scholarly journals Knowledge of danger signals of pregnancy among clients of maternal health services in tertiary care teaching hospital, Pune

2021 ◽  
Vol 12 (11) ◽  
pp. 85-89
Author(s):  
Arunesh Kumar ◽  
Sachin Gupta ◽  
Prasad Pore
Keyword(s):  
Maternal Health ◽  
Health Services ◽  
Teaching Hospital ◽  
Tertiary Care ◽  
Maternal Health Services ◽  
Care Hospital ◽  
Danger Signal ◽  
Tertiary Care Teaching Hospital ◽  
Danger Signals ◽  
Care Teaching

Background: India is among countries with a high maternal mortality rate. Every pregnant woman is at risk of developing pregnancy-related complication. It is not understood if and how the information and education on danger signals of pregnancy; translates into appropriate actions when a woman experiences a danger signal. Knowledge and recognition of danger signals during pregnancy would result in timely emergency obstetric care. Aims and Objectives: This study aims to determine the knowledge of key danger signals of pregnancy and its associated factors among the clients of maternal health services in tertiary care teaching hospital, Pune. Materials and Methods: This was a cross-sectional study conducted in obs. and gyne. dept. of tertiary care hospital for a period of 1 month that enrolled 55 eligible women who attended ANC and PNC clinic within study period. Ethical approval for the study was obtained from the IEC. The women were interviewed using a pre-tested questionnaire. All the women attending ANC and PNC clinic with a minimum of four ANC visits qualified the women for the inclusion in the study. Data analysis was performed using SPSS Version 20. The analyzed data were presented in suitable tabular format. Results: Out of 55 mothers, 43.6% know about four or more danger signals whereas 56.4% have knowledge of <4. The most recalled danger signals by the clients was labor pain before 8 months (70.9%), while no one is aware about the danger signal failure of placenta to come out (0%). Conclusion: This study indicated that the knowledge level of women regarding danger signals of pregnancy was low and affected by education level. Therefore, the identified deficiencies in awareness should be addressed through maternal and child health services.

scholarly journals SURVEILLANCE OF MORTALITY: FROM A TERTIARY CARE TEACHING HOSPITAL OF EASTERN INDIA IN PERSONS WITH AND WITHOUT DIABETES MELLITUS

2017 ◽  
Vol 10 (6) ◽  
pp. 87
Author(s):  
Shobhitendu Kabi ◽  
Shrikant Kumar Dhar ◽  
Baikuntha Nath Panda ◽  
Chandan Das ◽  
Kamal Kant Jena ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Cause Of Death ◽  
Teaching Hospital ◽  
Tertiary Care ◽  
Care Hospital ◽  
Eastern India ◽  
Mortality Pattern ◽  
Tertiary Care Teaching Hospital ◽  
Care Teaching ◽  
The World

Objective: There is abundant knowledge about the gravity of global load of diabetes mellitus (DM). There are conflicting reports on the cause of death from different parts of the world. In India, there are not enough studies to establish the cause of death in DM. To find out the mortality pattern in DM and non-DM (NDM) in a tertiary care teaching hospital in Eastern India.Methods: Retrospective analysis of in-hospital mortality in a tertiary care hospital in Eastern India, from January 2012 to December 2015.Results: There were a total of 1590 deaths of which 442 were having DM and 1148 did not have DM (NDM). Mean age of death for nondiabetics was 66.4 years (M:F = 67.5:65.3) and that for diabetics were 62.7 years (M:F = 63.5:60.04) which was not statistically significant (p=0.9) though diabetics died younger by 4 years. On analyzing the specific cause of death, coronary artery disease (CAD) was 14.71% in DM and 1.57% in NDM (p=0.0001). Chronic kidney disease (CKD) was 18.55% in DM and 1.92% in NDM (p=0.0001). Congestive heart failure was 7.27% in DM and 1.83% in NDM (p=0.0001). CVA was 13.57% in DM and 1.66% in NDM (p=0.0001). Infection was the most common cause of death (39.37%) in DM, but in NDM also this was quite high 34.41% (p=0.21). The death due to CVA in DM was more in hemorrhage as compared to ischemic (p=0.00001).Conclusion: We found causes of death in DM were an infection, CKD, CAD, CVA, and CHF in descending order in this part of the world. The diabetes patients had lesser hospital stay than nondiabetes patients (p=0.009).

