scholarly journals Clinico-epidemiological study of leprosy from a North Indian tertiary care hospital

Author(s):  
Mohammad Adil ◽  
Syed Suhail Amin ◽  
Mohd Mohtashim ◽  
Sabha Mushtaq ◽  
Mehtab Alam ◽  
...  

<p class="abstract"><strong>Background:</strong> Leprosy was eliminated as a public health problem in India in 2005. Yet, more than 60% of all new cases of leprosy are reported from India.</p><p class="abstract"><strong>Methods:</strong> A retrospective analysis of the records of patients attending the leprosy clinic of the Dermatology Out Patient Department was done for a period of one year from May 2017 to April 2018. The data was analysed for clinical and epidemiological characteristics of the patients.<strong></strong></p><p class="abstract"><strong>Results:</strong> A total of 225 patients visited the leprosy clinic during the study period. Almost half of all patients (47.1%) were aged between 21-40 years. Among the patients were 32 children (14.2%) below 16 years. There were 60 patients (26.6%) suffering from paucibacillary disease and 158 patients (70.2%) had multibacillary disease. Seven patients (3.2%) presented with other forms of leprosy like historic leprosy and pure neuritic leprosy. Borderline lepromatous leprosy was found to be the commonest subtype seen in 86 patients (38.2%). There were 152 males (67.6%) and 73 females (32.4%). The male female ratio was 2.08:1. A total of 118 patients (52.4%) were from rural background and 107 (47.6%) hailed from urban areas. Multibacillary disease was seen in 83.6% of the total females compared to 63.8% of males.</p><p class="abstract"><strong>Conclusions:</strong> Leprosy may be down but is not yet out. The high proportion of children diagnosed with leprosy is a warning regarding the active transmission of the disease in the community. Continued efforts are required to prevent the disease from making a resurgence.</p>

2018 ◽  
Vol 5 (1) ◽  
pp. 68
Author(s):  
Rakesh B. Bilagi ◽  
Hafiz Deshmukh

Background: Tuberculosis is one of the most important cause of most of the respiratory diseases. It is estimated that about one-third of the world's population is infected with mycobacterium tuberculosis. It is important to know about the clinical profile of these patients. There are many studies which are done among OPD patients but fewer among indoor patients hence, the current study was planned.Methods: Retrospective study of the patients admitted in the inpatient department of the study area were taken as the sample size from May 2016 to April 2017, who were diagnosed as TB patients.Results: a retrospective study was conducted among admitted patients, which included data of one year. There was male predominance with male: female ratio of 2.89. major cause of admission was extrapulmonary causes. The HIV patients were more predisposed to extrapulmonary and diabetes than pulmonary tuberculosis.Conclusions: There is male predominance for admission cases. There is also increased cases of extrapulmonary TB admitted than pulmonary cases.


Author(s):  
Hemlata G. Rokade ◽  
Subhalaxmi D. Kotnis ◽  
Suresh K. Mangulikar

Background: Hepatitis B is a national and global public health problem. Various studies have supported the change in prevalence and trends of Hepatitis B. The aim of the study was 1) to study the trends of Hepatitis B according to age, sex and area of residence, 2) to study seasonality of Hepatitis B cases, 3) to find geographical predilection of Hepatitis B cases in Solapur city.Methods: The records of patients with Hepatitis B from January2012 to December2016 admitted to tertiary care hospital, was retrieved and studied. Statistical analysis used: Percentages, z test of proportions, ACF and PACF.Results: Out of 406 Hepatitis B cases, 51.97% belonged to 15 to 45 years of age. There was an increasing trend of Hepatitis B from age of 15 years up to 45 years. The male female ratio was 2.63:1. Fifty-seven percent cases were from urban areas. The proportion of cases from urban area decreased from 9.01% in 2012 to 6.01% in the year 2016. Contrarily, it increased from 5.78% in 2012 to 10.98% in 2016 in rural area. Hepatitis B cases appear to come in sharp rises and falls in these five years with no specific trend. PACF results showed no seasonality. Ward number17 reported maximum cases.Conclusions: The primary prevention for Hepatitis B should be targeted at 15 to 45years of age group. There is no seasonal variation seen in Hepatitis B infection. Areas observed with hot pockets must be screened and kept under surveillance. 


