Pattern of Dermatoses in a tertiary care hospital in Konkan Region, Maharashtra

Skin diseases can manifest in various ways. Sometimes it can be secondary to underlying systemic disease. In developing countries including India skin diseases are very common but they are being neglected with the thought that they are always benign.Our study is a cross sectional one done to determine the pattern and magnitude of skin diseases. All newly registered patients reporting to Skin OPD of B.K.L.Walawalkar Rural Medical College, Dervan during the period from 1 January 2018 to 31 December 2019 were enlisted in the study. Out of 5090 patients included in our study, 52.62% were female patients and 47.38% were males with female to male ratio of 1.11:1. Majority of the patients (21.47%) was from the age group 21-30 years followed by the age group of 11-20 years (19.58%), followed by the age group of 31-40 years (18.52%). Fungal infections constituted the maximum number of the cases (51.53%), followed by Eczema (17.44%). The Acne comprised of (7.19%). Fungal infections comprised majority of cases followed by eczema and allergic disorders in Konkan region of Maharashtra which has a tropical and humid climate. Thus an extensive study may be needed to have a holistic approach to the problem establish a correlation between the variables.

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Prevalence of paediatric dermatoses among patients attending Dermatology outpatient department in a tertiary care hospital in Puducherry

International Journal of Research in Dermatology ◽

10.18203/issn.2455-4529.intjresdermatol20183160 ◽

2018 ◽

Vol 4 (3) ◽

pp. 368

Author(s):

Varsha Medasani ◽

Paquirissamy Oudeacoumar ◽

Rao Chitralekhya ◽

Saurabh Krishna Misra

Keyword(s):

Dietary Habits ◽

Skin Diseases ◽

Tertiary Care Hospital ◽

Fungal Infections ◽

Tertiary Care ◽

Outpatient Department ◽

Care Hospital ◽

Age Group ◽

Major Health Problem ◽

Pigmentary Disorders

Background: Skin diseases are a major health problem in the paediatric age group and are associated with significant morbidity. Dermatoses in children are more influenced by socioeconomic status, dietary habits, climatic exposure and external environment as compared to adults. The present study was undertaken to know the prevalence of paediatric dermatoses among patients attending Dermatology outpatient department in a tertiary care hospital in Puducherry.Methods: All newly diagnosed, untreated male and female paediatric patients (from neonates to adolescents ≤19 years of age) attending Dermatology OPD, from October 2015 to September 2017 were evaluated to study the prevalence and patterns of paediatric dermatoses. The skin disorders were classified into groups like infections, infestations, eczemas, acne, hypersensitivity disorders, sweat gland disorders, pigmentary disorders, nevi, keratinisation disorders, hair and scalp disorders, papulosquamous disorders, bullous disorders, nail disorders, drug reactions, other dermatoses.Results: The prevalence of pediatric dermatoses in our OPD is 25.21%. Incidence of pediatric dermatoses was found to be more in males 237 (59.39%) than in females 162 (40.60%) and the majority of the patients were in adolescent age group (217; 54.38%). Present study showed that majority of cases belonged to the lower socioeconomic group 186(46.6 %). In our study, majority (58.98%) of dermatoses belonged to infections and infestations group. Of the infective dermatoses, fungal infections (27.88%) were the most common.Conclusions: Infectious dermatoses were commonly seen in this study that may be due to poverty, overcrowding, poor hygiene. There is an increasing trend of fungal infections which might be related to hygiene and environment.

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Determination of the Prevalence of the Common Dermatological Conditions in Elderly Population Attending a Tertiary Care Hospital

Medicine Today ◽

10.3329/medtoday.v31i2.41960 ◽

2019 ◽

Vol 31 (2) ◽

pp. 98-101

Author(s):

Md Saidur Rahman ◽

Md Abdul Mannan ◽

Md Anower Hossain ◽

Md Tozammel Hoque ◽

AKM Ahsan Habib

Keyword(s):

