Incidence, Risk Factors and Outcome of Ventilator Associated Pneumonia at SRM Medical College Hospital –A Study under HICC

Introduction : when a healthy pregnant woman with no obstetric or medical risk factors goes into spontaneous labour, she should anticipate a normal delivery. But still 580, 000 women in the world die from pregnancy and childbirth each year.1 Lack of attention to postpartum care in developing countries is neglected tragedy and requires immediate attention. This study evaluates the incidence of complications of early puerperium and also focuses the specific types of complications and to detect the risk factors associated with these complications. Aims and objectives : Main aim of the study is to evaluate the common complications in early puerperium with special attention to identify the risk factors. Materials and method : This study was carried out in Dhaka Medical College Hospital and Sir Sallimullah Medical College Hospital within the period of March ’2004 to August’ 2004. Two hundred patients were selected for this study who were delivered by caesarean section in these two institutions and complications occurring within 7 days excluding first 24 hours. Patients delivered outside the hospital and with known medical diseases were excluded from this study. Detailed history taking and appropriate clinical examination and specific investigations were done for diagnosis of complications. All relevant informations was noted in prescribed data sheet and results were tabulated and statistical analysis was done. Results : Among 200 cases only 44(22%) cases had early puerperal morbidity.Most of the patients who suffered complications underwent caesarean section for obstructed labour and fetal distress who had trial at home. Many of the patients suffered from wound infection and endometritis (40.9%). Among patients, age group -<20 years suffered from wound infection(53.8%) and endometritis(45.8%) were common in age group 21-30 years. VVF was common in patients in age <20 years.Endometritis (42.2%) was maximum in women with parity 1-3 and wound infection (50%) in women with parity 4-6. Some of the patients had more than one early puerperal morbidity. Maximum number of poor class suffered from wound infection (42.4%).Early puerperal morbidity was more prevalent in women with duration of labour <18 hours and Premature rupture of membrane had relationship with endometritis (15.9%), wound infection (13.6%) and UTI (11.4%). Conclusion : Incidence of early puerperal morbidities is still quite high (22%) and many patients experiences more than one problem at a time.Long term sequelae of early puerperal infectious morbidity should not be neglected as this may interfere quality of life of a woman. J Dhaka Medical College, Vol. 27, No.1, April, 2018, Page 68-71

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HEPATITIS 'B' AND 'C'

The Professional Medical Journal ◽

10.29309/tpmj/2011.18.01.1861 ◽

2011 ◽

Vol 18 (01) ◽

pp. 69-74

Author(s):

MUHAMMAD ZAFAR IQBAL ◽

MUHAMMAD AZEEM ◽

MUHAMMAD RAZZAQ MALIK

Keyword(s):

Risk Factors ◽

Hepatitis C ◽

Blood Transfusion ◽

Hepatitis B ◽

Previous History ◽

Medical College Hospital ◽

History Of Surgery ◽

College Hospital ◽

Medical College ◽

History Of

Background: Hepatitis B and C is a global problem. The prevalence of hepatitis B and C in orthopedic patients is quite high with the common risk factors: previous history of surgery or blood transfusion. Objectives: The objectives of this study were to, "Find out the prevalence of Hepatitis B and C and their risk factors in patients admitted in Orthopedic Unit of Sheikh Zayed Medical College Hospital Rahim Yar Khan.”. Design & Duration: This was a prospective cohort study. The duration was from July 2009 to December 2009. Patients and Methods: This study was conducted in Orthopedic Department of Sheikh Zayed Medical College Hospital Rahim Yar Khan. Patients of either sex and of all ages who were undergoing orthopedic surgery were included in the study. All patients underwent screening for Hepatitis-B and Hepatitis-C and confirmed by Elisa method in positive patients. Data regarding age, sex, HBV, HCV was noted and analyzed by SPSS version 14. Results: Among 745 patients. 581 (77.98%) were male and 164 (22.02%) were female. Hepatitis B and C was present in 165 (22.15) patients. Out of these positive cases 125 (75.76%) were suffering from hepatitis C and 36 (21.81%) were suffering from hepatitis B, and 4 (2.43%) patients were positive for both HBV & HCV. Among the predisposing factors previous history of surgery was positive in 39 patients; history of blood transfusion in 27 patients, dental procedure was in 17 patients’ and 123 patients having injection therapy in the past. Conclusions: All the patients who need surgery should be properly screened for HBV and HCV. It is also necessary that separate operation theaters and instruments should be used for HBV and HCV positive cases.

