PATTERN AND OUTCOME OF ACUTE POISONING IN CHILDREN OF 1-12 YEARS AGE GROUP ADMITTED IN THE PAEDIATRIC WARD OF A TERTIARY CARE HOSPITAL

2021 ◽  
pp. 19-22
Author(s):  
Soumya Gayen ◽  
Bapan Kabiraj ◽  
Jadab Kumar Jana ◽  
Syama Prasad Sit
Keyword(s):  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Survival Rates ◽  
Acute Poisoning ◽  
Care Hospital ◽  
Age Group ◽  
Cross Sectional ◽  
Paediatric Department ◽  
Cross Sectional Design ◽  
Poisoning In Children

BACKGROUND: Acute poisoning, a common, yet an important preventable cause of morbidity and mortality in children, is a paediatric emergency globally, responsible for 0.33% to 7.6% of the total paediatric admissions among various hospitals of India. This study was done to assess the changing trends, in the pattern and outcome of poisoning among 1-12 years children. METHODS: This is an institution-based descriptive epidemiological study with cross-sectional design that includes a hundred children of one to twelve years age, conducted over a period of one and half years in the paediatric department of a tertiary care hospital in India. RESULTS: In the study period, majority of the patients out of 100 admitted, were male (65%).Most of those (68%) belonged to the 1-3 years age group. The share of hydrocarbon poisoning (46%) was highest with 26 cases of Kerosene ingestion being the most in it. Important presenting complaints were vomiting, pain abdomen, tachypnoea, and pneumonitis. Only 1 patient died during the course, the cause of which remained unknown. CONCLUSION: The pattern and outcome of acute poisoning in children was quite similar when compared to other studies from different hospitals in India. Survival rates have been increasing due to ongoing improvement in medical infrastructure, which one hopes, shall keep improving along with focus on preventive measures at community levels.

scholarly journals A study of surgical profile of patients with hemorrhoids at a tertiary care hospital

2019 ◽  
Vol 6 (3) ◽  
pp. 916
Author(s):  
Prashant R. Shinde ◽  
Meghraj J. Chawada ◽  
Sudhir B. Deshmukh
Keyword(s):  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Vegetarian Diet ◽  
Cross Sectional Study ◽  
Care Hospital ◽  
Age Group ◽  
Cross Sectional ◽  
Normal Limits ◽  
Skin Tag ◽  
One Year

Background: In hemorrhoids, the anal canal venous plexuses become engorged. It can lead to bleeding, thrombosis, prolapse, pain. Study of surgical profile helps to educate the patients to take proper precautions to avoid the severe forms of it. The objective of the study was to study the surgical profile of patients with hemorrhoids at a tertiary care hospital.Methods: Present study was hospital based cross sectional study. It was carried out at a tertiary care hospital in the department of general surgery among 100 patients who presented with symptoms suggestive of hemorrhoids during the study period from 1st January 2017 to 31st October 2018.Results: Majority of the patients 41% were in the age group of 35-45 years. The number affected by hemorrhoids was more in males i.e. 56%. Incidence of hemorrhoids was more in upper class. Incidence of hemorrhoids was less i.e. 21% among those who took only vegetarian diet. Majority of the patients (78%) presented after one year of occurrence of treatment. 54% of the patients had third grade of hemorrhoids. Bleeding was present in the majority i.e. 98% of the patients. On anorectal examination, it was found that 44% of the patients had fissure and 23% of the patients had peri anal skin tag. Anorectal examination was within normal limits in 33% of the cases.Conclusions: Vegetarian diet may be protective against hemorrhoids. Bleeding was the most common presenting symptom. Thus, study helped to identify that being male, younger age group, non-veg diet may be the risk factors for hemorrhoids.

scholarly journals Pesticide Poisoning among All Poisoning Cases Presenting to the Emergency Department of a Tertiary Care Hospital: A Descriptive Cross-sectional Study

2021 ◽  
Vol 59 (244) ◽  
pp. 1267-1271
Author(s):  
Rajesh Kumar Shah ◽  
Sidarth Timsinha ◽  
Sanjib Kumar Sah
Keyword(s):  
Emergency Department ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Cross Sectional Study ◽  
Acute Poisoning ◽  
Care Hospital ◽  
Pesticide Poisoning ◽  
Sectional Study ◽  
Cross Sectional ◽  
Acute Pesticide Poisoning

