A study on awareness and practices of bio-medical waste management in tertiary care hospital

Introduction: Bio-Medical Waste (BMW) consists of solids, liquids, sharps and laboratory waste that are potentially infectious and dangerous. In India, lack of knowledge and practice in relation to availability of resources and processes in place has been reported in many studies. Hence, the present study has been carried out with an objective of assessing awareness and practices of healthcare providers regarding BMW. Materials and methods: This cross-sectional study was conducted in tertiary care hospital with 300 beds in Karnataka over a period of one month using preformed, pre-structured proforma. Results: Almost all health personnel were aware about BMW guidelines; adequate segregation of BMW was noticed in only 4 sites (11.8%). Conclusion: The awareness about BMW management among healthcare providers in our study was found to be adequate but with low segregation practices. The staffs are well aware to manage the spills and will use if all the sites are provided with spill kits. Key words: Biomedical waste, color coding, India, tertiary hospital, waste segregation

Download Full-text

Adverse Drug Reaction Policy in a Tertiary Care Hospital

International Journal of Research Foundation of Hospital and Health Care Administration ◽

10.5005/jp-journals-10035-1035 ◽

2015 ◽

Vol 3 (1) ◽

pp. 41-47

Author(s):

V Aggarwal ◽

Shakti Kumar Gupta ◽

DK Sharma ◽

S Arya ◽

S Singh

Keyword(s):

Adverse Drug Reaction ◽

Drug Reaction ◽

Tertiary Care Hospital ◽

Tertiary Care ◽

Healthcare Providers ◽

Cross Sectional Study ◽

Care Hospital ◽

Cross Sectional ◽

Study Population ◽

Personnel Paramédical

ABSTRACT Adverse drug reactions (ADRs) are a significant cause of morbidity and mortality and contribute to the incidence of adverse events, resulting in increased healthcare costs. Healthcare providers need to understand their role and responsibility in the detection, management, documentation, and reporting of ADRs. The purpose of this study is to provide guidelines regarding the procedure of reporting ADRs to hospital authority. It was a descriptive cross-sectional study carried out between April and August 2013. The study population included doctors, nursing personnel, paramedical staff and quality managers of tertiary care hospital from one public and two private hospitals. Interaction was done with study population against the back drop of the checklist and ADR policy was formulated. How to cite this article Singh S, Gupta SK, Arya S, Sharma DK, Aggarwal V. Adverse Drug Reaction Policy in a Tertiary Care Hospital. Int J Res Foundation Hosp Healthc Adm 2015; 3(1):41-47.

Download Full-text

An Audit of Rational Use of Antibiotics in a Tertiary Hospital

Delta Medical College Journal ◽

10.3329/dmcj.v2i2.20526 ◽

2014 ◽

Vol 2 (2) ◽

pp. 64-67 ◽

Cited By ~ 1

Author(s):

Tanzima Begum ◽

Md Ismail Khan ◽

Shamima Kawser ◽

Md Ehsanul Huq ◽

Nadira Majid ◽

...

Keyword(s):

Tertiary Care Hospital ◽

Tertiary Care ◽

Antibiotic Use ◽

Tertiary Hospital ◽

Cross Sectional Study ◽

Care Hospital ◽

Cross Sectional ◽

Medical College ◽

Number Of Patients ◽

Rational Use Of Antibiotics

Background: Drug can cure ailment when used rationally on the other hand they may become harmful or even may threaten a life when used irrationally. Absence of guidelines for antibiotic use, protocols for rational therapeutics and infection control committees, have led to overuse and misuse of antimicrobials even in different specialized units in hospitals. Objective: The study has been designed to get a picture of use of antibiotics in a tertiary care hospital of Bangladesh. Materials and method: Cross sectional study was conducted in the department of Medicine of Sir Salimullah Medical College and Mitford Hospital, Dhaka, Bangladesh, for 3 months from 1st January 2009 to 31st March 2009. Admitted patients of Medicine unit-1 who got antibiotics were included in the study. Total number of patients was 1563. Results: Five hundred out of 1563 patients were prescribed antibiotics (38%). Out of 500 prescriptions, 68(14%) prescriptions were found irrational. Conclusion: Continuous surveillance should be carried out to reduce the irrational use of antibiotics. DOI: http://dx.doi.org/10.3329/dmcj.v2i2.20526 Delta Med Col J. Jul 2014; 2(2): 64-67

