Profile of mortality among beneficiaries of public health assurance schemes in Karnataka: a retrospective study

Background: The burden of non-communicable diseases (NCDs) that can potentially be dealt at tertiary care is increasing in developing countries including India which increase the out of pocket expenditure. Different health assurance schemes have been implemented in the state of Karnataka to provide access to quality tertiary medical care to all. The current study was undertaken to study the profile of mortality under these schemes as no information was available till date.Methods: Data of beneficiaries availing treatment in empanelled tertiary care hospitals under health assurance schemes was collected from Suvarna Arogya Suraksha Trust (SAST) online data base from April 2015 to March 2016 on 20 August 2016. Statistical analysis was done by data collection using Microsoft EXCEL 2010 and SPSS-20 version.Results: Majority of the beneficiaries (91.9%) were treated under Vajpayee Arogyashree Scheme. Deaths were more in beneficiaries of Mysore division with significant high mortality in burn patients. Nearly 63.2% of the beneficiaries were males and were in the age group of 15-60 years and higher hospital mortality was seen among infants (6.8%). Age less than one year, longer cardio pulmonary bypass time and longer aortic cross-clamp time are significantly (p<0.001) associated with hospital mortality in surgeries of congenital heart disease.Conclusions: Mortality in beneficiaries of health assurance schemes was more in infants, females, burn cases and in Mysore division.

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An assessment of pattern of adverse drug reactions of cardiovascular drugs in a tertiary care institute

International Journal of Basic & Clinical Pharmacology ◽

10.18203/2319-2003.ijbcp20180097 ◽

2018 ◽

Vol 7 (2) ◽

pp. 273 ◽

Cited By ~ 1

Author(s):

Smita Y. Wankhede ◽

Milind L. Pardeshi ◽

Vishal V. Ghorpade ◽

Balasaheb B. Ghongane

Keyword(s):

Adverse Drug Reactions ◽

Demographic Data ◽

Tertiary Care ◽

Cardiovascular Drugs ◽

Care Hospital ◽

Drug Reactions ◽

Microsoft Excel ◽

Entire Study ◽

Cardiovascular Medications ◽

One Year

Background: Cardiovascular disease is very prevalent in India. So, use of cardiovascular drugs is also more. So, it is very important to keep watch on adverse drug reactions. Aim of this study was to assess the pattern of adverse drug reactions (ADRs) reported with cardiovascular drugs in a tertiary care institute.Methods: The study was carried out in medicine department of a tertiary care hospital over a period of one year. Each ADR was analysed for demographic data, causality, relationship between frequency of ADRs and the number of drugs used etc. In statistical analysis Microsoft excel 2013, SPSS software was used.Results: A total of 136 patients, 58 (43%) men and 78 (57%) women, using cardiovascular medications reported ADRs during the entire study period. Total 168 ADRs were reported out of which, Amlodipine (causing headache and edema feet) was the most common drug with 51 (30.3%) ADR’s followed by Enalapril, Aspirin and Isosorbide Dinitrate with 37 (22%), 24 (14.2%), 23 (13.6%) ADRs respectively. Most common ADR was headache (due to amlodipine and Isosorbide di nitrate) affecting 38 (22.62%) cases followed by dry cough 37 (22.02%) cases, edema feet 36 (21.43%), gastritis 24 (14.29%) and 10 (5.95%) of nausea.Conclusions: Monitoring ADRs in patients using cardiovascular drugs is a matter of importance since this class of medicines are mostly used as multidrug therapy and always prone for ADRs.

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Prevalence of latent tuberculosis infection in healthcare workers in tertiary care hospitals of Pakistan

Pakistan Journal of Medical Sciences ◽

10.12669/pjms.36.2.936 ◽

2019 ◽

Vol 36 (2) ◽

Cited By ~ 1

Author(s):

Rabia Sadaf ◽

Tehmina Munir ◽

Sheroze Farrukh ◽

Saleem Abbasi

Keyword(s):

