Objective: The burden of healthcare-associated infections (HAIs) is higher in low- and middle-income countries, but HAIs are often missed because surveillance is not conducted. Here, we describe the identification of and response to a cluster of complex (BCC) bloodstream infections (BSIs) associated with high mortality in a surgical ICU (SICU) that joined an HAI surveillance network.
Setting: A 780-bed, tertiary-level, public teaching hospital in northern India.
The plant health is governed by many factors: soil playing a central role which exhibits huge variability in its characteristics. Micronutrients even though needed in small quantities by plants play an indispensable role in affecting the crop growth and development. The assessment of spatial variability of different soil parameters is incumbent for tackling the loss of crop productivity on account of non-receipt of desirable inputs.
View Article and Find Full Text PDFIntroduction: Antimicrobial-resistant HAI (Healthcare associated infection) are a global challenge due to their impact on patient outcome. Implementation of antimicrobial stewardship programmes (AMSP) is needed at institutional and national levels. Assessment of core capacities for AMSP is an important starting point to initiate nationwide AMSP.
View Article and Find Full Text PDFBackground: Hypospadias is a common problem encountered in surgical practice and its repair is challenging because of various complications. Urethro-cutaneous fistula is the most common postoperative complication (incidence of 0-33%). Different types of intermediate protective layers have been used in attempts to decrease UCF formation; however, no single surgical technique is ideal.
View Article and Find Full Text PDFJ Ayub Med Coll Abbottabad
December 2014
Background: Diabetes mellitus affects heart in multiple ways and can affect virtually any part of heart specifically cardiac myocardium. Hence this involvement can severely affect the cardiac contractility resulting in severely debilitating symptoms of cardiac failure and hampering life. Early diagnosis therefore is of paramount importance as it can enable early diagnoses and treatment to counter the irreversible damage to the cardiac contractility dysfunction.
View Article and Find Full Text PDFJ Ayub Med Coll Abbottabad
October 2014
Background: Protocols based on newer high sensitivity Troponin T (hsTropT) assays can rule in a suspected Acute Myocardial Infarction (AMI) as early as 3 hours. We conducted this study to audit adherence to our Trust's newly introduced AMI diagnostic protocol based on paired hsTropT testing at 0 and 3 hours.
Methods: We retrospectively reviewed data of all patients who had hsTropT test done between 1st and 7th May 2012.