scholarly journals Evaluation of causes of still birth in a tertiary care teaching hospital

2018 ◽  
Vol 7 (3) ◽  
pp. 911
Author(s):  
Shivani Kothiyal ◽  
Anjoo Agarwal ◽  
Vinita Das ◽  
Amita Pandey ◽  
Smriti Agarwal
Keyword(s):  
Teaching Hospital ◽  
Health Centre ◽  
Tertiary Care ◽  
Morphological Characteristics ◽  
Hypertensive Disorder ◽  
Care Hospital ◽  
Still Birth ◽  
Tertiary Care Teaching Hospital ◽  
Care Teaching ◽  
Obstructed Labour

Background: Whenever pregnancy occurs there is an expectation that every pregnancy will end with the birth of a healthy baby, yet in a developing country like India 22 in every 1000 births are stillborn. The objective of this study was to evaluate the rate and causes of still birth in a tertiary care teaching hospital, Queen Mary, King George Medical college and university, Lucknow, Uttar Pradesh, India.Methods: Present study was an observational study in a tertiary care hospital. 7024 births occurred in the institution over a period of 1 year out of which 550 were stillbirths. Stillbirths which weighed over 500 grams were included in the study. After informed consent, details of history about epidemiological factors, obstetric history and medical history were obtained. Antenatal investigations including imaging, delivery details and stillborn morphological characteristics were analyzed to identify the cause of stillbirthResults: Out of 7024 deliveries, stillbirth rate was 78.30/1000 total births. Cause of intrapartum stillbirth showed statistically significant correlation with patient’s place of residence (rural>urban), distance of health centre from her house, time taken to reach first point of contact and her parity. The major obstetrical causes of stillbirth identified were APH 22.36%, hypertensive disorders of pregnancy 19.27%, IUGR 15.27%, unexplained causes 11.09%, mal-presentations 9.64%, rupture uterus 9.09% and obstructed labour 6.36%. Severe anemia was found in 24.91% as an associated obstetrical cause of stillbirth.Conclusions: The rate of stillbirth is higher as compared to the Indian data (22/1000 total births). Antepartum obstetric complications (APH, hypertensive disorder of pregnancy, IUGR) were the most common. 15.45% cases showed intrapartum causes of stillbirth (obstructed labour and rupture uterus) which was significantly higher than developed countries where such cases are negligible. The higher number of intrapartum deaths indicate that better healthcare services can drastically reduce stillbirth rates in developing countries.

scholarly journals A PROSPECTIVE STUDY ON DRUG UTILIZATION PATTERN OF ANTIDEPRESSANTS IN NON-PSYCHIATRIC DEPARTMENTS IN A TERTIARY CARE TEACHING HOSPITAL

2019 ◽  
pp. 224-226
Author(s):  
ANCY SEBASTIAN ◽  
ANEESHA PK ◽  
JOSHWA AREECKAL ◽  
SONIYA DAVIS
Keyword(s):  
Drug Utilization ◽  
Teaching Hospital ◽  
Tertiary Care ◽  
General Medicine ◽  
Care Hospital ◽  
Cross Sectional ◽  
Tertiary Care Teaching Hospital ◽  
Care Teaching ◽  
Cardiology Department ◽  
A Prospective Study

