scholarly journals Management of Postoperative Discitis: A Study On 20 Cases of Prolapsed Lumber Intervertebral Disc (PLID) Operation In A Tertiary Level Hospital in Bangladesh

2015 ◽  
Vol 23 (2) ◽  
pp. 186-190
Author(s):  
Sukriti Das ◽  
Ehsan Mahmood ◽  
Md Jahangir Alam ◽  
Md Mamunur Rashid ◽  
Pijush Kumar Mitra
Keyword(s):  
Intervertebral Disc ◽  
High Index ◽  
Operative Intervention ◽  
Tertiary Level ◽  
Long Term Outcomes ◽  
Medical College ◽  
Specific Protocol ◽  
High Index Of Suspicion ◽  
Level Hospital

Context: The incidence of postoperative discitis is relatively uncommon. The paucity of physical examination findings with a high index of suspicion in any patient presenting with increasing back pain after prolapsed lumber intervertebral disc (PLID) operation gives clue of diagnosis.Purpose: To see the incidence, pathophysiology, laboratory markers and imaging finding of postoperative discitis, at the same time recommendation on treatment strategies with long term clinical outcome of discitis patient in Dhaka Medical College Hospital (DMCH), a tertiary level hospital in Dhaka, Bangladesh.Methods: In this observational study, 20 patients were recruited who underwent PLID operation in the Department of Neurosurgery, DMCH, Dhaka, from January 2012 to June 2014. After preliminary selection of patients a specific protocol was followed, by taking history, clinical examination, biochemical parameters and neuroimaging. Result of treatment was observed on the basis of symptomatic improvement, with laboratory and imaging findings.Results: The most common etiological agent is staphylococcus aureus. The C-reactive protein is the most sensitive clinical laboratory marker to assess the presence of infection and effectiveness of treatment response. MRI is the imaging modality of choice in the diagnosis of discitis (100%). The majority of patients are managed adequately with culture specific antibiotics and immobilization with good long term outcomes (75%). Operative intervention in those patients who fails to respond to medical treatment (25%).Conclusion: Postoperative discitis is a rare complication after PLID operation. Its diagnosis needs high index of suspicion, appropriate laboratory and imaging studies helps in diagnosis. In the majority of patients antibiotics and spinal immobilization has been shown to produce good long term outcomes. Operative intervention is rarely necessary in patients failing conservative treatment.J Dhaka Medical College, Vol. 23, No.2, October, 2014, Page 186-190

scholarly journals Socio-demographic Profile of Abortion Cases attending at a Tertiary Level Hospital

2020 ◽  
Vol 14 (2) ◽  
pp. 200-202
Author(s):  
Feroz Ahmed Sohel ◽  
Sanzida Jahan ◽  
Saifullah Russel ◽  
Farzana Zafreen
Keyword(s):  
Unplanned Pregnancy ◽  
Economic Status ◽  
Armed Forces ◽  
Tertiary Level ◽  
College Hospital ◽  
Cross Sectional ◽  
Demographic Profile ◽  
Medical College ◽  
Number Of Patients ◽  
Level Hospital

Introduction: Abortion in Bangladesh is illegal under most situations, but menstrual regulation is often used as a substitute. Abortion can be legally performed by a physician in a hospital if it is necessary to save the life of the mother. A person, who performs an abortion under any other circumstances, including a woman who self-aborts, can be punished by a fine and imprisonment. Objective: To assess the socio-demographic profile of abortion cases attending a tertiary level hospital of Bangladesh. Materials and Methods: This cross-sectional descriptive type of study was carried out among 80 patients at the Gynae ward and out patient department of Dhaka Medical College Hospital from March 2012 to June 2012. The study population was women attending the selected hospital for an abortion or abortion-related complications. Results: Most of the respondents 35(43.8%) were below 25 years of age and all patients were housewives. The maximum number of patients 63(78.8%) had spontaneous abortion, low socio-economic status and majority were multigravidas. It was also found that patients with abortion were mostly in their second (43.8%) and third (21.3%) decade of life. Conclusion: In this study, the commonest reason for termination of pregnancy was unplanned pregnancy. Creating awareness and timely intervention might decrease the number of abortion cases. Journal of Armed Forces Medical College Bangladesh Vol.14 (2) 2018: 200-202

scholarly journals Tracheostomy at a tertiary level hospital in Bangladesh: any change in pattern?