Download Full-text

A Cross Sectional Study on the Awareness on the Bio-Medical Waste Management among Medical Students in a Tertiary Care Hospital Chennai

Medico-Legal Update ◽

10.37506/mlu.v20i2.1099 ◽

2020 ◽

Keyword(s):

Medical Students ◽

Waste Management ◽

Tertiary Care Hospital ◽

Tertiary Care ◽

Cross Sectional Study ◽

Medical Waste ◽

Care Hospital ◽

Sectional Study ◽

Cross Sectional ◽

Medical Waste Management

Download Full-text

Mean Birth Weight and Mean placental Weight among Deliveries in a Tertiary Care Hospital

Journal of Nepal Medical Association ◽

10.31729/jnma.3660 ◽

2019 ◽

Vol 57 (219) ◽

Author(s):

Raju Kafle ◽

Kabiraj Nibedita ◽

Binod Kumar Gupta

Keyword(s):

Birth Weight ◽

Tertiary Care Hospital ◽

Tertiary Care ◽

Tertiary Hospital ◽

Cross Sectional Study ◽

Uterine Wall ◽

Placental Weight ◽

Care Hospital ◽

Cross Sectional ◽

The Mean

Introduction: Placenta is an organ that connects the developing fetus to the uterine wall to allow nutrient uptake, provide thermo-regulation to the fetus, waste elimination, and gas exchange. The present study was undertaken to look for mean birth weight and placental weight among deliveries in a tertiary care hospital. Methods: A descriptive cross-sectional study was conducted in a tertiary hospital of Nepal. Ethical clearance was taken from institutional review comittee of hospital. Mothers with term and preterm gestation, their infants and the placentas were the subjects for the study. The study was conducted on 158 term and preterm deliveries. Placental weight, birth weight, gestational age, neonates’ gender, weight, length and head circumference were recorded. Results: The mean of weight of total 158 placentas was 449.24±82.07 g and the mean of birth weights was 2872.84±478.88 g. Out of 158 deliveries, 138 (87.4%) babies were of term gestation and 20 (12.6%) babies were preterm. Conclusions: Mean birth weight and placental weights are similar to that found on similar studies done on other hospitals. Knowing the mean placental weight and birth weight which relates to different functional dimensions of placenta and baby growth helps for further evaluation of placenta and baby.

Download Full-text

A study of biochemical profile of chronic renal failure patients in tertiary care hospital: a cross sectional study

International Journal of Scientific Reports ◽

10.18203/issn.2454-2156.intjscirep20151499 ◽

2015 ◽

Vol 1 (8) ◽

pp. 303

Author(s):

Mehul Kaliya ◽

Mittal Rathod ◽

Aniruddha Gohel ◽

Ajay Tanna ◽

Manish Mehta

Keyword(s):

Tertiary Care Hospital ◽

Tertiary Care ◽

Cross Sectional Study ◽

Care Hospital ◽

Biochemical Profile ◽

Sectional Study ◽

Normal Range ◽

Cross Sectional ◽

Almost All ◽

Structure Investigations

Background: Chronic kidney disease (CKD) describes abnormal kidney function and/or structure. Investigations are focused on assessment of renal function and therefore stage of CKD, identification of the underlying cause and assessment of complications of CKD.Earliest identification of any deviation can help in early intervention & prevention of morbidity & mortality.Methods: 50 patients of CKD admitted at GG Hospital, a tertiary care hospital, Jamnagar during period of 1 year, were included. Data were collected by means of interviewing the patients and serological investigations. Results: 24% patients had hyperglycemias & 36% patients had impaired glucose tolerance. Almost all biochemical markers were elevated. 86% (43) had High blood urea. All the patients had Serum creatinine level above the normal range for age & sex. 72% (36) patients had hyponatremia & 4% (2) patients had hypernatremia. 22% (11) patients had hypokalemia & 40% (20) patients had hyperkalemia. 38% (19) patients had hypocalcaemia & 6% (3) patients had hypocalcaemia.Conclusions: There must be prescribed protocol for all CRF patients for estimating biochemical profile so that any complication can be identified at earliest & intervened to prevent morbidity & mortality.

