Sri Lanka Journal of Critical Care最新文献

{"title":"The Toxic Laundry Detergent Powder ‘Prinso’ Is Gaining Notoriety Amongst Villagers For Deliberate Self- Poisoning In And Around The Matara District","authors":"M. Munasinghe, W. Fernando","doi":"10.4038/SLJCC.V1I1.940","DOIUrl":"https://doi.org/10.4038/SLJCC.V1I1.940","url":null,"abstract":"12.00 Normal 0 false false false EN-US X-NONE X-NONE \u0000st1:*{behavior:url(#ieooui) } \u0000 /* Style Definitions */ \u0000 table.MsoNormalTable \u0000 {mso-style-name:\"Table Normal\"; \u0000 mso-tstyle-rowband-size:0; \u0000 mso-tstyle-colband-size:0; \u0000 mso-style-noshow:yes; \u0000 mso-style-priority:99; \u0000 mso-style-qformat:yes; \u0000 mso-style-parent:\"\"; \u0000 mso-padding-alt:0in 5.4pt 0in 5.4pt; \u0000 mso-para-margin:0in; \u0000 mso-para-margin-bottom:.0001pt; \u0000 mso-pagination:widow-orphan; \u0000 font-size:11.0pt; \u0000 font-family:\"Calibri\",\"sans-serif\"; \u0000 mso-ascii-font-family:Calibri; \u0000 mso-ascii-theme-font:minor-latin; \u0000 mso-fareast-font-family:\"Times New Roman\"; \u0000 mso-fareast-theme-font:minor-fareast; \u0000 mso-hansi-font-family:Calibri; \u0000 mso-hansi-theme-font:minor-latin; \u0000 mso-bidi-font-family:\"Times New Roman\"; \u0000 mso-bidi-theme-font:minor-bidi;} \u0000 Introduction: The washing powder ‘Prinso' consists of 2 sachets, one containing pink crystals and the other white granules which has become a popular agent amongst the youth for self poisoning. Objectives: To document clinical and biochemical features of ‘prinso' poisoning.  To analyze the chemical constituents of prinso.  Patients and methods: We present a series of 7 patients who were admitted to General hospital Matara following ‘Prinso' poisoning, from 01.06 2006 to 01.10.2007. We chemically analyzed the two sachets in faculty of science university of Ruhuna. Results: The male: female ratio was 3:4.Out of the 7 patients, 1 patient developed acute renal failure. Conclusion: The readily available household product ‘Prinso' has come to recognition in the array of poisons responsible for deliberate self poisoning among young with a preponderance among females ingesting it in the southern province of Sri Lanka. Keywords: poisoning; detergent Citation: Munasinghe MAAK, Fernando WKBKM. The Toxic Laundry Detergent Powder ‘Prinso’ Is Gaining Notoriety Amongst Villagers For Deliberate Self- Poisoning In And Around The Matara District. Sri Lanka Journal of Critical Care 2009;1:29-32 DOI: 10.4038/sljcc.v1i1.940","PeriodicalId":184615,"journal":{"name":"Sri Lanka Journal of Critical Care","volume":"74 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2009-08-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127379747","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Blood Culture Techniques: Increasing Yields and Reducing Contamination","authors":"T. Chinniah","doi":"10.4038/SLJCC.V1I1.938","DOIUrl":"https://doi.org/10.4038/SLJCC.V1I1.938","url":null,"abstract":"12.00 Normal 0 false false false EN-US X-NONE X-NONE /* Style Definitions */ \u0000 table.MsoNormalTable \u0000 {mso-style-name:\"Table Normal\"; \u0000 mso-tstyle-rowband-size:0; \u0000 mso-tstyle-colband-size:0; \u0000 mso-style-noshow:yes; \u0000 mso-style-priority:99; \u0000 mso-style-qformat:yes; \u0000 mso-style-parent:\"\"; \u0000 mso-padding-alt:0in 5.4pt 0in 5.4pt; \u0000 mso-para-margin:0in; \u0000 mso-para-margin-bottom:.0001pt; \u0000 mso-pagination:widow-orphan; \u0000 font-size:11.0pt; \u0000 font-family:\"Calibri\",\"sans-serif\"; \u0000 mso-ascii-font-family:Calibri; \u0000 mso-ascii-theme-font:minor-latin; \u0000 mso-fareast-font-family:\"Times New Roman\"; \u0000 mso-fareast-theme-font:minor-fareast; \u0000 mso-hansi-font-family:Calibri; \u0000 mso-hansi-theme-font:minor-latin; \u0000 mso-bidi-font-family:\"Times New Roman\"; \u0000 mso-bidi-theme-font:minor-bidi;} \u0000 Bloodstream infections are associated with significant patient mortality and health care costs. Isolation of the causative organism will direct the clinician to institute specific treatment. But isolation of the implicating organism is hampered by lack of yield