Objective: The aim of this study is to evaluate the pattern of prescription and utilization of antidepressants (ADs) for various non-psychiatric indications in department of general medicine, cardiology, surgery, gynecology, and orthopaedic of a tertiary care teaching hospital. Methods: A prospective cross-sectional unicentric drug utilization study of inpatients was carried out in a 450 bedded tertiary care hospital. The study included 200 subjects admitted for both psychiatric and non-psychiatric illness. Pediatric patients and those with a length of stay <48 h were excluded from the study. Results: Prescriptions of 200 patients were studied in which 55% were males and 45% were females. The most widely prescribed drug is alprazolam comprising 50% of the total drug consumption and is followed by clonazepam (19.5%), amitriptyline (13.5%), diazepam (9.5%), escitalopram (3.5%), lorazepam (3%), and zolpidem (0.5%). About 36% of the drugs were prescribed in the general medicine department, and 27.5% of the prescriptions were from the cardiology department. Prescriptions from surgery, orthopedics, and gynecology were 16%, 11.5%, and 9% of the total, respectively. Conclusion: ADs were found to be potentially useful for non-psychiatric indications such as peripheral and diabetic neuropathy, gastroenterological conditions, and urological conditions. No benefit was observed in insomnia and musculoskeletal conditions except for fibromyalgia. ADs were also found to improve the treatment outcome and quality of life of patients having comorbid psychiatric conditions being treated for non-psychiatric disorders.

Assessment of the Sociodemographic Profile, Pattern, and Outcomes of Intentional Poisoning Cases in an Emergency Department of a Tertiary Care Teaching Hospital

Crisis ◽  
2020 ◽  
Vol 41 (6) ◽  
pp. 490-494
Author(s):  
Abhimanyu Parashar ◽  
Madhan Ramesh
Keyword(s):  
Emergency Department ◽  
Teaching Hospital ◽  
Strong Association ◽  
Tertiary Care ◽  
Care Hospital ◽  
Major Health Problem ◽  
Tertiary Care Teaching Hospital ◽  
Care Teaching ◽  
South Indian ◽  
Sociodemographic Profile

Abstract. Background: Intentional self-poisoning has become a major health problem in low- and middle-income countries. Aims: We aimed to assess the sociodemographic profile, pattern, and outcomes of intentional poisoning cases in the emergency department of a tertiary care teaching hospital. Method: A prospective observational study was conducted at the department of emergency medicine of a South Indian tertiary care hospital for 1 year to study the sociodemographic profile, pattern, and outcomes of intentional poisoning cases. Results: The majority of poisonings were observed in the male population (64.5%) and among the age group of 19–40 years (65.2%). Poisoning was prevalent in rural/semi-urban populations (77.5%) and in people engaged in agriculture (28.4%) for their livelihood. Pesticides were the most common agents implicated (65.9%) in poisonings. Based on the Glasgow Coma Scale (GCS) and Poison Severity Scale (PSS), the majority of people with poisoning presented with mild (53.9%) and minor symptoms (36.3%). In 78.5% of the cases, patients recovered while mortality was observed in 5.4% of cases. Conclusion: There was a strong association between outcomes of poisoning and age. Organophosphate pesticides were the most commonly implicated substances in poisonings. Regulation policies should be made by the government to regulate the transport, distribution, and use of insecticides and pesticides.

Study on Utilization Pattern of Pulmonary Inhalers in Inpatient at Tertiary Care Teaching Hospital, Coimbatore, India

2021 ◽  
Vol 15 (5) ◽  
pp. 1285-1288
Author(s):  
Askari Mirzaei ◽  
Chitra Bhojan
Keyword(s):  
Teaching Hospital ◽  
Tertiary Care ◽  
Pharmacist Intervention ◽  
Inhalation Technique ◽  
Chronic Obstructive ◽  
Care Hospital ◽  
Tertiary Care Teaching Hospital ◽  
Care Teaching ◽  
Copd Patients ◽  
12 Steps

