An Analytical Study on Problems Related to Drug for Kidney Disease in Tertiary Care Hospitals

2020 ◽  
Vol 12 (sp1) ◽  
Keyword(s):  
Kidney Disease ◽  
Analytical Study ◽  
Tertiary Care ◽  
Tertiary Care Hospitals

scholarly journals Prevalence of chronic kidney disease in two tertiary care hospitals: high proportion of cases with uncertain aetiology

2009 ◽  
Vol 54 (1) ◽  
pp. 23 ◽  
Author(s):  
TNC Athuraliya ◽  
DTDJ Abeysekera ◽  
PH Amerasinghe ◽  
PVR Kumarasiri ◽  
V Dissanayake
Keyword(s):  
Chronic Kidney Disease ◽  
Kidney Disease ◽  
Tertiary Care ◽  
Tertiary Care Hospitals

scholarly journals AN EPIDEMIOLOGICAL RETROSPECTIVE ANALYSIS OF THE MICROBIAL FLORA AMONG INFECTED SURGICAL WOUND CASES IN LOCAL SECONDARY & TERTIARY CARE HOSPITALS.

2020 ◽  
pp. 44-47
Author(s):  
Sanchita Nihal ◽  
S.K Gautam
Keyword(s):  
Analytical Study ◽  
Tertiary Care ◽  
Surgical Wound ◽  
Therapeutic Implications ◽  
E Coli ◽  
Prior Consent ◽  
Tertiary Hospitals ◽  
Microbial Etiology ◽  
The Mean ◽  
Tertiary Care Hospitals

Introduction : According to the CDC, one-to-three cases out of 100 surgeries get infected. There is considerable variation in each class according to the type of surgery being performed. The incidence of infection varies from surgeon to surgeon, from hospital to hospital, from one surgical procedure to another and, most importantly, from one patient to another. The aim of this study was to identify the most common microorganism documented in post-operative wound sepsis in surgery wards of local tertiary hospitals situated in Chhattisgarh. Methods: This Retrospective & Analytical study involved Prior Consent from Hospital Authorities / Medical Superintendents of the Randomly selected Private Tertiary care hospitals to see the records of the patients from Medical Records Department ( MRD) The study included 100 randomly selected case sheets / records of the patients suffering from SSIs in the various surgical wards in local tertiary care centres . Patients of both sex, age > 14 years, who had surgical wound pus discharge, with serous or seropurulent discharge and with signs of sepsis present concurrently were included. Results : Out of the 100 selected case sheets / records of patient’s samples processed, In 91% of records it was found that it yielded aerobic bacterial growth . Monomicrobial growth was seen in 92 samples while 8 samples showed polymicrobial growth. The mean age of the patients was 45.7 years (range 14 to 79 years) and the peak incidence of SSI was observed in age group > 50 years (55%). Among the 100 records / cases, bacterial isolates, S. aureus (52%) and E. coli (24.%) were the commonest organisms. Conclusion: . The information obtained from this study allows a better understanding of the microbial etiology of SSIs in local hospitals which may have epidemiological and therapeutic implications. Using the results of this study, an initiative for establishing improved hospital antimicrobial policy and antimicrobial prescribing guidelines can be undertaken.

CIScoSI Study [Children Immunization Status and cases of Systemic Illness]

2018 ◽  
Vol 3 (3) ◽  
Keyword(s):  
Infectious Diseases ◽  
East Asia ◽  
Pediatric Patients ◽  
Severe Disease ◽  
Tertiary Care ◽  
Immunization Coverage ◽  
South East Asia ◽  
Immunization Status ◽  
Tertiary Care Hospitals ◽  
Total Coverage

To determine the immunization status of pediatric patients under age of 5 years visiting pediatric department of tertiary care hospitals in South East Asia. The aim of this study was to appreciate the awareness and implementation of vaccination in pediatric patients who came into pediatric outpatient Department with presenting complain other than routine vaccination. we can also know the count of patients who do not complete their vaccination after birth. we can differentiate between vaccinated and unvaccinated patients and incidence of severe disease in both groups. Immunization is a protective process which makes a person resistant to the harmful diseases prevailing in the community, typically by vaccine administration either orally or intravenously. It is proven for controlling and eliminating many threatening diseases from the community. WHO report that licensed vaccines are available for the prevention of many infectious diseases. After the implementation of effective immunization the rate of many infectious diseases have declined in many countries of the world. South-East Asia is far behind in the immunization coverage. An estimated total coverage is 56%-88% for a fully immunized child, which is variable between countries. Also the coverage is highest for BCG and lowest for Polio.

