Seropositivity of Hepatitis B & C Virus in Surgical Patients Undergoing Elective & Emergency General Surgery

2021 ◽  
Vol 15 (11) ◽  
pp. 3034-3035
Author(s):  
Aqeel Ahmad ◽  
Imran Yousaf ◽  
Syed Muhammad Tahir Shah ◽  
Muhammad Rizwan Qadir ◽  
Arif Gulzar ◽  
...  
Keyword(s):  
Hepatitis B ◽  
Elective Surgery ◽  
Demographic Data ◽  
Surgical Patients ◽  
Enzyme Linked Immunosorbent Assay ◽  
Emergency General Surgery ◽  
Precautionary Measures ◽  
Hcv Screening ◽  
Surgery Department ◽  
Hep B

Aim: To assess the seropositive cases of hepatitis B & C in surgical patients admitted for both emergency & elective surgery. Methodology: This study was conducted in the surgery department of Pak Red Crescent Teaching Hospital. The design of the study was descriptive observational. All the 1238 patients undergoing emergency and elective surgery were enrolled in this study by convenient sampling. Demographic data of all the patients were recorded. Along with routine preoperative tests, all the patients were screened for hepatitis B & C virus infection. Immunochromatography (ICT) method was adopted for both HBsAg and Anti-HCV screening. In patients with week positive results further test of enzyme-linked immunosorbent assay (ELISA) was performed. Operation theater staff and surgeon were informed about seropositive patients to take special precautionary measures during handling of the sharp objects. Biological waste of such patients is disposed of by using Biosafety protocols. Demographic data along with risk factors, HbsAg & Anti-HCV status were collected and analyzed with Microsoft Excel 2019. Results: A total number of 1238 patients were enrolled in our study, out of them 708 were male and 530 were female. Average age of the patients was 40.05±16 years. Out of 1238 patients, HBV was found in 14(1.13%) patients and HCV was found in 121 (9.77%) patients both hepatitis B & C was found in 3(0.24%) patients. Conclusion: Preoperatively screening of hepatitis B and C should be performed mandatory in all patients regardless of the nature of surgery. Before operating seropositive patients, surgeon and operation theater staff should be informed to take precautionary measures while handling the sharp objects. Used infected material of such patients should be disposed of by using Biosafety protocols. All the health works must be vaccinated against hepatitis B virus. Keywords: Hep B infection, Hep C Infection, Seropositive.

scholarly journals Wound infection in surgery department in BSMMU: A study of 100 cases

2014 ◽  
Vol 24 (2) ◽  
pp. 65-69
Author(s):  
M Nur-e-elahi ◽  
I Jahan ◽  
O Siddiqui ◽  
SU Ahmed ◽  
AI Joarder ◽  
...  
Keyword(s):  
Risk Factors ◽  
Wound Infection ◽  
Elective Surgery ◽  
Surgical Site Infections ◽  
Hospital Length ◽  
Hospital Length Of Stay ◽  
Surgical Patients ◽  
Resistance Pattern ◽  
Degree Of Contamination ◽  
Surgery Department

Background Surgical site infections (SSI) are the most common nosocomial infection in surgical patients, accounting for 38% of all such infections, and are a significant source of postoperative morbidity resulting in increased hospital length of stay and increased cost. Objectives To find out the incidence of wound infection in patients following elective surgery and the most likely causative organisms and their resistance pattern. Methods Prospective data were collected on 496 surgical patients admitted in the surgery department in BSMMU from January 2010 to June 2010. All preoperative risk factors were evaluated. Patients operated were followed in the post operative period and if any wound infection noted, swab from the site of infection was sent for culture and sensitivity and antibiotics were given accordingly. Results Following 496 elective operations 20.16 % patients developed wound infection. Highest numbers of infection were seen in the fifth decade with slight female preponderance. Wound infection progressively rises with the degree of contamination and increasing operative time. The common risk factors for development of surgical wound infection were anemia (52%), malnutrition (44%), diabetes (38%), jaundice (30%), contaminated operation (44%) dirty operation (38 %), obesity and smoking. The most predominant isolated organism was Escherichia coli (43%) followed by Staphylococcus aureus (33%) and Pseudomonas aeruginosa (11%). Ceftriaxone still remains the most effective antibiotic although the incidence of resistance is rising. Conclusion Despite a good numbers of variables influence surgical site infections; it is still possible to reduce the infection rate by correcting modifiable risk factors, reducing degree of contamination and duration of operation. To battle the emerging resistance of pathogens a definitive guideline is essential. DOI: http://dx.doi.org/10.3329/jbsa.v24i2.19804 Journal of Bangladesh Society of Anaesthesiologists 2011; 24(2): 65-69

scholarly journals The effectiveness of different patient referral systems to shorten waiting times for elective surgeries: systematic review