Objective: Aim of the study was to assess medication adherence to understand various determinants of medication non-adherence in inpatients at a tertiary care hospital, Coimbatore, India. Methodology: It is a prospective observational study conducted in the inpatient department at a Tertiary Care Teaching Hospital. Asthma or COPD patients were randomly recruited over six months from the ward's clinics. The inhalation technique was assed utilizing the questionnaires there were 11 steps for MDI and 12 steps for MDI + spacer each correct technique conveyed a score of 1 and the wrong technic conveyed 0. The adherence to the inhaler technique was assessed utilizing the recipe correct dose/incorrect dose*100 and the purposes behind nonadherence were additionally noted. Result: In our study out of 120 patients 53.3% were diagnosed with COPD and 46.7% were asthmatic, and 10.8% asthmatics and 20% COPD patients were endorsed with budesonide MDI. About 10% of asthmatics and 9.1 COPD patients have endorsed with budesonide MDI+ spacer. About 4.1% asthmatics and 2.5% COPD patients were endorsed with salbutamol MDI. About 17% asthmatics and 10% COPD patients were endorsed with MDI ipratropium and 8% asthmatics and 12.5% COPD patients were recommended with ipratropium MDI+ spacer. At the point when the knowledge concerning the use of inhalers was surveyed utilizing standard questionnaire, which had 11 steps for MDI and 12 steps for MDI+ spacer every questionnaire had scoring of 0 addressing not playing out the progression, 1 addressing following the progression the scores were high after pharmacist intervention when contrasted with before pharmacist intervention Conclusion: The current outcomes feature the requirement for pharmacist interventions pointed toward improving adherence to inhalers in COPD and asthmatic patients. Keywords: adherence, chronic obstructive pulmonary disease, Inhalers, Asthma

scholarly journals Symptomatic neonatal SARS-CoV-2 infection in a tertiary care teaching hospital: an observational prospective study

2021 ◽  
Vol 8 (7) ◽  
pp. 1200
Author(s):  
Deepali A. Ambike ◽  
Sandhya V. Haribhakta ◽  
Seema P. Soni ◽  
Suryakant Mundlod ◽  
Rijwana Sayyad ◽  
...  
Keyword(s):  
Teaching Hospital ◽  
Prospective Observational Study ◽  
Tertiary Care ◽  
Symptomatic Treatment ◽  
Care Hospital ◽  
Tertiary Care Teaching Hospital ◽  
Care Teaching ◽  
Non Invasive ◽  
Laboratory Markers ◽  
Neonatal Population

Background: The likelihood of newborns acquiring severe acute respiratory syndrome coronavirus 2 (SARS- CoV-2) from infected mothers has raised concerns among families and clinicians worldwide. The disease seems to be mild in children and, to date; there are few reports in neonatal population. The aim of the study was to study the Prevalence of Neonatal SARS-CoV-2 infection in a tertiary care teaching hospital. The objective of the study was to study correlation of clinical features and laboratory parameters among SARS-CoV-2 positive neonates.Methods: Prospective observational study conducted in a dedicated COVID-19 tertiary care hospital and Postgraduate Institute in Pune, Maharashtra between May 2020 and August 2020 on a sample size of 55 COVID suspect neonates as they were admitted and diagnosed during the pandemic.Results: Out of 250 COVID positive mothers admitted, 55 COVID suspect neonates were admitted as their mothers were symptomatic. Among 55 suspect neonates, 11 turned out to be positive (20%). Out of 11 COVID positive neonates, tachypnea with requirement of non-invasive O2 in 2 (18%), feeding intolerance in 2 (18%), fever in 2 (18%) rash 1 (9%) was seen. out of the 11 COVID positive neonates admitted, 45% had elevated D-Dimer levels, 36% had elevated Leucocyte counts, 27% each had raised serum ferritin and fibrinogen levels and 18% had raised CRP Levels.Conclusions: We conclude that inspite of the first wave of COVID seen in neonates which was rare then, clinical and laboratory markers showed a good co-relation in our study in all neonates who were COVID positive but there was no radiological co-relation in any. However, all recovered with symptomatic treatment without any specific COVID treatment.

scholarly journals Culture-Positivity and Sensitivity in Post-Surgical Patients in a Tertiary Care Hospital

2020 ◽  
Vol 34 (1) ◽  
pp. 11-16
Author(s):  
Muhammad Imran Anwar
Keyword(s):  
Infection Rate ◽  
Teaching Hospital ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Care Hospital ◽  
Tertiary Care Teaching Hospital ◽  
Care Teaching ◽  
Culture Positivity ◽  
Hospital Acquired ◽  
Culture Positive