2017 ◽  
Vol 25 (1) ◽  
pp. 67-71
Author(s):  
Debesh Chandra Talukdar ◽  
Mashuque Mahamud ◽  
Sharfuddin Mahmud ◽  
Md Shaikhul Islam ◽  
DGM Akaiduzzaman ◽  
...  
Keyword(s):  
Demographic Data ◽  
Age Groups ◽  
Upper Airway ◽  
Tertiary Level ◽  
Cross Sectional ◽  
Female Ratio ◽  
Prolonged Intubation ◽  
Medical College ◽  
Emergency Tracheostomy ◽  
Level Hospital

Objective: This study was conducted on tracheostomy to find out the different indications and complications occured at the tertiary level hospital in Bangladesh. Study design: Cross-sectional observational study.Place and Duration: This study was conducted at the department of Otolaryngology & Head Neck surgery and department of ICU, Sir Salimullah Medical College Mitford Hospital, Dhaka & DMCH over one year from January 2014 to December 2014.Methodology: 55 tracheostomy operation were performed in both genders and all age groups either in emergency situations or within an elective environment. All the patients were registered with a definite protocol by filling a pre designed proforma equipped with demographic data, details of present illness mirroring the indication for the procedure, relevant physical examination & investigations, details of the surgical procedure of tracheostomy and postoperative follow up with note of any attendant complications described as immediate, early and late postoperative.Results: Mean age of this study was 40.09 years and male female ratio iwas 3.2: 1. 30(54.54%) patients underwent emergency tracheostomy and 25(45.46%) underwent tracheostomy electively. The commonest indications were laryngeal & hypopharyngeal malignancies which affected 28(50.9%) patients. The overall rate of complications was 25.45%. These were 4(28.57%) immediate post operative, 8(57.14%) early post operative and 2(3.63%) late post operative. Out of overall 14 complications, 11(36.66%) complications occurred in 40 patients who underwent tracheostomy in emergency and 3(12%) complications occurred in 25 patients who underwent tracheostomy electively.Conclusion: Upper airway obstruction due to laryngeal and hypopharyngal carcinoma still remains the most common indication for tracheostomy in our centre but prolonged intubation as an indication for tracheostomy is evolving based on recent improvement in the facilities available at our ICU.J Dhaka Medical College, Vol. 25, No.1, April, 2016, Page 67-71

scholarly journals Sensitivity Pattern of Urinary Tract Pathogens to Anti-microbial Drugs at a Tertiary Level Hospital in Bangladesh

2012 ◽  
Vol 17 (1) ◽  
pp. 18-21 ◽  
Author(s):  
Belal Ahmed ◽  
Prof Wanaiza ◽  
Mursheda Akhter ◽  
Munir Hasan ◽  
Md Khorshed Alam
Keyword(s):  
Urinary Tract ◽  
Tertiary Level ◽  
Antimicrobial Drugs ◽  
Medical College ◽  
National Medical ◽  
Sensitivity Pattern ◽  
Tract Infections ◽  
A Prospective Study ◽  
Level Hospital ◽  
Culture Positive

Urinary tract infections (UTIs) are some of the most common infections experienced by human. It is also the most common cause of nosocomial infections in adults. The aim of this study was to determine the bacteriological pattern and their sensitivity to commonly used antimicrobial drugs in urinary tract infection in Bangladesh. This was a prospective study conducted in Microbiology department of Dhaka National Medical College, a tertiary level teaching hospital in Dhaka, Bangladesh. A total of 216 culture positive urine samples were examined. Female patient were found to be more 65.7% than male 34.3%. Maximum patients were from 20-35 yrs. age group. The most common isolate was E.coli 84.3%. These E.coli is more sensitive to Imipenem 93.98%, Amikacin 90.52%, Nitrofurantoin 78.88% Ceftazidim 78.26%, Ciprofloxacin 70.67%, Cefuroxime 65.49%,Ofloxacin 60.83%, Ceftriaxone 59.03% and Cephradin 56.96%. Resistance is more in case of amoxicillin 82.41%, Doxycycline 72.42%, Cefixime 58.70% and Nalidixic Acid 57.02%. DOI: http://dx.doi.org/10.3329/jdnmch.v17i1.12186 J. Dhaka National Med. Coll. Hos. 2011; 17 (01): 18-21

