Résumé
Background:Lower Respiratory Tract Infection(LRTI) is one of the commonest health problem which is not a single disease but a group of specific infections with varying etiology and symptomatology. This study was undertaken to determine bacterial etiology of LRTI and associated risk factors 250 samples from patients with suspected LRTI were collected Methodology:and processed by standard microbiological procedure. Risk factors relating to LRTI were also further evaluated from clinical history of the patient. Total 100 isolates were recovered where Klebsiella pneumoniae(57%) was predominant followed by Pseudomonas Results:aeruginosa(19%), Acinetobacter spp.,(9%), Citrobacter freundii(7%), Staphylococcus aureus(3%), and Streptococcus pneumoniae(2%). Multiple co-morbidities are more associated with LRTI than single risk factor like Diabetes mellitus, Smoking, Alcohol, Hypertension and COPD. Knowledge of bacterial agents causing LRTI and prevalent risk factors in our geographical area is to be required for better Conclusion:treatment and prevention of the disease
Résumé
Introduction: Resistance to antibiotics is an extremely common phenomenon in bacteria isolated from clinical material. However there is scarcity of data on antibiotic resistance from North Eastern part of India. In this Study, we aimed to generate data to find out the trend of Antibiotic resistance among the clinical isolates. Methods: Involving both indoor and outdoor patients attending this hospital are included in this study. Culture & Microbial sensitivity were performed by ‘Kirby Bauer‘ method and an according to current CLSI guidelines. Drug resistance pattern were analyzed among the Common clinical isolates. Results: Majority of isolated organisms were klebsiella sp and Staphylococcus sp . Cephalosporins resistance (99%) was more in Gram negative bacilli as compare to Fluroquinolones among Gram positive cocci (85%). Conclusion: This pilot study from a Medical College of North East has demonstrated very high levels of resistance to commonly used antibiotics and generated data can be used to formulate antibiotic use protocols in the state.
Sujets)
Aorte abdominale , Maladies de l'aorte/congénital , Maladies de l'aorte/traitement médicamenteux , Maladies de l'aorte/imagerie diagnostique , Analyse chimique du sang , Gazométrie sanguine , Évolution de la maladie , Issue fatale , Héparine/usage thérapeutique , Humains , Nouveau-né , Mâle , Indice de gravité de la maladie , Traitement thrombolytique/méthodes , Thrombose/congénital , Thrombose/traitement médicamenteux , Thrombose/imagerie diagnostique , Échec thérapeutique , Échographie-dopplerRésumé
Out of 6586 live born babies, 736 babies with jaundice were studied from 1st July 1996 to 30th June, 1997, in a city based medical college nursery. Physiological jaundice was present in 8.92% of all live born babies and accounted for 79.89% of babies with jaundice. Breast milk jaundice and prematurity were next common causes responsible for 5.29% each of all cases with neonatal jaundice. Septicaemia caused jaundice in 4.75% cases. Among the babies with jaundice appearing between day 4 and day 7 of life, breast milk jaundice was the commonest cause occurring in 49.25% cases. The last entity surfaced probably due to exclusive breastfeeding recently initiated in the baby friendly hospital nursery.