Long Term Effect of Acute Intestinal Obstruction Management following Laparotomy in a Tertiary Care Hospital

2020 ◽  
Vol 7 (2) ◽  
pp. 73-79
Author(s):  
Md Mamunur Rahman ◽  
Nelema Jahan ◽  
Md Mahfuzul Momen ◽  
Syed Masud Reza ◽  
Karina Rahman ◽  
...  
Keyword(s):  
Intestinal Obstruction ◽  
Complication Rate ◽  
Tertiary Care ◽  
Tertiary Hospital ◽  
Cross Sectional Study ◽  
Acute Intestinal Obstruction ◽  
Care Hospital ◽  
Surgical Morbidity ◽  
Cross Sectional ◽  
Long Term Effect

Background: Post-surgical outcomes are very crucial for acute intestinal obstruction following laparotomy. Objective: The purpose of the present study was to identify the causes and risk factors that influence the outcome of post laparotomy acute intestinal obstruction and also to assess their management and outcome. Methodology: This cross sectional study comprising fifty patients irrespective of age and sex with diagnosis of Acute intestinal obstruction following laparotomy who attended at the Department of Surgery in different tertiary Hospital of Dhaka city, within the time period of July 2017 to June 2019. All these data were analyzed and tried to find out the outcome of management of acute intestinal obstruction following laparotomy. Results: All the 50 patients had undergone some conventional surgeries in previous instance. Acute intestinal obstruction was found in 80.0% of cases who had undergone emergency surgery and 20.0% cases were after routine surgery. The reasons behind Laparotomy for burst appendix (16.0%) followed by laparotomy for blunt trauma abdomen (12.0%) and classical appendicectomy (12.0%). After conservative management complication rate was low (21.0%) and the most prominent complication was UTI (28.57%) whereas mortality was 14.29%. After surgical management complication rate was higher which was in 56.25% of cases. Conclusion: Post laparotomy of acute intestinal obstruction can improve the outcome and reduce the chance of relaparotomy, surgical morbidity. Journal of Current and Advance Medical Research 2020;7(2): 73-79

scholarly journals An Audit of Rational Use of Antibiotics in a Tertiary Hospital

2014 ◽  
Vol 2 (2) ◽  
pp. 64-67 ◽  
Author(s):  
Tanzima Begum ◽  
Md Ismail Khan ◽  
Shamima Kawser ◽  
Md Ehsanul Huq ◽  
Nadira Majid ◽  
...  
Keyword(s):  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Antibiotic Use ◽  
Tertiary Hospital ◽  
Cross Sectional Study ◽  
Care Hospital ◽  
Cross Sectional ◽  
Medical College ◽  
Number Of Patients ◽  
Rational Use Of Antibiotics

Background: Drug can cure ailment when used rationally on the other hand they may become harmful or even may threaten a life when used irrationally. Absence of guidelines for antibiotic use, protocols for rational therapeutics and infection control committees, have led to overuse and misuse of antimicrobials even in different specialized units in hospitals. Objective: The study has been designed to get a picture of use of antibiotics in a tertiary care hospital of Bangladesh. Materials and method: Cross sectional study was conducted in the department of Medicine of Sir Salimullah Medical College and Mitford Hospital, Dhaka, Bangladesh, for 3 months from 1st January 2009 to 31st March 2009. Admitted patients of Medicine unit-1 who got antibiotics were included in the study. Total number of patients was 1563. Results: Five hundred out of 1563 patients were prescribed antibiotics (38%). Out of 500 prescriptions, 68(14%) prescriptions were found irrational. Conclusion: Continuous surveillance should be carried out to reduce the irrational use of antibiotics. DOI: http://dx.doi.org/10.3329/dmcj.v2i2.20526 Delta Med Col J. Jul 2014; 2(2): 64-67

scholarly journals Prevalence of iron deficiency and thalassemia in patients presenting Tertiary Care Hospital.

