Pattern, Management, and Outcome of Poisoning in a Tertiary Care Hospital

Introduction: Poisoning is a significant global public health problem. The appropriate management of poisoning at emergency needs accurate assessment and immediate treatment. The immense chance for better outcomes occurs with early diagnosis and treatment. This study was conducted to assess pattern, management, and outcome of poisoning in tertiary care hospital. Methods: An observational cross-sectional study was conducted in which records of patients with a diagnosis of poisoning over a period of four years were reviewed. Results: A total of 138 patients were included in the study. A majority (63%) of them were females. Most (67.4%) were managed by general or supportive measure only. Gastric lavage was done in 60% of total patients while 52.9% patients received activated charcoal. Pralidoxime and atropine was received by 51.1% of patients treated with specific antidote. All the antidotes were administered through intravenous route. Regarding outcome, 89.9% were completely recovered. Suicidal poisoning was significantly higher in married as compared to unmarried patients (p = 0.029). Similarly, there was a significant relationship between occupation of the patients and manner of poisoning (p = 0.003). Outcome of treatment had a significant association with the manner of poisoning (p < 0.001). Further analysis revealed that the patients who expired in the hospital were more likely to ingest poison accidentally. Conclusion: Suicidal poisoning is common and females are more susceptible. Insecticide and rodenticide are the commonly ingested poisons. Treatment outcome of poisoning cases is generally favorable.

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Composite index of anthropometric failure among under 5 children attending the Immunoprophylaxis clinic in a tertiary care hospital in Nagpur, Maharashtra, India

International Journal of Contemporary Pediatrics ◽

10.18203/2349-3291.ijcp20181508 ◽

2018 ◽

Vol 5 (3) ◽

pp. 888

Author(s):

Abhijit Kherde ◽

Chaitanya R. Patil ◽

Jyotsna Deshmukh ◽

Prithvi B. Petkar

Keyword(s):

Tertiary Care Hospital ◽

Tertiary Care ◽

Age Groups ◽

Composite Index ◽

Public Health Problem ◽

Cross Sectional Study ◽

Study Data ◽

Care Hospital ◽

Global Public Health ◽

Cross Sectional

Background: Under nutrition is a global public health problem. There are numerous methods of assessment of malnutrition among which CIAF is the most recent, relatively robust since it envisages all the parameters for estimation of nutritional status of the children. So, this study was conducted to find the rates of composite index of anthropometric failure in the children attending the Immunoprophylaxis clinic in a tertiary care hospital of Nagpur and to find associations with the socio demographic variables.Methods: This descriptive cross-sectional study was conducted at the Immunoprophylaxis clinic of a tertiary care institute in Nagpur from September 2016 to January 2017. The study subjects were the children attending the OPD of Immunoprophylaxis clinic of a tertiary care hospital. Necessary permissions were taken before the start of the study. Data was collected using pretested and pre-designed questionnaire. Height and weight were measured using standard guidelines and categorized into groups of CIAF as described by Nandy et al.Results: A total of 460 study subjects were enrolled in the study. The mean age group of the study subjects was 2.47±1.56 years. According to the grades of CIAF, 48.51% were having no failure. Age and gender were factors which were associated with failure status by CIAF.Conclusions: We found high rates of anthropometric failure in our study. The age groups less than 3 years had higher odds of being in failure when compared to more than 3 years age. Further, males had higher odds of being into failure when compared to females. Community based studies are recommended.

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Prevalence Of Musculoskeletal Disorders In Patients Undergoing Haemodialysis in a Tertiary Care Hospital: A Cross-sectional study

International Journal of Clinical and Biomedical Research ◽

10.31878/ijcbr.2020.63.01 ◽

2020 ◽

pp. 1-4

Author(s):

Sanjaitha Jayaprakash ◽

Deepak B. Anap

Keyword(s):

