Determination of the Prevalence of the Common Dermatological Conditions in Elderly Population Attending a Tertiary Care Hospital

Introduction: Skin disorders are common in elderly people. Systemic diseases promote the development of dermatological conditions. Various systemic diseases contribute to the presence of cutaneous disorders, indicating the possibility that a skin abnormality may sometimes be the first and only symptom of a much more serious medical problem. The aim of the study to determine the frequency of skin diseases in elderly patients. Materials & Methods: This was a cross-sectional study and non-probability convenient sampling technique was used. Patients were recruited from attending the Dermatology Out-patient Department of SZMCH during the study from January’2018 to July’2018. Patients included in the study having skin diseases aged between 60-80 years, including all those who were diabetic and hypertensive because diabetes and hypertension are the most common comorbid conditions among these elderly patients. Patients were included having skin diseases including pruritus, dermatitis, xerosis, eczema, psoriasis, scabies, bacterial infection, and fungal infections. Results: More than half (53.0%) patients belonged to age 71-80 years. Three fourth (75.0%) patients had pruritus followed by 37(37.0%) had dermatitis, 24(24.0%) had xerosis, 23(23.0%) had eczema and 12(12.0%) had bacterial infections. Pruritis, dermatitis, eczema and bacterial infections were statistically significant (p<0.05) among three groups. Conclusion: More than half of the patients belonged to age more than 70 years of age. Most common (three fourth) skin patients had pruritis, followed by more common skin patients were found dermatitis, xerosis, eczema and bacterial infection. Pruritis, dermatitis, eczema and bacterial infections were statistically significant in different age groups. Medicine Today 2019 Vol.31(2): 98-101

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Clinicomycological evaluation of dermatophytosis at tertiary care hospital in central India

International Journal of Research in Dermatology ◽

10.18203/issn.2455-4529.intjresdermatol20183167 ◽

2018 ◽

Vol 4 (3) ◽

pp. 409

Author(s):

Shyam Govind Rathoriya ◽

Ankit Kumar Jain ◽

Kavita A. Shinde

Keyword(s):

Fungal Infections ◽

Tertiary Care ◽

Age Groups ◽

Central India ◽

Common Species ◽

Tinea Corporis ◽

Valuable Insight ◽

Care Hospital ◽

Cross Sectional ◽

Tinea Cruris

Background: Dermatophytoses are the infection of keratinized tissues such as the epidermis, hair, and nails caused by a group of closely related filamentous fungi known as dermatophytes.Methods: It was a hospital based cross-sectional study. A total number of 150 clinically diagnosed cases of skin, hair and nail infections were randomly selected from all the age groups and of both the sexes, attending Dermatology Outpatient department of CMCH, Bhopal from January 2016-December 2017.Results: Out of total 150 subjects, most common clinical type of dermatophytosis, identified in our study, was tinea corporis in 53 (35.3%) subjects followed by tinea cruris in 34 (22.6%) subjects. 134 (89.3%) subjects were tested positive by direct microscopy (KOH mount) and 69 (46.0%) by culture. Highest KOH mount positivity was seen in patient suffering from tinea corporis (94.3%) followed by tinea cruris (94.1%). Culture positivity was highest with tinea corporis (54.7%) followed by tinea lesions on more than one site (47.3%) and tinea cruris (47.0%). In our study, total 69 culture positive samples were isolated and the most common species isolated was T. rubrum in 41 (59.42%) cases.Conclusions: The present study gives valuable insight regarding clinical and mycological pattern of superficial fungal infections in this region as well as shows the importance of mycological examination of dermatophytosis samples for planning effective management.

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Assessing frailty index and correlation with crp and serum albumin and clinical outcome in terms of length of hospital stay

Annals of Geriatric Education and Medical Sciences ◽

10.18231/j.agems.2021.005 ◽

2021 ◽

Vol 8 (1) ◽

pp. 15-21

Author(s):

Shilpa Avarebeel ◽

Akash Durgakar ◽

Pratibha Pereira ◽

Tandure Varsha ◽

Mahesh Poojari ◽

...