2020 ◽  
Vol 27 (12) ◽  
pp. 2618-2621
Author(s):  
Nadia Taj ◽  
Saba Javed ◽  
Munazza Munir ◽  
Anam Naz ◽  
Asma Sajid ◽  
...  
Keyword(s):  
Iron Deficiency ◽  
Gestational Age ◽  
Tertiary Care ◽  
Tertiary Hospital ◽  
Cross Sectional Study ◽  
Care Hospital ◽  
Contributing Factors ◽  
Cross Sectional ◽  
Iron Deficient ◽  
Tertiary Care Hospitals

Objectives: To find the frequency of iron deficient anemia and thalassemia in anemic patient reporting in tertiary hospital in Multan. Study Design: Cross Sectional study. Setting: Department of Obstetrics and Gynecology in Nishtar Hospital, Multan. Period: 20th October 2018 to 20th April 2019. Material & Method: In this study total 260 females with anemia HB<10.5g/dl were incorporated. Blood of all the patients were collected following the septic measures in CBC vial for counting of hemoglobin and blood investigation serum ferritin [<11ng/ml] and HB electrophoresis HBA [>6]. Gestational age was predicted depending upon last period of menstruation. Results: Age of patients in this study was between 24 to 34 year with the average age of 29.9±2.3 year, average gestational age 33.2±2.11 week, average parity 1.46±1.3. Iron deficient anemia was observed in 88.4 percent patient. Thalassemia was observed in 5.7 percent patient. Conclusion: The results of our study revealed that iron deficiency and thalassemia are significant contributing factors of anemia in patients reporting tertiary care hospitals Multan. General screening for carriers of thalassemia should be provided to all pregnant females attending prenatal care.

scholarly journals Sexually Transmitted Infections in A Tertiary Hospital of Kathmandu: A Retrospective Study

2021 ◽  
Vol 19 (2) ◽  
pp. 44-48
Author(s):  
Sushil Paudel ◽  
Niraj Parajuli ◽  
Sudip Dahal ◽  
Sudarshan Paudel
Keyword(s):  
Sexually Transmitted Infections ◽  
Care Center ◽  
Tertiary Care ◽  
Public Health Problem ◽  
Tertiary Hospital ◽  
Cross Sectional Study ◽  
Care Hospital ◽  
Cross Sectional ◽  
Level Of Education ◽  
Sexually Transmitted

Introduction: Sexually transmitted infections (STIs) are the diseases that are transmitted by sexual contact if a partner is infected with agent known to cause infection of genitalia. This group of diseases pose a huge public health problem. This study aims to provide an insight on the prevalence of STIs in a tertiary care center dedicated to civil servants. Methods: This is a retrospective cross-sectional study. All patients diagnosed with STI in a dermatology out-patient of Civil Service Hospital, a tertiary care hospital situated in Kathmandu over a period of two years from January 1 2018 to December 30 2019 were included in the study. The diagnosis was made by clinical and laboratory investigations. Results: The total number 157 cases of STIs were enrolled in this study, of which 119 (75.8%) were males and 38(24.2%) were females. The mean age of patients was 27.8±8.8 years, ranging from 15 to 60 years. Seventy three (46.5%) patients were married, while 81 (51.6%) patients were unmarried. Unmarried males were significantly more vulnerable to acquire STIs (p=0.005). Males were having significantly more premarital or extramarital sexual exposures as compared to females (p<0.001). The most common presentation was condyloma acuminata in 84(53.5%) patients. Consistent use of condom was reported only in 3 (2.5%) males and 1 (2.6%) females in this study. No association was noted between the education level attained to the practice of safe sexual methods (p=0.535). Conclusion: The proportion of males was higher than females in our study which might be due to the reluctances of female to see doctor for sexual problems. The level of education did not seem to make people aware of practicing safe sex. Sexual education seems must in all level of education.

