is to increase access to and uptake of HIV testing priority. Intense IEC activities for behaviour change at grass root level populations should be encouraged. 

Author(s):  
Chattar Kanchan ◽  
Dabhade Sangeeta ◽  
Ghongane Balasaheb

Objective: The study was carried out to find the knowledge and awareness of medical and surgical section nurses about the use of antiseptic and disinfectants and the immediate and late impact of an educational intervention like seminar and workshop in the knowledge of nurses.Method: This is a questionnaire-based pre- and post-test cross-sectional study.  200 nurses [100 working in medical wards and 100 working in surgical wards and Operation theatre (O.T.)] were selected using random number sampling method.  First a pre-test was given. Then an educational intervention in the form of power point presentation was carried out and post-test was given. One more test was carried out 1 month after post-test to check retention of knowledge by nurses.Result: In both medical and surgical pre-test, most of the questions answered correctly were in below 25% response. While in post-test number of the questions answered correctly was increased and maximum number of number of the questions solved correctly were between 50-75% and 75-100 percent. Individual response in the pre-test both medical and surgical nurses showed that maximum number of nurses have responses between 25-50% and 50-75% while response rate has increased in post-test where maximum number of responses were between 75-100%.Conclusion: Our study suggests that educational intervention has positive impact on the knowledge of nurses. There is a need to carry out such educational interventions periodically which will be helpful for better retention of knowledge by nurses. 


Author(s):  
Swapna Subhash Khatu ◽  
Nachiket Madhukarrao Palaskar ◽  
Garima Laxminarayan Balpande ◽  
Nitin Dinkar Chaudhari

<p class="abstract"><strong>Background:</strong> Leprosy is a slowly progressive mildly infectious disease caused by <em>Mycobacterium leprae</em> primarily affecting skin and peripheral nerves. After introduction of multidrug therapy in the country recorded leprosy case load has come down. In December 2005, India announced elimination of leprosy as public health problem at national level under the NLEP but new cases are still being registered.</p><p class="abstract"><strong>Methods:</strong> It was a hospital based cross sectional study conducted on over 109 leprosy patients attending a tertiary care hospital in Narhe, Pune during the period from 1<sup>st</sup> January 2018 to 31<sup>st </sup>December 2018. The statistical package for Social Sciences (SPSS) for Windows version (16.0) was used to analyze the data (SPSS Inc., Chicago, IL). Statistical significance was declared at p&lt;0.05 or mentioned otherwise.<strong></strong></p><p class="abstract"><strong>Results:</strong> Out of 109 patients, 57 were new and 52 were old. Maximum patients belong to age group 40-49 years, 25 patients had type 1 reaction and 18 had type 2 reaction. Out of which 83 were on treatment and 12 are defaulter, 9 were in relapse, 6 patients released from treatment.</p><p class="abstract"><strong>Conclusions:</strong> In post elimination era of leprosy still new cases have been registered and hence the burden and morbidity of the disease is still high in the community. It strongly suggests that by early detection, increasing the duration of treatment and by increasing the community awareness, utilizing information, education and communication at all levels, we can hope to reduce the burden of disease in the community and to achieve the dream of leprosy free India.</p><p class="abstract"> </p>


Author(s):  
Chattar Kanchan ◽  
Dabhade Sangeeta ◽  
Ghongane Balasaheb

Objective: The study was carried out to find the knowledge and awareness of medical and surgical section nurses about the use of antiseptic and disinfectants and the immediate and late impact of an educational intervention like seminar and workshop in the knowledge of nurses.Method: This is a questionnaire-based pre- and post-test cross-sectional study.  200 nurses [100 working in medical wards and 100 working in surgical wards and Operation theatre (O.T.)] were selected using random number sampling method.  First a pre-test was given. Then an educational intervention in the form of power point presentation was carried out and post-test was given. One more test was carried out 1 month after post-test to check retention of knowledge by nurses.Result: In both medical and surgical pre-test, most of the questions answered correctly were in below 25% response. While in post-test number of the questions answered correctly was increased and maximum number of number of the questions solved correctly were between 50-75% and 75-100 percent. Individual response in the pre-test both medical and surgical nurses showed that maximum number of nurses have responses between 25-50% and 50-75% while response rate has increased in post-test where maximum number of responses were between 75-100%.Conclusion: Our study suggests that educational intervention has positive impact on the knowledge of nurses. There is a need to carry out such educational interventions periodically which will be helpful for better retention of knowledge by nurses. 


