scholarly journals Hospital Acquired Infections in a Selected Tertiary Level Hospital of Rangpur City

2014 ◽  
Vol 4 (2) ◽  
pp. 49-52 ◽  
Author(s):  
MH Zaman ◽  
S Ferdouse
Keyword(s):  
Average Length ◽  
Cross Sectional Study ◽  
Tertiary Level ◽  
Sectional Study ◽  
Cost Of Treatment ◽  
College Hospital ◽  
Cross Sectional ◽  
Hospital Acquired Infections ◽  
Hospital Acquired ◽  
Level Hospital

Objectives: To find out the proportion, to determine the average length of stay at hospital and to estimate the cost of treatment for hospital-acquired infections in a tertiary level hospital of Rangpur City. Materials and Methods: This descriptive type of cross sectional study was conducted on purposively selected 200 admitted patients in a tertiary level hospital. Among them 100 were HAI patients and 100 were non HAL Data were collected through duly pretested interviewer administered questionnaire and observation checklist. Place and period of study: This study was conducted in Rangpur Medical College Hospital (RpMCH), Rangpur from January to June2011. Results: In this cross sectional study the highest percentage of HAI (42%) belonged to the surgery ward and the lowest percentage (19.%) belonged to medicine ward of the study hospital. According to the type of infections the surgical wound infection was found on the top (23%) and the cannula-associated infection at the bottom (5%) of the list. Respondents of both the polar age groups (<21 years and > 60 years) were found to be equally (27%) affected by HAI. Occurrence of HAI was found higher (57%) among the female respondents than their male (43%) counterparts. Highest number (48%) of HAI and lowest number (14%) of non- HAI patients were found to be visited by maximum number (?5) of visitors. Among the respondents who developed HAI, 42% had to stay at hospital for longest duration (21-25 days) but only 13% of their non- HAI counterparts had to stay for same duration. Among HAI patients 26% had to spend highest amount of money (Tk.20,0011- 25,0001-) but among non- HAI patients only 10% had to spend same amount of money for their treatment purpose. Conclusion: It has been revealed from this study that the occurrence of HAI was found higher among the patients with maximum number of visitors. Average length of hospital stay and cost of treatment of HAI patients were found higher than those of their non-HAI counterparts. DOI: http://dx.doi.org/10.3329/bjdre.v4i2.20247 Bangladesh Journal of Dental Research and Education Vol.4(2) 2014: 49-52

scholarly journals Nutrient deficiencies (Copper, Zinc, Iron, Magnesium) among children with SIRS/sepsis-a hospital based cross sectional study

2017 ◽  
Vol 4 (3) ◽  
pp. 933 ◽  
Author(s):  
Kiran Kartheek ◽  
Baliga B. S. ◽  
. Subodhshetty ◽  
Prasanna Mithra ◽  
Charu Yadav
Keyword(s):  
Oxidative Stress ◽  
Nutrient Deficiency ◽  
Cross Sectional Study ◽  
Nutrient Deficiencies ◽  
Sectional Study ◽  
Cross Sectional ◽  
Hospital Acquired Infections ◽  
Risk Of Death ◽  
Nutrient Levels ◽  
Hospital Acquired

Background: In developing countries sepsis is a major etiological factor contributing to 60-80 % of annual mortality. SIRS/sepsis rates are high among children admitted to hospitals particularly in intensive care units. Oxidative stress plays important role in etio-pathogenesis of SIRS/sepsis. Nutrients with antioxidant activity enhance immune system there by decreasing severity of SIRS/sepsis. Estimation of such nutrient levels might establish relationship with oxidative stress in children with SIRS/sepsis.Methods:A hospital based cross-sectional study was done on consecutive samples of 96 children diagnosed with SIRS/sepsis. Serum copper, iron zinc, magnesium levels of children diagnosed with sepsis/SIRS included in the study were estimated, data were represented as median with inter quartile range and proportions. Mann Whitney u test and Karl Pearson’s correlation tests were used to see correlation between clinical paramaters.Results: Zinc and magnesium deficiency were seen in 68.8% and 59.4% children with SIRS/sepsis. Median serum magnesium levels were 1.24mg/dL in children with illness <1 week and 1.51mg/dL with illness >1week duration prior to hospitalization (p=0.017). Hospital acquired infections were higher with zinc (P=0.001) and copper deficiency(P=0.002). Zinc deficiency correlated with need for longer hospitalization (P= 0.017).  Mortality due to SIRS/sepsis increased as number of nutrient deficiencies increased (P =0.009).Conclusions:Significant number of children with SIRS/sepsis had nutrient deficiencies. These deficiencies correlated significantly with duration of illness prior to hospitalization. Children with nutrient deficiency had higher incidence of hospital acquired infections. Children with normal nutrient levels have decreased length of hospitalization. Children with multiple nutrient deficiency had higher risk of death. 

