SURGICAL SITE INFECTIONS AFTER OPERATIVE DELIVERY AT THE TERTIARY CARE HOSPITAL IN RAJASTHAN, THEIR MICROBIOLOGICAL PROFILE, ANTIBIOTIC SENSITIVITY AND CLINICAL RISK FACTORS

2021 ◽  
pp. 25-28
Author(s):  
Ruby Naz ◽  
Krishna Meena
Keyword(s):  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Antibiotic Sensitivity ◽  
Surgical Site Infections ◽  
Care Hospital ◽  
Delivery Methods ◽  
Prolonged Labour ◽  
Care Workers ◽  
Study Population ◽  
One Year

Introduction: Surgical site infections (SSI) are common problem in developing country like India. There are so many factors are responsible for SSI like low immunity, prolonged labour, production of hematoma presence of gestational diabetes Anaemia, multiparaty, heavy blood loss during delivery. Methods: It is a case-control study undertaken for a period of one year in a tertiary care hospital of Rajasthan state, India. The study population included patients suffering from SSIs in the various unit of obstetrics ward of our hospital. Result: in our study we found a lot of factor affecting prevalence of SSIs like anaemia, premature rupture of membrane, prolonged labour, multiparity and obesity. Common organism are Escherichia coli, staphylococcus and pseudomonas. Most of the organism are susceptible with carbapenems vancomycin and amikacin. Conclusion: Even though the total number of Cesarean delivery has increasing consistently, wound infection should be has remained less constant. This may be achieved by high compliance among the infection control practices by health care workers in the hospital

scholarly journals Outcome of intraoperative use of mitomycin C combined with conjunctival auto graft in recurrent pterygium

2017 ◽  
Vol 10 (2) ◽  
pp. 49-52 ◽  
Author(s):  
Manash Kumar Goswami ◽  
F. Hossain ◽  
A.B. Shamsudduha ◽  
M Asaduzzaman
Keyword(s):  
Mitomycin C ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Care Hospital ◽  
Study Population ◽  
Recurrent Pterygium ◽  
Pterygium Surgery ◽  
Group 2 ◽  
One Year ◽  
Group 1

Background and objectives: Recurrent pterygium is an important ocular problem in our country. There are different modalities of treatment for recurrent pterygium. The present study was undertaken to determine the effect of intraoperative mitomycin C along with conjunctival auto graft to prevent recurrence of pterygium.Methods: Patients with recurrent pterygium attending a tertiary care hospital in Dhaka from January 2013 to June 2015 were included in the study. Cases were randomized into two groups. Group 1 had pterygium surgery with conjunctival auto graft and Group 2 had auto graft and intraoperative mitomycin C (0.02%). All cases were followed up for one year to assess recurrence of pterygium.Results: A total of 54 recurrent pterygia cases were included in the study. The age of study population was 25 to 65 years. The recurrence rate of pterygium after 12 months was 77.7% in group 1 and none in group 2. No major postoperative complication was observed.Conclusion: The study demonstrated that the use of intraoperative mitomycin C along with conjunctival auto graft had significant effect in preventing the recurrence of pterygium.IMC J Med Sci 2016; 10(2): 49-52

scholarly journals Morbidity profile among housekeeping workers in a tertiary care hospital, South India

2019 ◽  
Vol 6 (5) ◽  
pp. 2052
Author(s):  
Femina Jose ◽  
Catherin Nisha ◽  
Kerline Jerome ◽  
Jini Paul
Keyword(s):  
Work Experience ◽  
South India ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Occupational Accidents ◽  
Work Place ◽  
Care Hospital ◽  
Significant Difference ◽  
Study Population ◽  
One Year

Background: Housekeeping staff play an important role in maintaining the health and hygiene in the hospitals. The International Labor Organization (ILO) estimates that more than 125 million workers are victims of occupational accidents and diseases in a single year. Each year an estimated 2.2 million men and women die from work related injuries and diseases and 160 million cases of new diseases arise globally. The objective of the study was to estimate the prevalence of existing morbidities among housekeeping workers at a tertiary care hospital in South India.Methods: A cross-sectional descriptive study was undertaken in a private tertiary care hospital in south India for a period of one year (2017 September – 2018 September). Housekeeping workers who had work experience of more than one year in the current work place were enrolled in the study (n=168). The health of the workers was assessed to pick up the prevalence of various morbidities.Results: In the study population majority 133 (79.2%) were females and most of them 117 (69.64%) were in the age group of 30-49 years. There was statistically significant difference between work tenure and hypertension and diabetes (p<0.05). The common morbidities found among the study population was dental carries 111 (66.0%), pallor 24 (14.0%) and musculoskeletal disorders 20 (11.9%).Conclusions: Periodic examination and immediate corrective measures are advisable to protect the health of employees at risk. Stress management principles can be implemented to enhance physical and mental health. There is need for safety training program for housekeeping workers in the hospital.

scholarly journals Correlates of COVID-19 vaccination drop-out among health care workers in a tertiary Care hospital of West Bengal