Keyword(s):

Clinical Outcome ◽

Elderly Patients ◽

Serum Albumin ◽

Hospital Stay ◽

Frailty Index ◽

Tertiary Care ◽

Age Groups ◽

Length Of Hospital Stay ◽

Care Hospital ◽

Cross Sectional

Frailty is defined as “a clinically recognizable state of increased vulnerability, resulting from aging associated decline in reserve and function across multiple A Hospital based descriptive cross-sectional study in tertiary care hospital. Atotal of 294 patients admitted in the Medicine/Geriatric Ward, were included in stressors is compromised”. It is a robust and powerful risk factor for disability. With this background, study was conducted at a tertiary centre with objectives to assess the frailty in elderly patients and to assess the correlation of frailty with Serum Albumin and CRP physiologic systems, such that the ability to cope with every day or acute and evaluate the clinical outcome in terms of length of hospital stay. The study. Demographic details and details of known comorbidities were recorded. Cognition score of all patients were assessed using mini mental scale examination. Investigations like Serum Albumin and CRP were done. The data was analyzed using statistical software.Our results show that in hospitalized patients frailty is seen in both gender. The presence of co-morbidities worsens the frailty. 30 second chair test is very good indicator for frailty and risk of fall and we observed reduced duration in the Pre-Frail group. The cognition score decreased along with the increase in age groups. When compared with the Frailty index, it was more in the Pre-Frail group. The duration of hospital stay was more in Frail group. The mean serum albumin level is important marker to identify early frailty.Assessment of frailty in elderly patients is necessary and identifying Pre-Frailgroup is very important. 30 second chair stand test and serum albumin are very important early markers in the assessment of frailty. Cognitive function is also very important to identify early frailty. Our study shows that the length of hospital stay is more in the Frail group. Frailty is important aspect of elderly. It should be included in routine clinical assessment of all elderly patients.

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A clinical study of diabetic dermatological manifestations at a tertiary care hospital in South India

International Journal of Research in Dermatology ◽

10.18203/issn.2455-4529.intjresdermatol20182943 ◽

2018 ◽

Vol 4 (3) ◽

pp. 293

Author(s):

Vani G. ◽

L. Venkat Narsimha Reddy

Keyword(s):

Bacterial Infections ◽

Fungal Infections ◽

Tertiary Care ◽

Skin Lesions ◽

Cross Sectional Study ◽

Diabetic Patients ◽

Care Hospital ◽

Cross Sectional ◽

Cutaneous Infections ◽

One Year

Background: The data on studies like lesions of the skin due to diabetes are scarce. Hence there is a need to conduct more studies on this topic of importance. The objective of the study was to study diabetic dermatological manifestations.Methods: A hospital based cross sectional study was carried out among 100 randomly selected patients during the study period of one year who were having diabetes as well as skin lesions due to diabetes. All diabetic patients were screened for presence of skin lesions. They were further differentiated based on the diagnosis.Results: Out of 73 patients having cutaneous infections 71.2% were having fungal infections. Out of 18 having bacterial infections 38.9% were having furuncles. Out of 52 having fungal infections 63.5% were having dermatophytosis. Out of 14 cases of candidal infections, the most common was intertrigo in 35.7%. Out of 33 cases of dermatophytosis, T. cruris was the most common in 54.5%. Out of 82 patients in whom we suspected dermatoses strongly associated with diabetes the most common condition was pruritus in 36.6% of the cases.Conclusions: Bacterial skin infections and dermatophytosis were the most common diabetic dermatological lesions in the present study.

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Pattern of Dermatologic Disorders in Infants

BIRDEM Medical Journal ◽

10.3329/birdem.v3i2.17210 ◽

2013 ◽

Vol 3 (2) ◽

pp. 80-84

Author(s):

Mahfuza Hussain ◽

BH Nazma Yasmeen ◽

SM Shaheedul Islam ◽

Narul Amin ◽

Jamila Begum

Keyword(s):

