Why doctors are not satisfied with their job current status in tertiary care hospitals

Objective: To determine level and factors of job satisfaction among doctors working in tertiary care hospitals in Pakistan

Methods: This is a multi-center cross-sectional survey conducted among Post graduate trainees, medical officers, consultants and faculty doctors. Job satisfaction was measured using 35 specific questions about sources of work-related stress and sources of work-related satisfaction. Satisfaction was defined if mean score of a factor was >/=3.0, where factors were rated using a 5-point Linkert scale ranging from 1 [completely dissatisfied] to 5 [completely satisfied]

Results: In this study 373 doctors participated, out of which 215[57.6%] were males. Over all mean satisfaction score was of 2.69+/-0.37. Departmental mean satisfaction scores were Internal medicine 2.71+/-0.35, Medical subspecialties 2.63+/-0.38, Surgical and allied 2.73+/-0.45. Designation means were Consultant 2.87+/-0.38, Faculty 2.78+/-0.44, Medical officer/Registrar 2.50+/-0.32, Post graduate trainee 2.71+/-0.45. Public and private sector means satisfaction scores were 2.53+/-0.80 and 2.92 +/-0.84 respectively

Conclusion: Job dissatisfaction was seen among doctors from all the tiers and departments. Public sector doctors were more dissatisfied than private sector doctors. Increasing age, duration of current posting and working experience, positively correlated with satisfaction level

Role of bronchial washing gene xpert in sputum-scarce cases of suspected pulmonary tuberculosis

Objective: To determine the frequency of mycobacterium tuberculosis detection, in bronchial washing in sputum-scarce cases of suspected pulmonary tuberculosis

Methods: A descriptive cross-sectional study was conducted at the Ojha Institute of Chest Diseases, Dow University of Health Sciences, Karachi, during July 2016 to December 2017. Sputum-scarce patients with suspicion of pulmonary tuberculosis were selected and underwent for bronchoscopy, detailed examination of bronchial tree was performed, and bronchial washing collected for testing of mycobacterium tuberculosis with Gene Xpert

Results: A total of 120 patients were included. In this study 55 [45.8%] patients were female and 65 [54.2%] were male with mean+/-SD of age was 39.9+/-14.7 years. Bronchial washing Gene Xpert for mycobacterium tuberculosis was detected in 83 [69.2%] sputum-scarce cases of suspected pulmonary tuberculosis patients

Conclusion: Bronchial washing Gene Xpert has an excellent diagnostic yield for detection of mycobacterium tuberculosis in sputum-scarce cases of suspected pulmonary tuberculosis

Frequency of hepatitis B and C in pre-operative patients for elective surgery

Objective: to document frequency of Hepatitis B and C in patients undergoing elective surgery

Design: descriptive case series

Setting: surgical Unit II Civil Hospital Karachi, from June 2005 to May 2006

Methods: all patients undergoing elective surgery were screened for Hepatitis B and C by enzyme immunoassay [EIA]. Risk factors for hepatitis B and C virus infections were also recorded

Results: out of 496 screened patients, HBsAg was found positive in 25 [5.0%] patients. Out of 25 HBsAg positive patients 14 [56%] were females and 11 [44%] were males. Anti-HCV was reported positive in 60 [12.0%] patients in which 38 [63.3%] were females and 22 [36.6%] were males. Overall 19.7% subjects had been vaccinated against HBV

Conclusion: we conclude that the high prevalence of hepatitis B and C in pre-operative patients is present in our population