A STUDY ON CHROMOBLASTOMYCOSIS IN A TERTIARY CARE HOSPITAL (DMCH), LAHERIASARAI, BIHAR

2021 ◽  
pp. 36-38
Author(s):  
Jibachh Prasad Sah ◽  
Pramanand Jha ◽  
R. S. Prasad ◽  
Debarshi Jana
Keyword(s):  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Common Species ◽  
Care Hospital ◽  
Dematiaceous Fungi ◽  
Himalayan Belt ◽  
Common Clinical Presentation ◽  
Nodular Lesions ◽  
The Common ◽  
Causative Fungus

Background: Chromoblastomycosis, a chronic subcutaneous mycosis, is caused by several dematiaceous Fungi, the most common being Fonsecaea pedrosoi. A majority of cases from India have been reported from the sub-Himalayan belt and South India. Aim: The aim was to study chromoblastomycosis in around Darbhanga reason of Bihar including demographic and clinicomycological prole. Materials and Methods: This report is a retrospective hospital record-based analysis of all cases of chromoblastomycosis who presented to the dermatology outpatient department of our tertiary care hospital during the past 3 years. Results : A total of 11 cases of chromoblastomycosis were diagnosed during the above period. The disease was seen predominantly in middle-aged male. The lower extremity (72.7%) was more commonly affected. Verrucous and nodular lesions are the common clinical presentation. Sclerotic bodies are demonstrated in potassium hydroxide mount and histopathological section in 81.8% and 90.9% cases, respectively. The causative fungus was isolated in 90.9% and cass with F. pedrosoi, as the most common species

scholarly journals The common causes leading to pancytopenia in patients presenting to tertiary care hospital

2013 ◽  
Vol 29 (5) ◽  
Author(s):  
Suneel Kumar ◽  
Kirpal Das Makheja ◽  
Bharat Kumar Maheshwari ◽  
Shafique Arain ◽  
Sangeeta Kumari ◽  
...  
Keyword(s):  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Care Hospital ◽  
Common Causes ◽  
The Common

scholarly journals A clinical study of pattern of geriatric dermatosis in tertiary care hospital of Rajasthan

2021 ◽  
Vol 7 (2) ◽  
pp. 148-152
Author(s):  
Bajrang Soni ◽  
Priyanka Meena
Keyword(s):  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Care Hospital ◽  
Age Group ◽  
Physiological Changes ◽  
Geriatric Population ◽  
Detailed History ◽  
Medical College ◽  
Pathological Conditions ◽  
The Common

: Geriatric health care has received lot of attention nationwide due to increase in life expectancy over the time. Among the various health issue geriatric dermatosis are one of the most common reason for regular OPD visits. This study was done to inquest the spectrum of cutaneous manifestation and the factors responsible for causing physiological and pathological changes in the skin of elderly people.: Three hundred consecutive patients aged more than 60 yrs of age attending the out patient department of dermatology at PDU Medical College & hospitals Churu were subjected for study. A detailed history was taken. A complete general, systemic & Cutaneous examination was done along with relevant investigation were carried out. Findings were collated in Performa for analysis and interpretation of data. A total of 300 patients were enrolled in the study out of which 59 % were male and 41 % were female. Pruritis was the commonest complain elicted in 68.5 % of patients. Among the physiological changes xerosis was the commonest seen in 63 % of patients and infecions followed by eczems was the common pathological conditions. The population of 60 yrs and above is a rapidly growing dermatology clientele with both physiological and pathological manifestations. This study highlights the various dermatoses peculiar to the geriatric population and aims at sensitizing the fraternity to the specific needs of this special age group.

scholarly journals Adverse drug reactions or events in children with assessment of causality and severity: a retrospective analysis from Bhavnagar

2020 ◽  
Vol 9 (12) ◽  
pp. 1883
Author(s):  
Jayendra R. Gohil ◽  
Aniket B. Sarwade ◽  
Hardik R. Chauhan ◽  
Jay R. Jasani ◽  
Hinal R. Gujrati
Keyword(s):  
Adverse Drug Reactions ◽  
Adverse Drug Events ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Care Hospital ◽  
Drug Reactions ◽  
Pediatric Age Group ◽  
Skin Redness ◽  
The Common ◽  
Probable Category

