Nosocomial Infections In NICU: Profile And Risk Factors.

Background: Nosocomial infections (NIs) in Neonatal Intensive Care Unit (NICU) are one of the leading causes of mortality and long term morbidity in developing countries. We retrospectively analyzed data of NICU patients from June 2013- June 2014. Total 120 patients met inclusion criteria. 73 episodes of nosocomial infections were documented in 67 patients. Eye infection and umbilical sepsis was most common infection followed by systemic blood infection. Klebsiella Pneumoniae and E. coli were the most common organisms causing sepsis. Chlamydia trachomatis and Staphylococcus aureus were the most common organisms responsible for eye infection and umbilical sepsis respectively. Imipenem, Amikacin and Vancomycin showed good sensitivity against most of gram negative and gram positive organisms respectively.

Umbilical Myiasis – A Rare Case In Rohilkhand Region Of Uttar Pradesh.

Myiasis is an infection of live mammalian tissue by the larval forms of dipteran flies, usually infects domestic and wild animal but human may be affected sometimes. Although adult cases have been reported, neonatal myiasis is a rare condition. Umbilical myiasis is very rare in newborns with few reported cases in the literature.

Psychosocial Characteristics as Perceived by Families in North Indian Community.

National or Caste group characteristics typify psycho-social characteristics of that group. These typifying psycho-social characteristics, whether of individuals or of families or of small or big groups, have tremendous predictive value in determining interventional outcomes. Systematic studies to discern distinguishing features of population subgroups vis-à-vis domicile, socio economic status (SES), gender etc. practically non-existent. . Psycho-social characteristics determine behavioural expressions in day to day living. In a separate large scale study entitled “A Study of the Impact of Behavioural Interventions on Illness Breeding Behaviors” funded by World Bank through Uttar Pradesh Health System Development Project; Lucknow, 1134 families drawn on stratified random basis from rural and urban areas of Barabanki, Mujaffarnagar and Gorakhpur districts of Uttar Pradesh (Northern India) were studied along various psycho-social characteristics to study the differences, if any, between the population subgroups. The data revealed significant differences between the population sub-groups along several psychosocial characteristics. The findings are discussed.

Unusual presentations of visceral leishmaniasis.

We report 3 cases of Visceral leishmaniasis, who presented with unusual clinical manifestations. One child was diagnosed as hemophagocytic syndrome; another masqueraded with features of leukemoid changes alongwith hemophagocytosis and trilineage myelodysplasia; the third case presented with pyothorax. All the three patients showed amastigote forms of Leishmania donovani and positive serology (rk39 antigen). They showed complete clinical, hematological and parasitological resolution with Amphotericin B therapy.