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Dimuthu Rathnayake ◽  
Mike Clarke
Keyword(s):  
Primary Care ◽  
Health Systems ◽  
Elective Surgery ◽  
Waiting Times ◽  
Surgical Care ◽  
High Income ◽  
Surgical Patients ◽  
Timely Access ◽  
Referral Systems

Abstract Background Long waiting times for elective surgery are common to many publicly funded health systems. Inefficiencies in referral systems in high-income countries are more pronounced than lower and middle-income countries. Primary care practitioners play a major role in determining which patients are referred to surgeon and might represent an opportunity to improve this situation. With conventional methods of referrals, surgery clinics are often overcrowded with non-surgical referrals and surgical patients experience longer waiting times as a consequence. Improving the quality of referral communications should lead to more timely access and better cost-effectiveness for elective surgical care. This review summarises the research evidence for effective interventions within the scope of primary-care referral methods in the surgical care pathway that might shorten waiting time for elective surgeries. Methods We searched PubMed, EMBASE, SCOPUS, Web of Science and Cochrane Library databases in December-2019 to January-2020, for articles published after 2013. Eligibility criteria included major elective surgery lists of adult patients, excluding cancer related surgeries. Both randomised and non-randomised controlled studies were eligible. The quality of evidence was assessed using ROBINS-I, AMSTAR 2 and CASP, as appropriate to the study method used. The review presentation was limited to a narrative synthesis because of heterogeneity. The PROSPERO registration number is CRD42019158455. Results The electronic search yielded 7543 records. Finally, nine articles were considered as eligible after deduplication and full article screening. The eligible research varied widely in design, scope, reported outcomes and overall quality, with one randomised trial, two quasi-experimental studies, two longitudinal follow up studies, three systematic reviews and one observational study. All the six original articles were based on referral methods in high-income countries. The included research showed that patient triage and prioritisation at the referral stage improved timely access and increased the number of consultations of surgical patients in clinics. Conclusions The available studies included a variety of interventions and were of medium to high quality researches. Managing patient referrals with proper triaging and prioritisation using structured referral formats is likely to be effective in health systems to shorten the waiting times for elective surgeries, specifically in high-income countries.

HBV, HCV, HIV & TB Prevalence in Injection Drug Users in Major Cities of Punjab, Pakistan- a Survey-Based Research Report

2021 ◽  
Author(s):  
Ghafran Ali ◽  
Kanza Ashfaq
Keyword(s):  
Hepatitis B ◽  
Injection Drug Users ◽  
Drug Users ◽  
Injection Drug ◽  
Intravenous Drug ◽  
Research Report ◽  
Intravenous Drug Users ◽  
Rehabilitation Center ◽  
Rehabilitation Centers ◽  
Hep B

Hepatitis-B,C,HIV and TB among intravenous drug users continues to be a serious explanation for disease and death, this study was conducted to survey the prevalence of Hepatitis-B,C,HIV and TB in rehabilitation center of Punjab, Pakistan. A telephonic and visited survey of 78 rehabilitation centers in Punjab Pakistan to assess their treatment. An analysis of 21 responded that returned useable data revealed that only 7.2% patients of responded rehabilitation centers are positive for HEP-B. 33.23% patients are positive for HEP-C, 8.74% patients are positive for HIV and 0.87% patients are positive for TB. Majority of the respondent of whom doctors, psychologists believe that the patient, partner of the patient and their children should be offered for HEP-B,C,HIV and TB screening regularly.

Do star employees help or hinder department performance: the case of surgeons in South Korean hospitals

2021 ◽  
pp. 1-16
Author(s):  
Sangsuk Oh ◽  
Owwon Park ◽  
Woonki Hong
Keyword(s):  
Positive Relationship ◽  
Surgical Patients ◽  
Healthcare Outcomes ◽  
Capital Theory ◽  
Research And Practice ◽  
South Korean ◽  
Strategic Human Capital ◽  
Different Types ◽  
Surgery Department ◽  
The Relationship

Abstract Based on strategic human capital theory, this study examines the effects of star surgeons on two different types of healthcare outcomes (i.e., number of surgical patients and length of patients’ in-hospital stay after surgery) in the surgery department. We also explore whether the relationship between star surgeons and healthcare outcomes is contingent on the expertise disparity between star and non-star surgeons. The results of an empirical analysis on colorectal cancer surgeons in 80 departments in South Korean hospitals show that the number of star surgeons increases the number of surgical patients and reduces the length of patients' stay after surgery. Moreover, the positive relationship between star surgeons and the number of surgical patients is strengthened when the expertise disparity between star and non-star surgeons is low. The implications of these findings for research and practice are also discussed.