Author(s):  
B. Gomathi Manju N. Rathna Priya ◽  
G. Jayalakshmi

Cholelithiasis is a very common condition affecting the Gallbladder. Gallstones are present in 10 -15 % of the adult population. Females are three times more likely to develop Gallstones than male. Gall stones are classified into cholesterol and pigment stone. About 80% of them are cholesterol stone and 15-20% pigment stone. Obstruction and infections are the common complications of Cholelithiasis. Approximately 1-2% of the patients become symptomatic and warrants cholecystectomy (1). With this background we conducted a cross sectional study in the Institute of Microbiology, MMC & RGGGH, for 72 consecutive patients who underwent cholecystectomy. The most common age group affected 41-60 yrs. The most common symptoms are abdominal pain, dyspepsia and Jaundice. In this study Gallstones are collected after surgery, processed and Antibiogram pattern also studied as per standard guidelines. Out of 72 samples studied 35 (48.6%) are culture positive. Escherichia coli is the predominant organism isolated followed by Klebsiella pneumonia(52). Most of the isolates were sensitive to commonly used antibiotics for Gram Negative bacilli.


Author(s):  
Praveen Gowda ◽  
Subhashini K. J. ◽  
Siddharam S. Metri ◽  
M. Sundar

Background: Animal bites cause a big burden in terms of morbidity and mortality throughout the world. These bites could be caused by rabid animals causing rabies. Annually about 59,000 persons die of rabies, of which 20,000 is from India alone. Rabies though 100% fatal is preventable with post-exposure prophylaxis which includes wound wash, anti-rabies vaccination (ARV) and rabies immunoglobulin. The objectives of the present study was to describe the demographic profile of animal bite cases and to assess the management practices of animal bite cases reporting to dedicated anti-rabies clinic (ARC) of a tertiary care hospital, Hassan, Karnataka.Methods: A cross-sectional study was conducted from the inception of anti-rabies clinic (12th October 2017) to August 2018 among animal bite cases reported to ARC. They were interviewed by using a semi-structured, pre-designed and pre-tested proforma. Data regarding socio-demographic profile were collected from the animal bite victims. All the animal bite cases were managed as per WHO guidelines.Results: The total number of animal bite victims reported to ARC during the study period was 3500. Majority of the bite victims belonged to adult population (20-60 years). Majority were males (66.2%). 77% belonged to the rural population. Dogs (97.1%) were the most common biting animal. 79% of the bites were provoked. Turmeric powder was the most commonly used irritant. Most bites belonged to Category III (84%). Category I, II, III bites were managed appropriately according to WHO guidelines.Conclusions: Knowing the burden, socio-demographic characteristics and the management of animal bite victims in the dedicated ARC of HIMS has helped the programme officer in implementing the National Rabies Control Programme in Hassan district.


Author(s):  
Bershic Valantine ◽  
R. Prahan Kumar ◽  
Senthilvel Vasudevan ◽  
Jayanthi Sureshbabu ◽  
Zile Singh

Background: Dengue is one of the world’s emerging and rapidly spreading pandemic disease of public health importance.  High rainfall and low temperatures are associated with increased number of dengue cases.Methods: A hospital based cross sectional study was conducted between 15th August 2013 and 15th October 2013 with a sample of 200 in a tertiary care multi-speciality hospital in Puducherry using pre-designed and pre-tested questionnaire. The study protocol was approved by ICMR and Institutional (PIMS) Ethical Committee.  Participants were included in the study based on the following criteria: (1) More than 20 years of age. (2) Permanent resident of Pondicherry.Results: Out of the 200 participants 68% were males and 32% were females. Most of them (64%) had gone to schools, while 9.5% were illiterates. Of the 200 participants, 180 (90%) knew that mosquito is the vector for Dengue. 162 (81%) of participants felt hospitalisation is necessary for dengue management. 80% of participants mentioned use of ceiling fan as a predominantly used preventive measure against mosquito bite, whereas 43% of them use mosquito coils to avoid mosquito bites. Majority of the respondents (66%) spend less than Rs.100 ($ 1.47) in a month for various mosquito preventive measures.Conclusions: The knowledge about dengue was good, although more awareness needs to be created to identify the clinical signs of dengue. The overall attitude and practices of the participants towards dengue care, prevention and control is good. 


Vacunas ◽  
2020 ◽  
Vol 21 (2) ◽  
pp. 95-104 ◽  
Author(s):  
Y.M. AlGoraini ◽  
N.N. AlDujayn ◽  
M.A. AlRasheed ◽  
Y.E. Bashawri ◽  
S.S. Alsubaie ◽  
...  

Author(s):  
Nandini Chatterjee ◽  
Supratick Chakraborty ◽  
Mainak Mukhopadhyay ◽  
Sinjon Ghosh ◽  
Bikramjit Barkandaj ◽  
...  

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