scholarly journals Corona Virus Infection among Healthcare Workers in a COVID Dedicated Tertiary Care Hospital in Dhaka, Bangladesh

2020 ◽  
pp. 43-49 ◽  
Author(s):  
Rubina Yasmin ◽  
Rahnuma Parveen ◽  
Nazim Al Azad ◽  
Sudip Ranjan Deb ◽  
Nandita Paul ◽  
...  
Keyword(s):  
Risk Factors ◽  
Tertiary Care ◽  
Uneventful Recovery ◽  
Infection Prevention And Control ◽  
Care Hospital ◽  
College Hospital ◽  
Hospital Authority ◽  
Medical College ◽  
Adequate Knowledge ◽  
And Control

Background: Health care workers (HCWs) are at high risk of acquiring infections during this ongoing COVID-19 outbreak. This study was aimed at determining the prevalence of SARS-CoV-2 infection, the socio demographic and clinical profile and the possible risk factors for infection among the HCWs at Mugda Medical College Hospital (MuMCH). Method: This retrospective observational study was done among the HCWs of MuMCH from 19 April, 2020 to 15 May, 2020. The SARS-CoV-2 positive 37 HCWs were interviewed over telephone by a structured questionnaire and the obtained data were analyzed by using descriptive statistics. Result: Out of total 343 HCWs, total 37(10.79%) cases were detected COVID-19 positive. Out of them, 13(35.14%) were male and 24 (64.86%) were female. The median age was 36 years. Among the infected HCWs, 26 (70.27%) did not have any pre-existing comorbidities. Bronchial asthma (13.51%) and HTN (13.51%) were the most prevalent comorbidities. Around 43.24% (16) had no definite symptoms for COVID- 19. Among the 21(56.76%) symptomatic cases, 15(40.54%) had mild and 6(16.22%) had moderate symptoms. The most common symptoms were cough (16, 43.24%), fever (11, 29.73%), sore throat (7, 18.92%) and fatigue/malaise (7, 18.92%). All had completely recovered uneventfully although 22(59.46%) got admitted to hospital. Only 12(32.43%) were involved in aerosol generating procedure. Total 26 cases (70.27%) used appropriate PPE during their duty. Although only 4(10.81%) got adequate training on PPE use, 33(89.19%) of them had adequate knowledge on that. About 15(40.54%) were reusing PPEs. Most of them (33, 89.20%) were not taking any chemoprophylaxis; all were following traditional preventive measures. Among the HCWs, 26(70.27%) were not satisfied with the infection prevention and control (IPC) measures taken by the hospital authority. All of them presumed that, their occupational exposure was the possible source of COVID-19 infection. Conclusion: More than 1 in 10 HCWs at MuMCH was infected with SARS-CoV-2 while working at the hospital. They represented the younger age group, had fewer comorbidities. Nurses were the most affected category. All experienced uneventful recovery and most of them were not satisfied with the IPC measures taken by the hospital authority. Further studies are required to identify the level of risk of infection, possible risk factors and outcomes and to improve the IPC measures of the hospital. J Bangladesh Coll Phys Surg 2020; 38(0): 43-49

scholarly journals Immediate outcome and risk factors determining the outcome of status epilepticus in children attending tertiary care centre

2017 ◽  
Vol 4 (4) ◽  
pp. 1289
Author(s):  
Murali Thandavarayan ◽  
Sureshkumar Ramaswamy ◽  
Priyadarsini Bose ◽  
Sivaraman Thirumalaikumarasamy
Keyword(s):  
Risk Factors ◽  
Status Epilepticus ◽  
Tertiary Care ◽  
Medical Emergency ◽  
Time Of Arrival ◽  
Care Hospital ◽  
Tertiary Care Centre ◽  
College Hospital ◽  
Medical College

Background: Status epilepticus (SE) is a paediatric and neurological medical emergency, continuous seizure lasting more than 30 min, or two or more seizures without full recovery of consciousness between any of them. Determination of immediate outcome of SE in children in a tertiary care hospital and to identify the risk factors influencing the outcome was the objectives of the present study.Methods: A study was conducted in Dept of Pediatrics, Tirunelveli Medical College Hospital among the children from 1 month to12 years of age, who had admitted for SE in hospital’s pediatric causality from October 2009 to October 2010 were selected for the study.Results: Out of 92 patients, total 87 patients completed the study and out of those 74 have recovered and 13 have died. The risk factors significantly affecting the outcome were hypoxia at the time of arrival, decompensated shock, respiratory failure requiring intubation and acidosis.Conclusions: Proper prehospital therapy, early referral, proper care while transporting, anticipitating risk factors involved, and protocol based approach uniformly at all hospital can reduce the mortality due to status epilepticus in children. 