Bacterial Infections ◽

Skin Diseases ◽

Fungal Infections ◽

Tertiary Care ◽

Care Hospital ◽

Different Ages ◽

Common Skin ◽

Dermatological Disorders ◽

Male Patients ◽

One Year

Background: Pattern of skin disorders varies in different ages and in different countries. This pattern also varies among children of different ages. The prevalence pattern reflects socioeconomic, environmental and hygienic condition of a community. Objective: This study was planned to evaluate the magnitude of skin diseases and pattern of various dermatoses among children below one year of age in a major tertiary care hospital in the capital of Bangladesh. Method: A retrospective study was undertaken to determine the pattern of skin diseases during the period of January 2010 to June 2012 at the dermatology outpatient department of a tertiary care pediatric hospital in the capital of Bangladesh. Data were analyzed to determine the pattern of skin diseases in children less than one year of age, seen at the Out Patient Department (OPD) of Dhaka Shishu Hospital (DSH). Results: A total of 36608 cases were seen at the dermatological OPD of DSH out of which 9293 (25.39%) were less than one year of age. The frequency of distribution of dermatological diseases was more in male patients 58.2% than in female patients 41.8%. Neonates were 649 (7%) and rest were infants were 8644 (93%). Eczema was the most common skin disorder (55.41%) followed by impetigo & other bacterial infections (27.55%) and scabies (23.44%). Cutaneous fungal infections were 13.99%, miliaria was 4.9%, erythema neonatorum 4.42%, urticaria was 2.18%, bullous lesions 1.45%, haemangioma 1.17% and pityriasis alba 1.15%. About 16 other dermatological disorders were indentified each of which was less than 1% in distribution. Conclusions: Eczema, superficial bacterial infections, scabies and superficial fungal infections were most common dermatological problem in infants. Birdem Med J 2013; 3(2): 80-84 DOI: http://dx.doi.org/10.3329/birdem.v3i2.17210

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Pattern of Dermatoses in a tertiary care hospital in Konkan Region, Maharashtra

IP Indian Journal of Clinical and Experimental Dermatology ◽

10.18231/j.ijced.2021.058 ◽

2021 ◽

Vol 7 (4) ◽

pp. 311-314

Author(s):

U Ketan Raju ◽

Hanamant G Bobade ◽

Anil Mishra

Keyword(s):

Skin Diseases ◽

Fungal Infections ◽

Systemic Disease ◽

Tertiary Care ◽

Holistic Approach ◽

Extensive Study ◽

Care Hospital ◽

Age Group ◽

Humid Climate ◽

Cross Sectional

Skin diseases can manifest in various ways. Sometimes it can be secondary to underlying systemic disease. In developing countries including India skin diseases are very common but they are being neglected with the thought that they are always benign.Our study is a cross sectional one done to determine the pattern and magnitude of skin diseases. All newly registered patients reporting to Skin OPD of B.K.L.Walawalkar Rural Medical College, Dervan during the period from 1 January 2018 to 31 December 2019 were enlisted in the study. Out of 5090 patients included in our study, 52.62% were female patients and 47.38% were males with female to male ratio of 1.11:1. Majority of the patients (21.47%) was from the age group 21-30 years followed by the age group of 11-20 years (19.58%), followed by the age group of 31-40 years (18.52%). Fungal infections constituted the maximum number of the cases (51.53%), followed by Eczema (17.44%). The Acne comprised of (7.19%). Fungal infections comprised majority of cases followed by eczema and allergic disorders in Konkan region of Maharashtra which has a tropical and humid climate. Thus an extensive study may be needed to have a holistic approach to the problem establish a correlation between the variables.

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Study on reactive thrombocytosis in febrile young infants with serious bacterial infection in a tertiary care hospital

International Journal of Contemporary Pediatrics ◽

10.18203/2349-3291.ijcp20211669 ◽

2021 ◽

Vol 8 (5) ◽

pp. 818

Author(s):

Nasreen Chidhara

Keyword(s):

Bacterial Infection ◽

Complete Blood Count ◽

Tertiary Care ◽

Age Groups ◽

Cross Sectional Study ◽

Care Hospital ◽

Cross Sectional ◽

Reactive Thrombocytosis ◽

Common System ◽

Young Infants

Background: Thrombocytosis associated with multiple, simultaneous causative factors was also reported in many children. Among all patients with infections, osteomyelitis and septic arthritis were associated with higher platelet counts than other infections. This study was done to estimate the prevalence of reactive thrombocytosis among febrile young infants and to assess the utility of platelet count as a potential predictor of serious bacterial infection.Methods: The study was a cross-sectional study conducted in the department of paediatrics, Kanchi Kamakoti child's trust hospital, Nungambakkam, Chennai. 140 children were included in the study. Venepuncture was done in all these children. Blood sample of 3 ml was collected in an EDTA tube for complete blood count and in another tube 2 ml of blood was collected for CRP.Results: The prevalence of reactive thrombocytosis was 65.8% in the population with serious bacterial infection (SBI). The proportion of children having respiratory symptoms in the study population was 70%, which was the most common system affected. Gastrointestinal, CNS and genito-urinary symptoms were seen in 29.29%, 11.43% and 10.00% of subjects respectively. Other miscellaneous symptoms were reported in 4.29% of the patients.Conclusions: The prevalence of SBI was highest (30.2%) in the 4 to 6 months age group. The prevalence of SBI in 1 to 3 months, 7 months and above age groups was 28.6% and 29% respectively.