Effect of coronavirus disease in patients with kidney disease in India

2020 ◽  
Vol 11 (SPL1) ◽  
pp. 1255-1259
Author(s):  
Shashi Prabha Singh ◽  
Preeti Sharma ◽  
Durgesh singh ◽  
Pradeep kumar ◽  
Rakesh Sharma ◽  
...  
Keyword(s):  
Chronic Kidney Disease ◽  
Clinical Trials ◽  
Kidney Disease ◽  
Meta Analysis ◽  
Tertiary Care ◽  
Type Ii Diabetes Mellitus ◽  
Asymptomatic Infection ◽  
Type Ii ◽  
Cardiorespiratory Failure ◽  
Inflammatory State

Coronavirus disease 19 is a global pandemic which infects over millions of people worldwide in a limited time and changes the lifestyle, clinical spectrum lies from asymptomatic infection to pneumonitis with cardiorespiratory failure and finally death. Higher mortality occurs in senior and who are suffering from co-morbidities like chronic kidney disease, (HTN) hypertension, (DM TYPE II) diabetes mellitus or (CVD) cardiovascular diseases. However, rather than normal individuals, patients with chronic kidney disease (CKD) are under higher risk for infections. The chronic systemic inflammatory state is a significant cause for morbidity and mortality in CKD patients. The objective of this review is to discuss the pathogenesis of COVID-19 in CKD, changes observed in the immune system of CKD patients, COVID-19 infections risk in CKD and therapeutic approach of COVID-19 in CKD patients. From the standpoint of frequent renal co-morbidities in covid19 patients, renal complications were explored in covid19 patients received at level 2 tertiary care Santosh Hospital, Ghaziabad, U.P. Delhi-NCR India during March to August 2020 as per the protocol of Nephrology Society of India. Relevant clinical trials were reviewed in support. Meta-analysis and clinical trials are covered in this review study. Duplicate studies are not taken into account. The outcome of the studies shows that CKD patients are more prone to COVID-19. CKD patients are more likely infected with COVID-19 virus. Whereas in intensive care, CKD occurs more frequent than DM type II and CVD. So,COVID-19 pathogenesis in CKD patients, risk of COVID-19, immunologic changes and therapy COVID-19 in CKD can add support in the effective management of COVID-19.

Study of Mortality Patterns among Hospitalized Patients in Public Sector Tertiary Care Hospitals Faisalabad, Pakistan

2017 ◽  
Vol 11 (3) ◽  
pp. 238-242
Author(s):  
Muhammad Arif Ali ◽  
Ayesha Arif ◽  
Tehreem Fatima ◽  
Muhammad Moaaz Arif
Keyword(s):  
Public Sector ◽  
Tertiary Care ◽  
Hospitalized Patients ◽  
Tertiary Care Hospitals

scholarly journals Interhospital referral of colorectal cancer patients: a Dutch population-based study

2021 ◽  
Author(s):  
A. K. Warps ◽  
◽  
M. P. M. de Neree tot Babberich ◽  
E. Dekker ◽  
M. W. J. M. Wouters ◽  
...  
Keyword(s):  
Colorectal Cancer ◽  
Cancer Patients ◽  
Waiting Time ◽  
Secondary Care ◽  
Advanced Disease ◽  
Waiting Times ◽  
Tertiary Care ◽  
Disease Stage ◽  
Colorectal Cancer Patients ◽  
Tertiary Care Hospitals

Abstract Purpose Interhospital referral is a consequence of centralization of complex oncological care but might negatively impact waiting time, a quality indicator in the Netherlands. This study aims to evaluate characteristics and waiting times of patients with primary colorectal cancer who are referred between hospitals. Methods Data were extracted from the Dutch ColoRectal Audit (2015-2019). Waiting time between first tumor-positive biopsy until first treatment was compared between subgroups stratified for referral status, disease stage, and type of hospital. Results In total, 46,561 patients were included. Patients treated for colon or rectal cancer in secondary care hospitals were referred in 12.2% and 14.7%, respectively. In tertiary care hospitals, corresponding referral rates were 43.8% and 66.4%. Referred patients in tertiary care hospitals were younger, but had a more advanced disease stage, and underwent more often multivisceral resection and simultaneous metastasectomy than non-referred patients in secondary care hospitals (p<0.001). Referred patients were more often treated within national quality standards for waiting time compared to non-referred patients (p<0.001). For referred patients, longer waiting times prior to MDT were observed compared to non-referred patients within each hospital type, although most time was spent post-MDT. Conclusion A large proportion of colorectal cancer patients that are treated in tertiary care hospitals are referred from another hospital but mostly treated within standards for waiting time. These patients are younger but often have a more advanced disease. This suggests that these patients are willing to travel more but also reflects successful centralization of complex oncological patients in the Netherlands.

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