Elderly Patients ◽

Bacterial Infection ◽

Bacterial Infections ◽

Skin Diseases ◽

Fungal Infections ◽

Tertiary Care ◽

Age Groups ◽

Care Hospital ◽

Systemic Diseases ◽

Cross Sectional

Introduction: Skin disorders are common in elderly people. Systemic diseases promote the development of dermatological conditions. Various systemic diseases contribute to the presence of cutaneous disorders, indicating the possibility that a skin abnormality may sometimes be the first and only symptom of a much more serious medical problem. The aim of the study to determine the frequency of skin diseases in elderly patients. Materials & Methods: This was a cross-sectional study and non-probability convenient sampling technique was used. Patients were recruited from attending the Dermatology Out-patient Department of SZMCH during the study from January’2018 to July’2018. Patients included in the study having skin diseases aged between 60-80 years, including all those who were diabetic and hypertensive because diabetes and hypertension are the most common comorbid conditions among these elderly patients. Patients were included having skin diseases including pruritus, dermatitis, xerosis, eczema, psoriasis, scabies, bacterial infection, and fungal infections. Results: More than half (53.0%) patients belonged to age 71-80 years. Three fourth (75.0%) patients had pruritus followed by 37(37.0%) had dermatitis, 24(24.0%) had xerosis, 23(23.0%) had eczema and 12(12.0%) had bacterial infections. Pruritis, dermatitis, eczema and bacterial infections were statistically significant (p<0.05) among three groups. Conclusion: More than half of the patients belonged to age more than 70 years of age. Most common (three fourth) skin patients had pruritis, followed by more common skin patients were found dermatitis, xerosis, eczema and bacterial infection. Pruritis, dermatitis, eczema and bacterial infections were statistically significant in different age groups. Medicine Today 2019 Vol.31(2): 98-101

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Clinico-mycological Evaluation of Dermatophytes in a Tertiary Care Hospital of Saurashtra, Gujarat, India

JOURNAL FOR CLINICAL AND DIAGNOSTIC RESEARCH ◽

10.7860/jcdr/2020/43639.13880 ◽

2020 ◽

Author(s):

Gopee E Makwana ◽

Manish Mathur

Keyword(s):

Fungal Infections ◽

Tertiary Care ◽

Fungal Growth ◽

Trichophyton Mentagrophytes ◽

Personal Hygiene ◽

Care Hospital ◽

Humid Climate ◽

Cross Sectional ◽

Opportunistic Fungi ◽

Systemic Involvement

Introduction: Dermatophytes and opportunistic fungi are common skin infection mainly affecting superficial layers of integument with rare systemic involvement. The higher prevalence in India is supposedly due to the hot and humid climatic condition, occupation and low socio-economic status. Recent upsurge in fungal infections are due to increased incidence of immunosuppressive state. Aim: To study the clinical manifestation and mycological evaluation of dermatophytosis. Materials and Methods: The present cross-sectional observational study was conducted during December 2007 to October 2009 in MP Shah Medical College and GG Hospital, Jamnagar, Gujarat, India. Samples were taken from 200 patients with clinically diagnosed dermatophytosis. Depending on the site of lesion, samples from skin, hair or nail were taken. These samples were than examined directly under microscope and cultured on Sabouraud’s Dextrose Agar (SDA) and Cornmeal Agar (CMA). Descriptive statistics like mean and percentages were used to infer results. Results: Out of 200 patients, 177 (88.5%) samples were positive by Potassium Hydroxide (KOH) mount while 127 (63.5%) samples were positive by culture. Most common species of dermatophytes identified was Trichophyton rubrum followed by Trichophyton mentagrophytes. Agricultural workers were found to be more prone to dermatophytic infection and males (61%) were more commonly affected than females (39%). Conclusion: Dermatophytosis is a common superficial mycotic infection in Saurashtra region where hot and humid climate, poor socio-economic condition and compromised personal hygiene play an important role in fungal growth. In the present study, tinea corporis was found to be the most common clinical type with T. rubrum being the commonest isolated species.

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A study on length of stay and its predictors among dengue patients in a tertiary care institute in Lucknow

International Journal of Community Medicine and Public Health ◽

10.18203/2394-6040.ijcmph20195071 ◽

2019 ◽

Vol 6 (11) ◽

pp. 4870

Author(s):

Sandhya Mishra ◽

Deepak Chopra ◽

Nidhi Jauhari ◽

Ausaf Ahmad

Keyword(s):