Interferon Gamma ◽

Healthcare Workers ◽

Latent Tuberculosis Infection ◽

Tertiary Care ◽

Latent Tuberculosis ◽

Tuberculosis Infection ◽

Interferon Gamma Release Assay ◽

Release Assay ◽

One Year ◽

Tertiary Care Hospitals

Objective: To determine the prevalence of latent tuberculosis infection (LTBI) in healthcare workers in tertiary care hospitals of Rawalpindi, using interferon gamma release assay. Methods: It was a cross-sectional study. The samples were collected from pulmonology and microbiology departments of three hospitals; i) Military Hospital, Rawalpindi, ii) Fauji Foundation Hospital, Rawalpindi and iii) Pakistan Institute of Medical Sciences, Islamabad. The study was completed in one year from January 2017 to January 2018. Fifty-five asymptomatic healthcare workers of both genders between the ages of 18-50 years with a working tenure of at least one year in concerned departments were included and those with active tuberculosis were excluded from the study. Whole blood from subjects was collected and plasma was checked for interferon gamma value by IGRA(Interferon gamma release assay). Results: In this study of total 55 healthcare workers a high prevalence 22 (40.0%) of latent tuberculosis was found. When LTBI distribution was analyzed within occupational categories, the most frequently affected were sanitary workers 3 (100.0%), nurses 5 (50.0%), doctors 6 (43%) and nursing assistants 2 (40%). Conclusion: The prevalence of LTBI in healthcare workers is alarmingly high in our local healthcare settings. doi: https://doi.org/10.12669/pjms.36.2.936 How to cite this:Sadaf R, Munir T, Farrukh S, Abbasi S. Prevalence of latent tuberculosis infection in healthcare workers in tertiary care hospitals of Pakistan. Pak J Med Sci. 2020;36(2):---------. doi: https://doi.org/10.12669/pjms.36.2.936 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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Phenotypic detection of metallo-β-lactamase among the clinical isolates of imipenem resistant Pseudomonas and Acinetobacter in tertiary care hospitals of Dhaka city

Ibrahim Medical College Journal ◽

10.3329/imcj.v4i2.6498 ◽

1970 ◽

Vol 4 (2) ◽

pp. 63-65

Author(s):

Shaheda Anwar ◽

Md Ruhul Amin Miah ◽

Ahmed Abu Saleh ◽

Humayun Sattar ◽

Sharmeen Ahmed

Keyword(s):

Tertiary Care ◽

Clinical Isolates ◽

Beta Lactamase ◽

Dhaka City ◽

Gram Negative ◽

Carbapenem Resistant ◽

Rapid Spread ◽

One Year ◽

Tertiary Care Hospitals

The rapid spread of Metallo-β-lactamase (MBL) producing Gram negative bacilli represents a matter of great concern worldwide. The study analyzed the occurrence of MBL production in carbapenem resistant Pseudomonas and Acinetobacter isolates over one year period. A total of 132 Pseudomonas and 76 Acinetobacter isolates were obtained from two tertiary care hospitals of Dhaka city. A total of 53 Pseudomonas and 29 Acinetobacter isolates were selected because of their resistance to carbapenem specially imipenem (IPM). Screening for MBL production was performed in these isolates by IPM-EDTA microdilution MIC method. 44 (83%) IPM resistant Pseudomonas and 19 (65.5%) Acinetobacter isolates were MBL producer by IPM-EDTA microdilution MIC method. These results suggest that MBL producing Pseudomonas and Acinetobacter isolates are emerging in our country and it is essential to screen carbapenem resistant isolates for MBL production. DOI: 10.3329/imcj.v4i2.6498Ibrahim Med. Coll. J. 2010; 4(2): 63-65

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Causes and predictors of hospitalization and in-hospital mortality among HIV/AIDS patients on highly active antiretroviral therapy in secondary and tertiary care hospitals in Oromia Regional State: multi-center cross-sectional study

HIV & AIDS Review ◽

10.5114/hivar.2021.107236 ◽

2021 ◽

Vol 20 (2) ◽

pp. 102-108

Author(s):

Gurmu T. Umeta ◽

Legese Chelkeba ◽

Gosaye M. Tefera ◽

Kemal Jemal ◽

Kabaye K. Goro

Keyword(s):

Antiretroviral Therapy ◽

Hospital Mortality ◽

Highly Active Antiretroviral Therapy ◽

Tertiary Care ◽

Cross Sectional Study ◽

Sectional Study ◽

Aids Patients ◽

Cross Sectional ◽

Highly Active ◽

Tertiary Care Hospitals

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Microbiological profile and risk factors for in-hospital mortality of infective endocarditis in tertiary care hospitals of south Vietnam

PLoS ONE ◽

10.1371/journal.pone.0189421 ◽

2017 ◽

Vol 12 (12) ◽

pp. e0189421 ◽

Cited By ~ 7

Author(s):

Hoang M. Tran ◽

Vien T. Truong ◽

Tam M. N. Ngo ◽

Quoc P. V. Bui ◽

Hoang C. Nguyen ◽

...

