Antimicrobial resistance; hospital staff awareness at a tertiary care health facility

Antimicrobial resistance is a global problem and awareness hospital staff to it is limited. To study the awareness among hospital staff at a tertiary care health facility regarding knowledge of antimicrobial resistance. It is a prospective observational study. Sheri Kashmir institute of medical sciences which is a tertiary care medical centre in Indian part of Kashmir. Study was done over 6 month period from January 2011 to June 2011. A study was conducted in a tertiary care hospital among the hospital staff through a personal interview regarding their knowledge about antimicrobial resistance. 86% of the hospital staff interviewed considered antimicrobial resistance is a significant national problem but only 52% considered it a problem in their own hospital. Clinicians considered that antimicrobial resistance is a problem more than other professionals. Majority of health professionals including clinician's rating of the knowledge of awareness of antimicrobial resistance was average or low. The most important force/factor to prescribe any antibiotic was patient's condition, while clinician's profit interest is having the least influence. This study concluded that the knowledge of awareness of antimicrobial resistance among health care professionals indicate that it is a national problem but far less a problem at their own hospital. The in-service education regarding antimicrobial resistance among the hospital staff was not up to the mark

Double blind placebo controlled study on "efficacy of lignocaine pretreatment in reducing pain during injection of propofol" in patients undergoing elective maxillofacial surgeries

This study was undertaken to evaluate the incidence and severity of pain on Injection of Propofol and to find the efficacy of lignocaine pretreatment in reducing such pain. 150 patients undergoing different Maxillofacial Surgeries with American Society of Anesthesiologists class 1 and 2 [ASA 1 and 2] were randomly allocated in two groups, Group A [Saline group] and Group B [Lignocaine group] who received saline and lignocaine as pretreatment respectively. Another anesthetist who was blinded to study recorded pain on a 4-point pain scale. The incidence of pain on giving Propofol was 57.33%. There was reduction of pain by 32% in the patient group who received Lignocaine pretreatment. It was concluded that lignocaine is an effective measure to decrease the incidence and severity of pain on injection of Propofol