Occupational Exposure ◽

Length Of Stay ◽

Hospital Admissions ◽

Tertiary Care ◽

Case Fatality ◽

Length Of Hospital Stay ◽

Care Hospital ◽

Age Group ◽

Cross Sectional ◽

Early Arrival

Background: Dengue virus infection is a growing health problem and is prevalent throughout India. Research focusing on length of hospital stay and its predictors is scarce from India. This is important considering the burden of the disease during epidemics and impact on hospital admissions. Hence the study was conducted with the objectives to find out the factors influencing the length of stay in hospital of dengue patients.Methods: A cross sectional retrospective observational study conducted at a tertiary care hospital from August 2016 to October 2016. Data was retrieved from case sheets at Medical Record Department of 350 lab confirmed adult dengue patients admitted in the hospital.Results: The majority of patients admitted were of economically productive age group of 18-45 years and males indicating the occupational exposure to the vector of dengue. The study found that majority had length of stay of less than a week and as age increases the length of stay also increases (statistically significant). The nil case fatality and lesser number of mean days of symptoms before admission possibly indicate that early arrival of patients to hospital can lead to very low fatality rates. Further research required to find out the other predictors of length of stay.Conclusions: The study concludes that the dengue affects the economically productive age group and more males thereby indicating occupational exposure to the vector. The age of the patient can be used as an indicator to the length of stay in the hospital.

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A CROSS-SECTIONAL STUDY TO ASSESS VACCINATION COVERAGE OF CHILDREN OF AGE GROUP 12 - 23 MONTH RESIDING IN THE FIELD PRACTICE AREA OF TERTIARY HOSPITAL.

10.36106/ijsr/2906524 ◽

2021 ◽

pp. 28-29

Author(s):

Jayesh Dhananjay Gosavi ◽

Deppa H Velankar ◽

Sumedha M Joshi ◽

Sumit G Wasnik ◽

Sudarshan Ramaswamy

Keyword(s):

Vaccination Coverage ◽

Tertiary Care ◽

Immunization Coverage ◽

Tertiary Hospital ◽

Cluster Sampling ◽

Care Hospital ◽

Age Group ◽

Sectional Study ◽

Cross Sectional ◽

Group 12

Background:It is estimated that annually more than 89 lakh children in the country do not receive all vaccines that are available under the UIP– the highest number compared with any other country in the world. Objective: This study was carried out to assess vaccination coverage of children of age group 12 - 23 month residing in the eld practice area of tertiary hospital. Material & methods: This was sectional study conducted at eld practice area of tertiary care hospital during January 2017 to July 2018. Study population was children in the age group 12-23 month. As per WHO norm for identication of sample size for vaccination coverage in study area 30 cluster sampling method is preferred. Results: In the study 188 (89.52%) children were Fully Immunized. 22 (10.48%) children were partially immunized and none of the child was non immunized. overall coverage of BCG was 98.5, for PENTA3 was 96.3%, OPV3 was 96.3% and Measles was 89.8%. Conclusion: Overall immunization coverage in the area is good and higher than the national coverage level. There is no signicant difference in the immunization status of Male and Female children.

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COMPARATIVE EVALUATION OF SPIROMETRY PARAMETERS IN HEALTHY YOUNG AND ELDERLY ADULTS POPULATION IN PUNJAB, INDIA

10.36106/ijar/5406276 ◽

2021 ◽

pp. 1-3

Author(s):

Ajay Pal Singh ◽

Kailash Meena ◽

Surinder Pal Singh ◽

Avnish Kumar ◽

Ashish Shukla ◽

...

Keyword(s):

Pulmonary Function ◽

Tertiary Care ◽

P Value ◽

Pulmonary Medicine ◽

Care Hospital ◽

Age Group ◽

Elderly Adults ◽

Elderly Age ◽

Cross Sectional ◽

Age Related

INTRODUCTION: Spirometry is a vital tool for the assessment of pulmonary function status. Spirometry can be used to demonstrate the age-related decline in pulmonary function. The spirometry values can be used as reference values for a particular age group. The aims of our study was to compare spirometry values between the young and elderly groups and evaluate age-related changes in both groups. MATERIAL AND METHODS: A cross-sectional study was conducted on 600 adults, which divided into two healthy groups: one was of young adults (18-35 years), and other was of elderly adults (>60 years) of 300 persons, each taken over a period of one year, in the Department of pulmonary medicine, a tertiary care hospital, Punjab. We conducted spirometry in both age group. Spirometry values were measured FVC, FEV1, FVC/FEV1, PEFR, and FEF25- 75 % of each groups.The subjects were selected based on random sampling RESULT: Spirometry values compared between young and elderly adults. Mean BMI in young and elderly groups was 25.09±2.87 and 25.82±2.45, respectively. Spirometry values in FVC , FEV1, FEV1/FVC , PEFR and FEF25-75% in young was 4.31± 0.18 , 3.84,± 0.88± 0.02, 9.87± 0.38 and 3.75 ±0.26 and elderly age group 3.01±, 2.60 ±0.85± 0.02, 7.70± 0.30 and 2.82 ± 0.26. On statistical analysis, p value <0.001 in all spirometry parameters. CONCLUSION: The study shows that there was a decline in spirometry parameters of healthy adults with the increase in age. This decline was signicant in all spirometric parameters (FVC, FEV1, FEV1/FVC, PEFR, FEF25–75%) measured in the present study

