TO STUDY THE MANAGEMENT OF LIVER ABSCESS

2019 ◽  
Vol 3 (8) ◽  
Author(s):  
Dr. Kalpana Agarwal ◽  
Dr. Shiv Kumar Bunkar ◽  
Dr. Dony Devasia ◽  
Dr. Kush Verma
Keyword(s):  
Liver Abscess ◽  
Early Recognition ◽  
Effective Means ◽  
Cost Effective ◽  
Pyogenic Liver Abscess ◽  
Cross Sectional Study ◽  
The Body ◽  
Amoebic Liver Abscess ◽  
Cross Sectional ◽  
Surgery Department

Background: Liver is an important and vital organ of the body. This organ is subjected to numerous systemic infections viral, bacterial and parasitic and lies at the distal end of the portal circulation; it is therefore bathed with portal blood containing viruses, bacteria parasites, ova, products of digestion and other antigens. Methods: This study was a cross sectional study of patients attending surgery department in J L N Medical College, Ajmer Rajasthan. The study was conducted over a period of 1 year on 100 patients of liver abscess. Results: 3 mortalities were found in amoebic liver abscess patients who had ruptured liver abscess and was undertaken for surgical intervention Conclusion: We suggest early recognition of clinical features and prompt abdominal USG as cost-effective means for treatment initiation and reducing complications. Keywords: Amoebic liver abscess, Pyogenic liver abscess, Treatment.

The relation of toddy (palm wine) intake to amoebic liver abscess in a predominantly toddy-drinking population: a cross-sectional study

2019 ◽  
Vol 49 (3) ◽  
pp. 197-200 ◽  
Author(s):  
Ashish Kumar Jha ◽  
Praveen Jha ◽  
Madhur Chaudhary ◽  
Shailesh Kumar ◽  
Vidyut Prakash ◽  
...  
Keyword(s):  
Liver Abscess ◽  
Low Socioeconomic Status ◽  
Cross Sectional Study ◽  
Amoebic Liver Abscess ◽  
Sectional Study ◽  
Chronic Alcoholic ◽  
Cross Sectional ◽  
Low Socioeconomic ◽  
Palm Wine ◽  
Demographic Profiles

The role of toddy (palm wine) as an independent risk factor for amoebic liver abscess (ALA) is not clear. In a cross-sectional study, the clinico-demographic profiles of inpatients with ALA were examined. Microscopy examination of toddy (n = 43) samples was performed. A total of 198 patients with ALA were enrolled, most of whom were: admitted during the May–August months (48%); chronic alcoholic (85% [70% toddy]); malnourished (85%); and of low socioeconomic status (88%). Clinical and laboratory parameters were comparable between toddy and distilled alcohol drinkers. None of the toddy samples revealed presence of cysts and trophozoites of Entamoeba histolytica.

CLINICAL AND BIOCHEMICAL PROFILE OF LIVER ABSCESS PATIENTS AT MEDICINE DEPARTMENT OF ANMMCH, GAYA, BIHAR

2021 ◽  
pp. 30-32
Author(s):  
Bharat Bhushan ◽  
Debarshi Jana
Keyword(s):  
Diabetes Mellitus ◽  
Liver Abscess ◽  
Cost Effective ◽  
Pyogenic Liver Abscess ◽  
Amoebic Liver Abscess ◽  
Medicine Department ◽  
Male Preponderance ◽  
Right Lobe ◽  
Inadequate Nutrition ◽  
Upper Abdomen

Background: Liver comprises 48% of all the visceral abscesses. It is common in India with 2nd highest incidence due to poor sanitation, overcrowding and inadequate nutrition. Worldwide, approximately 40-50 million people are infected annually with amoebic abscesses. This study aims to observe the clinical and biochemical prole of liver abscess patients so that a prompt diagnosis can be made and early treatment can be given. Methods: The study was conducted over a period of 1 year on 50 patients of liver abscess. History and physical examination was done. All patients were subjected to complete hemogram, liver function test, coagulation prole (PT/INR) and USG abdomen. Serology for Entamoeba histolytica and HIV was done. Results: The mean age of the patients was 41.8 years with male preponderance. Amoebic liver abscess (86%) was predominant over pyogenic liver abscess (14%). Alcoholism (52%) and diabetes mellitus (20%) are main predisposing factors in case of liver abscess. Hepatomegaly was found in 80% cases. Elevated ALP, low albumin, increased PT INR points to the diagnosis of liver abscess. The abscesses were predominantly in right lobe (76%) and solitary (66%). Complications seen were ascites (12%) and pleural effusion (6%). Conclusions: Liver abscess should be suspected in patients presenting with prolonged fever and pain upper abdomen specially if patient is alcoholic or has diabetes mellitus. Ultrasonography is an easy and cost effective investigation to diagnose liver abscess. Early and aggressive treatment is the mainstay to prevent complications, morbidity and mortality

