ABSTRACT
Background: Diabetic foot ulcers (DFU) are the complications of diabetes mellitus. The infection of diabetic foot ulcer is microbes in nature. If they are not recognized and controlled it may lead to many devastating consequences like limb amputation, sepsis, and even mortality. So, the present study was aimed that to determine the bacterial and clinical profile of diabetic foot ulcer using optimal culture techniques. Methods: This prospective study was conducted on Type 2 Diabetic patients with foot ulcer. Around 206 total cases were enrolled on the basis of inclusion and exclusion criteria. The duration of study was over a period of two years. Results: The result of this study revealed that causative agent of DFU were found due to aerobic in n = 170 cases whereas anae robic bacteria in n = 36 cases. Conclusion: This study concludes that that proper care should be offered, causative organisms should be timely identified and antibiotic should be sensibly chosen to cut short the morbidity and mortality of DFU.
ABSTRACT
The Covid-19 pandemic brought a disastrous threat to the mankind and shook the fundamental assumptions of life to the core. The study aimed to assess the impact of the Covid-19 pandemic on the family members of covid positive patients in the first wave of virus transmission in India and the common notion towards vaccination. A qualitative research design was used to obtain the lived experiences of family members during the hospitalisation of the patients. The most positive outcome was observed on the environment, adopting healthy habits, and strengthening of personal bonding among family members. The policymakers can harness concerted efforts with adequate plans and policies for aiding in strong psychological support for people to combat the after-effects of the deadly virus along with real-time patient management. Information, education, and communication can be used to eliminate misconceptions regarding vaccination. The study further recommends making some online education programmes for the family members to enable them to combat the subsequent waves and new strains of virus.
ABSTRACT
Background: Diabetes mellitus and thyroid diseases are the two common endocrinopathies seen in the adult population. Insulin and thyroid hormones are intimately involved in cellular metabolism. Excess or deficit of either of these hormones could result in the functional derangement of the other. Methods: This study was conducted on the Type 2 diabetic patients to know the prevalence of thyroid abnormalities. The duration of study over a period of one year. Results: T he result of this study revealed that thyroid profile in patients with type 2 diabetes mellitus 20% of patients with type 2 diabetes mellitus had abnormal thyroid profile. Conclusion: This study concludes that Routine screening for thyroid dysfunction in type 2 diabetes mellitus patients may be justified especially in females
ABSTRACT
Background: The concept of generic prescription is widely accepted in various parts of the world. Nevertheless, it has failed to gain popularity in India due to factors such as non-availability and distrust on the product quality. Aim: To study cost-effective and cost-benefit analysis of antibiotic prescription in patients who had enteric fever and were given intravenous ceftriaxone. Methods: This was a prospective observational study conducted in a tertiary care cenre at World College of Medical Science and Research, Jhajjar, Haryana. 65 patients who have been diagnosed with enteric fever and were prescribed ceftriaxone were studied and their prescriptions were analyzed. 5 brands of most commonly prescribed ceftriaxone injections were chosen to analyse cost effective and cost-benefit analysis. Results: Out of 65 patients, 40 were females and 25 were males, diagnosed with enteric fever. Maximum number of patients were seen between age group of 36-50 years (38) and minimum patients belonged to age group of more than 65 years. Analysis of prescriptions revealed that majority of the patients were prescribed Branded drugs 53 (82%) than were prescribed generic drugs 12 (18%). The analysis of the cost of single dose of inj. ceftriaxone revealed that branded drugs were 8.52 % to 180.81% more in comparison with generic IV ceftriaxone. Conclusion: The cost of most commonly prescribed branded drugs was significantly higher than generic drug and prescribing branded drugs was associated with failure to take complete treatment as prescribed by treating physician.
ABSTRACT
Pelvic inflammatory diseases (PID) is a noteworthy wellbeing concern prompting significant gynecological grimness among ladies in conceptive age gathering. Along these lines this review was attempted to dissect the medicine example of Antimicrobial Agents in patients experiencing Pelvic Inflammatory Diseases. Methods: A cross-sectional study was conducted at the Department of Gynecology & Obstetrics of World College of Medical Science and Research, Jhajjar, Haryana; for a period of 5 months during December 2016 to April 2017. A total of 210 prescriptions of clinically diagnosed PID cases from Outpatient Department (OPD) and Inpatient Department (IPD) were collected and analyzed in the department of Pharmacology based on Drug utilization WHO indicators. Results: Average number of AMAs per prescription was 2.26. Majority of patients prescribed were Antifungals (n=112, P=23.57%) followed by Fluoroquinolones (n=102, P=21.47%), Aminoglycosides (19.36%), Nitroimidazoles (16.0 %) and Doxycyclines (P=15.78%). Urinary antiseptics were the least prescribed class (3.78%). Individually, most commonly used agents of these is Clotrimazole + Tinidazole followed by Doxycycline and least prescribed was Nitrofurantoin. Conclusions: There was minimal difference between defined recommendations in standard treatment guidelines and the clinical use of antimicrobial agents. The only lacking part of this study was lesser use of generic drugs.