Author(s):  
Kautuk K. Patel ◽  
Anjum M. Momin ◽  
Ankita A. Mistry ◽  
Jignesh B. Vaishnani

<p class="abstract"><strong>Background:</strong> Leprosy is a chronic feared illness causes by <em>Mycobacterium leprae</em>. It was eliminated as a public health problem in India in 2005. But still, India contributes more than 60% of all new cases of leprosy.</p><p class="abstract"><strong>Methods:</strong> A retrospective analysis of 307 patients attending the leprosy clinic of the dermatology out patient department, SMIMER, was done for a period of five years from January 2014 to December 2018. The data was analysed for clinical and epidemiological characteristics of the patients.<strong></strong></p><p class="abstract"><strong>Results:</strong> A total of 307 patients visited the leprosy clinic during the study period. More than half patients (60.3%) were between 21-40 years age group. There were 213 males and 94 females with male female ratio of 2.3:1. 72.3% (222) patients were suffering from multibacillary leprosy and 27.7% (85) had paucibacillary disease. Borderline tuberculoid leprosy was the most common type found in 83 patients (27.1%). 16 cases (5.2%) of childhood leprosy (less than 14 years of age) were noted. A total of 214 patients (69.7%) were migrants.</p><p class="abstract"><strong>Conclusions:</strong> Despite of decline at global and national level, leprosy cases show gradual increase. The high proportion of total cases, MB cases, and grade 2 disability cases are warning signs. Continued efforts are required to manage and prevent the disease.</p><p class="abstract"> </p>


Author(s):  
Anil Kumar Gupta ◽  
Aayushi Mohan ◽  
Santosh Kumar Singh ◽  
Amit Kumar Pandey

<p class="abstract"><strong>Background:</strong> Superficial dermatophytic infection is infection of skin nail or hair with fungus. Nowadays, these fungal infection are at a rise and run a prolong course despite of treatment due to resistance to conventional antifungal agents. There is a felt need to conduct epidemiological study to know the change in the pattern and cause of widespread resistance. This study was aimed at identifying clinico-mycological pattern of dermatophytic infections in patients attending the dermatology outpatient department of a tertiary care hospital in eastern Uttar Pradesh and adjoining area.</p><p class="abstract"><strong>Methods:</strong> Patients with suspected dermatophytoses attending the outpatient department were enrolled in the study. A detailed history, clinical examination and sample collection for mycological examinations was done.<strong></strong></p><p class="abstract"><strong>Results:</strong> There were 500 patients recruited in the study, with a male: female ratio of 3:1. The most commonly affected age group was 20–30 years (35%). Tinea corporis et cruris was the most common type observed (31%). Potassium hydroxide positivity was seen in 390 samples (78%) and culture positivity was found in 350 samples (70%). The most common species identified was <em>Trichophyton verrucosum</em> (35.5%).</p><p><strong>Conclusions:</strong> There is a rise in dermatophytic infection caused by zoophilic species like <em>Trichophyton verrucousum</em>.</p>


2019 ◽  
pp. 1-2
Author(s):  
Bhuvaneshwar G A

Introduction: Hepatitis B virus infection is one among the principle causes of liver diseases and death, which has limited data on demographic and epidemiological characteristics. This study aims to determine the above characters in patients diagnosed with HBV, enrolled at saveetha medical college and hospital. Methods: Medical records of patients aged >18yrs and diagnosed with HBV infection from June 2018 to December 2018 were analysed for this study. Result: Among 79 patients taken for study, the male and female ratio is 55:24; mean age limit of HBV cases are between 40-48 years. Few cases were found to be co infected with HCVand 2-3 cases were medicated workers and 21 cases received tenofovir monotherapy. Conclusion: This study reviewed the epidemiological and demographic characteristics of HBV infected patients and revealed their role in HBV. New measures has to be implemented for curative and preventive measures to create awareness among patients. Aim :To determine the demographic and epidemiological characteristics of Hepatitis B infected patients in a tertiary care hospital


2016 ◽  
Vol 27 (1) ◽  
pp. 22-26
Author(s):  
Binoy Krishna Tarafder ◽  
Ahmed Manadir Hossain ◽  
Karzan Dey Sarker ◽  
Palash Kumar Podder ◽  
Muhammad Nurul Islam ◽  
...  

Pattern of mortality gives a picture of disease burden of a community and helps in evaluation of health care system. A retrospective study was done in medicine wards of a tertiary care hospital in Bangladesh from 1st July 2014 to 30st June 2015 to see the mortality pattern. Data obtained from death and admission registrar. Total 1306 deaths were recorded. Mortality rate was 7%. Male female ratio was 1.65:1. Average age at death was 56.05 years. Highest 11.3% death occurred in January, 48.6% deaths occurred during night shift. Average stay in hospital was 42.1 hours. Non communicable disease causing 87%, communicable disease causing 8.8% deaths and 4.2% were brought dead and undiagnosed. Stroke and IHD caused 54.1% deaths. Among diagnosed causes, ratio of NCD and CD was 9.9:1.Bangladesh J Medicine Jan 2016; 27(1) : 22-26


Esculapio ◽  
2021 ◽  
Vol 16 (4 (oct 2020 - dec 2020)) ◽  
Author(s):  
Farzana Latif ◽  
Sadia Ilyas ◽  
Saeed Mehmood ◽  
Hammad Arif ◽  
Nuzhat Parveen Khawaja ◽  
...  

