scholarly journals Radiological Parameters for Conservative Management of Solid Organ Injuries in a Tertiary Care Hospital

2020 ◽  
Vol 5 (8) ◽  
pp. 672-676
Author(s):  
Hridhay. K.Prit ◽  
Dr. Perumal Boney
Keyword(s):  
Retrospective Analysis ◽  
Conservative Management ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Solid Organ ◽  
Care Hospital ◽  
The Past ◽  
Radiological Parameters ◽  
Hepatic Injuries

The management of solid organ injuries has changed drastically over the past couple of decades, with there being a shift from operative to conservative mode of management. The main purpose of this study is to establish radiological parameters for conservative management in order to make conservative mode of management more efficient. Retrospective analysis of solid organ injuries was done for 50 patients between January 2020 and March 2020 in a tertiary care hospital. It is found that conservative mode of management can be considered for patients belonging to grade I, II and III according to AAST classification of Splenic and Hepatic injuries whereas in Renal injuries it is considered for patients belonging to grade I and II

A STUDY FOR EVALUATION OF CLINICAL, BIOCHEMICAL, TUMOR MARKERS AND RADIOLOGICALPARAMETERS IN PATIENTS OF OBSTRUCTIVE JAUNDICE

2021 ◽  
pp. 59-61
Author(s):  
Sangamesh S K ◽  
S R Ghosh ◽  
Debarshi Jana
Keyword(s):  
Obstructive Jaundice ◽  
Tumor Markers ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Final Diagnosis ◽  
Care Hospital ◽  
Malignant Obstructive Jaundice ◽  
Purposive Sampling ◽  
Radiological Parameters ◽  
Ca 19.9

Study was conducted in Command Hospital (Eastern Command) Kolkata - ATertiary Care Hospital with the following Aims and Objectives. Study and co relate clinical, biochemical, radiological parameters in obstructive jaundice. MATERIAL AND METHODS: Study was conducted in Command Hospital (Eastern Command) Kolkata - A tertiary care hospital. All adult patients who was diagnosed as case of obstructive jaundice based on clinical, radiological and pathological criteria. Study duration 3 Years. Purposive sampling, 50 in each group,100. RESULT AND ANALYSIS: BENIGN OBSTRUCTIVE JAUNDICE, 6(12.0%) patients had FEVER. In MALIGNANT OBSTRUCTIVE JAUNDICE, 2(4.0%) patients had FEVER. Association of FEVER vs FINAL DIAGNOSIS was not statistically signicant (p=0.1403). In BENIGN OBSTRUCTIVE JAUNDICE, 4(8.0%) patients had PRURITIS. In MALIGNANT OBSTRUCTIVE JAUNDICE, 37(74.0%) patients had PRURITIS. Association of PRURITIS vs FINAL DIAGNOSIS was statistically signicant (p<0.0001). CONCLUSION: AST and ALP were higher in malignant obstructive jaundice compared to benign obstructive jaundice which were statistically signicant. Mean GGT was higher in malignant obstructive jaundice compared to benign obstructive jaundice which was statistically signicant. It was found that mean CA 19.9 was higher in malignant obstructive jaundice compared to benign obstructive jaundice which was statistically signicant.

Pattern of acquisition of hospital-associated pathogens in the ICU of an academic tertiary care hospital

2022 ◽  
Author(s):  
Shazia Damji ◽  
Jerrold Perrott ◽  
Salomeh Shajari ◽  
Jennifer Grant ◽  
Titus Wong ◽  
...  
Keyword(s):  
Hospital Admission ◽  
Median Time ◽  
Broad Spectrum ◽  
Health Authority ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Primary Objective ◽  
Solid Organ ◽  
Care Hospital ◽  
Broad Spectrum Antibiotics

BACKGROUND: Among hospitalized patients, a 48-hour window from time of hospitalization defines nosocomial infections and guides empiric antibiotic selection. This time frame may lead to overuse of broad-spectrum antibiotics. Our primary objective was to determine the earliest and median time since hospital admission to acquire antibiotic-resistant pathogens among patients admitted to the intensive care unit (ICU) of an academic, tertiary care hospital. METHODS: Retrospective chart review was conducted for adult patients admitted to the ICU from home or another hospital within the same health authority in 2018, to identify the time to acquisition of hospital-associated pathogens: methicillin-resistant Staphylococcus aureus, vancomycin-resistant Enterococci, extended-spectrum beta-lactamase (ESBL)–producing Enterobacterales, non-ESBL ceftriaxone-resistant Enterobacterales, Pseudomonas aeruginosa, and Stenotrophomonas maltophilia. Patients transferred from hospitals outside the health authority, admitted to ICU after 14 days of hospitalization, who were solid organ or bone marrow transplant recipients, or who were otherwise immunocompromised were excluded. RESULTS: In 2018, 1,343 patients were admitted to this ICU; 820 met the inclusion criteria. Of these, 121 (14.76%) acquired a hospital-associated pathogen in the ICU. The probability of isolating a hospital-associated pathogen by 48 hours of hospital admission was 3%. The earliest time to isolate any of these pathogens was 29 hours, and the median was 9 days (interquartile range [IQR] 3.8–15.6 days). CONCLUSIONS: Most patients (85.3%) in this ICU never acquired a hospital-associated pathogen. The median time to acquire a hospital-associated pathogen among the remaining patients suggests that initiating empiric broad-spectrum antibiotics on the basis of a 48-hour threshold may be premature.

scholarly journals Remitting seronegative symmetrical synovitis with pitting edema (RS3PE) syndrome in a tertiary care hospital: A retrospective analysis

2011 ◽  
Vol 6 (1) ◽  
pp. 7-12
Author(s):  
Rathindranath Sarkar ◽  
Sibaji Paujdar ◽  
Sattik Siddhanta ◽  
Siwalik Banerjee ◽  
Dibyendu De ◽  
...  
Keyword(s):  
Retrospective Analysis ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Care Hospital ◽  
Rs3pe Syndrome ◽  
Pitting Edema
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