Introduction: Hospital-Acquired Infection (HAI) is a serious health hazard across the world, being a major contributor to the rate of morbidity and mortality. Inadequate evidence is available on the magnitude of hospital-acquired infections in tertiary care hospitals of Pakistan, thus resulting in a poor focus on this aspect of quality of care. Aims & Objectives: The study aims to measure the frequency of post-op culture-positivity, sensitivity, and its associated attributes in a tertiary care hospital in Lahore, Pakistan. Place and duration of study: Tertiary care teaching hospital in Lahore, Punjab from April to July, 2016. Material & Methods: A cross-sectional study was conducted in a public sector, tertiary care, teaching hospital in Lahore using secondary data. All discharged patients’ files from surgical and allied specialties, operated from 1st Oct, 2015 to 31st Dec 2015, having ages between 18 to 60 years and of both gender, were included consecutively in the study. Data was collected on a structured, self-constructed form and analyzed through SPSS version 21. Results: Out of the total 420 patient files, 47 (11.2%) had culture positive reports, out of which 74.5% had UTIs, 17% tissue/wound infection, 4.3% fluid infections and 4.3% had other site infections. 46% of the females and 32% of the males were found to be culture positive out of the suspects of HAI. The highest infection rate was found among patients of urology (71%), while there was no positive culture found for neurosurgery patients. The most frequently found organisms in cultures were Coliform species (38%), Pseudomonas Aeruginosa (13%), followed by Escherichia coli, Staphylococcus Aureus and Candida Albican. Mixed growth was found in 26% of the cultures. The antibiotic sensitivity of the cultures was to Amikacin (38.3%), Imipenem (29.8%), Tazocin (21.3%) and Gentamycin (14.9%). The antibiotic resistance among the cultures was to; Ciproxin (44.7%), Amoxicillin (34.0%), Cefotaxime (31.9%) and Ampicillin (23.4%). Conclusion: The infection rate among suspects of HAI, was found to be high in this study which calls for an urgent need of robust infection control policy and strategies.

scholarly journals Study of knowledge, attitude and practice amongst medical professionals about antimicrobial stewardship in tertiary care teaching hospital in India: a questionnaire based study

2018 ◽  
Vol 7 (3) ◽  
pp. 511
Author(s):  
Vandana Badar ◽  
Vidisha Vivek Parulekar ◽  
Priti Garate
Keyword(s):  
Antimicrobial Resistance ◽  
Teaching Hospital ◽  
Tertiary Care ◽  
Medical Professionals ◽  
Care Hospital ◽  
Years Of Experience ◽  
Tertiary Care Teaching Hospital ◽  
Care Teaching ◽  
Attitude And Practice ◽  
Knowledge Attitude And Practice

Background: Appropriate selection of antimicrobial drugs is critical to optimize treatment of infections ad limit the spread of antimicrobial resistance. Antimicrobial resistance is a serious global problem of antimicrobial abuse and there is a growing consensus to urgently develop new strategies for prevention of resistance of bacteria to antimicrobial agents. Relatively few studies of knowledge, attitude and practice are published regarding antimicrobial resistance.Methods: To explore the perceptions of knowledge, attitude and practice of antimicrobial agent use and its resistance in medical professionals in a tertiary teaching care hospital in India. This study was a cross-sectional, questionnaire based study conducted in tertiary care teaching hospital in India for a duration of three months and on a sample size of 300. All medical teachers, residents and interns were included in studies. Questionnaire included 8 questions of knowledge, 10 questions of attitude and 8 questions of practice. The parameters on which the data was analysed were, gender-wise distribution of data, Age-wise distribution of data, hierarchy-wise distribution- Residents, Lecturers, Assistant Professors, Associate Professors, Professors, according to years of experience, Departmental survey. Some questions were assessed by Likert scale, whose responses ranged from always to never. Some questions were of yes and no type, others were multiple choice questions.Results: The majority of respondents were males (65.66%). Most of the participants were from 21-30years (44%) followed by 31-40 years (32.66%). Almost 77.6% participants had upto 5 years of experience in their respective field. Participants had good knowledge, positive attitude and followed a rational and fair practice about antimicrobial stewardship.Conclusions: Adequate training should be given to UGs and PGs about antimicrobial chemotherapy and its usage. It should be part of their curriculum- proper prescribing, dispensing and usage of AMA so as to promote judicious use of AMA.

