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Rāichūr, India

Metri B.C.,BLDEUs Shri B M Patil Medical College | Jyothi P.,BLDEUs Shri B M Patil Medical College | Peerapur B.V.,RIMS
Indian Journal of Medical Sciences | Year: 2011

Background: Recently, the isolation of this pathogen in hospital settings is increasing and multidrug-resistant strains are emerging; these strains present a challenge for clinician and the clinical microbiologist because of their increased occurrence in nosocomial infection. The current study was done to find out the antibiotic sensitivity pattern of Citrobacter species from various clinical specimens. Materials and Methods: Samples were collected from patients in accordance with standard protocols. Citrobacter species were identified by conventional biochemical tests. Antibiotic susceptibility of the isolates was done by disc diffusion method according to National Committee for Clinical Laboratory Standards (NCCLS) recommendations. Results: Out of 563 isolates of Citrobacter, majority were from pus (48.1%), followed by urine (24.3%), sputum (20.3%), body fluids (05.2%), blood (02.1%). C. koseri was the predominant species [391 (70%)] isolated. Infection was nosocomialy acquired in 493 (87.4%) patients. The mean age was 39.5 years. Anti-biograms of Citrobacter isolates revealed that effective agent against Citrobacter isolates was imipenem (91.8% sensitive), followed by piperacillin/tazobactam (58.3%) and amikacin (53.4%). Conclusion: Citrobacter isolates resistant to multiple anti-microbial agents have emerged, including strains resistant to imipenem, making it an emerging nosocomial pathogen. Therefore, the results of this study suggest that surveillance of anti-microbial resistance in Citrobacter is necessary. Antibiotic policy should be formulated in the hospital. Depending on the antibiotic sensitivity pattern of the Citrobacter isolates, antibiotics should be used, and proper infection control measures should be strictly followed to prevent spread of this pathogen.

Background: The stress response associated with laryngoscopy and intubation may have catastrophic sequelae especially in susceptible patients. We compared the attenuation of stress response with fentanyl citrate and lignocaine hydrochloride and saline (control). Methods: Following institutional ethical committee approval and written informed consent, ninety adult patients (ASA- I, 18-60 years of either sex) were enrolled in this randomized, double - blind placebo controlled study at RIMS hospital,Imphal during the period from August 2009 to July 2010. Patients were divided into three groups: Group A (n=30) to receive fentanyl citrate 2μg/kg IV 5 min before induction, Group B (n=30) to receive lignocaine hydrochloride 1.5 mg/kg IV and Group C (n=30) to receive saline (control). The parameters monitored were heart rate, blood pressure (systolic, diastolic and mean arterial pressure) every minute for the first 5 min. and then every 5 min. upto 20 minutes. Results: Fentanyl caused significant attenuation of the stress response during laryngoscopy and intubation (p=0.001 for HR, p= 0.003 for SBP and p=0.004 for MAP) compared with lignocaine or saline (placebo). We could not appreciate lignocaine to be superior to saline. Conclusion: Fentanyl citrate 2μg/kg IV given 5 min. before laryngoscopy and intubation significantly attenuated the stress response when compared with either lignocaine 1.5 mg/kg IV or saline.

Patil B.,RIMS | Patil D.,Navodaya Medical College
Indian Journal of Forensic Medicine and Toxicology | Year: 2016

Poisoning deaths are more in developing countries and they vary from one place to other. Retrospective study done at RIMS Hospital, Karnataka. 100 poisoning cases of 2014-15 were considered for the study. The study done to know the age, sex, commonest type of poisons and manner of poisoning. In this study 70 percent of the cases were due to Organophosporus compound, followed by Snake Bite (10 percent) Aluminium Phosphide (6 percent) and others respectively. Among males, maximum number (25%) belong to 21 to 30 years age group followed by 31 to 40 years age group (15%) the least (1%) was 0 to 10 years age group. Among females maximum (10%) was common to both 11 to 20 years and 21 to 30 years age group. Least was more than 70 years age group (0%). organophosphorus compound (70%) was commonest in males (50%) and also in females (20%). Least was miscellaneous poisoning (2%). suicidal poisoning is more common (75%). The percentage being more in males (55%) than females (20%). The least common was homicidal poisoning (7%) comparatively more in males (5%) than in females (2%). The study found suicidal poisoning is more common than accidental and homicidal poisoning. Hence the study suggests stringent rules for commercial sale of poisons. © 2015, Indian Journal of Forensic Medicine and Toxicology. All rights reserved.

Patil D.,Navodaya Medical College | Patil B.,RIMS
Indian Journal of Forensic Medicine and Toxicology | Year: 2016

A survey was conducted on 200 medical students and interns in Navodaya medical college Raichur Karnataka India to assess their attitude and knowledge regarding medico legal autopsy. The study also included the knowledge of the procedure, attitude and perception towards medico legal autopsy. In present study majority of students were aware where medico legal post mortem examination is mandatory as per the laws followed in the country. They also have awareness regarding viscera for chemical analysis and histo pathological examination for the purpose of medico legal autopsy. 60%males and 40% females were included in the study. 97% medicos believed that medico legal autopsy is mandatory. 98% thought that autopsy means viscera examination for histo pathological examination and chemical analysis. 85% students opined that the post mortem examination is done to the cause of death 50% opined that post mortem examination means causing disfigurement of the dead body. 70% denied that the post mortem examination procedure is a disrespect to the dead body. 90% opined that they were knowledgeable about the procedure of post mortem examination. 50%were comfortable and another 50%were were not comfortable on the first exposure to post mortem examination procedure. 80% opined that students should watch more autopsies. 60% opined positively for conducting post mortem examination on relatives when required. 90% students said that they don’t have personal disliking for viewing autopsy and did not have unpeeled experience of them. © 2015, Indian Journal of Forensic Medicine and Toxicology. All rights reserved.

Patil B.,RIMS | Patil D.,Navodaya Medical College RaichurKarnataka
Indian Journal of Forensic Medicine and Toxicology | Year: 2016

This study conducted on 500 patients who visited the emergency and Casualty of RIMS Hospital, Raichur, Karnataka, India. To study the pattern of cases in the Casualty of hospital and to study the case mix pattern was the main objective of the study. Medicine and its allied specialties contributed to the maximum number of patients attending the casualty. Maximum number of patients visiting the casualty had small complaints and did not suff er from any life threatening problems, which actually required Care and admission for the purpose of emergency medical care. This results in increase of unnecessary workload for the staff working mainly in the Casualty, deputed there for providing emergency care. © 2015, Indian Journal of Forensic Medicine and Toxicology. All rights reserved.

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