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Causes of Epilepsy in Elderly Patients Presenting in a Tertiary Care Hospital of Karachi

Pakistan Journal of Medicine and Dentistry ◽

10.36283/pjmd9-4/009 ◽

2020 ◽

Keyword(s):

Elderly Patients ◽

Cerebrovascular Disease ◽

Neurodegenerative Disorder ◽

Tertiary Care ◽

P Value ◽

Care Hospital ◽

Traumatic Head Injury ◽

Keywords Epilepsy ◽

College Hospital ◽

Cross Sectional

Background: Epilepsy is fairly a frequent occurrence in the elderly. It is commonly diagnosed after the episode of two or more unprovoked seizures. Unprovoked seizures in elderly are recurrent rather than younger individuals. This study was designed to estimate the concrete burden of frequent causes of epilepsy. Methods: A descriptive cross-sectional study with a total of 153 patients diagnosed case of epilepsy were included in this study at Jinnah Medical College Hospital from February 2018-August 2018. Mean was calculated for age, duration of disease of the patients. Causes of epilepsy, gender, and education was calculated and presented as percentages. Electrolyte readings were taken i.e., Sodium, Calcium and Magnesium levels and imaging was planned to rule out stroke, primary neurodegenerative disorders and tumors. Post stratiﬁcation Chi square test was applied and p-value less than or equal to 0.05 was considered signiﬁcant. Results: The mean age of the patients was 63.91±5.68 years and mean duration of the disease was 4.61± 1.07 months. The common causes of epilepsy were found to be cerebrovascular disease 56.9%, cryptogenic 54.2%, neurodegenerative disorder 20.3%, traumatic head injury 11.8%, metabolic abnormalities or electrolyte disturbances 10.5% and brain tumor 7.8%. Conclusion: Elderly patients with ﬁrst seizure should present to a facility designed in a way that neurologist, cardiologist, rehabilitation and geriatrics work together to identify and treat the condition in a better way. Keywords: Epilepsy; Seizures; Cerebrovascular Disease; Neurodegenerative Disorder.

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FREQUENCY OF FEMORAL FRACTURES;

The Professional Medical Journal ◽

10.29309/tpmj/2012.19.01.1942 ◽

2012 ◽

Vol 19 (01) ◽

pp. 011-014

Author(s):

RANA MUHAMMAD ADNAN ◽

Muhammad Irfan ZIA ◽

JAHANZAIB AMIN ◽

Rafya Khan ◽

Saleem Ahmed ◽

...

Keyword(s):

Tertiary Care ◽

Age Groups ◽

Femoral Fractures ◽

Cross Sectional Study ◽

Cognitive Disability ◽

Care Hospital ◽

Cross Sectional ◽

Hospital Design ◽

Femur Fractures ◽

Study Setting

Background: To compare the frequency of various types of fractures of femur in patients less than and more than 40 years ofage in a tertiary care hospital. Design: Descriptive cross-sectional study. Setting: Emergency department. Period: January 2009 to April 2011.Method: A total of 1756 patients were divided into two groups with respect to age. Then they were further categorized according to the part offemur involved, and compared in both age groups. Results: The study was conducted on a total number of 1756 patients over a period of 2 yearsfrom 2009 to 2011. 51.1% patients were less than 40 years of age and 48.9% patients were more than 40 years of age. In patients more than 40years of age, pertrochanteric fracture was most common (86.40%). In patients less than 40 years of age, mid shaft of femur was most commonregion involved (87.02%). Conclusions: The incidence of proximal femur fractures is high in elderly patients because of several factors likeosteoporosis, visual impairment and cognitive disability. Whereas incidence of fractures of mid-shaft of femur is more common in youngpatients.