scholarly journals Development and evaluation of an in-house ELISA to detect hepatitis B virus surface antigen in resource-limited settings

2014 ◽  
Vol 39 (2) ◽  
pp. 65-68 ◽  
Author(s):  
K Fatema ◽  
S Tabassum ◽  
A Nessa ◽  
M Jahan
Keyword(s):  
Hepatitis B Virus ◽  
Hepatitis B ◽  
Surface Antigen ◽  
Hbv Infection ◽  
Health Concern ◽  
Enzyme Linked Immunosorbent Assay ◽  
Virus Surface ◽  
B Virus ◽  
Commercial Kits ◽  
Checkerboard Titration

Hepatitis B virus (HBV) infection is of global public health concern. Among various serological tests used for the diagnosis and screening of HBV infection, the enzyme-linked immunosorbent assay (ELISA) to detect hepatitis B surface antigen (HbsAg) is most widely used. The present study was designed to develop and standardize a cost effective in-house ELISA for the detection of HbsAg and compare its performance with two established commercial kits. The concentrations of coating antibody, conjugates and sera were fixed by checkerboard titration. Using known HBsAg positive and negative sera, four different concentrations (1, 0.5, 0.25 and 0.125 ?g/well) of coating anti-HBs were applied. Similarly, serial dilutions of patients’ sera (1 in 2, 1 in 3, 1 in 5 and 1 in 9) and conjugates (1 in 2, 1 in 3, 1 in 5, 1 in 9 and 1 in 17) were evaluated by checkerboard titration. The optimal concentration of coating antibody was determined at 0.25 ?g/well and 1 in 9 dilution for both conjugates and sera. The performance comparison of our in-house ELISA showed excellent correlation with two commercial kits (Pearson 0.957, P=0.001 for monoclonal antibody coated kit and Pearson 0.929, P=0.000 for polyclonal antibody coated kit) when OD values were compared. All commercial kit proven positive samples was positive while all negative samples were negative with the in-house ELISA resulting in 100% sensitivity and specificity. The results of our study demonstrated that our inhouse ELISA for detection of HBsAg was equally as sensitive and specific as two well-known commercial kits. Thus, this system may be a useful tool for diagnostic and screening purposes, as well as outbreak investigations. DOI: http://dx.doi.org/10.3329/bmrcb.v39i2.19644 Bangladesh Med Res Counc Bull 2013; 39: 65-68

scholarly journals STUDY OF PREVALENCE AND PATTERN OF HEARING LOSS IN PATIENTS OF HEPATITIS B

2019 ◽  
Vol 3 (12) ◽  
Author(s):  
Kapildev Mondal ◽  
Poulomi Saha
Keyword(s):  
Hearing Loss ◽  
Chronic Hepatitis ◽  
Hepatitis B ◽  
Chronic Hepatitis B ◽  
Pure Tone ◽  
Control Group ◽  
Hepatitis B Infection ◽  
Cellular Carcinoma ◽  
The Right ◽  
Hep B