scholarly journals Socio-demographic Status & Associated Risk Factors of the Stroke Patient's in a Tertiary Care Hospital of Bangladesh

2013 ◽  
Vol 4 (2) ◽  
pp. 18-22 ◽  
Author(s):  
Mahmudur Rahman Siddiqui ◽  
Quazi Tarikul Islam ◽  
Md. Jabed Iqbal ◽  
Sumaiya Sultana Binte-Mosharraf
Keyword(s):  
Risk Factors ◽  
Acute Stroke ◽  
Low Income ◽  
Demographic Data ◽  
Tertiary Care ◽  
Income Group ◽  
Care Hospital ◽  
Stroke Patients ◽  
College Hospital ◽  
Medical College

Stroke is the most common neurological emergency. A total number of 100 randomly selected, clinically and CT proven acute stroke patients were studied at medicine units of Dhaka Medical College Hospital. Socio-demographic data and major risk factors or co-morbid conditions among acute stroke patient were identified and correlated. Out of 100 patients 29% were in between 51- 60 years age group & 72% were male and 28% were female patients. In this series 24% were illiterate. Of the literate group 39% went to primary school, 20% completed SSC, 8% completed HSC, 5% completed graduation and only 4% completed post-graduation. Majority of the patients were unemployed (22%). Other was businessman (20%), housewife (19%) and cultivator (16%). 63% percentage of the patients from low income group, which was followed by middle income group (33%). Majority 53% patients had Ischaemic stroke, 45% Intracerebral haemorrhage (ICH) and only 2% had Subarachnoid haemorrhage (SAH). 77% of patient had history of hypertension, 22% Diabetes mellitus, 20% Dyslipidaemia, 13% Previous Stroke, 27% Ischaemic heart disease. Out of 77 hypertensive stroke patients 37(48.05%) had haemorrhagic stroke & 40(51.94%) had ischemic stroke. Anwer Khan Modern Medical College Journal Vol. 4, No. 2: July 2013, Pages 18-22 DOI: http://dx.doi.org/10.3329/akmmcj.v4i2.16920

scholarly journals Pneumococcal Carriage Recovered from Healthy Children and Their Possible Association with Some Risk Factors in Outpatient Department of a 1000 bedded Tertiary Care Hospital at Dhaka City

2020 ◽  
Vol 6 (2) ◽  
pp. 48-52
Author(s):  
Moonmoon Shormin ◽  
SM Shamsuzzaman ◽  
Md Eunus Ali Mondol ◽  
Samira Afroz ◽  
Asif Rashed
Keyword(s):  
Risk Factors ◽  
Tertiary Care ◽  
Medical College Hospital ◽  
Housing Condition ◽  
Healthy Children ◽  
Care Hospital ◽  
Nasopharyngeal Colonization ◽  
College Hospital ◽  
Medical College ◽  
The Impact

Background: Detection and monitoring of nasopharyngeal carriage of Streptococcus pneumoniae is important to assess the impact and effectiveness of pneumococcal vaccine programs. Objective: The aims of this study were to assess the nasopharyngeal colonization rate, investigate some of the risk factors for nasopharyngeal colonization with S. pneumoniae from healthy children. Methodology: The study was conducted in the department of microbiology of Dhaka Medical College Hospital (DMCH). Data were collected among 200 under five healthy children in different age group (13 months to 36 months), from different socioeconomic status with cramped housing condition from Pediatric OPD of Dhaka Medical College Hospital. S. pneumoniae were isolated and identified by culture, Gram staining, biochemical test and polymerase chain reaction (PCR). Result: Out of 200 nasopharyngeal swabs, 67 (33.50%) were found to be carriers positive by culture and 92(46%) by PCR. The carrier rate was higher among 13 months to 36 months, low and middle socio-economic groups and among with cramped housing condition. Conclusion: In conclusion various factors may affect the nasopharyngeal colonization with S. pneumoniae including early age of life, different socio-economic and living condition. Bangladesh Journal of Infectious Diseases 2019;6(2):48-52

scholarly journals Identification of Maternal Risk Factor with Preterm LBW Babies in a Tertiary Care Hospital