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Clinicomycological evaluation of dermatophytosis at tertiary care hospital in central India

International Journal of Research in Dermatology ◽

10.18203/issn.2455-4529.intjresdermatol20183167 ◽

2018 ◽

Vol 4 (3) ◽

pp. 409

Author(s):

Shyam Govind Rathoriya ◽

Ankit Kumar Jain ◽

Kavita A. Shinde

Keyword(s):

Fungal Infections ◽

Tertiary Care ◽

Age Groups ◽

Central India ◽

Common Species ◽

Tinea Corporis ◽

Valuable Insight ◽

Care Hospital ◽

Cross Sectional ◽

Tinea Cruris

Background: Dermatophytoses are the infection of keratinized tissues such as the epidermis, hair, and nails caused by a group of closely related filamentous fungi known as dermatophytes.Methods: It was a hospital based cross-sectional study. A total number of 150 clinically diagnosed cases of skin, hair and nail infections were randomly selected from all the age groups and of both the sexes, attending Dermatology Outpatient department of CMCH, Bhopal from January 2016-December 2017.Results: Out of total 150 subjects, most common clinical type of dermatophytosis, identified in our study, was tinea corporis in 53 (35.3%) subjects followed by tinea cruris in 34 (22.6%) subjects. 134 (89.3%) subjects were tested positive by direct microscopy (KOH mount) and 69 (46.0%) by culture. Highest KOH mount positivity was seen in patient suffering from tinea corporis (94.3%) followed by tinea cruris (94.1%). Culture positivity was highest with tinea corporis (54.7%) followed by tinea lesions on more than one site (47.3%) and tinea cruris (47.0%). In our study, total 69 culture positive samples were isolated and the most common species isolated was T. rubrum in 41 (59.42%) cases.Conclusions: The present study gives valuable insight regarding clinical and mycological pattern of superficial fungal infections in this region as well as shows the importance of mycological examination of dermatophytosis samples for planning effective management.

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A study of surgical profile of patients with hemorrhoids at a tertiary care hospital

International Surgery Journal ◽

10.18203/2349-2902.isj20190824 ◽

2019 ◽

Vol 6 (3) ◽

pp. 916

Author(s):

Prashant R. Shinde ◽

Meghraj J. Chawada ◽

Sudhir B. Deshmukh

Keyword(s):

Tertiary Care Hospital ◽

Tertiary Care ◽

Vegetarian Diet ◽

Cross Sectional Study ◽

Care Hospital ◽

Age Group ◽

Cross Sectional ◽

Normal Limits ◽

Skin Tag ◽

One Year

Background: In hemorrhoids, the anal canal venous plexuses become engorged. It can lead to bleeding, thrombosis, prolapse, pain. Study of surgical profile helps to educate the patients to take proper precautions to avoid the severe forms of it. The objective of the study was to study the surgical profile of patients with hemorrhoids at a tertiary care hospital.Methods: Present study was hospital based cross sectional study. It was carried out at a tertiary care hospital in the department of general surgery among 100 patients who presented with symptoms suggestive of hemorrhoids during the study period from 1st January 2017 to 31st October 2018.Results: Majority of the patients 41% were in the age group of 35-45 years. The number affected by hemorrhoids was more in males i.e. 56%. Incidence of hemorrhoids was more in upper class. Incidence of hemorrhoids was less i.e. 21% among those who took only vegetarian diet. Majority of the patients (78%) presented after one year of occurrence of treatment. 54% of the patients had third grade of hemorrhoids. Bleeding was present in the majority i.e. 98% of the patients. On anorectal examination, it was found that 44% of the patients had fissure and 23% of the patients had peri anal skin tag. Anorectal examination was within normal limits in 33% of the cases.Conclusions: Vegetarian diet may be protective against hemorrhoids. Bleeding was the most common presenting symptom. Thus, study helped to identify that being male, younger age group, non-veg diet may be the risk factors for hemorrhoids.