A STUDY ON SOCIODEMOGRAPHIC PROFILE OF PATIENTS OF INTESTINA OBSTRUCTION IN DR. SUSHEELA TIWARI GOVERNMENT HOSPITAL, HALDWANI

2021 ◽  
pp. 4-6
Author(s):  
Prateek Shakya ◽  
Rajeev Kumar Singh ◽  
Deepak Goyal
Keyword(s):  
Intestinal Obstruction ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Abdominal Tuberculosis ◽  
Cross Sectional Study ◽  
Care Hospital ◽  
Age Group ◽  
Government Hospital ◽  
Cross Sectional ◽  
Sociodemographic Profile

Background/Aim: This study was aimed to provide a sociodemographic prole of intestinal obstruction in a tertiary care hospital in Kumaun region of Uttarakhand, India. Materials and Methods: This was a cross-sectional study of patients admitted in our hospital with a diagnosis of intestinal obstruction between the years 2019 and 2020 at Dr. Susheela Tiwari Government Hospital, Haldwani, Uttarakhand. The study comprised of 250 patients. Results: The commonest age group affected was 18-30 years. In our patients, the main cause of obstruction was adhesions followed by abdominal tuberculosis with MALIGNANCY coming third. Conservative management was advocated in 72 patients while the rest underwent surgery. Conclusion: Adhesion was the main etiology in Intestinal Obstruction. The odds of malignant bowel obstruction are increasing in the proportion of Intestinal Obstruction. There were some differences towards the etiologic spectrum compared with western countries.

scholarly journals Health care provided to asylum-seeking and non-asylum-seeking paediatric patients at a Swiss tertiary hospital

2019 ◽  
Author(s):  
Julia Regina Brandenberger ◽  
Christian Pohl ◽  
Florian Vogt ◽  
Thorkild Tylleskär ◽  
Nicole Ritz
Keyword(s):  
Health Care ◽  
Emergency Department ◽  
Hospital Admissions ◽  
Tertiary Care ◽  
Tertiary Hospital ◽  
Cross Sectional Study ◽  
Care Hospital ◽  
Cross Sectional ◽  
Admission Rates ◽  
Number Of Visits

Abstract Background & Methods To compare health care provided to asylum-seeking and non-asylum-seeking children, we performed a cross-sectional study in a paediatric tertiary care hospital in Switzerland. Patients were identified using administrative and medical electronic health records from January 2016 - December 2017. Results A total of 202’316 visits by 55’789 patients were included, of which asylum-seeking patients accounted for 1674 (1%) visits by 439 (1%) patients. The emergency department had the highest number of visits in both groups with a lower proportion in asylum-seeking compared to non-asylum-seeking children: 19% (317/1674) and 32% (64’315/200’642) respectively. Hospital admissions were more common in asylum-seeking patients 11% (184/1674) and 7% (14’692/200’642). Frequent visits accounted for 48% (807/1674) of total visits in asylum-seeking and 25% (49’886/200’642) of total visits in non-asylum-seeking patients. Conclusions Hospital visits by asylum-seeking children represented a small proportion of all visits. The emergency department had the highest number of visits in all patients and was less frequently used in asylum-seeking children. Higher admission rates and a larger proportion of visits from frequently visiting patients suggest that asylum-seeking patients may present with more complex diseases.

scholarly journals Needle stick injury reporting among surgeons in tertiary hospitals of Lahore

2019 ◽  
Vol 26 (06) ◽  
Author(s):  
Muhammad Umar Younis ◽  
Syed Faraz-ul- Hassan Shah ◽  
Aliya Muzafar ◽  
Muhammad Zeeshan Sarwar ◽  
Fakeha Rehman ◽  
...  
Keyword(s):  
Tertiary Care ◽  
Hospital Setting ◽  
Tertiary Hospital ◽  
Cross Sectional Study ◽  
Needle Stick Injury ◽  
Care Hospital ◽  
Cross Sectional ◽  
Surgical Practice ◽  
Needle Stick ◽  
Needle Stick Injuries