2018 ◽  
Vol 24 (2) ◽  
pp. 95-100
Author(s):  
MB Uddin ◽  
S Yasmin ◽  
M Sanaul Haque ◽  
A Hossain ◽  
KI Jahan
Keyword(s):  
Risk Factors ◽  
Tertiary Care ◽  
Care Hospital ◽  
College Hospital ◽  
Cross Sectional ◽  
Mortality And Morbidity ◽  
Maternal Risk ◽  
Medical College ◽  
Poor Nutritional Status ◽  
Health Related

This study was aimed to identify risk factors of preterm LBW babies by following a cross sectional type of comparative study. This study was conducted at inpatient department of paediatrics of Rajshahi Medical College Hospital from January 2009 to December 2010. A total 150 preterm babies were included in this study. The mothers of the babies were studied to identify some selected risk factors. Maternal poor nutritional status (p<.001), low age at conception (p<.003), poor antenatal care (p<.001) and low level of education (p<.002) were found significant socio-economic risk factors. Maternal health related conditions like Antepartum haemorrhage (p<.001), Premature rupture of the membrane (p<.001), toxemia of pregnancy (p<.005), anaemia (p<.002) all were found as the significant contributors of preterm birth. This study might help to reduce the incidence of mortality and morbidity of preterm infants by providing information regarding risk factors.TAJ 2011; 24(2): 95-100

Hypertension an Important Risk Factor for Stroke : A Study of 100 Cases in A Tertiary Care Hospital

2013 ◽  
Vol 20 (Number 1) ◽  
pp. 22-25
Author(s):  
A H M Kamal ◽  
K Hossain ◽  
K E Khuda
Keyword(s):  
Risk Factors ◽  
Risk Factor ◽  
Causes Of Death ◽  
Tertiary Care ◽  
Important Risk Factor ◽  
Care Hospital ◽  
College Hospital ◽  
Cross Sectional ◽  
Medical College ◽  
Male Patients

Stroke is one of the commonest causes of death and disability in the world. Early detection and correction of risk factors, particularly the major and modifiable risk factors is the mainstay of controlling stroke. The present cross sectional hospital based study was carried out on 100 patients in Holy Family Red crescent Medical College Hospital to evaluate the correlation of hypertension with stroke as an important risk factor and the result of the study was compared with similar types of studies carried out at home and abroad. One hundred hospitalized patients of stroke were chosen randomly for the study. Male patients were more than female with ratio of 1.93:1. Majority of stroke patients were elderly 50 years and above (88%). Most of the patients came from middle and higher socioeconomic status. Hypertension was observed as the most common (82%) risk factor for stroke. Among them most of the patients were known hypertensive (90%) but were getting irregular treatment and only 10 percent cases were newly diagnosed. Most of the patients were hypertensive for 1-5 years.

scholarly journals A retrospective study on the risk factors for retinopathy of prematurity in NICU of tertiary care hospital

2018 ◽  
Vol 5 (4) ◽  
pp. 1447
Author(s):  
Sundar K. C. ◽  
Devi Meenakshi K. ◽  
Aruna B. Patil
Keyword(s):  
Risk Factors ◽  
Risk Factor ◽  
Birth Weight ◽  
Retinopathy Of Prematurity ◽  
Oxygen Therapy ◽  
Tertiary Care ◽  
Care Hospital ◽  
College Hospital ◽  
Medical College ◽  
The Mean

Background: Retinopathy of prematurity (ROP) affects developing retinal vasculature in premature infants. The risk factors for ROP are prematurity, low birth weight, oxygenation, respiratory distress, infection and frequent blood transfusion. Identification of risk factors leading to ROP may help in planning preventive strategies.Methods: A retrospective analysis of records of preterm babies less than 34 weeks of gestation or birth weight less than 1750 grams and between 34 -36 weeks gestation or 1750-2000 grams birth weight associated with risk factors for ROP admitted to NICU of Kilpauk Medical college hospital from August 2015 to July 2016 were evaluated.Results: Out of a total of 166 babies who were screened for ROP, 37 babies were detected to have ROP (22.3 %). Of these 20 (54%) were female and 17 (46%) were male. The mean birth weight of babies with ROP identified in our study was 1480 grams. The mean gestational age of babies with ROP was 32 weeks. By logistic regression analysis for mode of oxygen therapy as a risk factor for ROP it was found that prongs alone showed the strong risk factor towards ROP which was statistically significant. Sepsis, transfusion and shock requiring inotropes individually and statistical significantly contributed to the risk of ROP.Conclusions: ROP was more common in babies <34 weeks. Sepsis, transfusion and shock requiring inotropes significantly contributed to the risk of ROP. Analysis of the mode of oxygen therapy showed that use of prongs significantly increased the risk of ROP.