Background: Objective was to study the occurrence of adverse drug reactions in pediatric age group in a tertiary care hospital setting.Methods: A retrospective study was undertaken to analyze adverse drug events in pediatrics wards of a tertiary care hospital. Any event marked as ‘suspected adverse drug reaction’ was included in the study and ADR forms were analyzed for causality and severity. Other parameters like age and sex, class of drug, types of ADR, commonly involved systems and polypharmacy were studied.Results: Total 74 cases of admitted patients (13 deaths: 11 infants, 6 neonates) with severe ADR were studied of whom 39% were females. Antimicrobials were the commonest drug class (54%) with Skin most commonly involved. 77% cases were of probable category according to Naranjo’s scale of causality assessment. 11% cases were prescribed polypharmacy.Conclusions: Antibiotics were the class of drug causing maximum ADRs. The commonest system involved was skin. Redness, itching & rashes were the common symptoms. Antimicrobials should be used judiciously. Polypharmacy should be avoided. ADR reporting should be strengthened. Extra vigilance is required for infants and neonate’s prescriptions.

scholarly journals A prospective study on risk factors for development of surgical site infections at a tertiary care hospital: a two years study

2018 ◽  
Vol 5 (2) ◽  
pp. 460
Author(s):  
Vakamudi Prakash ◽  
Ramalinga Reddy Rachamalli ◽  
Jithendra Kandati ◽  
Sreeram Satish
Keyword(s):  
Risk Factors ◽  
Staphylococcus Aureus ◽  
Nosocomial Infections ◽  
Antibiotic Susceptibility ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Surgical Site Infections ◽  
Care Hospital ◽  
Multiple Factors ◽  
The Common

Background: Surgical site infections (SSI) are the second most common Nosocomial infections after urinary tract infections accounting to 20-25% of Nosocomial infections worldwide. Based on the depth of the infections, SSI is classified by CDC as superficial incisional, deep incisional and organ/space. The development of SSI is dependent upon multiple factors like class of wound, immune status, type of surgery, type of anesthesia; surgical techniques etc and are interplay of multiple factors. Objective of the present study was conducted in identifying the predictors, risk factors and incidence rates of SSI at a tertiary care hospital. The study also identifies the causative bacterial pathogens and their antibiotic susceptibility patternMethods: A prospective cross-sectional study was conducted for a period of two years by department of general surgery involving all patients who underwent surgery, and pre-operative, intra operative and risk factors of the cases were collected using standardized data collection form. Specimens from the infected wounds were collected and processed for isolation of pathogens. Antibiotic susceptibility of pathogens was done using standard guidelines.Results: The incidence of SSI in present study was 25.34% with 81.58% superficial SSI and 18.42% deep SSI. Laparotomy was the common procedure and 63.2% of cases were females and 41-60 years was the most common age group. Staphylococcus aureus, Klebsiella pneumoniae and Escherichia coli were the common pathogens and were sensitive to carbapenems, vancomycin and linezolid. Significant association was observed with presence of pre-morbid analysis, presence of drain, use of povidone iodine alone and development of SSI.Conclusions: In present study the incidence of SSI was significantly high in this hospital and associated with premorbid illness, duration of surgery, presence of drain and use of drain at site of surgery. Staphylococcus aureus was the common pathogen and incidence of MRSA is higher than many other reports. A continuous monitoring and surveillance of patients with a predefined protocol will help in early identification of cases with risk of development of SSI. A feedback of appropriate data to surgeons is highly recommended to reduce the SSI rate in developing countries.

scholarly journals Studying the clinic mycological pattern of the dermatophytic infection attending OPD in tertiary care hospital in eastern Uttar Pradesh and Bihar

2018 ◽  
Vol 4 (2) ◽  
pp. 118 ◽  
Author(s):  
Anil Kumar Gupta ◽  
Aayushi Mohan ◽  
Santosh Kumar Singh ◽  
Amit Kumar Pandey
Keyword(s):  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Uttar Pradesh ◽  
Common Species ◽  
Outpatient Department ◽  
Care Hospital ◽  
Sample Collection ◽  
Female Ratio ◽  
Male Female Ratio ◽  
Eastern Uttar Pradesh