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Emergency Obstetric Hysterectomy: A Review of 40 cases in Faridpur Medical College Hospital

Faridpur Medical College Journal ◽

10.3329/fmcj.v11i1.30868 ◽

2016 ◽

Vol 11 (1) ◽

pp. 2-5

Author(s):

Mahbuba ◽

Kaneez Fatema ◽

Shila Rani Das ◽

Irin Pervin Alam ◽

Zebunnessa Parvin

Keyword(s):

Risk Factors ◽

Proper Time ◽

Post Partum ◽

Vital Role ◽

Medical College Hospital ◽

College Hospital ◽

Medical College ◽

Patient Profile ◽

Safe Anesthesia ◽

Associated Risk Factors

Emergency obstetric hysterectomy is removal of part or whole of the uterus done to save the life of a mother in complications in the intra partum or post-partum period. This study was done to assess the cases of emergency obstetric hysterectomy (EOH) in view to find out the indications, the patient profile, the risk factors, the morbidity and mortality associated with the procedure. It was a retrospective analysis of 40 cases of obstetric hysterectomy performed in Faridpur Medical College Hospital (FMCH) during the period of August 2012 to July 2014. Patients were evaluated from history and clinical observation records regarding maternal age, parity, indication of operation, associated risk factors, surgical procedure and complications during hospital stay. In maximum patient with EOH the overall incidence is in the age group of 25-29 years (42.5%) and parity of 2nd-3rd. The most common complication was ruptured uterus 50% and PPH 12.5%. Among the risk factors the most common was previous caesarean section (55%) then grand multipara (15%). Out of 40 cases 40% needed total hysterectomy and 60% was managed by subtotal hysterectomy. In most cases complications were hemorrhage and 100% patient needed blood transfusion among which 50% in the post-operative period. All the patients were discharged after treatment with no history of maternal death or referral to higher centers. Emergency obstetric hysterectomy is a lifesaving procedure when decision is taken at proper time, done rapidly by expert surgeon along with availability of blood and safe anesthesia. Thus it can play a vital role to reduce and prevent maternal death.Faridpur Med. Coll. J. Jan 2016;11(1): 2-5

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Selected Risk Factors for Myocardial Infarction among the Patients Admitted in Rajshahi Medical College Hospital

TAJ Journal of Teachers Association ◽

10.3329/taj.v18i1.3302 ◽

1970 ◽

Vol 18 (1) ◽

pp. 37-42

Author(s):

Abdur Rahsid ◽

Md Mofakkurul Islam ◽

Md Rafiqul Islam

Keyword(s):

Risk Factors ◽

Myocardial Infarction ◽

Blood Pressure ◽

Serum Cholesterol Level ◽

Medical College Hospital ◽

Normal Range ◽

College Hospital ◽

Medical College ◽

Cardiology Department ◽

The Common

Myocardial infarction (MI) is the common form of coronary heart disease. A large number of modifiable risk factors had been identified. This descriptive study was done to observe selected risk factors among the MI patients admitted in CCU of cardiology department of Rajshahi Medical College Hospital in the month of March to June 2005. Data were collected from 200 patients using a closed end questionnaire. Anterior, inferior and non-Q types of MI occupied the major (25%, 24.5% & 20.5%) portion of study subjects, CK-MB level was high in all MI patients, majority (57.5%) of the patients were smoker & most of them had smoked more than 10 cigarettes per day except Non-Q and antero-septal MI patients. Majority (57%) of the patients had systolic blood pressure (SBP) above 140mmHg but had normal diastolic blood pressure (DBP <90mmHg). Serum cholesterol level was high in all patients but majority (55.5%) had LDL within normal range. Less than half (46%) of the patients were diabetic (RBS >8mmol/l). doi: 10.3329/taj.v18i1.3302 TAJ 2005; 18(1): 37-42

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Risk factors for failure in treatment of Pulmonary Tuberculosis (PTB): Study from a rural medical college hospital in south India

International Journal of Infectious Diseases ◽

10.1016/j.ijid.2012.05.940 ◽

2012 ◽

Vol 16 ◽

pp. e278

Author(s):

P.N. Venkatarathnamma ◽

S.A. Bhatta

Keyword(s):

Risk Factors ◽

Pulmonary Tuberculosis ◽

South India ◽

Medical College Hospital ◽

College Hospital ◽

Medical College

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Pneumococcal Carriage Recovered from Healthy Children and Their Possible Association with Some Risk Factors in Outpatient Department of a 1000 bedded Tertiary Care Hospital at Dhaka City

Bangladesh Journal of Infectious Diseases ◽

10.3329/bjid.v6i2.46105 ◽

2020 ◽

Vol 6 (2) ◽

pp. 48-52

Author(s):