Introduction: Acute pesticide poisoning is a significant global public health issue that contributes to one of the leading causes of emergency department visits. There is no national data on the incidence of acute pesticide poisoning or the pesticides that cause deaths. The purpose of this study is to find the prevalence of pesticide poisoning among patients who presented to the emergency department with acute poisoning. Methods: This was a descriptive cross-sectional study undertaken in a tertiary care hospital from April to September 2021 among patients who presented to the emergency department with acute poisoning. Ethical clearance was obtained from (reference number: 123/2077-78). Convenient sampling was done. Sociodemographic factors, types of poison consumed, route of consumption, reason, motive, and place of poison intake, time elapse in the presentation to the hospital were studied along with psychological factors associated with poisoning. Statistical analysis was done using Statistical Package for the Social Sciences version 23. Point estimate at 90% Confidence Interval was calculated along with frequency and proportion for binary data. Results: Out of 85 cases studied, the prevalence of pesticide poisoning was 60 (70.58%) (61.28-79.88 at 90% Confidence Interval). Insecticides 41 (68.33%) was mainly responsible for poisoning with organophosphate compounds 33 (42.30%), being the commonest chemical constituent. Fifty-three (88.33 %) incidents occurred at home. Domestic disputes 26 (43.33%) were the main reason behind poison consumption and suicide 43 (71.66%) was the main motive. Conclusions: The prevalence of pesticide poisoning among all cases of poisoning presenting to the emergency department was slightly higher than studies done earlier in similar settings.

scholarly journals AN AN OBSERVATIONAL STUDY OF PRESCRIPTION PATTERN OF DRUGS FOR OSTEOARTHRITIS IN A NORTH INDIAN MEDICAL COLLEGE

2019 ◽  
pp. 308-310
Author(s):  
ASHWANI UMMAT ◽  
RANJODH JEET SINGH ◽  
SONIA KOCHHAR
Keyword(s):  
Observational Study ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Oral Route ◽  
Care Hospital ◽  
Age Group ◽  
Cross Sectional ◽  
Prescription Pattern ◽  
Medical College ◽  
Indian Medical

Objective: The objective of the study is to analyze the prescription pattern of drugs for osteoarthritis (OA) in a north Indian medical college collaborated with a tertiary care hospital. Methods: An observational study was conducted on 300 patients diagnosed with OA in the department of orthopedics in collaboration with the department of pharmacology, and thus, prescription was collected as in a cross-sectional manner for 6 months and the same were analyzed in the Department of Orthopedics in tertiary care hospital collaborated with medical college. Results: The average age of patients participating in this present study was 56.46±7.4 years with affected age group of 46-60 years. 60 % of females were affected by osteoarthritis outnumbering male (40 %) patients in this present study. The most commonly involved joint was knee joint (87.33 %) in patients diagnosed with osteoarthritis followed by back (6.67 %) and hip joint (6%). The combination therapy (90 %) outweighed monotherapy (10 %) with preferred route of drug administration as oral route (90 %) followed by topical route (10 %). The average number of drugs prescribed for patients of osteoarthritis was 2.62±0.76. This present study concludes that NSAIDs (45.8%) were prescribed most commonly. However, the drug paracetamol was lesser prescribed and other drugs such as Diclofenac (27.22 %) and acetaminophen (34.44 %) most of all followed by Nimesulide (16.67 %), ibuprofen (13.33 %) and Rofecoxib/valdecoxib (8.33 %) were prescribed. Conclusion: This present study concludes that NSAIDs were most commonly prescribed as p-drugs while paracetamol was undermined prescribed.