<p class="abstract"><strong>Background:</strong> Superficial dermatophytic infection is infection of skin nail or hair with fungus. Nowadays, these fungal infection are at a rise and run a prolong course despite of treatment due to resistance to conventional antifungal agents. There is a felt need to conduct epidemiological study to know the change in the pattern and cause of widespread resistance. This study was aimed at identifying clinico-mycological pattern of dermatophytic infections in patients attending the dermatology outpatient department of a tertiary care hospital in eastern Uttar Pradesh and adjoining area.</p><p class="abstract"><strong>Methods:</strong> Patients with suspected dermatophytoses attending the outpatient department were enrolled in the study. A detailed history, clinical examination and sample collection for mycological examinations was done.<strong></strong></p><p class="abstract"><strong>Results:</strong> There were 500 patients recruited in the study, with a male: female ratio of 3:1. The most commonly affected age group was 20–30 years (35%). Tinea corporis et cruris was the most common type observed (31%). Potassium hydroxide positivity was seen in 390 samples (78%) and culture positivity was found in 350 samples (70%). The most common species identified was <em>Trichophyton verrucosum</em> (35.5%).</p><p><strong>Conclusions:</strong> There is a rise in dermatophytic infection caused by zoophilic species like <em>Trichophyton verrucousum</em>.</p>

scholarly journals Clinical and biochemical profile of neonatal seizures admitted in neonatal intensive care unit of a tertiary care hospital

2021 ◽  
Author(s):  
Mohanram V. ◽  
Arulraj Russelian ◽  
Palpandi V.
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Neonatal Intensive Care Unit ◽  
Neonatal Intensive Care ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Care Hospital ◽  
Biochemical Profile ◽  
Neonatal Seizures ◽  
The Common

Background: Several factors contribute to seizures among neonates. To avoid complications from under recognition of clinical seizures and the adverse effects of medications administered, the diagnosis and management of neonatal seizures necessitate an interprofessional approach. Present study was done to study the clinical and biochemical profile of neonates with seizures admitted to a tertiary care hospital, Chennai.Methods: A cross sectional study was conducted where all the neonates from birth to 28 days of life who got admitted in the neonatal intensive care unit (NICU) of a tertiary care hospital-Shri Sathya Sai medical college and research institute were included in the study. Baseline characteristics of all the babies were noted on the prescribed proforma. Thorough physical examination was done and seizures were diagnosed by clinical observation. Clinical details of each seizure episode were recorded like age at onset of seizures, duration of seizure, number and type of seizure.Results: In the present study, 50 neonates satisfying the inclusion and exclusion criteria were included in the study. The main mode of delivery was normal vaginal delivery (50%) followed by LSCS (40%) and assisted delivery (10%). 54% were male and 46% were female and majority of babies were delivered at term i.e., 72% and 28% were pre term babies. The mean day of onset of seizures in the present study was 3.18±2.09. Based on day of onset of seizures, with in 24 hrs (28%), 24 hrs to 72 hrs (46%), 4th day to 1 week (22%), more than 1 week (4%). Based on type of seizure 64% had subtle type, 26% had tonic type and 10% had clonic type of seizures. In this study, 24% had hypoglycemia, and 10 (20%) had hypocalcemia, 14% in the present study had hyponatremia, and 2 (4%) had hypomagnesemia, 2 (4%) had hypernatremia, 6% had combination of hypocalcemia and hypoglycemia.Conclusions: Hypocalcemia, hypoglycemia, hyponatremia were the common biochemical abnormalities observed in our study. Subtle seizures were the common type of seizures observed among both pre term and term infants.

scholarly journals Outcome of primary repair in typhoid ileal perforation at Tertiary Care Hospital.

2020 ◽  
Vol 27 (06) ◽  
pp. 1128-1132
Author(s):  
Gulshan Ali Memon ◽  
Abdul Hakeem Jamali ◽  
Sajjad Hussain Qureshi ◽  
Altaf Hussain Ghumro ◽  
Mashooq Ali Khowaja ◽  
...  
Keyword(s):  
Postoperative Complications ◽  
Tertiary Care Hospital ◽  
Primary Repair ◽  
Tertiary Care ◽  
Care Hospital ◽  
Cross Sectional ◽  
Ileal Perforation ◽  
Surgical Department ◽  
Male Patients ◽  
The Common