Background: Needle stick injuries have a fairly common incidence in surgical practice exposing surgeons to an array of transmissible diseases. The aim of the study was to assess the prevalence of needle stick injury, and their reporting among surgeons in tertiary hospital setting. Study Design: Cross-sectional study. Setting: Various tertiary care hospital of Lahore. Period: January 2016 through April, 2016. Methods: Our sample size was 935 Surgeons. We determined the prevalence of needle stick injuries, reporting of NSI, the reasons for not reporting and the reasons for acquired injuries. Results: Needle stick injury was reported by only 85 (9.1%) participants. The reasons for not reporting varied; 363 (38.8%) did not report due to unawareness of the existence of a relevant system, 250 (26.7%) did not know whom to report, 86 (9.2%) were not able to spare time to report, 81 (8.7%) were afraid of results, 48 (5.1%) thought that patient was low risk and 107 (11.4%) did not bother. Conclusion: There was a lack of hospital policy to cater to the reporting of injuries sustained during surgical practice. A dire need for a system was observed to educate the healthcare workers and provide a medium to assist the process of reporting.

scholarly journals Proportion of pregnancy associated asymptomatic bacteriuria in a tertiary care hospital

2018 ◽  
Vol 7 (3) ◽  
pp. 952
Author(s):  
Semanti Bose ◽  
Vijaya Manohar Revankar
Keyword(s):  
Pregnant Women ◽  
Tertiary Care ◽  
Asymptomatic Bacteriuria ◽  
Tertiary Hospital ◽  
Cross Sectional Study ◽  
Care Hospital ◽  
Cross Sectional ◽  
Sterile Culture ◽  
Tract Infections ◽  
Culture Positive

Background: Urinary tract infections are a common occurrence in pregnancy. The physiological and anatomical changes associated with pregnancy predispose to UTIs. Main aim of the study is to determine the prevalence of asymptomatic bacteriuria in pregnant women, to identify the commonest microorganisms and antibacterial susceptibility of the isolated organism and to study the adverse maternal and fetal outcome.Methods: Prospective cross sectional study, conducted between July 2016 to July 2017 in a tertiary hospital. All pregnant women without the symptoms of UTI attending prenatal checkups were included, they were evaluated with urine microscopy and culture sensitivity.Results: Out of 250 pregnant women, 24 urine samples were contaminated and were excluded from the study.165 pregnant women had sterile culture. 10 women had insignificant bacteruria. 30 women had significant growth on culture. 2 of the culture positive women and 21 culture negative women lost for follows. So total number of culture positive women were 28 so incidence of asymptomatic bacteruria is 13.7%.Conclusions: Routine urine culture sensitivity even in asymptomatic women should be offered during antenatal visits so that adverse maternal and fetal outcomes can be prevented.

scholarly journals A study on awareness and practices of bio-medical waste management in tertiary care hospital

2021 ◽  
Vol 15 (6) ◽  
pp. 2075-2078
Author(s):  
Mohammad Shakil Ahmad
Keyword(s):  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Healthcare Providers ◽  
Tertiary Hospital ◽  
Cross Sectional Study ◽  
Medical Waste ◽  
Care Hospital ◽  
Cross Sectional ◽  
Laboratory Waste ◽  
Almost All

Introduction: Bio-Medical Waste (BMW) consists of solids, liquids, sharps and laboratory waste that are potentially infectious and dangerous. In India, lack of knowledge and practice in relation to availability of resources and processes in place has been reported in many studies. Hence, the present study has been carried out with an objective of assessing awareness and practices of healthcare providers regarding BMW. Materials and methods: This cross-sectional study was conducted in tertiary care hospital with 300 beds in Karnataka over a period of one month using preformed, pre-structured proforma. Results: Almost all health personnel were aware about BMW guidelines; adequate segregation of BMW was noticed in only 4 sites (11.8%). Conclusion: The awareness about BMW management among healthcare providers in our study was found to be adequate but with low segregation practices. The staffs are well aware to manage the spills and will use if all the sites are provided with spill kits. Key words: Biomedical waste, color coding, India, tertiary hospital, waste segregation

scholarly journals Mean Birth Weight and Mean placental Weight among Deliveries in a Tertiary Care Hospital