scholarly journals ASSESSMENT OF TREATMENT OUTCOME IN TUBERCULOSIS PATIENTS APPROACHING A TERTIARY CARE TEACHING HOSPITAL

2018 ◽  
Vol 11 (5) ◽  
pp. 419 ◽  
Author(s):  
Riya Jaison ◽  
Suja Abraham ◽  
Mary Sruthy Johny ◽  
Vasant Pk ◽  
Lakshmi R
Keyword(s):  
Treatment Outcome ◽  
Teaching Hospital ◽  
Tertiary Care ◽  
Current Treatment ◽  
Treatment Modalities ◽  
Care Hospital ◽  
Male Population ◽  
Tertiary Care Teaching Hospital ◽  
Care Teaching ◽  
Collection Form

 Objectives: The main objectives of the study were to determine the treatment outcome of tuberculosis (TB) patients in a tertiary care hospital, factors associated with the success of treatment, the adverse drug reactions (ADRs) associated with anti-tubercular drugs, and the causality and severity evaluation of ADRs.Methods: It was a prospective study conducted for 10 months to evaluate the treatment outcome in TB patients in a tertiary care teaching hospital in Kerala, India. A total of 101 patients were studied as per the inclusion and exclusion criteria. Treatment outcome analyzed according to the WHO guidelines, causality and severity assessment was done by Naranjo and HARTWID-SIEGEL scale, respectively. A standardized data collection form was prepared, and necessary data were collected from patient’s medical records.Results: A total of 101 patients mostly in the age group of 30–50 years were male population dominates pulmonary TB (PTB) was seen in 57 (56.43%) extra PTB in 44 (43.57%) in which pleural effusion TB was common (34.09%) other types were lymph node TB (15.74%), spine TB, TB meningitis (9.09% each), bone TB (6.481%) treatment outcome found to be success in 85 (84%) 10 (10%)treatment completed 1 (1%) died 4 were defaulters, 1 not evaluated, 82 developed ADR. On causality assessment it was possible and severity of moderate level.Conclusion: By proper management and monitoring TB can be completely cured, and most of them have a favorable outcome with current treatment, and ADR can be managed by providing proper awareness of treatment modalities/disease.

scholarly journals A CROSS-SECTIONAL PHARMACOVIGILANCE STUDY ON ADVERSE DRUG REACTION IN A TERTIARY CARE TEACHING HOSPITAL

2021 ◽  
pp. 103-106
Author(s):  
PRINCY EASOW ◽  
OLISHA DELVITA MENDONCA ◽  
DHAVAL SIDHDHAPURIA ◽  
JITENDRA VAGHASIYA
Keyword(s):  
Teaching Hospital ◽  
Tertiary Care ◽  
Cross Sectional Study ◽  
Care Hospital ◽  
Cross Sectional ◽  
Tertiary Care Teaching Hospital ◽  
Care Teaching ◽  
Rational Drug ◽  
Quality Of Patient Care

Objectives: This study was conducted to identify and report the adverse drug reactions (ADRs) which are occurring in pediatric and medicine departments in a tertiary care hospital at Vadodara. Methods: A cross-sectional study was conducted for 6 months in-patient at a tertiary care teaching hospital. We enrolled the patients based on inclusion criteria and data was analyzed with the help of MS excel 7 and Graph pad Prism. Further, the assessments of type, severity, and preventability of reported ADRs were done using Wills and Brown classification, modified Schumock and Thornton severity scale, modified Hartwig and Siegel preventability scale. Results: Data were collected from a total of two hundred patients of which twenty-six (13%) patients were affected with ADRs. Among twenty-six patients, females (64%) were more affected with ADRs when compared to males (36%). According to the department, most ADRs were observed in the medicine ward than in the pediatric. The highest number of ADRs was associated with antibiotics (46.1%). Based on the type of ADRs, Type B ADRs (77%) were more observed followed by Type A (7%) and Type C (8%). Conclusions: The information obtained from our study will help clinical pharmacists and healthcare professionals to take precautions in the future and adopt certain measures for preventing the ADRs and hence help in promoting safer and rational drug use in institutions and improving the quality of patient care.

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