Pattern of Haematological Malignant Patients Attending OPD in a Tertiary Level Hospital in A Calendar Year

2021 ◽  
Vol 5 (01) ◽  
pp. 20-26
Author(s):  
Md. Nurul Farhad ◽  
Gazi Yeasinul Islam ◽  
Mohammad Wasim ◽  
Akhil Ranjon Biswas ◽  
Tanzia Khanum Tompa
Keyword(s):  
Bone Marrow ◽  
Molecular Genetics ◽  
Hematological Malignancy ◽  
Hematologic Malignancies ◽  
Tertiary Level ◽  
Monthly Variation ◽  
College Hospital ◽  
Old Patients ◽  
Medical College ◽  
Level Hospital

Background: Hematologic malignancies are of diverse incidence, prognosis, and etiology. Dhaka medical college hospital (DMCH) is a tertiary level hospital and dealing with patients attending from all over the country. We have analyzed data of patients present with hematological malignancy in our Out Patient Department (OPD). As Hematology Dept DMCH deal with patients referred from all over the country, its OPD data represents the picture of whole country. Methods: This is a retro-spective study of OPD patients with hematological malignancy in the department of Hematology of DMCH from January 2018 to December 2018. The diseases were diagnosed on the basis of bone marrow morphology or histopathology (Lymphoma) and or immunophenotyping & molecular genetics. Results: Total 5747 patients were treated in 2018 with the complaints related to hematological malignancy of which 4599 (80%) were old patients and 1148 (20%) were new patients. Among all the treated patients 1420 (24.7%) were female and 4327 (75.3%) were male. Among 1148 new cases 37 were AL(3%), 386 were ALL (34%), 265 were AML(23%), 32 were CLL (3%), 126 were CML (11%), 40 were HL (3%), 18 were MDS (1%), 76 were MM (7%), 168 were NHL (15%). Data shows variation in total number of new patients per month- 83 in January (7.23%), 96 in February (8.36%), 140 in March (12.20%), 98 in April (8.54%), 94 in May (8.19), 89 in June (7.75%), 98 in July (8.54%), 66 in August (5.75%), 99 in September (8.62%), 103 in October (8.97%), 98 in November (8.54%), 84 in December (7.31%) But it does not show any statistical significant frequencies of diseases according to months. Conclusion: We deal a lot of patients with hematological malignancy each year in DMCH. A good portion of them are of ALL because of monthly maintenance of ALL protocols. Analysis of new cases shows ALL, AML, NHL is most common three diseases encounter in OPD. OPD patients’ inflow does not show any significant monthly variation for any of the diseases.

scholarly journals Outcome of Peritoneal Dialysis in Children : Experience in a Tertiary Level Hospital in Chittagong, Bangladesh

2013 ◽  
Vol 12 (3) ◽  
pp. 34-36
Author(s):  
Kamal Hossain ◽  
Md Badruddoza ◽  
AMM Ehteshamul Hoque
Keyword(s):  
Peritoneal Dialysis ◽  
Obstructive Uropathy ◽  
Complete Recovery ◽  
Tertiary Level ◽  
Paediatric Surgery ◽  
Age Group ◽  
Medical College ◽  
Practical Procedure ◽  
Level Hospital ◽  
Child Age

