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Background:World Health Organization (WHO) in 2019, released the estimates which show that approximately 80% of the causes of blindness and severely reduced visual acuity are preventable and avoidable. The aim of the study was to assess the prevalence of preventable causes of blindness in an OPD setup in the city of Lucknow.Methods:Descriptive cross-sectional study was done from January, 2019 to March, 2019 at the ophthalmology department OPD, Dr Ram Manohar lohia hospital, Lucknow. Patient presenting with complains of Blurring of vision or blindness during the defined OPD days at the study place, sample size-550. Convenience sampling, all the eligible patients who were attending the OPD on defined days during the study period.Results:The current study found the prevalence of blindness in the OPD based patients to be 13.5% and 25% (WHO and NPCB standards) respectively which is higher than the other reported statistics and found cataract to be the single most contributor of cause of blindness in accordance with other literature.Conclusions:The study demonstrates that even after the implementation of a national program (NPCB), the prevalence of blindness continues to be on the higher side and cataract remains to the most common cause of preventable blindness.
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Background: Hepatitis C virus (HCV) is a major causative agent of parenterally acquired hepatitis. Vertical transmission of HCV occurs from mother to infant during pregnancy, delivery, or neonatal period. Hepatitis C infection among pregnant females can adversely affect both mother and fetus, leading to chronic infection in infants who later develop liver cirrhosis and hepatocellular carcinoma. Objective of the study was to evaluate the prevalence of hepatitis C among pregnant females attending antenatal clinic.Methods: A hospital based cross-sectional study was done over a period of six months from January to June 2019. A total of 550 pregnant females were included in the study who attended Antenatal Clinic for routine check-up and whose blood samples were sent to Microbiology Laboratory for screening of anti-HCV antibodies by Enzyme linked Immunosorbent Assay (ELISA) method.Results: Out of 550 pregnant females tested, 3 were found to be reactive to anti-HCV antibodies by ELISA; hence the prevalence was found to be 0.5%. All 3 seropositive females belonged to age group 26-35 years, were indoor patients (IPD) and belonged to lower socio-economic class. Majority of seropositive females belonged to urban areas (66.7%, 2/3) as compared to those from rural areas (33.3%, 1/3).Conclusions: Although, prevalence of hepatitis C was found to be less among pregnant females attending ANC of this institute, still routine screening of all pregnant females for anti-HCV antibodies is highly recommended, for timely detection of disease in mothers and prevention of its transmission to infants.
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Background: Vulvovaginal Candidiasis (VVC) is a condition diagnosed in a large proportion of women presenting with complaints of abnormal vaginal discharge. The risk of VVC is high in women with diabetes mellitus, pregnancy, using oral contraceptives or broad-spectrum antibiotics and those having Human Immunodeficiency Virus infection.Objective of the present study was to identify the various species of Candida isolated from patients with Vulvovaginal Candidiasis.Methods: A cross-sectional study was done from January to June 2018. A total of 69 clinically suspected VVC cases were included in the study whose high vaginal swabs were collected and subjected to direct microscopy and cultured on Sabouraud Dextrose Agar (SDA). Creamy white pigmented colonies on SDA were confirmed as Candida by doing Gram抯 staining. Speciation of positive cultures was confirmed by conventional methods like Corn Meal agar culture, Germ tube test (GTT), Candida CHROM Agar Medium (CAM), sugar assimilation and fermentation test.Results: Out of 69 clinically suspected VVC cases included in the study, only 14 cultures were positive for Candida species. All the 14 isolates were found to be Non-albicans Candida (NAC). Most common species isolated were Candida glabrata 7(50%), followed by Candida tropicalis 3(21.4%), Candida lusitaniae 3(21.4%), and Candida parapsilosis 1 (7.1%).Conclusions: Candida albicans was known to be the most common causative agent of VVC as it was isolated in 90% cases. However, this study showed that all isolates from VVC were Non-albicans Candida. Therefore, species identification should be done in all microbiology laboratories for accurate diagnosis of VVC.