A STUDY ON SOCIODEMOGRAPHIC PROFILE OF PATIENTS OF INTESTINA OBSTRUCTION IN DR. SUSHEELA TIWARI GOVERNMENT HOSPITAL, HALDWANI

2021 ◽  
pp. 4-6
Author(s):  
Prateek Shakya ◽  
Rajeev Kumar Singh ◽  
Deepak Goyal
Keyword(s):  
Intestinal Obstruction ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Abdominal Tuberculosis ◽  
Cross Sectional Study ◽  
Care Hospital ◽  
Age Group ◽  
Government Hospital ◽  
Cross Sectional ◽  
Sociodemographic Profile

Background/Aim: This study was aimed to provide a sociodemographic prole of intestinal obstruction in a tertiary care hospital in Kumaun region of Uttarakhand, India. Materials and Methods: This was a cross-sectional study of patients admitted in our hospital with a diagnosis of intestinal obstruction between the years 2019 and 2020 at Dr. Susheela Tiwari Government Hospital, Haldwani, Uttarakhand. The study comprised of 250 patients. Results: The commonest age group affected was 18-30 years. In our patients, the main cause of obstruction was adhesions followed by abdominal tuberculosis with MALIGNANCY coming third. Conservative management was advocated in 72 patients while the rest underwent surgery. Conclusion: Adhesion was the main etiology in Intestinal Obstruction. The odds of malignant bowel obstruction are increasing in the proportion of Intestinal Obstruction. There were some differences towards the etiologic spectrum compared with western countries.

scholarly journals Study of nutritional status of children attending OPD at a tertiary-care hospital in eastern region of Nepal

1970 ◽  
Vol 9 (2) ◽  
pp. 102-105 ◽  
Author(s):  
RM Rajbandari ◽  
O Lewis ◽  
R Singh ◽  
S Smith
Keyword(s):  
Nutritional Status ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Indian Academy ◽  
Eastern Region ◽  
Care Hospital ◽  
Age Group ◽  
Community Based ◽  
Cross Sectional ◽  
Nutritional Status Of Children

Background: Prevalence of malnutrition is high in Nepal. Early intervention improves outcome of children. Objectives: To study the occurrence of the malnutrition in under five children coming to the OPD at BPKIHS and to find out the age group & sex most severely affected by malnutrition. Methods: A descriptive cross sectional hospital-based study was carried out from 2003-04. 500 children aged 1-5 years were taken as a sample The children needing emergency care were excluded. The Indian Academy of Pediatrics (IAP) and WHO classification were used for grading malnutrition. Results: Total patient were 500 aged 1-5 yrs group. Total malnutrition cases were 124 with a prevalence of 24.8% .Malnutrition was highest in 3-4 years group (33.3%). Conclusion: It is found that total malnutrition cases were about 24.8%.A more elaborate and community based study would help to find prevalence of malnutrition in children of Eastern Nepal. Keywords: nutritional status; PEM; affected by malnutrition DOI: http://dx.doi.org/10.3126/hren.v9i2.4982 Health Renaissance 2011: Vol.9 (No.2): 102-105

scholarly journals A study of clinical profile of patients with Dengue fever at a tertiary care hospital

2018 ◽  
Vol 5 (1) ◽  
pp. 202 ◽  
Author(s):  
Sreenivasulu T. ◽  
Jahnavi K.
Keyword(s):  
Dengue Fever ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Cross Sectional Study ◽  
Clinical Profile ◽  
Care Hospital ◽  
Age Group ◽  
Sectional Study ◽  
Cross Sectional ◽  
Presenting Symptoms

Background: Dengue is the most common fever. Among all flavi-viruses, it is the most common. It can cause around 50-100 million infections. Every year 2-5 lakh cases of Dengue hemorrhagic fever occur. The objective of the research was to study clinical profile of patients with Dengue fever at a tertiary care hospital.Methods: Present study was cross sectional study. The patients were interviewed and examined at one point of time and later they were never followed which is similar to the cross-sectional study design. Present study was carried out in the hospital. This was done in the department of General Medicine of a tertiary care hospital. Present study was carried out over a period of one year.Results: In the present study, there were 78 males and 22 females. The sex ratio was 3.5:1. Maximum number of males (29.5%) was in the age group of 15-25. Among females, the maximum (40.9%) were in the age group of 26-35 years and 46-55 years (9%). The most common presenting symptom was fever in all cases followed by headache in 90%. Among bleeding manifestations, epistaxis, gum bleeding and hematuria (15%) were the common symptoms. Most patients presented with generalized lymphadenopathy in 52%. 56 patients showed only hepatomegaly and 46 splenomegaly, and 30 patients showed hepato splenomegaly. 99 showed leucopenia and 10 were anemic and 25 showed platelet count less than 1,50,000cells/cumm.Conclusions: Males were commonly affected. Younger age group of 15-25 was most commonly affected and fever and headache were the most common presenting symptoms. These findings help physicians in early diagnosis of dengue by suspecting these features as of dengue and can prevent morbidity and mortality associated with dengue.