2019 ◽  
Vol 57 (219) ◽  
Author(s):  
Raju Kafle ◽  
Kabiraj Nibedita ◽  
Binod Kumar Gupta
Keyword(s):  
Birth Weight ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Tertiary Hospital ◽  
Cross Sectional Study ◽  
Uterine Wall ◽  
Placental Weight ◽  
Care Hospital ◽  
Cross Sectional ◽  
The Mean

Introduction: Placenta is an organ that connects the developing fetus to the uterine wall to allow nutrient uptake, provide thermo-regulation to the fetus, waste elimination, and gas exchange. The present study was undertaken to look for mean birth weight and placental weight among deliveries in a tertiary care hospital. Methods: A descriptive cross-sectional study was conducted in a tertiary hospital of Nepal. Ethical clearance was taken from institutional review comittee of hospital. Mothers with term and preterm gestation, their infants and the placentas were the subjects for the study. The study was conducted on 158 term and preterm deliveries. Placental weight, birth weight, gestational age, neonates’ gender, weight, length and head circumference were recorded. Results: The mean of weight of total 158 placentas was 449.24±82.07 g and the mean of birth weights was 2872.84±478.88 g. Out of 158 deliveries, 138 (87.4%) babies were of term gestation and 20 (12.6%) babies were preterm. Conclusions: Mean birth weight and placental weights are similar to that found on similar studies done on other hospitals. Knowing the mean placental weight and birth weight which relates to different functional dimensions of placenta and baby growth helps for further evaluation of placenta and baby.

scholarly journals Wastage of rarest blood and blood components can be stopped: 9 years retrospective and cross-sectional study at tertiary hospital

2018 ◽  
Vol 6 (11) ◽  
pp. 3678
Author(s):  
Balkrishna H. Namdhari ◽  
Tapasya V. Bharati ◽  
Ashish P. Shinde
Keyword(s):  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Descriptive Study ◽  
Tertiary Hospital ◽  
Cross Sectional Study ◽  
Red Cells ◽  
Care Hospital ◽  
Blood Components ◽  
Sectional Study ◽  
Cross Sectional

Background: Inventory of blood/blood components suffer due to outdating of Rh Negative units. Rationale of this article is strategy of transfusion of O Rh Negative red cells to all. A Rh Negative red cells can be given to A Rh Positive, AB Rh Positive. B Rh Negative red cells can be given to B Rh Positive, AB Rh Positive. AB Rh Negative red cells to AB Rh Positive recipients. AB Rh Negative FFP/PRP can be given to all. Objective was to avoid out dating of Rh Negatives by studying the percentage of outdated Rh Negative units amongst the all outdated.Methods: This was 9 years observational, retrospective, cross sectional and descriptive study conducted at tertiary care hospital. Outdated units of Rh Negative blood and components were analysed from the year wise discard registers of blood bank. Percentage of Rh Negative units within all outdated units were calculated.Results: 198 Rh Negative units of whole blood and blood components within all outdated units was 29.11%. Out of 198 the 20 Rh Negative blood components were discarded.Conclusions: Adopt type and screen protocol to prevent outdating. Avoid to bleed the rare blood groups. Audit by hospital transfusion committee and implementation of MSBOS. Track O Rh Negative red cells transfusion to Rh Positive as quality indicator. Track/review transfusion of O Rh negative red cells to Non O Rh negative recipients. Track AB Rh Negative FFP/PRP transfusions to all.

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