scholarly journals Association of Hypertriglyceridemia with Ischemic Stroke, Study in a Tertiary Care Hospital in Bangladesh

2016 ◽  
Vol 17 (1) ◽  
pp. 21-26
Author(s):  
Md Enamul Karim ◽  
Shekhar Kumar Mondal ◽  
AKM Humayon Kabir ◽  
Partha Pratim Das ◽  
Sarmistha Biswas ◽  
...  
Keyword(s):  
Ischemic Stroke ◽  
Tertiary Care ◽  
Control Group ◽  
Case Group ◽  
Care Hospital ◽  
College Hospital ◽  
Medical College ◽  
Low Hdl ◽  
The Mean ◽  
And Control

Background: Hypertriglyceridemia fosters the development of atherosclerosis via several mechanisms and lead to ischemic stroke (IS) through its contribution to thrombogenicity. The association of hypertriglyceridemia with ischemic stroke was evaluated in this study.Methods: This was a case control study conducted in the Department of Medicine, Dhaka Medical College Hospital and data was collected in a questionnaire from January to June’2013. Patients presented with ischemic stroke, confirmed by CT scan of Head/ MRI of brain from 1 day to 6 months and other than ischemic stroke patients were considered as case and control respectively.Results: The mean age was found 61.0±8.3 years in case group and 60.5±8.1 years in control group. Male were predominant in both groups which was 80 (80.0%) in case group and 84 (84.0%) in control group. More than two third (68.0%) in cases and one fourth (25.0%) in controls patients had hypertension. 12 (12.0%) in cases and 2 (2.0%) in controls patients had heart disease. Normal triglycerides was found 52 (52.0%) in cases and 72 (72.0%) in control. The mean TG was found 179.9±62.8 mg/dl in cases and 148.0±51.9 mg/dl in controls. Desirable cholesterol was found 16 (16.0%) in cases and 25 (25.0%) in controls. The mean cholesterol was found 238.0±4.0 mg/dl in cases and 213.0±42.0 in controls. Optimal LDL was found 12 (12.0%) and 18 (18.0%) in case and control group respectively. Mean LDL was found 167.0±35.2 mg/dl in cases and 141.0±36.1 mg/dl in controls. Low HDL was found 64 (64.0%) in cases and 26 (26.0%) in controls. Mean HDL was found 41.2±10.6 mg/dl in case group and 49.0±8.6 mg/dl in control group.Conclusion: Ischemic stroke is significantly associated with a higher level of TC, TG, LDL and HDL (inversely). Therefore, Hypercholesterolemia and Hypertriglyceridemia may be a risk factor for ischemic stroke.J MEDICINE January 2016; 17 (1) : 21-26

scholarly journals Study of psychosocial aspects of unmarried pregnancy in a tertiary care hospital

2017 ◽  
Vol 6 (2) ◽  
pp. 512
Author(s):  
Pradeeba Soundararajan ◽  
Muthuramu Poovathi
Keyword(s):  
Strong Association ◽  
Tertiary Care ◽  
Unwanted Pregnancy ◽  
Family Relationship ◽  
Psychosocial Aspects ◽  
Care Hospital ◽  
College Hospital ◽  
Medical College ◽  
One Year ◽  
And Control

Background: Unmarried pregnancy is a major health and social problem in many developed as well as developing countries with unique medical and psychosocial consequences for the patient and society. The objective of this study was study the psychosocial aspects of unmarried pregnancy.Methods: Study was done over a period of one year. Data collected from 31 unmarried abortion seekers in a tertiary care Medical College hospital of Tamilnadu.Results: showed a strong association between unmarried adolescent pregnancy and lack of parental supervision and control , poor intra-family relationship , family problem , lack of knowledge on sexual and reproductive health ), and nonengagement of adolescent in any productive activity.Conclusions: Ignorance regarding sexuality and reproduction along with adventurous nature and poor negotiation skills predisposes unmarried girls for early sexual activity that may lead to various problems like unwanted pregnancy and STIs that may cause psycho-social-economic problems for the unmarried girl.

scholarly journals Risk Factors and Outcome of Obstructed Labour at a tertiary care Hospital