scholarly journals Pediatric Spectrum of Allergic Diseases and Asthma in a Tertiary Level Hospital in Botswana: an Exploratory Retrospective Cross-Sectional Study

2020 ◽  
Vol Volume 13 ◽  
pp. 213-223
Author(s):  
Alemayehu Mekonnen Gezmu ◽  
Shiang-Ju Kung ◽  
Jemal Zeberga Shifa ◽  
Britt Nakstad ◽  
Merrian Brooks ◽  
...  
Keyword(s):  
Allergic Diseases ◽  
Cross Sectional Study ◽  
Tertiary Level ◽  
Sectional Study ◽  
Cross Sectional ◽  
Level Hospital

scholarly journals Bacterial profile and their antimicrobial susceptibility patterns in patients admitted at MaddaWalabu University Goba Referral Hospital, Ethiopia: a cross sectional study

2021 ◽  
Vol 21 (2) ◽  
pp. 513-522
Author(s):  
Meseret Mitiku Gemechu ◽  
Tesfaye Assefa Tadesse ◽  
Getahun Negash Takele ◽  
Fithamlak Solomon Bisetegn ◽  
Yonas Alem Gesese ◽  
...  
Keyword(s):  
Antimicrobial Susceptibility ◽  
Cross Sectional Study ◽  
Referral Hospital ◽  
Resistant Bacteria ◽  
Sectional Study ◽  
Cross Sectional ◽  
Hospital Acquired Infections ◽  
Medical Wards ◽  
Hospital Acquired ◽  
Susceptibility Patterns

Background: Hospital acquired infections (HAIs) are one of the global concerns in resource limited settings. The aim of the study was to determine bacteria profile and their antimicrobial susceptibility patterns among patients admitted at surgical and medical wards. Methods: A hospital based cross-sectional study was conducted from November 2016 to July 2017 in MaddaWalabu Uni- versity Goba Referral Hospital. Urine and wound swabs were processed and standard disk diffusion test was done to assess susceptibility pattern. Association among variables was determined by Chi-square test. Results: Among 207 patients enrolled, 24.6% developed HAI, of which, 62.7% and 37.3% were from surgical and medical wards, respectively. The male to female ratio was 1.5:1. The age ranged from 19 to 74 years with a mean of 41.65(±16.48) years. A total 62 bacteria were isolated in which majority of the isolates were gram negative bacteria. Most isolates were re- sistance to most of the antibiotics tested but sensitive to Ceftriaxone, Norfloxacin and Ciprofloxacin. Conclusion: Due to the presence of high level drug resistant bacteria, empirical treatment to HAI may not be effective. Therefore, treatment should be based on the result of culture and sensitivity. Keywords: Antimicrobial susceptibility patterns; bacterial profile; hospital acquired infections.

scholarly journals Depression and Its Risk Factors Among Patients with Chronic Obstructive Pulmonary Disease (COPD) in a Tertiary Level Hospital

2017 ◽  
Vol 7 (2) ◽  
pp. 44-48
Author(s):  
Uttam Kumar Barua ◽  
Dilip Kumar Ghosh ◽  
Amar Biswas ◽  
Mukta Nath ◽  
Bipul Kanti Biswas ◽  
...  
Keyword(s):  
Risk Factors ◽  
Severe Depression ◽  
Cross Sectional Study ◽  
Systematic Sampling ◽  
Chronic Obstructive ◽  
Tertiary Level ◽  
College Hospital ◽  
Cross Sectional ◽  
Copd Patients ◽  
Level Hospital

Background: COPDis accompanied with several co-morbidities among which depression is a major one. The aim of the study is to assess the prevalence of depression and associated risk factors in patients with COPD in a tertiary level hospital of Dhaka city, Bangladesh.Method: This Cross-sectional study was carried out the Department of Respiratory Medicine of ShaheedShurawardy Medical College Hospital from January 2014 to June 2014. 317 COPD patients were selected by systematic sampling. A questionnaire was administered among the respondents to collect the data regarding their socio-demographic conditions followed by Patient Health Questionnaire 9 (PHQ-9) to measure the level of depression.Result: Among the 317 respondents, the mean age was 58.40 and 98.1% were male, 1.9% were female. The proportion of depression among patients with COPD was 81.6% (8 out of 10 COPD patients). Among the all respondents, 23.3% had moderate depression, 14.5% had moderately severe depression, and only 4.7% had severe depression. The risk factors which were found to be involved with the development of depression among COPD patients were stage 2 and stage 3 COPD, onset of COPD ? 40 years of age, literate respondents.Conclusion: The study highlight the importance of routine screening for depression of all COPD patients in all healthcare settings and implementation of strategies for proper management and prevention of depression in those patients.J Shaheed Suhrawardy Med Coll, December 2015, Vol.7(2); 44-48