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Factors Associated with the Occurrence of Skin Diseases among Children Attending the Children’s Outpatient Clinic in a Tertiary Care Hospital in Southern Nigeria

Asian Journal of Pediatric Research ◽

10.9734/ajpr/2021/v5i330177 ◽

2021 ◽

pp. 23-29

Author(s):

Uju S. Azubogu ◽

Inumanye Ojule

Keyword(s):

Study Design ◽

Outpatient Clinic ◽

Skin Diseases ◽

Multiple Logistic Regression Analysis ◽

Tertiary Care ◽

Male Gender ◽

Care Hospital ◽

Related Factors ◽

Cross Sectional ◽

Factors Associated

Aims: To determine the factors associated with the occurrence of skin diseases among children attending the Children’s Outpatient Clinic of the University of Port Harcourt Teaching Hospital (UPTH). Study Design: A Cross sectional study design was used. It was both descriptive and analytical. Place and Duration of Study: The study was carried out in the Children’s Outpatient Clinic of the Department of Paediatrics, UPTH from June to August 2020 (3 months). Methodology: We studied 370 children aged less than 18 years. A semi structured interviewer-administered questionnaire was used to obtain all relevant data. This was followed by dermatological examination of the children to make diagnosis of skin diseases. Relevant samples for laboratory confirmation were also obtained where necessary. Results: Among the 88 children (23.7%) who had skin diseases, our study showed that the socio-demographic factors associated with the occurrence of skin diseases includes: male gender (p=0.001) and low socio-economic class (p<0.001). Hygiene-related factors associated with occurrence of skin diseases includes: lack of water within the home (p=0.001), bath frequency < twice per day (p=0.001) and sharing of personal items (p<0.001). On multiple logistic regression analysis of these factors, the factors predictive of skin diseases were: male gender (p=0.000), low and middle socioeconomic class (p=0.004) and lack of water within the home (p=0.013). Conclusion: Several socio-demographic and hygiene-related factors were identified to be associated with the occurrence of skin diseases among children in our study. These factors provide an important window for interventions to prevent and control the burden of skin diseases among children in our setting.

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Prevalence and Types of Skin Diseases Seen among Children Attending the Children’s Outpatient Clinic in a Tertiary Care Hospital in Southern Nigeria- A Descriptive Study

International Journal of TROPICAL DISEASE & Health ◽

10.9734/ijtdh/2021/v42i230438 ◽

2021 ◽

pp. 39-46

Author(s):

Uju S. Azubogu ◽

Inumanye Ojule

Keyword(s):

Study Design ◽

Teaching Hospital ◽

Outpatient Clinic ◽

Skin Diseases ◽

Tertiary Care ◽

Care Hospital ◽

Cross Sectional ◽

Female Ratio ◽

Port Harcourt ◽

The University

Aims: To determine the prevalence and types of skin diseases seen among children attending the Children’s Outpatient Clinic of the University of Port Harcourt Teaching Hospital (UPTH). Study Design: A descriptive Cross sectional study design was used. Place and Duration of Study: The study was conducted in the Children’s Outpatient Clinic of the University of Port Harcourt Teaching Hospital from June to August 2020 (3 months). Method: It involved 370 children aged less than 18 years. A semi structured interviewer-administered questionnaire was used to obtain all relevant data. This was followed by dermatological examination of the children to make diagnosis of skin diseases. Laboratory confirmation was carried out where necessary. Results: The study participants consisted of 370 children aged 1 month to 17 years with a mean age of 8.4±5.9 years. The male to female ratio was 0.9:1 and the overall prevalence of skin diseases among the children studied was 23.7%. The three most common aetiologic categories of skin diseases seen were: Infective (13.5%), Inflammatory (5.7%) and infestations (3.5%). The five most common skin diseases identified included: Impetigo (4.1%), Scabies (3.5%), Atopic dermatitis (3.0%), Tinea capitis (2.7%) and Pityriasis versicolor (2.4%). Conclusion: Skin diseases are common among children attending the children’s outpatient clinic in our hospital with Infective skin diseases predominating. Greater efforts need to be put into the treatment, prevention and control of these skin diseases in order to limit morbidity and mortality.

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