ABSTRACT
Bio-medical waste has a higher potential of infection and injury to the healthcare worker, patient and the surrounding community. Awareness programmes on their proper handling and management to healthcare workers can prevent the spread of infectious diseases and epidemics. This study was conducted in a tertiary care hospital to assess the impact of training, audits and education/implementations from 2009 to 2012 on awareness and practice of biomedical waste segregation. Our study reveals focused training, strict supervision, daily surveillance, audits inspections, involvement of hospital administrators and regular appraisals are essential to optimise the segregation of biomedical waste.
ABSTRACT
Aims: The present study was designed to find the agreement between Tuberculin Skin Test and interferon gamma assay test in detecting latent tuberculosis infection in household contacts of sputum culture positive tuberculosis cases. Setting: Department of Community Medicine, Christian Medical College, Vellore. Methods: One hundred and fifty household contacts of sputum culture positive tuberculosis cases were tested with both the methods simultaneously and actual as well as kappa agreement was determined. Results: The overall actual agreement between both the tests was found to be 82% with a kappa agreement of 0.57. Conclusion: The agreement was very high (both percentage agreement and Kappa) in pediatric contacts but it was poor in adult contacts.
ABSTRACT
Purpose: Tuberculosis (TB) is endemic in India and the burden of multi-drug-resistant tuberculosis (MDR-TB) is high. Early detection of MDR-TB is of primary importance in controlling the spread of TB. The microscopic observational drug susceptibility (MODS) assay has been described as a cost-effective and rapid method by which mycobacterial culture and the drug susceptibility test (DST) can be done at the same time. Materials and Methods: A total of 302 consecutive sputum samples that were received in an accredited mycobacteriology laboratory for conventional culture and DST were evaluated by the MODS assay. Results: In comparison with conventional culture on Lowenstein Jensen (LJ) media, the MODS assay showed a sensitivity of 94.12% and a specificity of 89.39% and its concordance with the DST by the proportion method on LJ media to isoniazid and rifampicin was 90.8% and 91.5%, respectively. The turnaround time for results by MODS was 9 days compared to 21 days by culture on LJ media and an additional 42 days for DST by the 1% proportion method. The cost of performing a single MODS assay was Rs. 250/-, compared to Rs. 950/- for culture and 1st line DST on LJ. Conclusion: MODS was found to be a sensitive and rapid alternative method for performing culture and DST to identify MDR-TB in resource poor settings.
Subject(s)
Adolescent , Adult , Aged , Aged, 80 and over , Antitubercular Agents/pharmacology , Female , Humans , India , Isoniazid/pharmacology , Male , Microbial Sensitivity Tests/methods , Microscopy/methods , Middle Aged , Mycobacterium tuberculosis/drug effects , Mycobacterium tuberculosis/isolation & purification , Prospective Studies , Rifampin/pharmacology , Sensitivity and Specificity , Sputum/microbiology , Time Factors , Tuberculosis, Multidrug-Resistant/diagnosis , Young AdultABSTRACT
Rhinoentomophthoromycosis caused by Conidiobolus sp commonly presents as a chronic granulomatous lesion that affects the rhinofacial subcutaneous tissue. We present an 18-year-old girl who presented with progressive bilateral proptosis and loss of vision since 2 weeks. Biopsy and fungal cultures confirmed diagnosis of Conidiobolus sp infection of the paranasal sinuses bilaterally with orbital extension and blindness. The clinical picture was complicated by the presence of sputum-positive cavitatory pulmonary tuberculosis, which was diagnosed at the same time. To our knowledge, this is the first such case to be reported from India. We also discuss the management of entomophthoromycosis. Despite many reports of success, there remains no consensus on the treatment of Conidiobolus infections of the nose and the paranasal sinuses with antifungal agents.
ABSTRACT
BACKGROUND & OBJECTIVES: Influenza virus type A is active in many regions of the world. However, information from many parts of India is sparse. Hence we carried out a serological study on the prevalence of antibodies to influenza virus type A in Vellore, south India. METHODS: Antibodies to influenza virus type A (H1N1 and H3N2) were detected using a haemagglutination inhibition (HI) test. A total of 186 individuals comprising healthy blood donors and laboratory workers were tested. RESULTS: The titres ranged from < 20-2580, with a high geometric mean titre (GMT) of 200 for H3N2 and < 20-1280 with a GMT of 74 for H1N1 serotype of influenza virus type A. Among the 186 serum samples tested, 175 (94.04%) were positive for H1N1 and 185 (99.5%) for H3N2 with a titre > 20. INTERPRETATION & CONCLUSION: The prevalence of elevated level of antibodies in the individuals indicates a high exposure to the influenza A virus in our population with a seropositive status in 99.5 per cent of the individuals tested. Virus surveillance needs to be instituted in different parts of the country to monitor the activity of these viruses.