scholarly journals Prescribing Pattern of Antimicrobials used in Under Five Years Children in Cough or Cold and Pneumonia in Outdoor Settings of Two Tertiary Level Hospital

2014 ◽  
Vol 27 (1-2) ◽  
pp. 13-20
Author(s):  
Shamin Ara Begum ◽  
Aftab Uddin Ahmed ◽  
Shyamil Kumar Saha ◽  
Shamsun Nahar ◽  
Feroza Parveen ◽  
...  
Keyword(s):  
Drug Use ◽  
Cross Sectional Study ◽  
Tertiary Level ◽  
Sectional Study ◽  
Prescribing Pattern ◽  
Cross Sectional ◽  
Pediatric Department ◽  
Under Five ◽  
Level Hospital ◽  
Structured Questionnaire

This descriptive type of cross-sectional study was conducted in MMCH and CBMCB during the period from 1st July/2005 to 30th Jun/2006.The aim of the study was to find out the prescribing pattern of antimicrobials in cough or cold and pneumonia in under five years children. Prescriptions were collected from the out-patient pediatric department by using structured questionnaire. The structured questionnaires were made according to WHO/ INRUD drug use indicator. In case of cough or cold, the main findings on drug use were (a) Average number of drugs per prescription were 3.21 in MMCH and 3.85 in CBMCB respectively, (b) Percentage of prescriptions with an antibiotic prescribed was 100% in MMCH and CBMCB, (c) Percentage of drugs prescribed in generic name were 57.69% in MMCH and it was nil in CBMCB, (d) Cotrimoxazole, Amoxicillin and Cephalosporin were used frequently in MMCH and Cephalosporin and Erythromycin mostly were used in CBMCB, and (e) Route of administration were appropriate in both the institutes. In case of pneumonia, (a) Average number of drugs per prescription were 3.77, (b) Percentage of prescription with an antibiotic was 100%, (c) Percentage of drug prescribed in generic name was 27.5%, (d) Cephalosporin were used mostly (45.5%) for the treatment of pneumonia. Trend of poly pharmacy was found in both the institutes DOI: http://dx.doi.org/10.3329/bjpp.v27i1-2.20069 Bangladesh J Physiol Pharmacol 2011; 27(1&2):13-20

scholarly journals Causative Organisms of Hospital Acquired Infections Among The Pediatric Patients In Tertiary Level Hospitals of Dhaka City

2019 ◽  
Vol 9 (1) ◽  
pp. 23-28
Author(s):  
Khorshed Ali Miah ◽  
Md Zaforullah Chowdhury ◽  
Fatima Tuj Johora ◽  
Sumaiya Khatun
Keyword(s):  
Pediatric Patients ◽  
Cross Sectional Study ◽  
Tertiary Level ◽  
Dhaka City ◽  
Cross Sectional ◽  
Hospital Acquired Infections ◽  
Paediatric Patients ◽  
Study Population ◽  
Collection Period ◽  
Hospital Acquired

Hospital acquired infections (HAI) are important causes of morbidity and mortality. The purpose of this study was to see the type of HAI and causative organisms of these infections among the paediatric patients in tertiary level hospitals of Dhaka city. This cross sectional study was conducted in three tertiary level hospitals in Dhaka City over a period of two years. A total of 1055 patients were observed and the study population comprised of all the admitted paediatric patients irrespective of sex and basic diseases who were found present during data collection period as admitted patients in the paediatric wards of the hospitals under study. Among 1055 pediatric patients admitted in all the three hospitals under study a total of 115 (10.9%) were affected by hospital acquired infections. Higher prevalence (14.0%) of Hospital-Acquired Infections (HAI) was found in surgery ward and the lower prevalence (9.2%) of HAI was found in medicine ward. The most common type of HAI was surgical wound infection 26(22.6%). Out of 115 HAI patients highest number 44(38.3%) were affected by staphylococcus aureusfollowed by E. coli23(20%). Update Dent. Coll. j: 2019; 9 (1): 23-28

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