Objective: The objective of the study is to see the outcome of peritoneal dialysis in child age group ranging from 6 months to 15 yearsadmitted in ChattagramMaa- Shishu-O-General Hospital ICU setup. Methods: Patients were selected randomly who admitted with the indication of renal replacement therapy.Intermittent peritoneal dialysis was done in 10 patients from February 2012 to January 2013. Results: Out of ten patients eight survived and two died due to complication.The success rate is 80%.Among the survivors four made complete recovery with no complication and another fourwere sent to paediatric surgery for treatment of obstructive uropathy, the primary cause of the renal failure. Conclusion: The data presented indicate that peritoneal dialysis is an effective type of dialysis, that it is safe, that it can be accomplished with a minimum of equipment and that a trained team is essential for its efficient use. It is the preferable practical procedure currently available by which dialysis of an anuric infant or small child can be accomplished. Chattagram Maa-O-Shishu Hospital Medical College Journal Volume 12, Issue 3, September 2013: 34-36

scholarly journals Immediate outcome of acute glomerulonephritis in children - experience in a tertiary level hospital

1970 ◽  
Vol 10 (4) ◽  
pp. 269-274
Author(s):  
MA Khoybar ◽  
S Sultana ◽  
AK Shaha ◽  
MH Anwar ◽  
MI Ashraful ◽  
...  
Keyword(s):  
Developing Countries ◽  
Serum Creatinine ◽  
Tertiary Level ◽  
Acute Glomerulonephritis ◽  
Chemical Examination ◽  
Male Predominance ◽  
Medical College ◽  
Paediatric Department ◽  
Gross Haematuria ◽  
Level Hospital

Acute Glomerulonephritis (AGN) in children is common in our country and possesses a significant hospital load. AGN is principally a disease of children were poverty, overcrowding and poor hygiene are prevailing. It is a significant cause of morbidity and mortality in developing countries. Objective : To see the immediate outcome of the children with AGN. Materials and Mithods: Sixty two cases of AGN were enrolled in this study. All cases were collected from paediatric department of Sir Salimullah Medical College (SSMC) and Mitford Hospital, Dhaka during the period of September 2000 to November 2001. A thorough history were taken and chemical examination were carried out and the patient were observed during hospitalization and after discharge and recorded in a preformed questionnaire. Results: Total number of cases were sixty two. Eighty one percent were between 6 years to 12 years of age with male predominance. Most of then came from poor socioecononic status (81%). All patients had generalized edema. Eighty one percent had reduced micturation, 29% had gross haematuria, 13% ascitis, 3% anuria, 2% had epistaxis with convulsion and coma. Eighty four percent had hypertension, 50% had infected scabies. Urinary RBC was found in 93.55% cases and RBC cast in 70-96% cases, blood urea over 40 mg/dl in 30.64% patient and serum creatinine over 1.0 mg/dl in 9.88% patients. DOI: http://dx.doi.org/10.3329/bjms.v10i4.9499 BJMS 2011; 10 (4): 269-274

scholarly journals Aggravating Factors of Migraine among the Patients Attending Neuro-Medicine Outpatient Department at Two Selected Tertiary Level Hospital

2018 ◽  
Vol 26 (2) ◽  
pp. 132-134
Author(s):  
Syeda Rumana Hoque ◽  
Md Nazmul Hasan ◽  
Md Abdullahhel Kafee ◽  
Nahiduzzaman Shazzad ◽  
Sanjoy Kumar Saha ◽  
...  
Keyword(s):  
Menstrual Cycle ◽  
Bright Light ◽  
Tertiary Level ◽  
Contraceptive Methods ◽  
College Hospital ◽  
Cross Sectional ◽  
Medical College ◽  
Different Types ◽  
Medical University ◽  
Level Hospital

A descriptive cross-sectional type of study was conducted among the migraine patients attending the Neuromedicine department of Dhaka Medical College Hospital and Bangabandhu Sheikh Mujib Medical University to find out the aggravating factors of migraine in the year of 2006. Total number of respondents was 160. Among them 70% were female. Majority of the patients (46.25%) were aged between 21-30 years. Significant number of respondents (38.12%) was housewives; followed by 28.75% were student. The main aggravating factors so far identified in this study were sleep disturbance, bright light, noise and mental or physical stress. Other aggravating factors were various types of food, oral pill, relation with menstrual cycle. Respondents also stated more than one factor. Among the female respondents 39.8% practiced different types of contraceptive methods of which majority (82.05%) used OCP.J Dhaka Medical College, Vol. 26, No.2, October, 2017, Page 132-134

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