Clinical and biochemical profile of liver abscess patients

2017 ◽  
Vol 5 (6) ◽  
pp. 2596 ◽  
Author(s):  
Vineet Jain ◽  
Smita Manjavkar ◽  
Prem Kapur ◽  
. Durfishan ◽  
Divya Rajput ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Liver Abscess ◽  
Cost Effective ◽  
Pyogenic Liver Abscess ◽  
Amoebic Liver Abscess ◽  
Biochemical Profile ◽  
Male Preponderance ◽  
Right Lobe ◽  
Inadequate Nutrition ◽  
Upper Abdomen

Background: Liver comprises 48% of all the visceral abscesses. It is common in India with 2nd highest incidence due to poor sanitation, overcrowding and inadequate nutrition. Worldwide, approximately 40-50 million people are infected annually with amoebic abscesses. This study aims to observe the clinical and biochemical profile of liver abscess patients so that a prompt diagnosis can be made and early treatment can be given.Methods: The study was conducted over a period of 1 year on 50 patients of liver abscess. History and physical examination was done. All patients were subjected to complete hemogram, liver function test, coagulation profile (PT/INR) and USG abdomen. Serology for Entamoeba histolytica and HIV was done.Results: The mean age of the patients was 41.8 years with male preponderance. Amoebic liver abscess (86%) was predominant over pyogenic liver abscess (14%). Alcoholism (52%) and diabetes mellitus (20%) are main predisposing factors in case of liver abscess. Hepatomegaly was found in 80% cases. Elevated ALP, low albumin, increased PT INR points to the diagnosis of liver abscess. The abscesses were predominantly in right lobe (76%) and solitary (66%). Complications seen were ascites (12%) and pleural effusion (6%).Conclusions: Liver abscess should be suspected in patients presenting with prolonged fever and pain upper abdomen specially if patient is alcoholic or has diabetes mellitus. Ultrasonography is an easy and cost effective investigation to diagnose liver abscess. Early and aggressive treatment is the mainstay to prevent complications, morbidity and mortality.

scholarly journals The Prevalence of Colonic Neoplasm in Cryptogenic Pyogenic Liver Abscess: A Prospectively Enrolled Cross-sectional Study

2016 ◽  
Vol 68 (4) ◽  
pp. 195 ◽  
Author(s):  
Nae-Yun Heo ◽  
Young Mi Hong ◽  
Tae Oh Kim ◽  
Young Soo Moon ◽  
Sung Yeun Yang ◽  
...  
Keyword(s):  
Liver Abscess ◽  
Pyogenic Liver Abscess ◽  
Colonic Neoplasm ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional

scholarly journals FACTORS RELATED TO KNOWLEDGE ON NEWBORN DANGER SIGNS AMONG THE RECENTLY DELIVERED WOMEN IN SUB-DISTRICT HOSPITALS OF BANGLADESH

2017 ◽  
Vol 3 (2) ◽  
pp. 50-60 ◽  
Author(s):  
Sojib Bin Zaman ◽  
Naznin Hossain ◽  
Muhammed Awlad Hussain ◽  
Vidhuna Abimanue ◽  
Nushrat Jahan ◽  
...  
Keyword(s):  
Health Education ◽  
Early Recognition ◽  
Cost Effective ◽  
Cross Sectional Study ◽  
Danger Sign ◽  
Cross Sectional ◽  
Neonatal Deaths ◽  
Danger Signs ◽  
District Hospitals ◽  
Level Of Knowledge