Keyword(s):

Risk Factors ◽

Infective Endocarditis ◽

Hospital Mortality ◽

Tertiary Care ◽

Microbiological Profile ◽

South Vietnam ◽

Tertiary Care Hospitals

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Prescribing trends of antidiabetic drugs in diabetic and hypertensive diabetic patients in an urban tertiary care hospital of Bangladesh

Research in Pharmacy and Health Sciences ◽

10.32463/rphs.2017.v03i03.16 ◽

2017 ◽

Vol 3 (3) ◽

pp. 338-343

Author(s):

Mohammad Didar Khan ◽

Md. Ibrahim ◽

Md. Mizanur Rahman Moghal ◽

Dipti debnath ◽

Asma Kabir ◽

...

Keyword(s):

Urban Areas ◽

Tertiary Care ◽

Diabetic Patients ◽

Care Hospital ◽

Age Group ◽

Microsoft Excel ◽

Patient Profile ◽

Prescribing Trends ◽

Medical University ◽

Insight Into

Objective: The present epidemiological study was conducted with the objectives of providing an insight into the current use of antidiabetic medications to diabetics and hypertensive diabetics in urban areas and determining how the patient factors influence the prescribing of antidiabetic medications. Methodology: Data of patients of past two years were collected from Bangabandhu Sheikh Mujib Medical University (BSMMU) Hospital, Dhaka, Bangladesh. The details were entered in the structured patient profile form. Data were statistically analyzed using the Microsoft Excel 2007 software. Result: A total of 958 patient’s data were collected and analyzed of which 632 (65.97 %) were males and 326 (34.03 %) were females. These patients were further categorized based on their age. 330 patients (34.45 %) belonged to the age group 20 – 44 years, 504 (52.61 %) to the age group 45 – 65 years and 124 (12.94 %) to the age group 65 – 80 years. 684 (71.4%) patients out of the 958 patients studied were suffering from coexisting hypertension. Co-existing hypertension was found to be more prevalent in the age group 45 – 65 years (67.69%) and was found more in females (84.04%). Conclusion: Metformin was the oral hypoglycemic which was the highest prescribed. In hypertensive diabetics Metformin and Pioglitazone were most frequently prescribed drugs. Biguanides and Insulin were the most commonly prescribed antidiabetics. A combination of two or more drugs of different classes was prescribed to hypertensive diabetics. It is necessary to have an improved understanding of the etiology and pathophysiology of diabetes to focus on research efforts appropriately.

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CIScoSI Study [Children Immunization Status and cases of Systemic Illness]

Medical & Clinical Research ◽

10.33140/mcr.03.03.02 ◽

2018 ◽

Vol 3 (3) ◽

Keyword(s):

Infectious Diseases ◽

East Asia ◽

Pediatric Patients ◽

Severe Disease ◽

Tertiary Care ◽

Immunization Coverage ◽

South East Asia ◽

Immunization Status ◽

Tertiary Care Hospitals ◽

Total Coverage

To determine the immunization status of pediatric patients under age of 5 years visiting pediatric department of tertiary care hospitals in South East Asia. The aim of this study was to appreciate the awareness and implementation of vaccination in pediatric patients who came into pediatric outpatient Department with presenting complain other than routine vaccination. we can also know the count of patients who do not complete their vaccination after birth. we can differentiate between vaccinated and unvaccinated patients and incidence of severe disease in both groups. Immunization is a protective process which makes a person resistant to the harmful diseases prevailing in the community, typically by vaccine administration either orally or intravenously. It is proven for controlling and eliminating many threatening diseases from the community. WHO report that licensed vaccines are available for the prevention of many infectious diseases. After the implementation of effective immunization the rate of many infectious diseases have declined in many countries of the world. South-East Asia is far behind in the immunization coverage. An estimated total coverage is 56%-88% for a fully immunized child, which is variable between countries. Also the coverage is highest for BCG and lowest for Polio.

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