2013 ◽  
Vol 4 (2) ◽  
pp. 43-46 ◽  
Author(s):  
Jinnat Ara Islam ◽  
Gulshan Ara ◽  
Farzana Rabee Choudhury
Keyword(s):  
Risk Factors ◽  
Tertiary Care ◽  
Mode Of Delivery ◽  
Cross Sectional Study ◽  
Care Hospital ◽  
College Hospital ◽  
Cross Sectional ◽  
Obstructed Labour ◽  
Medical College ◽  
Very High

Background: Obstructed labour is one of the most common preventable cause of maternal and prenatal morbidity and mortality in developing countries. Objective: The purpose of the present study was to determine the risk factors as well as to asses the outcome of obstructed labour. Method: This cross sectional study was conducted in the Department of Gynecology & Obstetrics at Shaheed Ziaur Rahman Medical College Hospital, Bogra during the period from January 2007 to December 2007. One hundred and five cases with features of obstructed labour were selected as per inclusion and exclusion criteria in a consecutive method. A detailed history included sociodemographic feature, obstetric history, features of obstruction, intrapartum events were recorded to detect risk factors. Condition of patients, mode of delivery, preoperative and post operative complications, maternal and fetal outcomes were recorded. Results: A total number of 3171 deliveries were conducted during this period and 132 cases of obstructed labour were found constituting an incidence of 4.2%. The highest frequency was found among the unbooked, primigravid patients that were illiterate or only having primary education level. The commonest cause was cephalo-pelvic disproportion (47.5%) followed by fetal malpostion (25.7%) and malpresentation (24.8%). The majority of the patients were between 25-29 years, caeserean section was the most common mode of delivery (78.09%). Maternal morbidity due to different complication accounted for 76.19% of the case while the fetal morbidity was 51.31% of the cases. The maternal mortality was 1% and prenatal mortality was 24.76%. Conclusion: In this study the incidence of obstructed labour was very high. The commonest cause was cephalo-pelvic disproportion followed by fetal malpostion and malpresentation. DOI: http://dx.doi.org/10.3329/jssmc.v4i2.14401 J Shaheed Suhrawardy Med Coll, 2012;4(2):43-46

scholarly journals VAGINAL DISCHARGE

2011 ◽  
Vol 18 (04) ◽  
pp. 598-603
Author(s):  
SHAHIDA SHAIKH ◽  
SALEEM AKHTER SHAIKH ◽  
INAYAT MAGSI
Keyword(s):  
Vaginal Discharge ◽  
Tertiary Care ◽  
Care Hospital ◽  
College Hospital ◽  
Internally Displaced ◽  
Syndromic Management ◽  
Sexually Transmitted ◽  
Medical College ◽  
Abnormal Growth ◽  
History Of

Objective: To observe the results of syndromic management in women living in IDPs camps complaining of chronic vaginal discharge. Design: Descriptive study. Setting: Medical Camps at Larkana set by Chandka Medical College Hospital for Internally Displaced Persons (IDPs) due to floods. Period: 1st September 2010 to 31st December 2010. Material and Methods: Total 200 symptomatic patients aged from 20 to 50 years suffering from chronic vaginal discharge having history of more than 6 months duration were included in the study. Asymptomatic as well as pregnant women and patients with abnormal cervix and having abnormal growth on cervix were excluded from the study. A detailed history and examination (including speculum and vaginal) was done and a proforma was filled. All these patients were given empirical treatment recommended by WHO as syndromic management consisting of stat doses of antifungal along with antibiotics, where no laboratory tests are required before treatment. Results: Next to vaginal discharge which was main symptom in all patients, the other symptoms like dusparunia, dysuria, itching ,lower abdomen pain and low backache was reported 9%, 16%, 20%, 24% and 31% respectively. Also 8% patients reported post coital bleeding. All patients were married and the mean age of the patients was 28+0.2 years and 15% of them were over 40 years. Mean parity was 4±1.Vaginal infection improved in 65% of the patients excellently with a first line single course of antibiotic and percentage raised up to 88% with second course. 19(9.5%) patients couldn’t be followed as they left that camp and 5(2.5%) patients who did not improve with two courses of antibiotics had big cervical erosions, referred to nearby tertiary care hospital for further management. Conclusions: IDPs live in poor conditions in camps without basic facilities and where it is difficult to perform bedside tests like microscopy, Potassium Hydroxide, wet mount films and tests for Sexually transmitted diseases like Chlamydia and gonorrhea are not available, syndromic management there is a rational way of treating cases of chronic vaginal discharge to get quicker response in such desperate women. 

Sign in / Sign up

Export Citation Format

Share Document