Hepatitis B has been documented to cause various extra hepatic manifestations along with known hepatic complications. It has been reported that hepatitis-B patients are more susceptible to inner ear damage and hearing loss. The aim of this study is to evaluate hearing loss among patients of   hepatitis B {all 6 categories Hepatitis B infection: chronic Hepatitis B  infection , hepatitis B cirrhosis ,Hepatitis B virus carriers , occult chronic Hepatitis B and Hepatitis B infection with poly arthritis nodosa, hepato cellular carcinoma with hepatitis B}compared with healthy subjects. METHOD: In this case control study 100 Hepatitis B positive patients and 100 age and gender-matched healthy individuals were included over the period of 5 years. All of them were known cases of chronic hepatitis B positive for   HBsAg at least for 18 months. All   patients were aged 18 to 50 years to exclude presence of presbycusis. After base line investigations, they were subjected for all cases and controls were subjected otoscopic examination and hearing assessment using standard pure tone audiometry. Descriptive statistical analysis has been carried out in this study. RESULT: In patients of Hepatitis B (94 patients,6 patients had of  natural death ) pure tone average (mean thresholds 250,500, 1000,2000,4000 &8000 Hz) was 28.4 dB in the right ear and 27.3 dB in the left (hearing loss).In the control group(96 patients,4 patients dropped out), PTA average was 9.9 dB in the right ear and 9.3dB in the left (normal hearing). In both groups, Speech Discrimination score (SDS) was100% in both ears. The percentage of hearing loss in the right and left ear over the total of six frequencies differed significantly in the two groups. Out of 94 patients of control group, 38 patients (40.4%) patients presented with Chronic Liver Disease (CLD), 14 patients (14.8%) patients presented with cirrhosis with Hepatitis B, 6 (6.3%) patients had Poly arthritis Nodosa with Hep-B, 18(19.1%) patients were diagnosed as carrier of Hepatitis-B , 11(11.7%) patients had occult Hepatitis-B and 7(7.4%) patients were diagnosed with hepato cellular carcinoma. Hearing loss was maximum in patients of   PAN with Hep-B. Second highest mean SNHL was seen in patients of Hep-B with cirrhosis .Third highest mean hearing loss was noted in patients with HCC .Forth highest mean hearing loss was noted in patients with occult Hep-B. Fifth highest mean hearing loss was noted in carriers of Hep-B.Lowest group with SNHL was chronic liver disease. CONCLUSION: Regular audiometric tests are recommended for patients with HBV infection to assess their hearing ability and enable the earlier detection of SNHL. We also suggest that HBV presenting with the sudden onset of hearing loss should be examined for the possibility of acute exacerbation of chronic HBV infection. KEYWORDS: Mean, Sensorineural, Hearing loss, Cirrhosis.

scholarly journals Hepatitis B infection among Iraqi children: the impact of sanctions

2004 ◽  
Vol 10 (1-2) ◽  
pp. 6-11
Author(s):  
H. Y. M. Ali
Keyword(s):  
Hepatitis B ◽  
Vaccine Dose ◽  
United Nations Security Council ◽  
Enzyme Linked Immunosorbent Assay ◽  
The Public ◽  
Hbsag Carriers ◽  
Vaccine Availability ◽  
Vaccine Shortages ◽  
The Impact

Effect of sanctions on hepatitis B vaccine availability and occurrence of viral hepatitis B among Iraqi children was studied. Between June 2000 and June 2001, families of patients attending the Public Health Laboratory, Mosul, for hepatitis B follow-up were screened. Enzyme-linked immunosorbent assay was used to test for HBsAg, HBeAg and anti-HBe. We diagnosed 74 children born 1994-1998 as HBsAg carriers. For 62 of 74 cases, parents had consulted vaccine centres promptly:41 were not vaccinated and 21 had only one vaccine dose. HBeAg marker was positive for 9 [14.5%] and anti-HBe for 50 [80.7%]. Parental reluctance was the reason for non-vaccination for 12. Vaccine shortages during the birth years of cases were documented, even after implementation of United Nations Security Council Resolution 986

scholarly journals TO STUDY KNOWLEDGE, ATTITUDE & PRACTICES TOWARDS IMMUNIZATION AGAINST HEPATITIS B VIRUS INFECTION AMONGST NURSING STAFF OF M.G. HOSPITAL, BHILWARA

2019 ◽  
Vol 3 (2) ◽  
Author(s):  
Mahesh Kumar Choudary ◽  
Manmohan Gupta ◽  
Rachit Saxena ◽  
Sandeep Kumar Uppadhaya
Keyword(s):  
Hepatitis B Virus ◽  
Hepatitis B ◽  
Nursing Staff ◽  
Health Hazard ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Circular Dna ◽  
B Virus ◽  
Hep B ◽  
Circular Dna Virus

Background: Hepatitis B virus (HBV) is a double-stranded circular DNA virus and member of the Hepadnaviridae family of viruses. Methods: This cross sectional study was done on 250 nursing staff. There were total 263 nursing staff in this hospital out of which 250 enrolled voluntarily to participate in this study. The objective, nature and benefits of this study were explained and informed & written consent was taken from all participants. All nursing staff were interviewed structured self-completed quaternaries. Results: Hepatitis B virus (HBV) infection is an occupational health hazard preventable by vaccination. 78% of nursing staff know that Hep B is a vaccine preventable. 42% of participants knew that getting vaccinated offers a protection from infection for 15 years.  16% of nursing staff are aware that a titre value of more than 10 ml U/ml is needed for protection from Hepatitis B infection. 84% of nursing staff are willing to motivate others and encourage them to get vaccinated against Hepatitis B. Conclusion: This study highlighted the need to have nursing staff educated regarding significance of immunization against vaccine preventable disease. Keywords- Hepatitis, Immunization, Liver,

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