2 research outputs found
ENTERIC OPPORTUNISTIC PARASITIC INFECTIONS IN HIV SEROPOSITIVE PATIENTS AT TERTIARY CARE TEACHING HOSPITAL
No full textBackground: Enteric opportunistic parasitic infections are the major source of diarrheal disease in developing countries mainly in Human Immunodeficiency virus (HIV) infected patients.
Objective: The study was to detect enteric parasites causing diarrhea and their association with immune status in HIV-seropositive patients.
Methods: The present study was conducted in tertiary care teaching Hospital, Baroda between January 2006 to January 2007 involving 100 Human Immunodeficiency virus (HIV) seropositive patients.From all patients stool samples collected and stool was examined for enteric parasites by microscopy with special staining methods.
Results: A total of 100 HIV sero-positive patients with and without diarrhea were included in the study. Of the 100 patients, the protozoan parasitic infection was found in 28% (28/100). Out of 100 patients, 50 had diarrhea in which parasitic infection was 24 (48%) and 4 (4/50) protozoal parasites positive cases did not have diarrhea. A significant difference (p<0.05) was observed in the level of infection of intestinal protozoan between the HIV seropositive with diarrhea and HIV-seropositive without diarrhea.
Conclusion: Enteric opportunistic parasitic infections were detected in 28% among HIV-seropositive patients. Early detection of enteric parasitic infections will help in the management and to improve the quality of life for HIV-infected individuals
Surgical Site Infections: Incidence and Risk Factors in A Tertiary Care Hospital, Western India
No full textPurpose: The present study was aimed at obtaining the incidence of Surgical Site Infections (SSI) and determining various risks the factors influencing the Surgical Site Infections rate with special reference to the NNIS risk index at tertiary care hospital, Gujarat. Western India.
Methods: In this study, 200 patients who underwent various surgeries were included and various risk factors were studied. Swabs were obtained from wounds and were processed without delay using standard microbiological methods.
Results: Overall SSI rate was 16% (32/200).The most common organism isolated was Escherichia coli (35.7%, 10/28). Increase in pre-operative hospital stay, ASA (American Society of Anesthesiology) score > 2, increase in surgical wound class, emergency surgeries, longer duration of surgery were associated with increased SSI rates. NNIS risk index was calculated for all patients and it was found that SSI rate increases with increase in NNIS risk index.
Conclusion: The risk indices, like the NNIS risk index provide information about potential risk factors for development of SSI. Surveillance of surgical site infections with feedback of appropriate data to surgeons would be desirable to reduce SSI rates