Download Full-text

Wastage of rarest blood and blood components can be stopped: 9 years retrospective and cross-sectional study at tertiary hospital

International Journal of Research in Medical Sciences ◽

10.18203/2320-6012.ijrms20184429 ◽

2018 ◽

Vol 6 (11) ◽

pp. 3678

Author(s):

Balkrishna H. Namdhari ◽

Tapasya V. Bharati ◽

Ashish P. Shinde

Keyword(s):

Tertiary Care Hospital ◽

Tertiary Care ◽

Descriptive Study ◽

Tertiary Hospital ◽

Cross Sectional Study ◽

Red Cells ◽

Care Hospital ◽

Blood Components ◽

Sectional Study ◽

Cross Sectional

Background: Inventory of blood/blood components suffer due to outdating of Rh Negative units. Rationale of this article is strategy of transfusion of O Rh Negative red cells to all. A Rh Negative red cells can be given to A Rh Positive, AB Rh Positive. B Rh Negative red cells can be given to B Rh Positive, AB Rh Positive. AB Rh Negative red cells to AB Rh Positive recipients. AB Rh Negative FFP/PRP can be given to all. Objective was to avoid out dating of Rh Negatives by studying the percentage of outdated Rh Negative units amongst the all outdated.Methods: This was 9 years observational, retrospective, cross sectional and descriptive study conducted at tertiary care hospital. Outdated units of Rh Negative blood and components were analysed from the year wise discard registers of blood bank. Percentage of Rh Negative units within all outdated units were calculated.Results: 198 Rh Negative units of whole blood and blood components within all outdated units was 29.11%. Out of 198 the 20 Rh Negative blood components were discarded.Conclusions: Adopt type and screen protocol to prevent outdating. Avoid to bleed the rare blood groups. Audit by hospital transfusion committee and implementation of MSBOS. Track O Rh Negative red cells transfusion to Rh Positive as quality indicator. Track/review transfusion of O Rh negative red cells to Non O Rh negative recipients. Track AB Rh Negative FFP/PRP transfusions to all.

Download Full-text

Correlation between sonological and clinical profile of mesenteric lymphadenitis among children in a tertiary care hospital of central Kerala

International Journal of Contemporary Pediatrics ◽

10.18203/2349-3291.ijcp20211416 ◽

2021 ◽

Author(s):

Vinod Joseph ◽

Danny Jose Titus ◽

Aby Dany Varghese ◽

Jijo Joseph John ◽

Girija Mohan ◽

...

Keyword(s):

Tertiary Care Hospital ◽

Tertiary Care ◽

Tertiary Hospital ◽

Cross Sectional Study ◽

Care Hospital ◽

Age Group ◽

Sectional Study ◽

Cross Sectional ◽

Mesenteric Lymphadenitis ◽

Younger Age

Background: For abdominal pain in children, imaging is routinely applied to make a possible diagnosis both in the outpatient and in the emergency department. Though the diagnosis of mesenteric lymphadenitis is made often these days, the significance of the size and number is still ambiguous and most studies consider mesenteric lymphadenitis is defined as three or more lymph nodes that are each 5 mm or greater in the short axis.Methods: Cross-sectional study was conducted in a tertiary hospital in central Kerala and the study tool included a detailed structured questionnaire.Results: Our study included 115 children with pain in the abdomen. 69 were found to have mesenteric lymphadenitis. Younger age group, fever as a symptom and acute infective gastroenteritis are statistically significantly associated with mesenteric lymphadenitis.Conclusions: In our study, acute infective gastroenteritis was the most common cause to be associated with mesenteric lymphadenitis which was. The incidence of mesenteric lymphadenitis was found to be more in children below 5 years.

Download Full-text