Arteriovenous Fistula ◽

Musculoskeletal Disorders ◽

Tertiary Care Hospital ◽

Tertiary Care ◽

Public Health Problem ◽

Cross Sectional Study ◽

Care Hospital ◽

Low Back ◽

Cross Sectional ◽

Body Regions

Background: Chronic kidney disease (CKD) is a significant public health problem. Dialysis is the mainstream method of treatment in these patients. This causes the patients to have a monotonous and restricted daily life, joint pain, limiting their activities after treatment onset. Hence this study was carried out to find the prevalence of common musculoskeletal disorders in patients undergoing haemodialysis in a tertiary care hospital. Method: 50 participants undergoing dialysis in a tertiary care hospital under the age group of 18-70 years diagnosed with stage V CKD were included using convenient sampling. They were assessed using Nordic Questionnaire to locate the different areas of pain. Result: The first group consisted of 41 participants who underwent dialysis from 2- 41 months. Body regions commonly affected in the last 7 days were low back 25(60.97%); neck 21(51.21%); shoulder 15(36.58%); elbow 14(34.14%) in the extremity with arteriovenous fistula; upper back 14(34.14%); hips/thighs, knees 9(21.95); wrist/hands 7(17.07%) in the extremity with arteriovenous fistula; ankle/feet 6(14.63%). The second group consisted of 9 participants who underwent dialysis from 42-84 months. Body regions commonly affected in the last 7 days were low back 8(88.88%); upper back 7(77.77%); hip/thigh 6(66.66%); neck, knee 5(55.55%); elbow 4(44.44%) in the extremity with arteriovenous fistula; shoulder, ankle/feet, wrist/hands 3(33.33%). Conclusion: The study concluded that the highest prevalence of musculoskeletal disorders in the participants undergoing haemodialysis was low back pain (66%) followed by neck (52%), upper back (42%), shoulder (36%), elbow (36%), hips/thighs (30%), knees (28%), wrist/hands (20%) and ankle/feet pain (18%).

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Factors Affecting Gingivitis among Patients Attending in a Tertiary Care Hospital of Bangladesh

Delta Medical College Journal ◽

10.3329/dmcj.v3i1.22233 ◽

2015 ◽

Vol 3 (1) ◽

pp. 9-12

Author(s):

Mst Mostary Zannath ◽

Md Monoarul Haque ◽

Masuma Akther

Keyword(s):

Fast Food ◽

Tertiary Care Hospital ◽

Tertiary Care ◽

Public Health Problem ◽

Cross Sectional Study ◽

National Health Survey ◽

Dietary Factors ◽

Care Hospital ◽

Cross Sectional ◽

Factors Affecting

Background: Gingivitis is one of the common diseases in Bangladesh and a public health problem also. Broadly factors of two categories are responsible for the occurrence of gingivitis: anatomical and behavioral. Few physiological factors also have influence. In Bangladesh we have no national health survey on periodontal condition. Objective: The aim of this study was to find out the factors affecting gingivitis among patients of 15 to 40 years of age attending in a tertiary care hospital in Dhaka city.Materials and method: This was a cross sectional study and purposive sampling method was used. Total 200 samples were taken who fulfilled the inclusion criteria by pretested structured questionnaire in outpatient department (OPD) of Bangabandhu Sheikh Mujib Medical University, Dhaka, Bangladesh. Results: The mean(±SD) age of respondents was 27±5 years. Dietary factors responsible for gingivitis were sweets (80%), followed by fast food (14%). Regarding behavioral factors, smoking (48%), tobacco using (8%) and betel nuts chewing (28%) influenced gingivitis. Most of the respondents (89%) were suffering from gingivitis for at least one year and gum bleeding was documented in 99% of respondents. Conclusion: Dietary and behavioral patterns were found to be responsible for gingivitis. DOI: http://dx.doi.org/10.3329/dmcj.v3i1.22233 Delta Med Col J. Jan 2015; 3(1): 09-12

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Epidemiological study of burn patients in a tertiary care hospital, Sidhipet district, Telangana

International Surgery Journal ◽

10.18203/2349-2902.isj20211921 ◽

2021 ◽

Author(s):

Talla Sreenivas ◽

Sudagani Sreenivas ◽

Kotina Shridevi

Keyword(s):