2022 ◽  
Vol 8 (4) ◽  
pp. 156-162
Author(s):  
Mausumi Basu ◽  
Ripan Saha ◽  
Subhra Samujjwal Basu ◽  
Vineeta Shukla ◽  
Ankita Mishra ◽  
...  
Keyword(s):  
Health Care ◽  
Health Care Workers ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Demographic Factors ◽  
Drop Out ◽  
Care Hospital ◽  
Care Workers ◽  
Study Population ◽  
Socio Demographic Factors

The Government of India launched “COVID-19 vaccination drive” on 16th January, 2021 and health care workers were the first to be prioritised for vaccination. However, the uncertainty regarding safety and efficacy of the vaccine was the major concern amongst them. These led to vaccine hesitancy and ultimately drop out.To estimate the proportion of drop out of COVID-19 vaccination among vaccine-hesitant health care workers (HCWs) of a tertiary care hospital and to find out their perception and other background characteristics responsible for drop out. A facility based descriptive type of observational study, cross-sectional in design was carried out among 329 HCWs of a tertiary care hospital in Kolkata from 16th March- 12thApril, 2021using a pre-designed, pre-tested, structured questionnaire. The study population selected by simple random sampling technique. Data was analysed using Microsoft Excel 2010 and SPSS v25.0 in the form of descriptive statistics and binary logistic regression. About 44.1% of the study population didn’t take the COVID-19 vaccine. Socio-demographic factors like age, gender, religion, education, occupation,perception regarding necessity of vaccination, vaccine efficacy, dose and contraindication, safety in humans and role in future infections were significantly associated with drop out. There was a high proportion of vaccine drop out among health care workers. Different modifiable perceptions with socio-demographic factors had played important roles in COVID-19 vaccination drop out. As the global threat of COVID-19 continues, greater efforts through campaigns that target HCWs are needed to improve the intention of professionals’ vaccine acceptance.

scholarly journals AN AUDIT ON PATTERN OF MORTALITY IN A MEDICINE ICU AT TERTIARY CARE HOSPITAL OF NORTH-EAST INDIA

2020 ◽  
Vol 4 (2) ◽  
Author(s):  
Achintya Pal ◽  
Prashanth K
Keyword(s):  
Intensive Care ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Care Hospital ◽  
Mortality Pattern ◽  
North East India ◽  
North East ◽  
Causes Of Mortality ◽  
Study Population ◽  
One Year

Background: Mortalities in medical Intensive Care Units (ICUs) are largely variable. Intensive care medicine has developed significantly over time. But still it is unpredictable in terms of pattern of mortality. Materials and Methods: A total of 266 patients who died in the ICU of a tertiary care Hospital over the period of one year were studied retrospectively to review the mortality pattern. Results: Out of 266 patients Male comprised 71.8% and female 28.2 %. Patients from rural area were 70.7% where as 29.3% belong to urban society. Among the study population preexisting diabetic and hypertensive patients were 10.5% and 16.5 % whereas 12.4 % were suffering from both. 56% of the study population was from more than 60 years age group. Sepsis (26.3%) was the leading cause of death followed by stroke (19.9%) and COPD (13.9%). Mean duration of hospital stay among study population was 7.61 days. Conclusion: Sepsis, stroke, respiratory and cardiovascular diseases are the leading causes of mortality in our study. Prospective, larger, more studies regarding ICU mortality should be carried out for policy planning to improve the healthcare resources. Keywords:  mortality pattern, Intensive Care Unit, sepsis

Chemo-prophylaxis of COVID-19 with hydroxychloroquine: a study of health care workers attitude, adherence to regime and toxicities/side effects (Preprint)

2020 ◽  
Author(s):  
Debajyoti Bhattacharyya ◽  
Neeraj Raizada ◽  
Bharathnag Nagappa ◽  
Arvind Tomar ◽  
Prateek Maurya ◽  
...  
Keyword(s):  
Side Effects ◽  
Health Care Workers ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Perceived Threat ◽  
Care Hospital ◽  
Care Workers ◽  
Perceived Danger ◽  
Structured Questionnaire

BACKGROUND There are apprehensions among healthcare worker (HCWs) about COVID-19. The HCWs have been given hydroxychloroquine (HCQ) chemo-prophylaxis for seven weeks as per Government of India guidelines. OBJECTIVE To assess the apprehensions among HCWs about COVID-19 and to document accessibility, adherence and side effects related to HCQ prophylaxis in HCWs. METHODS A longitudinal follow up study was conducted in a tertiary care hospital. HCQ was given in the dose of 400 mg twice on day one, and then 400 mg weekly for seven weeks. 391 HCWs were interviewed using semi structured questionnaire. RESULTS 62.2% HCWs expressed perceived danger posted by COVID-19 infection. Doctors (54%) showed least acceptance and paramedics (88%) showed highest acceptance to chemo-prophylaxis. 17.5% participants developed at least one of the side effects to HCQ. Females and nursing profession were significantly associated with adverse effects. Common side effects were gastro-intestinal symptoms, headache and abnormal mood change. Most of these were mild, not requiring any intervention. Gender, professions and perceived threat of COVID-19 were significantly associated with acceptance and adherence to HCQ prophylaxis. CONCLUSIONS Two third of HCWs had perceived danger due to COVID-19. Three fourth of the HCWs accepted chemo-prophylaxis and four out of five who accepted had complete adherence to prophylaxis schedule. One out of five had developed at least one of side effects; however, most of these were mild not requiring any intervention.

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