scholarly journals Study of Drug Utilization on Acute Poisoning Cases Treated at Tertiary Care Hospital

2018 ◽  
Vol 3 (10) ◽  
Author(s):  
Dr. Sreya Todi
Keyword(s):  
Drug Utilization ◽  
Urban Areas ◽  
Tertiary Care ◽  
Acute Poisoning ◽  
Medical Emergency ◽  
Poison Control ◽  
Care Hospital ◽  
Age Group ◽  
Tertiary Care Centre ◽  
Cross Sectional

Acute poisoning is common everywhere in medical emergency.  Acute poisoning may be due to deliberate exposure to drugs, chemicals and natural toxins or accidental which is emergency for common medical health.  The main aim of this study was to investigate the pattern of drug utilization, poisoning agents, and outcome in patients with treated acute poisoning. Material and Methods:  This prospective cross sectional study was carried out in the emergency department of a tertiary care centre over a one year period. Result: During the period of 1 year total 310 Acute poisoning cases were recorded by us. Out of 310 acute poisoning cases 170(54.8%) were male where as females were 140(45.2%). The majority of cases were from age group of 20 -50 years in males whereas mean age of female patients was 37.3 years and majority of the cases were from 25-50 age group. The most common route of exposure to poisons (69.6%) was ingestion and followed by dermal exposure (in cases of venomous animal exposures) (25.8%) and inhalation (4.6%).The most common symptomatic treatments given to the patients were antimicrobials (88.7% of cases),  antiemetics (82.6%% of cases), H2 blockers (72.9% of cases) and Atropine (51% of cases), pralidoxime (41.6% of cases)  Proton pump inhibitors and  Vasopressor agents  etc respectively. The most commonly prescribed specific antidotes were Anti-snake venom (ASV) (12.9% of cases).Conclusion: In the present study, the main causes of poisoning were identified as household products in urban areas of India. Awareness about the dangers of such poisons should be the added responsibility of  health and hospital authorities. Poison control center establishment in the region will also help in preventing and controlling such poisoning events.

scholarly journals A study on the immunisation status and the factors responsible for incomplete immunization amongst children of age group 0-12 months coming to a tertiary care hospital (IGIMS)

2018 ◽  
Vol 5 (10) ◽  
pp. 4331
Author(s):  
Shivani Sinha ◽  
Sanjay Kumar ◽  
Sanjay Kumar Chaudhary ◽  
Setu Sinha ◽  
Varsha Singh ◽  
...  
Keyword(s):  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Cost Effective ◽  
Cross Sectional Study ◽  
World Health ◽  
Care Hospital ◽  
Age Group ◽  
Childhood Diseases ◽  
Cross Sectional ◽  
Health Organization

Background: Vaccines are safe, simple and one of the most cost-effective way to save and improve the lives of children. The World Health Organization launched the Global Programme of Immunization in 1974 and Government of India launched the same in India on 1st January, 1978, with a view to provide protection to the children against disease and to reduce infant mortality rate.Methods: A hospital based cross sectional study was carried out in the immunization clinic of a tertiary care hospital (IGIMS) of Patna district. The study unit were children of age group 0 to 12 months attending the immunisation clinic of IGIMS Patna. The study was conducted from January 2017 to December 2017, for a period of 12 months.Results: About 40% of children were fully immunized, about 73.3% were having immunization card.Conclusions: Immunizations is one of the biggest public health achievements of the last century, saving millions of lives and preventing illness and lifelong disability in millions more. Many childhood diseases which is now preventable by vaccines often resulted in hospitalization, death or lifelong consequences only a few decades ago. Without immunizations, serious outbreaks of many of the diseases we are now protected from can reoccur. There is a need to create awareness regarding the importance of vaccination, as well as the consequences of partial immunization, parents views must also be taken into consideration when the programme is planned, especially those with a lower educational level.