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Background: Hepatitis B infection is one of the most common public health problems worldwide. Hepatitis B virus Surface Antigen (HBsAg) positive mothers may transmit the virus vertically to neonates transplacentally during pregnancy, perinatally during delivery or postnatally through breast milk. Such neonates being carriers of virus are at a very high risk of developing chronic liver diseases at a younger age and also, they act as reservoirs of infection in the community. Objective of the study is to evaluate the seroprevalence of HBsAg in pregnant females attending Antenatal Clinic.Methods: A hospital based cross-sectional study was done from January to June 2019. A total of 840 pregnant females were included in the study who attended Antenatal Clinic for routine checkup whose blood samples were sent to Microbiology Laboratory for screening of HBsAg by Enzyme Linked Immunosorbent Assay (ELISA).Results: Out of 840 pregnant females included in the study, 8 were reactive to HBsAg, hence, prevalence was found to be 0.95%. The seroprevalence of HBsAg was found to be more (1.40%) in 26-35 year females. Maximum seropositivity was seen in females from urban areas (1.0%), those attending OPD of ANC (1.03%) and those who belonged to lower socio-economic class (1.02%).Conclusions: Routine free screening for HBV infection should be offered to all antenatal females to reduce the risk of vertical transmission to the neonates born to infected mothers, thereby, preventing them from becoming carriers and developing chronic hepatitis and hepatocellular carcinoma later in life.
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Background: There is inadequate information on menstrual hygiene management practices and socio-cultural restrictions among adolescent girls in developing countries. The objective of the present study was to assess the menstrual hygiene management practices and associated socio-cultural restrictions among adolescent school girls.Methods: This descriptive cross-sectional study was carried out among adolescent school girls 10 to 19 years of age, who had attained menarche, in a rural area of district Barabanki. Total 640 adolescent girls were included in the study, and information was recorded on a predesigned and pretested interview schedule. Relevant statistical analysis was done and significant associations were found.Results: 60.5% of the girls were using sanitary pads, and 71.4% took bath during their periods. 41.3% of the girls used to change pads during schools. Unsatisfactory menstrual hygiene management practices were significantly high among girls who were from lower socioeconomic class (p<0.001) and had illiterate mothers (p<0.001). 82.8% of the girls faced religious restriction.Conclusions: Significant associations were found between menstrual hygiene management practices of adolescent school girls with their mother’s education level and socio economic status. A proper menstrual hygiene management practice is very important for every young girl to lead a healthy life and should be achieved at the beginning of their menarche by enhanced information education and communication (IEC) programmes.
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Background: Exposure to environmental tobacco smoke (ETS) is associated with considerable morbidity and mortalityassociated with non communicable diseases like lung cancers, asthma, respiratory infection etc. Therefore the present study was conducted to study the exposure of passive smoke among residents (non smokers) in a rural population of Barabanki district, Uttar Pradesh. Methods: A community based cross-sectional study was conducted among 1346 adults non smokers aged 25 years and above residing in rural areas. Multistage random sampling was done. Equal number of study subjects were enrolled from six randomly selected villages of Satrikh block in Barabanki district. A pre-designed questionnaire was used for collecting data regarding socio-demographic characteristics and passive exposure to tobacco smoke in home and work places. Results: About 33.1% of study participants at home and 28.4% at workplaces were exposed passively to tobacco smoke. The association between exposure to passive smoke both at home and workplace was found to be significantly associated with younger age group, other backward caste category, educational status and low socioeconomic status (p<0.05). The exposure at workplace was significantly found to be more among males and those who were laborer/ agriculture worker or shopkeeper by occupation (p<0.05). Conclusions: Exposure of passive smoke among adult non-smoker population was found to be quite common both at home and workplaces. This emphasized the importance of need based specific interventions to reduce the risk of exposure and forthcoming smoking related morbidities and mortalities due to passive smoke inhalation.
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Background: Trichomonas vaginalis causes a common sexually transmitted disease trichomoniasis, which may lead to increased risk of transmission of human immunodefi ciency virus infection and other pelvic infl ammatory diseases. Wet mount examination is the most common test for diagnosis, but it has low sensitivity. Acridine orange staining can be used for diagnosis, but it requires special microscopic facility. Culture is considered as the gold standard, but it takes a long time for diagnosis. OSOM Trichomonas Rapid Test is a recently introduced rapid method based on immunochromatographic assay of trichomonal protein antigens. Hence, the present study was done to compare these four diagnostic techniques for detection of trichomoniasis in females with vaginal discharge. Materials and Methods: Vaginal swabs were taken from 835 female patients and wet mount examination, acridine orange staining, culture in Kupferberg medium, and OSOM Trichomonas Rapid Test, were performed. Results: Out of 835 patients included in our study, 68 (8.1%) positive cases of trichomoniasis were detected by culture. OSOM Trichomonas Rapid Test detected 63 (7.5%) cases, acridine orange staining detected 53 (6.3%) cases, whereas, wet mount examination detected only 45 (5.4%) positive cases. OSOM Trichomonas Rapid Test performed well and showed high sensitivity and specifi city of 88.2% and 99.6%, respectively. Conclusion: As OSOM Trichomonas Rapid Test is a point of care test and gave better results than both wet mount examination and acridine orange staining; it can be used as a routine test in peripheral areas lacking laboratory facilities.