Typhoid ileal perforation is the common complication of typhoid fever in third week of its phase of progression. It is the most common cause of mortality in developing countries. Small perforations are dealt with primary repair and the more complicated disease is treated by multiple other options. Prognosis is good with primary repair with least postoperative complications. Objectives: To detect the outcome of typhoid ileal perforation treated by primary repair at tertiary care hospital. Study Design: Cross sectional study. Setting: Surgical Department of PMC Hospital Nawabshah. Period: From August 2017 to December 2018. Material & Methods: This study included total 70 patients. All patients were admitted from surgical OPD and emergency department of PMCH Nawabshah. Out of 70, 45 (64.28%) were females and 25 (35.71%) were male patients. Age ranged from 27 to 52 and 24 to 47 in females and males respectively. The common presentation was pain in whole abdomen along with distention and fever, vomiting. Plain X ray chest/ Abdomen and ultra sonography showed gas under diaphragm. Primary repair was done and also other surgical options but our study included only the postoperative outcomes of primary repair of typhoid ileal perforation. A few complications were detected after primary repair of the gut perforation. Results: Total 70 patients were included in this study. 45 (64.28%) were females and 25 (35.71%) were male patients. In females, 25 (55%) were found single perforations of less than 1cm whereas 7 (15.5%) had size of perforation less than 1.5 cm. In 25 males, 11 (44%) had single perforations of less than 1cm in size. 2 (8%) had < 1.5 cm size perforations and 12 (48%). Over all complication rate in this study was 26%. Conclusion: Primary repair is the best surgical option to treat typhoid ileal perforation in selected patients with least postoperative complications.

scholarly journals Clinico-hematological profile of anaemia in adolescent girls in a tertiary care hospital of North India

2019 ◽  
Vol 6 (4) ◽  
pp. 1027
Author(s):  
Manoj Kumar Sharma ◽  
Preeti Parashar ◽  
Neelima Jain
Keyword(s):  
Adolescent Girls ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Previous History ◽  
Serum Vitamin ◽  
Care Hospital ◽  
Age Group ◽  
Haematological Profile ◽  
The Common ◽  
The Difference

Background: Anaemia in adolescent girls leads to foetal morbidity and mortality in future. The current study was done with the aim to study the clinico-haematological profile of anaemia in adolescent girls in a tertiary care hospital of North India.Methods: An observational study was conducted among 50 adolescent girls with anaemia (Hb <12 g/dl) in the Department of Medicine in collaboration with Department of Pediatrics and Department of Haematology at VMMC and Safdar-jang Hospital, New Delhi. Detailed previous history of the patients was collected. Blood samples were collected from all the patients and analysed for hematological parameters. Data were analysed statistically and p values less than 0.05 was considered significant.Results: The prevalence of anaemia was common in the patients of age group of 15-19 years (58%). The common symp-tom observed was fatigue (82%). Pallor was the common sign noticed in 66% patients. Majority of the patients with anaemia belongs to upper lower class (52%). Mean value of haemoglobin was high (7.80±1.22) in microcytic hypo-chromic anaemia compared to other types of anaemia. Serum iron levels were low in both microcytic and dimor-phic group but the difference was statistically not significant (p=0.43). Serum vitamin B12 levels were low in mac-rocytic and dimorphic anaemia and the difference was statistically significant (p=0.001).Conclusions: This study showed that nutritional deficiency anaemia was more prevalent in adolescent girls of age group between 15-19 years of upper lower socioeconomic status. Nonspecific symptoms like fatigue and weakness should not be ignored in the adolescent girls as they could be important indicators towards incidence of anaemia in these patients.

CAUSE OF HEMOPTYSIS IN INPATIENTS IN A TERTIARY CARE HOSPITAL IN SOUTH INDIA

2021 ◽  
pp. 48-49
Author(s):  
Arulkumaran. P
Keyword(s):  
Pulmonary Tuberculosis ◽  
Chronic Bronchitis ◽  
South India ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Care Hospital ◽  
Medicine Department ◽  
Common Cause ◽  
The Common ◽  
Study Case

AIM: Aim of the study is to nd the causes of hemoptysis in inpatients in a tertiary care hospital in south India. METHODS AND MATERIAL: Retrospective study. case sheets of Inpatients either admitted to the thoracic medicine department for hemoptysis and inpatients who later developed hemoptysis were included in the study irrespective of the amount of hemoptysis. RESULTS: pulmonary tuberculosis constitutes 78.26% with sequelae patients constituting 52.17% and active case 25%. Other causes such as bronchiectasis, COPD-chronic bronchitis, pneumonia, carcinoma lung and ILD constitute 10.86%, 5.43%, 2.17%, 2.17% and 1.08% respectively. CONCLUSION: The most common cause of hemoptysis is pulmonary tuberculosis(active and sequelae). Among the pulmonary tuberculosis patients post tuberculous sequelae is the common cause. This followed by bronchiectasis, COPD-chronic bronchitis, pneumonia, carcinoma lung and interstitial lung disease.

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