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Lakshminarayanan S.,JIPMERPuducherry | Bhardwaj P.,AIIMS | Srivastava J.P.,Eras Lucknow Medical College And Hospitallucknow
Indian Journal of Community Health | Year: 2014

Background: The goal of MBBS training program is to create a basic doctor, physicians of first contact for the community in the primary care setting both in urban as well as rural areas of our country. Internship is a phase of training wherein a graduate is expected to conduct actual practice of medical and health care and acquire skills under supervision so that he/she may become capable of functioning independently. In the context of public health practice, he should be oriented to provide preventive and promotive health care services to the community, demonstrate skills in monitoring of national health programs and develop leadership qualities to function effectively as a leader of the health team. Methods: This study is based on current status assessment and reviewed literature on internship training in India from PubMed, internet and other sources. The review is presented as need for scenario of internship training in Community Medicine, need for its strengthening, guidelines for internship training and conclusions. Results: There is no uniform pattern for internship training in community medicine, in terms of exposure, training and evaluation, at medical college departments and at rural training centers both in government and private medical colleges. This is further complicated by factors like lack of structured framework for need based training, reduced time period of training, preparation for postgraduate examinations and lack of post training assessment. Poor facilities at rural health training centers and primary health centers like transportation and laboratory facilities, lack of infrastructure and basic amenities to cater to the residential needs of interns pose additional difficulties. Internship training in community medicine should be appropriately structured to provide confidence to medical graduates to practice their profession in common and simple settings, and be able to deliver primary health care services. Conclusions: Protocols for internship training in community medicine in all medical colleges are necessary to make it more responsive to community needs and to improve the quality of undergraduate medical education in India. Capacity building of future health service providers is essential to meet the growing responsibilities of the Medical Officers in the context of revitalizing primary care. © Indian Association of Preventive and Social Medicine. All rights reserved. Source


Segar L.,Mahatma Gandhi Medical College and Research InstitutePuducherry | Kumar S.,Indira Gandhi Institute of Medical science | Joseph N.M.,JIPMERPuducherry | Sivaraman U.,Mahatma Gandhi Medical College and Research InstitutePuducherry
Asian Journal of Pharmaceutical and Clinical Research | Year: 2015

Objective: This study was attempted to evaluate the prevalence of extended spectrum beta-lactamase (ESBL) among Enterobacteriaceae from different clinical samples from a tertiary care hospital in Puducherry. Methods: A total of 204 Gram-negative isolates from different clinical samples were studied. All isolates were identified, and antimicrobial susceptibility testing was done by standard microbiological procedures. ESBL production was detected by phenotypic confirmatory disc diffusion test. The test was carried according to Clinical Laboratory Standards Institute guidelines. Results: Out of 204 isolates, 78 (38.2%) tested positive for ESBL production. Klebsiella pneumoniae (50.9%) showed the maximum ESBL positivity. Amikacin, piperacillin-tazobactam and imipenem are the most effective drugs for the treatment of infections caused by ESBL producing organisms. Conclusion: High prevalence of ESBL producing Enterobacteriaceae in hospitals, with a tendency for multidrug-resistance, suggests that routine detection is mandatory as this may help in regulating hospital antibiotic policy. © 2015, Asian Journal of Pharmaceutical and Clinical Research. All Rights Reserved. Source


George K.,Government Medical College | Abdulkader J.K.,Government Medical College | Sugumar M.,JIPMERPuducherry | Rajagopal G.K.,Amrita Institute of Medical science
Journal of Clinical and Diagnostic Research | Year: 2016

Introduction: Infections with MRSA, both community and hospital acquired, are well established and the source of infection is often a carrier. There are very few studies showing the magnitude of MRSA nasal colonization among healthy persons from the community. This study was conducted to detect the prevalence of MRSA nasal carriage in patients who did not have any known risk factors associated with HA- MRSA colonization, admitted to a tertiary care centre in Kerala. Materials and Methods: Nasal swabs were collected from patients within 24 hours of admission. Specimen were inoculated on chromogenic agar (HiCrome MeReSa agar-HiMedia) for MRSA screening. Isolates were then subjected to antibiotic sensitivity tests, SCCmec typing and PVL gene detection. Results: Out of 683 patients, 16 carried MRSA in their nares (2.3%). Of the 16 strains 13 (81.25 %) strain were SCCmec type III and one belonged to SCCmec type IV (6.25 %). Two strains failed to amplify SCCmec genes. Three strains carried genes for PVL toxin (18.75%). Conclusion: With a better understanding of the complex epidemiology of MRSA it is increasingly apparent that demarcations between the HA and CA phenotypes are not as clear cut as previously thought. In this study of nasal carriage of MRSA in the community we have demonstrated prevalence consistent with published data. Most isolates however were shown to belong to the type conventionally assigned to HA-MRSA. © 2016, Journal of Clinical and Diagnostic Research. All Rights Reserved. Source


Natarajan A.,JIPMERPuducherry | Rohith V.,Pondicherry Institute of Medical SciencesPuducherry | Topno I.,Pondicherry Institute of Medical SciencesPuducherry
Asian Journal of Pharmaceutical and Clinical Research | Year: 2016

Objective: Prescription writing is an art. Writing a correct prescription in compliance with the WHO guidelines requires regular practice. Mistakes in prescription writing are inevitable. Hence, this study was done to analyze the prescriptions from the Outpatient Department of Obstetrics and Gynaecology for errors. To analyze the prevalence and types of common prescribing errors in the Outpatient Department of Obstetrics and Gynaecology. Methods: This cross-sectional study was conducted in the Department of Pharmacy, Pondicherry Institute of Medical Sciences, Puducherry. 500 prescriptions from the Obstetrics and Gynaecology Outpatient Department were collected and analyzed. The study duration was 6 months (July- December 2014). The prescriptions were analyzed for errors. Results: Our study revealed that 30.8% of the prescriptions had, at least, one error in them. The majority of the prescriptions had the doctors’ sign and patient details written in them. The dose of the drug was missing in about 38% of the prescriptions. None of the prescriptions had Type A error in our study. Conclusion: It was found that prescription errors are still prevalent. The prescribers’ have to be updated about the prescribing guidelines and regular auditing should be done to avoid these errors. © 2016, Asian Journal of Pharmaceutical and Clinical Research. All rights reseved. Source


Padmavathi V.,JIPMERPuducherry | Vishnu Prasad P.S.,MGMCRIPuducherry | Kundra P.,JIPMERPuducherry
Indian Journal of Anaesthesia | Year: 2015

A tertiary care 1000 bedded hospital contains more than 10,000 pieces of equipment worth approximately 41 million USD, while the power cords supplied along with the imported equipment type D/M plug to complete installation and also on-site electrical safety test is not performed. Hence, this project was undertaken to evaluate the electrical safety of all life-saving equipment purchased in the year 2013, referring to the guidelines of International Electrotechnical Commission 62353, the Association for the Advancement of Medical Instrumentation (AAMI) and National Fire Protection Association (NFPA)-99 hospital standard for the analysis of protective earth resistance and chassis leakage current. This study was done with a measuring device namely electrical safety analyser 612 model from Fluke Biomedical. © 2015 Indian Journal of Anaesthesia. Source

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