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Aqueous and alcoholic extracts of endangered medicinal plants Balanites aegyptiaca Del. and Spilanthes acmella Murr. were evaluated for antifungal potential against various pathogenic and opportunistic fungi by in vitro agar well diffusion method. All the alcoholic extracts showed wide range of activity against the tested fungi as compared to aqueous extracts which showed limited antifungal activity. The alcoholic extract of fruit of B. aegyptiaca showed good antifungal activity against most of the tested Candida species and few opportunistic fungi, whereas, alcoholic extract of flower head of S. acmella showed good activity not only against Candida species but also against most of the tested Aspergillus species. Minimum inhibitory concentrations (MIC) of the alcoholic extracts were determined by broth microdilution method. The MIC of alcoholic extract of B. aegyptiaca and S. acmella against tested fungi ranged from 3.05 to 24.0μg/ml and 1.53 to 49.0 μg/ml respectively. The present study leads to conclusion that extracts of Balanites aegyptiaca and Spilanthes acmella contain good antifungal activity and thus could be used as alternative medicine in the treatment of various opportunistic and life threatening fungal infections especially in immunocompromised patients which otherwise pose problem of resistance to the currently used antifungal agents.
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Alcoholic and aqueous extracts of endangered medicinal plants Balanites aegyptiaca and Tylophora indica were analyzed for antibacterial potential against various gram positive and gram negative bacteria including resistant strains harbouring bla genes by agar well diffusion method. Alcoholic extracts of both the plants showed activity against wider range of tested bacteria as compared to aqueous extracts which showed limited antibacterial activity. The alcoholic extract of leaf of Tylophora indica showed good activity against gram negative bacteria and mild activity against those harbouring bla genes, whereas, the alcoholic extract of fruit of Balanites aegyptiaca showed excellent antibacterial activity against gram positive, gram negative bacteria as well as resistant bacteria harbouring bla genes. Minimum inhibitory concentrations (MIC) of the alcoholic extracts were determined by broth microdilution method. The MIC values of the alcoholic fruit extract of B. aegyptiaca against tested bacterial species ranged from 1.53 to 49.0 μg/ml and MIC of alcoholic leaf extract of T. indica ranged from 3.05 to 98.0 μg/ml. The present study leads to conclusion that extracts of Balanites aegyptiaca and Tylophora indica contain good antibacterial activity which can be used as novel antimicrobial compounds in the treatment of various infections showing resistance to treatment by currently used antimicrobial agents.
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Alcoholic extracts of stem of an endangered medicinal plant Spilanthes acmella and its in vitro raised callus were evaluated for antibacterial potential against various gram positive and gram negative bacteria including resistant isolates harbouring bla genes by agar well diffusion method. The alcoholic extract of parent plant as well as its callus showed good antibacterial activity against gram positive and gram negative bacteria and also efficiently controlled the growth of most of the resistant bacteria harbouring bla genes. Minimum inhibitory concentrations (MIC) of the extracts was determined by broth microdilution method. MIC against gram positive bacteria ranged from 12.0 to 49.0 μg/ml, while MIC against gram negative bacteria ranged from 1.53 to 12.0 μg/ml and MIC against resistant bacteria harbouring bla genes ranged from 6.1 to 98.0 μg/ml. The present study shows that extracts of Spilanthes acmella contain good antibacterial activity which can be used to obtain novel antibacterial compounds for the treatment of infectious diseases that otherwise pose problem of drug resistance to currently used antimicrobials. This is the first report of antibacterial activity of S. acmella through in vitro callus and also it’s potential against gram negative bacteria harbouring bla genes.