Objectives: To audit the obstetric hysterectomies in a tertiary care hospital during one year. Methods: It was an observational retrospective study design, where all the pregnant women were assessed for fetomaternal outcomes, indications and complications for peripartum hysterectomy. The records were retrieved from Jan 2015 to Dec 2015 by using hospital record system. The study duration was of one year. The venue of the study was Lahore General hospital, Lahore. The exclusion criteria included all unmarried women, women with chronic kidney disease or renal failure, past surgical history of heart disease, whereas all the women who delivered in hospital, private clinic or at home after atleast 28 weeks of gestational age and experience hysterectomy at the time of delivery or after delivery in the puerperium, were included in the study. Results: The data over 32 women were retrieved from the hospital record system. The mean age of the women was 30.34+2.23 with range 26-34. The average number of parity was 3 of all females. The range of parity was 2 to 7. The average gestational age was 36.18 weeks. All the deliveries were done by cesarean section whereas 4 (12.5%) were elective and 28 (87.5%) were with emergency indications. 13 (40.6%) of the deliveries were in private clinic, 9 (28.1%) were done by LHV/ mid wife, 5(15.6%) were in private hospitals, 4(12.5%) were in LGH and only 1(3.1%) was at home. 18(56.3%) of the women were having at least one abortion in previous history. Conclusion: We concluded that emergency peripartum hysterectomy is very vital procedure that saves lives and manage life threatening obstetrical hemorrhage when other methods failed to control it.The major indications for emergency peripartum hysterectomy were placental abruption, placenta praevia/accrete, uterine atony and ruptured uterus. Key Words: Uterine artery embolization, Emergency peripartum hysterectomy, maternal morbidity and mortality, healthcare providers How to Cite: Latif F, Ilyas S, Mehmood S. Arif H. Khawaja P. Nuzhat. Jawad Z. J Clinical audit of obstetrical hysterectomies for a period of one year in a tertiary care hospital. Esculapio.2020;16(04):50-53.


2021 ◽  
Vol 7 (4) ◽  
pp. 315-319
Author(s):  
U Ketan Raju ◽  
Hanamant G Bobade ◽  
Anil Mishra

Dermatophytes are aerobic fungi that produce proteases that digest keratin and allows colonization, invasion and infection of the stratum corneum of the skin, the hair shaft, and the nail. This study was an attempt on the part of the author to find out the incidence and various clinico-epidemiological characteristics of Dermatophytosis in skin OPD of Tertiary care Hospital, B.K.L.W.R.M.C., Dervan. The study was carried on 2444 patients of Dermatophytosis attending the OPD, out of which 49.79% of the cases were Tinea Cruris (TC). The age group of 11-20 years showed maximum prevalence of Dermatophytosis (22.17%). 58% of the patients had diffuse lesions. Body involvement was seen in 87% of cases. Itching was the most common condition associated with Dermatophytosis. 35% of the patients reported with family history of Tinea Cruris.Circumscribed variety of TC was found to be most common variant mostly observed in 2and 4 decade, with a male preponderance. Groin was the most common site with multiple lesions. Nail changes was most commonly associated with TC.


2019 ◽  
Vol 10 (3) ◽  
pp. 1818-1820
Author(s):  
Jagadeesan M ◽  
Mariraj I ◽  
Prasanna Karthik S ◽  
Kannan R ◽  
Nivaas M ◽  
...  

Worm infection is a public health problem, especially in developing and underdeveloped countries as it has a negative impact on the child’s development. Proper sanitation and personnel hygiene have to be emphasized and monitored to overcome the nutritional deprivement in children. The study is done to evaluate the knowledge and attitude about worm infestation and to assess the deworming practices employed among the caregivers of children aged between 5 – 12 years attending a tertiary care hospital. A cross-sectional descriptive study was conducted among 206 caregivers of pediatric age group after obtaining proper informed consent. The KAP parameters were assessed using a pretested structured questionnaire, and the results were analyzed. Out of 206 caregivers, 61% were mothers, 37% were fathers. Their mean age was 30 years. 41% belong to class III socioeconomic status. 23% were reported to play in the mud, 17% nail-biting and 6% keeping objects in mouth.12% Had open-air defecation practice, which is quite alarming in a developing country.67% were found to have the knowledge and 33% lacked the knowledge about worm infestation. Knowledge was directly proportional to the socioeconomic class. 88% were aware that worm infestation would cause clinical manifestations. 85% preferred allopathy medicines, while 15% preferred homemade remedy. 68% didn’t practice any prophylactic measures, where in 21% of the caregivers dewormed their kid once in 6 months and 11% once a year. The study provides information that most of the caregivers had a good knowledge regarding deworming but failed in practicing necessary measures to control and prevent it. Health education, frequent monitoring, and conducting interventional programs among parents and caregivers would be vital so that the prevalence of the disease can be minimized.


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