Background: Bangladesh continues to be one of the top ten countries with the highest burden of neonatal mortality. While, most of the neonatal deaths are preventable; health system delays, delayed identification of newborn danger signs, late diagnosis and initiation of treatment are claimed to be the main challenges.Objective: 1) to determine the level of knowledge among the recently delivered women (RDW) about newborn danger signs and 2) to distinguish the factors associated with ability of identifying the danger signs.Methods: A facility based cross-sectional study was conducted in three sub-district hospitals of Bangladesh among 135 RDW between 1 January 2015 and 30 April 2015. Seven key danger signs were identified, and responses were categorized accordingly. Bivariable logistic regression was conducted to determine the likelihood of the association of factors with danger signs identification.Results: About 51% of RDW could identify one key danger sign. Knowledge on “fever’’ was the most commonly known danger sign (65%). Middle age (OR 1.67, 95% CI: 1.09 - 2.18), high education (OR 2.37, 95% CI: 1.46 - 2.77), increased parity (OR 1.91, 95% CI: 1.17 - 2.89), and previous hospital delivery (OR 1.79, 95% CI: 1.14 - 2.68) were found associated with the knowl­edge of the danger signs.Conclusion: The findings indicate the immediate need to enhance health education among the RDW about newborn danger signs before their hospital discharge. Community based health education programs can be a cost effective intervention to increase awareness and early recognition of neonatal danger signs.

scholarly journals Clinicopathological study and management of liver abscess in tertiary care center

2019 ◽  
Vol 6 (4) ◽  
pp. 1332 ◽  
Author(s):  
Jigar Ratnottar ◽  
Harish Chauhan ◽  
Foram Modh
Keyword(s):  
Socioeconomic Status ◽  
Clinical Features ◽  
Liver Abscess ◽  
Early Recognition ◽  
Care Center ◽  
Tertiary Care ◽  
Cost Effective ◽  
Amoebic Liver Abscess ◽  
Percutaneous Catheter Drainage ◽  
Liver Abscesses

Background: Liver abscess is a burning problem in tropical nations, with often lethal consequences and diagnostic/therapeutic challenges. We have determined etiopathology, clinical, radiological, and bacteriological characteristics of this condition and review its management strategies.Methods: During the period of the month from August 2017 to August 2018, a prospective study was performed involving 125 patients admitted to the in-patient ward of the Department of General Surgery of SMIMER Medical College their diagnosis was made on the basis of clinical features (such as right upper abdomen pain, and fever), laboratory investigations and radiological evidence of liver abscess.Results: Amoebic liver abscess was the most common (88%) type of liver abscess among the study groups. There was a strong correlation with the occurrence of liver abscesses and addiction to alcohol, history of diabetes mellitus and low socioeconomic status. The most common etiology of pyogenic liver abscess was Escherichia coli. Ultrasonography (USG) of the abdomen was accurate and cost-effective in diagnosis of liver abscesses. Percutaneous catheter drainage was the most effective method of treatment (with a 100% success rate).Conclusions: Most patients in our study had liver abscess of amoebic origin and had temporal relationship with diabetes, alcoholism, and staggering socioeconomic status. We suggest early recognition of clinical features and prompt abdominal USG as cost-effective means for treatment initiation and reducing complications.

scholarly journals Research of consumer preferences in the production of bioactive pates for nutrition of pregnant women

2020 ◽  
Vol 82 (3) ◽  
pp. 164-169
Author(s):  
T. V. Alekseeva ◽  
E. N. Artemova ◽  
E. V. Belokurova ◽  
D. I. Potapova ◽  
O. A. Guseva ◽  
...  
Keyword(s):  
Pregnant Women ◽  
Consumer Preferences ◽  
Demographic Data ◽  
Meat Products ◽  
Cost Effective ◽  
Cross Sectional Study ◽  
Product Line ◽  
The Body ◽  
Product Lines ◽  
Cross Sectional

The article discusses the demand for product lines for pregnant women in the consumer market. The objects of research were pregnant women and women planning to become pregnant. The socio-demographic data of the respondents included: age; employment; physical activity. In the process of work, a one-stage cross-sectional study was carried out. The first block included questions about the respondents' diet. The second block contained questions about the volume and composition of food. The answers to the questions of the third block made it possible to give a tentative assessment of the demand for enriched products of a therapeutic and prophylactic orientation. The authors have developed a recipe and technology for the production of an enrichment additive. An assortment of pates for nutrition of women during pregnancy, enriched with a bioactive additive, was obtained. The paper presents information on satisfying the daily needs of the body in accordance with the norms of physiological needs for energy and nutrients. In the course of the work, the marketing potential of products with bioactive additives was consistently analyzed. As a result of the work, the following information was established. The bulk of the respondents do not receive additional vital nutrients in their daily diets and are ready to purchase them additionally. The offered product line of pates of a therapeutic and prophylactic orientation will correct disorders of the body's homeostasis and will be in demand among women during pregnancy. The increase in the price of developed finished products does not go beyond the purchasing power of the target audience. The conducted research allows us to conclude that the use of an enrichment additive for the production of bioactive meat products for the nutrition of pregnant women is cost effective.