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FREQUENCY AND CAUSES OF PERINATAL MORTALITY IN A TERTIARY CARE HOSPITAL IN PESHAWAR, PAKISTAN

Gomal Journal of Medical Sciences ◽

10.46903/gjms/16.01.1637 ◽

2018 ◽

Vol 16 (1) ◽

pp. 15-19

Author(s):

Maimoona Qadir ◽

Sohail Amir ◽

Samina Jadoon ◽

Muhammad Marwat

Keyword(s):

Mortality Rate ◽

Perinatal Mortality ◽

Tertiary Care Hospital ◽

Tertiary Care ◽

Age Groups ◽

Mortality Data ◽

Care Hospital ◽

Cross Sectional ◽

Medical Disorders ◽

Perinatal Mortality Rate

Background: Perinatal mortality rate indicates quality of care provided during pregnancy and delivery to the mother and to the neonate in its early neonatal period. The objective of this study was to determine the frequency and causes of perinatal mortality in a tertiary care hospital in Peshawar, Pakistan. Materials & Methods: This cross-sectional study was conducted at Department of Gynaecology & Obstetrics, Khyber Teaching Hospital, Peshawar, Pakistan from 1st January 2016 to 31st December 2016. The inclusion criteria was all singleton gestation with gestational age of at least 24 weeks presenting with perinatal mortality. Data was collected for the following variables; age groups (up to 20 years, 21-30 years, 31-40 years and > 40 years), booking status (yes/ no), period of gestation (24-31+6, 32-36+6, 37-39+6 and > 40 weeks), Foetal weight ( 3.5 kg) and cause of perinatal mortality. Results: Out of 4508 deliveries there were 288 perinatal deaths, including 228 stillbirths and 60 neonatal deaths, so perinatal mortality rate was 63.8/1000 births. 90.28% women were unbooked. Most common cause was hypertensive disorders of pregnancy (27.78%) followed by antepartum haemorrhage (25.71%) and then mechanical causes (13.88%). Congenital anomalies comprised 11.8% cases, neonatal problems 10.07% and maternal medical disorders for 4.16% cases. Cause of 4.16% cases remained unexplained. Conclusion: Appropriate strategies like control of identifiable causes, proper antenatal and postnatal care, healthy delivery practices and availability of emergency neonatal care facilities can bring down perinatal mortality rates.

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Prevalence of paediatric dermatoses among patients attending Dermatology outpatient department in a tertiary care hospital in Puducherry

International Journal of Research in Dermatology ◽

10.18203/issn.2455-4529.intjresdermatol20183160 ◽

2018 ◽

Vol 4 (3) ◽

pp. 368

Author(s):

Varsha Medasani ◽

Paquirissamy Oudeacoumar ◽

Rao Chitralekhya ◽

Saurabh Krishna Misra

Keyword(s):

Dietary Habits ◽

Skin Diseases ◽

Tertiary Care Hospital ◽

Fungal Infections ◽

Tertiary Care ◽

Outpatient Department ◽

Care Hospital ◽

Age Group ◽

Major Health Problem ◽

Pigmentary Disorders

Background: Skin diseases are a major health problem in the paediatric age group and are associated with significant morbidity. Dermatoses in children are more influenced by socioeconomic status, dietary habits, climatic exposure and external environment as compared to adults. The present study was undertaken to know the prevalence of paediatric dermatoses among patients attending Dermatology outpatient department in a tertiary care hospital in Puducherry.Methods: All newly diagnosed, untreated male and female paediatric patients (from neonates to adolescents ≤19 years of age) attending Dermatology OPD, from October 2015 to September 2017 were evaluated to study the prevalence and patterns of paediatric dermatoses. The skin disorders were classified into groups like infections, infestations, eczemas, acne, hypersensitivity disorders, sweat gland disorders, pigmentary disorders, nevi, keratinisation disorders, hair and scalp disorders, papulosquamous disorders, bullous disorders, nail disorders, drug reactions, other dermatoses.Results: The prevalence of pediatric dermatoses in our OPD is 25.21%. Incidence of pediatric dermatoses was found to be more in males 237 (59.39%) than in females 162 (40.60%) and the majority of the patients were in adolescent age group (217; 54.38%). Present study showed that majority of cases belonged to the lower socioeconomic group 186(46.6 %). In our study, majority (58.98%) of dermatoses belonged to infections and infestations group. Of the infective dermatoses, fungal infections (27.88%) were the most common.Conclusions: Infectious dermatoses were commonly seen in this study that may be due to poverty, overcrowding, poor hygiene. There is an increasing trend of fungal infections which might be related to hygiene and environment.

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