Tertiary Care Hospital ◽

Tertiary Care ◽

Case Fatality ◽

Public Health Problem ◽

Care Hospital ◽

Global Public Health ◽

Microsoft Excel ◽

Epidemiological Features ◽

Ethical Clearance ◽

Global Public Health Problem

Background: Burns is a global public health problem, accounting for an estimated 180000 deaths annually and over 1,000,000 cases in India. The exact epidemiological features of burns in each area vary and depends on geography, demography, culture, customs, occupations and several unknown factors. Hence in the present study effort was made to find out epidemiological features and causes associated with burns.Methods: It was a descriptive study, study period been 1 April 2018 to 31 March 2021 (3 years). The study area was a tertiary care hospital in Sidhipet district, Telangana. The sample size was 170 on calculation with the formula. Data was collected from the medical records and reports attached in the file of the patient in the hospital. Ethical issue: Written informed consent or assent and ethical clearance from institutional ethical committee was obtained. Data was analyzed, using microsoft excel version 2019.Results: Majority were from 21-30 years (35.32%), females (66%) and many were flame burns (74%). Major source of flame burns was cooking appliances (62%). Majority of burns have taken place at home (91.9%) and were accidental (86%). Case fatality rate calculated was 8.08%. 96% of wound swabs were positive for bacteria.Conclusions: Mortality due to burns was significantly associated with burns which were suicidal/homicidal in nature, with more burn surface area of >30% and 3rd and 4th degree burns.

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Profile of dog bite cases reporting to ARV OPD of a tertiary care hospital

International Journal of Community Medicine and Public Health ◽

10.18203/2394-6040.ijcmph20194022 ◽

2019 ◽

Vol 6 (9) ◽

pp. 4088

Author(s):

Saurabha Urmi Subramanya ◽

Ravindra S. Kembhavi

Keyword(s):

Tertiary Care Hospital ◽

Tertiary Care ◽

Public Health Problem ◽

Sampling Technique ◽

Cross Sectional Study ◽

Major Public Health Problem ◽

Care Hospital ◽

Age Group ◽

Dog Bite ◽

Cross Sectional

Background: Animal bites pose a major public health problem in children and adults worldwide. Rabies is a viral zoonosis caused by bite of a rabid dog that occurs in >100 countries and territories. India accounts for 60% of all the world burden of rabies related deaths. The objective of the present study is to analyse the profile of dog bite victims reporting to ARV OPD of a tertiary care hospital.Methods: This was a cross-sectional study conducted in the ARV OPD of a tertiary care hospital. A total of 228 victims of dog bite were interviewed. They were selected using systematic random sampling technique. Analysis of data obtained was done using SPSS.Results: Majority of the participants belonged to the age group 20-30 years. The proportion of male was higher than female. Most of the victims had suffered category II type of dog bite (66.2%). A statistically significant association was seen between age group and nature of dog bite, sex of victim and type of dog, type of dog and category of dog bite and the category of bite and history of dog biting other individuals.Conclusions: The burden of dog bite seems to be borne by the economically productive age group. All individuals need to be educated on how to behave around animals so that they can avoid animal bite.

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Cross-sectional study of the breastfeeding practices among women delivering in a tertiary care hospital in Puducherry, India

International Journal of Contemporary Pediatrics ◽

10.18203/2349-3291.ijcp20191436 ◽

2019 ◽

Vol 6 (3) ◽

pp. 945

Author(s):

Kalaivani A. ◽

Manasi D. Garg ◽

Majeti Srinivasa Rao

Keyword(s):

Exclusive Breastfeeding ◽

Tertiary Care Hospital ◽

Tertiary Care ◽

Optimal Growth ◽

Cross Sectional Study ◽

Care Hospital ◽

Global Public Health ◽

Cross Sectional ◽

Socio Demographic Factors ◽

One Year

Background: Global Public Health recommends that infants should receive only breastfeeding for first 6 months of life for their optimal growth and development. This study was done to find the rate of exclusive breast feeding and other feeding practices in children up to 6 months of age.Methods: A hospital based longitudinal study was conducted in a tertiary care hospital for a period of one year. Data from 158 mothers who were admitted for safe confinement was collected using structured questionnaire which was administered at every monthly follow up visit following delivery till first six months. Data included socio-demographic factors, psychosocial factors, breastfeeding details, maternal and infant factors. Data was entered in MS-Excel and analysed on SPSS version 18 software.Results: About 82.9% mothers had the knowledge about benefits of breastfeeding. Breastfeeding was initiated within one hour in 74% babies but exclusive breastfeeding for first six months was given only in 42.4% babies. Pre-lacteal feeds were given only in 3.2% babies. Early complementary feeds were started in 57.6% predominantly with cereal based diet. Perceived insufficiency of milk (30.3%) was the major reason mentioned for starting early complementary feeds.Conclusions: There is a wide gap between the knowledge and practice of exclusive breastfeeding. The importance of exclusive breastfeeding should be reinforced at every immunization visit so as to increase the rate of exclusive breastfeeding.

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