scholarly journals Liver abscess: demographic, clinical, biochemical, imaging and microbial spectrum

2019 ◽  
Vol 7 (12) ◽  
pp. 4607
Author(s):  
Abdul Rabb Bhutto ◽  
Amanullah Abbasi ◽  
Shumaila Rafi ◽  
Ali Hassan Abro
Keyword(s):  
Clinical Features ◽  
Liver Abscess ◽  
Immunosuppressive Treatment ◽  
Pyogenic Liver Abscess ◽  
Amoebic Liver Abscess ◽  
Common Symptom ◽  
College Hospital ◽  
Cross Sectional ◽  
Aggressive Approach ◽  
Liver Abscesses

Background: Liver abscesses are localized suppurative destruction of liver tissue due to infections of either bacterial (Pyogenic) or protozoa (Amoebic). Historically; pyogenic liver abscess has been described since the time of hippocrates (400 BC). Despite the more aggressive approach to treatment, the mortality rate remained at 60-80%.Methods: This Cross-sectional analytical study carried out at Department of Medicine, Al-Tibri Medical College Hospital, Karachi, from June 2017 to December 2018. All participants of either gender with diagnosis of liver abscess were included in this prospective study. Patients with co morbidities like malignancy, autoimmune disease or on immunosuppressive treatment for any reason were excluded from the study. Following confirmation of the diagnosis; different characteristics of either type of liver abscess like demographic, clinical features, biochemical and imaging findings were evaluated.Results: Data of 73 subjects, 65(89.0%) males and 08(11.0%) females were analyzed with mean age was 45.42±14.518 years. Fifty-four (73.97%) patients had pyogenic liver abscess while amoebic liver abscess was found in 19(26.03%) subjects. Clinically, the most common symptom was abdominal pain, found in 66(90.4%) subjects, followed by fever in 61(83.6%), hepatomegaly in 47(64.4%), jaundice in 18(24.7%) and vomiting in 10(13.7%) cases. Demographics and clinical features are shown in (Table 1).Conclusions: Local trends have been changing and majority of liver abscess were of pyogenic liver abscesses. Clinically, clear differentiation between two types of abscesses is not possible always but few manifestations like typical symptoms, raised alkaline phosphatase and leucocytosis may be helpful.

scholarly journals Association between Short Hours of Sleep and Overweight/Obesity in Mexican Adolescent Population: A School-Based Cross-Sectional Study

Healthcare ◽  
2021 ◽  
Vol 9 (8) ◽  
pp. 939
Author(s):  
Ana Fresan ◽  
Alma Delia Genis-Mendoza ◽  
María Lilia López-Narváez ◽  
Tania Guadalupe Gómez-Peralta ◽  
Daniela Georgina Aguilar-Velázquez ◽  
...  
Keyword(s):  
Cross Sectional Study ◽  
The Body ◽  
Categorical Variables ◽  
Continuous Variables ◽  
Sectional Study ◽  
Cross Sectional ◽  
Obese Adolescent ◽  
School Based ◽  
Prevalence Of Obesity ◽  
Mexican Adolescents

Background/Aim: Obesity in adolescents is increasing; as such, the aim of this study was to determine the prevalence of obesity in Mexican adolescents and examine its possible association with hours of sleep. Methods: A school-based cross-sectional study was carried out. This study included 863 adolescents aged between 11 and 16 years. The prevalence of obesity was estimated using the body mass index (BMI). The duration of sleep (and other information) was assessed by a self-reported questionnaire. The Cochran–Mantel–Hansel test for categorical variables and a general linear model for continuous variables were used to evaluate the interaction effect of BMI and sex with respect to sleeping and assessed activity conditions. Results: It was found that 47.6% of the adolescents were overweight/obese. Men were more frequently overweight/obese than women (52.6% vs. 41.8%, p = 0.002). Moreover, overweight/obese adolescents were younger and spent fewer daily hours watching television (p < 0.05). Men practiced sports more hours per week than women (p = 0.04). However, women spent more daily time on the internet (p = 0.05), and overweight/obese adolescent women slept fewer hours than overweight/obese men and adolescents with normal weight (p = 0.008). Conclusions: The development of strategies for the prevention of overweight/obesity and the improvement of sleep duration should include a gender perspective to improve health habits in Mexican adolescents.

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