Comparative Study of Antibiotics and Allium Sativum Against Coagulase Positive and Coagulase Negative Staphylococcus.

Garlic (Allium sativum) is a well known medicine used since ancient times. Its potency as an antibiotic without inducing drug resistance has been well documented. A very common pyogenic organism, namely Staphylococcus aureus, as well as its coagulase negative brethren, are very well known pathogens causing infections all over the world. Their ability to become multidrug resistant has become a matter of deep concern to medical personnels all over the world. We wanted to see that garlic, described in various literatures as antiviral, antibacterial, antifungal, antiprotozoal, antioxidant – held how much potency as an antistaphylococcal agent as well. Aims and Objectives: The study aimed at evaluating the antistaphylococcal activity of garlic, in the face of emergence of multidrug resistant forms of both coagulase positive and negative forms of staphylococcus. Materials and Methods: Raw garlic juice was extracted and was tested to be sterile. Pure cultures of coagulase positive and negative staphylococcus were prepared. A comparative study using six potent antibiotics as well as garlic against Staphylococcus and CoNS strains was done. At the same time, decreasing concentrations of garlic solution was used to show the effect on zone of inhibition. Discussion: Both S.aureus and CoNS strains showed significant inhibition by garlic extract. Garlic seemed to have greater antibacterial effect than all the antibiotics tested except linezolid, which persistently performed better. With decreasing concentration of garlic juice, zone of inhibition also decreased consistently.

Burn Out Among Medical Students - A Study Across Three Medical Colleges in Eastern India.

Burnout is described as a syndrome of emotional exhaustion, and reduced personal accomplishment that may develop when there is significant stress without adequate support and resources in the face of work overload, as commonly happens with physicians and undergraduate medical students. Materials and Methods : This work attempted to study the level of burn out among all the third and fifth semester medical students in three different medical colleges. 596 students from three medical colleges participated in the study wherein they were given standard questionnaires for assessment of stress, support, satisfaction and control parameters. Results : Overall 310 students of the 596 (52.01%) interviewed had scores correlating with burn out. All the colleges across semesters showed burnout in the various parameters individually like stress, lack of support, dissatisfaction, lack of control and perception of success. Conclusions : Individual as well as organizational interventions need to be targeted to prevent burnout among medical students.

Detection of antigen and antibody in childhood tuberculous meningitis.

OBJECTIVE: Mycobacterium tuberculosis excretory secretory 31 kDa, a serine protease antigen (M. tb ES-31), prepared from Mycobacterium tuberculosis H37Ra culture medium has been shown to have potential in detecting tuberculosis. Precise diagnosis and management of tuberculous meningitis, in children in particular, is essential to curtail mortality and morbidity. METHODS: In this study, M. tb ES-31 antigen, was used in Indirect ELISA to detect tuberculous IgG antibody, in sera and CSF samples while affinity purified anti ES-31 goat antibody was used in sandwich ELISA for detection of tuberculous antigen. In sixty-five samples each of CSF and sera from cases with neurotuberculosis and control with non-tuberculous diseases were collected from Kasturba Hospital, Sevagram. RESULTS: Among the 20 patients suffering from neurotuberculosis the IgG antibody was detected in 17(85%) of CSF and 16(80%) of sera samples, while antigen was detected in 18 (90%) in CSF and 16 (80%) in sera. Overall specificity of the assay for both IgG antibody and antigen detection in CSF was 96% while in sera it was 94% for IgG antibody and 96% for antigen detection. CONCLUSION: This study showed the usefulness of mycobacterial serine protease antigen and its antibody in detecting neurotuberculosis.