Study of causes of proptosis in relation to demographic features among patients of El-Minya University Hospital

To analyse causes of proptosis in patients attending El-Minya University Hospital out-patient ophthalmology clinic as regards their frequency in relation to age, sex, and lateralitiy. Fifty six patients with proptosis were examined in the ophthalmology out-patient clinic of El-Minya University hospital between July 2003 and March 2005. All patients were subjected to history taking, orbital, ocular and general examination, orbital echography and axial and coronal orbital CT scans. MR imaging of the orbits, examination of the field of vision, color vision testing, excisional and incisional biopsies, T3 and T4 level, complete blood picture, sternal puncture, chest X ray, abdominal US, therapeutic steroid test and endoscopic examination of paranasal sinuses were done in some patients guided by the results of clinical evaluation and primary studies. The patients were fifty six with 29 males and 27 female. The age ranged between two months and 70 years. 23 patients were in the pediatric age group [

Antibiotic in general surgery: selection, timing and duration of administration.

A continuous surveillance of hospital acquired infection (HAI) was done in the Department of Surgery, Dhaka Medical College Hospital during the period of 1st February '90 to 31st March '90. A new antibiogramme was prepared and applied in the same unit for chemotherapy and chemoprophylaxis of surgical cases in the subsequent six months from April '90 to September '90. The result of this selection, timing of administration and the duration of antimicrobial use have been described in this report. The antibiotic policy adopted in this study has been found to improve the problem of infection in our surgical practice substantially. The incidence of HAI has been reduced to 0.5% from 3.9% which was seen in our previous study. The median post operative hospital stay has been reduced to 15.5 days from 18.5 days in case with HAI and to 8.5 days from 9 days without HAI. We conclude that a continuous surveillance of hospital acquired infection is necessary to develop an appropriate antibiogramme. The appropriate antibiotic should be started at the induction of anaesthesia and may be a part of the induction procedure.