Moonmoon Shormin ◽

SM Shamsuzzaman ◽

Md Eunus Ali Mondol ◽

Samira Afroz ◽

Asif Rashed

Keyword(s):

Risk Factors ◽

Tertiary Care ◽

Medical College Hospital ◽

Housing Condition ◽

Healthy Children ◽

Care Hospital ◽

Nasopharyngeal Colonization ◽

College Hospital ◽

Medical College ◽

The Impact

Background: Detection and monitoring of nasopharyngeal carriage of Streptococcus pneumoniae is important to assess the impact and effectiveness of pneumococcal vaccine programs. Objective: The aims of this study were to assess the nasopharyngeal colonization rate, investigate some of the risk factors for nasopharyngeal colonization with S. pneumoniae from healthy children. Methodology: The study was conducted in the department of microbiology of Dhaka Medical College Hospital (DMCH). Data were collected among 200 under five healthy children in different age group (13 months to 36 months), from different socioeconomic status with cramped housing condition from Pediatric OPD of Dhaka Medical College Hospital. S. pneumoniae were isolated and identified by culture, Gram staining, biochemical test and polymerase chain reaction (PCR). Result: Out of 200 nasopharyngeal swabs, 67 (33.50%) were found to be carriers positive by culture and 92(46%) by PCR. The carrier rate was higher among 13 months to 36 months, low and middle socio-economic groups and among with cramped housing condition. Conclusion: In conclusion various factors may affect the nasopharyngeal colonization with S. pneumoniae including early age of life, different socio-economic and living condition. Bangladesh Journal of Infectious Diseases 2019;6(2):48-52

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Risk Factors and Short-Term Outcome of Birth Asphyxiated Babies in Dhaka Medical College Hospital

Bangladesh Journal of Child Health ◽

10.3329/bjch.v33i3.5688 ◽

1970 ◽

Vol 33 (3) ◽

pp. 83-89 ◽

Cited By ~ 5

Author(s):

Nilufar Shireen ◽

Nazmun Nahar ◽

AH Mollah

Keyword(s):

Risk Factors ◽

Birth Asphyxia ◽

Medical College Hospital ◽

Short Term ◽

College Hospital ◽

Term Outcome ◽

Female Ratio ◽

Neonatal Complications ◽

Medical College ◽

Short Term Outcome

Background: Perinatal asphyxia is the most important preventable cause of cerebralinjury in the neonatal period leading to very high neonatal mortality and morbidity indeveloping countries. Little can be done for a baby affected by severe perinatalasphyxia. So, prevention is unquestionably desired.Objective: To identify the maternal and fetal risk factors for the development of birthasphyxiated babies and to see the short term outcome of the affected babies.Methods: An analytical type of or observational study was done in the Special CareBaby Unit (SCBU) of Dhaka Medical College Hospital from October 2003 to March2004. Identification of the risk factors was done by retrospective comparison of thecases and controls. Outcome was analyzed by cross sectional comparative study.One hundred consecutive cases of birth asphyxia, admitted in SCBU, were enrolledin the study. Another 30 neonates admitted during this period for other reasons (i.e.,jaundice, septicemia, low birth weight) were taken as control. Necessary informationwere collected by detailed history taking, clinical examination and close follow up ofthe hospital course, using pre-designed questionnaire and recording form.Results: Male: female ratio 3:2 both in the cases and controls. Mean age on admissionwas 13.8 hours and 2.6 days for case and control respectively. Identified importantmaternal risk factors were primiparity (57% in cases vs. 33.3% in control), hypertension(16.6% vs. 3.3%), pre-eclamptic toxemia of pregnancy (24% vs. 13.3%), prolongedrupture of membrane (33.3% vs. 6.7%), prolonged labour (34% vs. 3.3%) and useof oxytocin during labour (16% vs. none). All these were statistically significant (p<0.05).Serious neonatal complications noted among the asphyxiated babies were convulsion,hypoxic ishchemic encephalopathy and necrotizing enterocolitis. These were not seenamong the control group. Mortality among the asphyxiated babies was 16% duringhospital stay, whereas no fatality was recorded among the control. Neurologicalsequelae was observed in 28% of asphyxiated babies but was absent in controls.Conclusion: All the identified risk factors as well as neonatal complications weresignificantly higher in asphyxiated babies. Most of these could have been preventedeven with our limited resources.Key words: Birth Asphyxia; risk factors; immediate outcome.DOI: 10.3329/bjch.v33i3.5688Bangladesh Journal of Child Health 2009; Vol.33(3): 83-89

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