A Study on Recurrence Rate of Pulmonary Tuberculosis in a Tertiary Care Hospital of Pakistan.

2021 ◽  
Vol 17 (2) ◽  
pp. 125-128
Author(s):  
Hamna Javed ◽  
Haider Zaigham Baqai ◽  
Saadia Khan Baloch
Keyword(s):  
Pulmonary Tuberculosis ◽  
Recurrence Rate ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Cross Sectional Study ◽  
Care Hospital ◽  
Age Group ◽  
Cross Sectional ◽  
Pulmonary Tb ◽  
Chest Clinic

ABSTRACT: Objective:           To determine the prevalence of the recurrence rate of Pulmonary tuberculosis (TB) in successfully treated patients in a tertiary care hospital in Pakistan. Methodology:           This cross-sectional study was conducted at Benazir Bhutto Hospital Rawalpindi. The study duration was from 01-January-2019 to 01-August-2020. During the study period, a total number of ten thousand nine hundred ninety-seven (10997) patients presented in the chest clinic of the hospital and were included in this study, these patients were re-treatment TB patients and presented with the first-time diagnosis of TB. The recurrence rate was the primary end-point of this study. Results: There were 10997 patients included in this study, out of these 642 (5.83%) patients presented with recurrence. Out of a total of 642 recurrence cases, 533 (83%) patients were SS positive, and the remaining 109 (17%) were SS negative. Out of 642, 341 (53.1%) patients were male and 301 (46.9%) patients were female. Regarding age, most of the patients were in the age group 16-30 (49%), 93 (23%) were in the age group 31-45 years. Regarding the timing of recurrence, 372 (58%) patients presented with in one year, 109 (17%) presented in 12-24 months, 52 (8%) presented in 24-36 months. Conclusion:           Based on our study, the recurrence rate of pulmonary TB was 5.83% in the Pakistani population. The recurrence rate is high in patients having age 15-45 years and recurrence occurs in 58% of patients within first year after successful treatment of Pulmonary TB.

scholarly journals Study of iron deficiency anemia in infants of 3 to 6 months age group and its risk factors: a cross sectional study

2021 ◽  
Vol 8 (7) ◽  
pp. 1183
Author(s):  
Varun Ganjigunta ◽  
Varsha Suresh Ahirrao ◽  
Premalatha R. ◽  
Ravichander B.
Keyword(s):  
Birth Weight ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Cross Sectional Study ◽  
Deficiency Anemia ◽  
Care Hospital ◽  
Age Group ◽  
Sectional Study ◽  
Cross Sectional ◽  
Breast Fed

Background: Iron deficiency anemia in 3-6 months-old infants is often neglected. Its presence in healthy infant of less than 6 months of age is largely debated. Neglecting IDA in this critical phase of growth can lead to serious consequences. The aim and objective of the study was to estimate the frequency of IDA in 3-6 months old infants, admitted in rural tertiary care hospital and to study its risk factors.Methods: The cross-sectional study was conducted in the pediatric department of rural tertiary care hospital. 100 infants in the age group 3-6 months were included in the study. Relevant maternal and infant factors were noted. CBC with blood indices, peripheral blood smear and reticulocyte count were studied. Anemia in them was defined as hemoglobin <9.5 g/dl. IDA was diagnosed based in history, examination, indices, and peripheral smear.Results: 22% of infants of 3-6 months had IDA. 40.9% of infants with IDA were low birth weight compared to 11.5% without IDA (p value<0.05). All pre-terms included in the study had IDA. 16% of term, normal birth weight, exclusively breast-fed infants had IDA. Underweight and stunting were seen in 31.8 % and 30.8% of IDA infants compared to 9% and 5.4% of infants without IDA.Conclusions: IDA was quite common in infants less than 6 months and also seen in healthy, term and exclusively breast-fed babies, so universal iron supplementation before 6 months need to be considered in National Iron plus Initiative in India. Preterm, LBW babies and babies with NICU stay are at higher risk of IDA. 

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