Bacterial profile and antibiotic susceptibility in chronic obstructive pulmonary disease patients with acute exacerbation: A cross sectional study in a tertiary care hospital

2016 ◽  
Vol 3 (3) ◽  
pp. 317 ◽  
Author(s):  
Kundoly Velayudhan Suseela ◽  
Davis Rennis ◽  
Santosh Patil ◽  
Aiswariya Alex
2020 ◽  
Vol 58 (232) ◽  
Author(s):  
Pankaj Pant ◽  
Aishana Joshi ◽  
Bibek Man Shrestha ◽  
Babin Basnet ◽  
Niraj Bam ◽  
...  

Introduction: Respiratory diseases are a leading cause of morbidity and mortality worldwide imposing a significant global health burden. The admission rate of patients is the indication of the overall workload in the ward. The aim of this study was to find the prevalence of admission of patients in the pulmonology ward among patients visiting the pulmonology department of a tertiary care hospital. Methods: A descriptive cross-sectional study was conducted at Tribhuvan University Teaching Hospital. Medical records of all patients visiting the pulmonology department and admitted to the pulmonology ward from May 2018 to April 2020 were retrospectively reviewed. Data entry and analysis was done in SPSS version 20.0. Descriptive statistics were performed. Results: A total of 30,480 patients visited the pulmonology department in the two-year study period. Out of them, 1296 (4.25%) patients were admitted to the pulmonology ward. Eleven respiratory diseases were identified as primary causes for admission. Acute exacerbation of chronic obstructive pulmonary disease (44.5%), pneumonia (26.3%), tuberculosis (11%), lung cancer (5%), and bronchiectasis (3.9%) ranked the top five causes for admission. Conclusions: Respiratory diseases impose a tremendous burden in the health care setting. Acute exacerbation of the chronic obstructive pulmonary disease, pneumonia, and tuberculosis remains an important cause of respiratory admissions in our study.


2018 ◽  
Vol 6 (4) ◽  
pp. 129-135
Author(s):  
Tara Roka ◽  
Nirmala Aryal ◽  
Anjana Ghimire ◽  
Subhadra Pradhan ◽  
Krishna Kumar Aryal

Background: Psychiatric co-morbidities such as anxiety and depression among patients with chronic obstructive pulmonary disease exacerbate the disease, prolong the hospital stay, increase the disease symptoms and deter the quality of life.Objective: To assess the proportion of anxiety or depression among patients with chronic obstructive pulmonary disease in a tertiary care hospital.Methodology: We carried out a cross sectional study interviewing 307 patients from a tertiary care hospital using sequential sampling technique. We used structured questionnaire and included hospital anxiety and depression scale to measure anxiety and depression. We considered a summed score of


Author(s):  
Balbir Singh ◽  
Pramod Shridhar ◽  
Kamaljit Singh ◽  
Rajesh Garg ◽  
Herleen Pabla ◽  
...  

Background: Chronic obstructive pulmonary disease (COPD) is a major cause of morbidity and mortatlity worldwide. Malnourishment in COPD patients is very common and is a prognostic factor in its treatment. The present study has been conducted to assess nutritional status in COPD patients and its correlation with severity of disease.Methods: This institutional based analytical cross sectional study was conducted in the Department of Pulmonary Medicine at tertiary care hospital in Himachal Pradesh (India) from 1 Dec 2017 to 31st May 2018. A total of 52 COPD participants attending the pulmonary Medicine OPD and fulfilling the inclusion criteria were enrolled.Results: All participants reported being smoker since long with the mean years of smoking since 31 years and about 13.6 cigarettes being smoked per day. 22 (42%) of the participants were undernourished as per BMI criteria But when  compared with MUAC criteria, a large number 38 (73%) came out to be undernourished. haemoglobin and cholesterol levels were less in patients with severe diseases than mild and moderate category (76.9%).Conclusions: The malnourishment and severity of the disease has direct correlation. More the severity of COPD, more is the malnourishment. Biochemical parameters, although not deranged significantly in any group, but more on the lower side in patients with severe COPD. There is a need for regular nutritional assessment of every COPD patient and recommendation of supplementary food for them.


Author(s):  
Sristi Neupane ◽  
Parbati Thapa ◽  
Anil Giri ◽  
Sumitra Shrestha ◽  
Nirmal Raj Marasine

Objective: Patients with chronic obstructive pulmonary disease (COPD) are known to have poor medication adherence in Nepal. Various factors affect the medication adherence of COPD patients. Therefore, we aimed to evaluate the medication adherence and its associated factors among the COPD patients in tertiary care hospitals in central Nepal. Methods: A hospital-based cross-sectional study was carried out among 164 patients aged ≥18 years, diagnosed with and under medication(s) of COPD for at least 6 months from  September 2017 to March 2018, in a tertiary care hospital in central Nepal, using a purposive sampling technique. Morisky Green Levine Adherence (MGLA) score was employed to determine the rate of medication adherence. The differences between the two groups (adherent and non-adherent) were tested using independent t-test, and Chi-square tests, p<0.05 was considered statistically significant.   Results: Patients were mostly ≥60 years (87.1%) and female (56.7%). The majority of the patients were found adherent to the prescribed treatment (108; 65.9%). The major reason for non-adherence was seem to be stopping medicine when feeling better (41.08%) and most of the patients had discontinued the medication due to experience of symptomatic relief (42.9%).Medication adherence was statistically significant with age group at p=0.040, educational status p=0.020, no. of daily drugs p= 0.029, and health behavior of the patients (p= 0.025). Conclusion: Our study suggested that two-third of COPD patients were adherent to their medication, and age, education, number of drugs, and health behaviors of the patients were the most influencing factors for medication adherence.


2021 ◽  
Vol 59 (236) ◽  
Author(s):  
Niraj Kumar Singh ◽  
Lochan Karki

Introduction: The best recognized systemic manifestations of chronic obstructive pulmonary disease include, cardiovascular co-morbidities, cachexia and muscle dysfunction, osteoporosis, anemia, and clinical depression and anxiety. This study was undertaken to find the prevalence of the metabolic syndrome in chronic obstructive pulmonary disease patients who were admitted in the medicine department of a tertiary care hospital. Methods: A descriptive cross-sectional study was carried out in the medicine department of Nepal Medical College and teaching hospital between October 2009 and January 2010. Ethical approval was taken from the Intitutional Review Committee. Convenience sampling technique was used. All chronic obstructive pulmonary disease patients were included. Descriptive statistics were used to evaluate baseline characteristics. Point estimate at 90% Confidence Interval was calculated along with frequency and proportion for binary data. Results: Out of 84 patients, the period prevalence of metabolic syndrome is 30 (35.71%) (29.80-40.20 at 90% Confidence Interval) as per the definition by International Diabetes Federation 2006 for South Asians. Among them, 35 (41.67%) were male and 49 (58.33% ) were female. Eight (9.5%) were of age between 40-49 years, 11 (13.1%) between 50-59 years, 27 (32.1%) between 60-69 years and 38 (45.2%) of 70 years and above. Conclusions: The study showed that the prevalence of metabolic syndrome was found to be lower than the previous study done in similar settings.


Vacunas ◽  
2020 ◽  
Vol 21 (2) ◽  
pp. 95-104 ◽  
Author(s):  
Y.M. AlGoraini ◽  
N.N. AlDujayn ◽  
M.A. AlRasheed ◽  
Y.E. Bashawri ◽  
S.S. Alsubaie ◽  
...  

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