and increased level of contamination. The rates of contamination and reduced yield are more relevant in Sri Lanka as most of our public sector laboratories use manual blood culture system and do not adhere to correct aseptic techniques of blood collection. This has led to delay in identifying the causative organism. Increase rates of contamination not only have hindered specific treatment but also have prompted clinicians to use antibiotics of increased cost and toxicity. Though differentiation between true pathogen and contamination is not clearly set, certain parameters, namely identification of the organism, proportion of the positive blood culture sets, Number of positive blood culture bottles within a blood culture set, time to growth, source of cultures (catheter drawn versus percutaneous) along with clinical and laboratory clues might help the clinicians and microbiologist to make a reasonable conclusion.  Proper skin preparation with correct disinfectants, adherence to recommended techniques and contact time along with the collection of optimal volume of blood through a peripheral vein by a trained phlebotomy team has been found to increase the yield and reduce the rates of contamination.  These recommendations could be practiced with ease in resource poor settings similar to Sri Lankan public sector hospitals. Keywords: Blood culture; infections Citation: Chinniah TR. Blood Culture Techniques: Increasing Yields and Reducing Contamination. Sri Lanka Journal of Critical Care 2009;1:15-24 DOI: 10.4038/sljcc.v1i1.938","PeriodicalId":184615,"journal":{"name":"Sri Lanka Journal of Critical Care","volume":"7 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2009-08-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115278290","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Glycaemic Status On Admission In Patients With Acute Coronary Syndrome","authors":"J. Indrakumar, M. Marasinghe","doi":"10.4038/SLJCC.V1I1.939","DOIUrl":"https://doi.org/10.4038/SLJCC.V1I1.939","url":null,"abstract":"12.00 Normal 0 false false false EN-US X-NONE X-NONE /* Style Definitions */ \u0000 table.MsoNormalTable \u0000 {mso-style-name:\"Table Normal\"; \u0000 mso-tstyle-rowband-size:0; \u0000 mso-tstyle-colband-size:0; \u0000 mso-style-noshow:yes; \u0000 mso-style-priority:99; \u0000 mso-style-qformat:yes; \u0000 mso-style-parent:\"\"; \u0000 mso-padding-alt:0in 5.4pt 0in 5.4pt; \u0000 mso-para-margin:0in; \u0000 mso-para-margin-bottom:.0001pt; \u0000 mso-pagination:widow-orphan; \u0000 font-size:11.0pt; \u0000 font-family:\"Calibri\",\"sans-serif\"; \u0000 mso-ascii-font-family:Calibri; \u0000 mso-ascii-theme-font:minor-latin; \u0000 mso-fareast-font-family:\"Times New Roman\"; \u0000 mso-fareast-theme-font:minor-fareast; \u0000 mso-hansi-font-family:Calibri; \u0000 mso-hansi-theme-font:minor-latin; \u0000 mso-bidi-font-family:\"Times New Roman\"; \u0000 mso-bidi-theme-font:minor-bidi;} \u0000 Introduction: In patients with acute coronary syndrome (ACS), hyperglycemia is a predictor of immediate and long-term cardiovascular mortality. Abnormal glucose regulation is present in the majority of these patients and is unrecognized in up to half of the cases. The objective of this study was to assess the glycaemic status of patients on admission with ACS. Methodology: Patients presenting with chest pain and falling into one of the acute coronary syndromes (STEMI, NSTEMI, and UA) were allocated in to two groups based on past history of Diabetes. Diagnosed Diabetic patients who were not on treatment were excluded from the study. Admission RBS and next day FBS were recorded in all patients. Results: 102 patients were enrolled for the study. Mean admission random blood sugar(RBS) and fasting blood sugar(FBS) of diabetic patients who were on treatment were significantly higher (308, 203 mg/dl) than that of patients without a past history of Diabetes (135, 111 mg/dl) P Conclusions: Hyperglycaemia is a major problem in our patients with and without a past history of diabetes when they present with ACS. Therefore prompt attention is necessary on blood glucose control in all patients, irrespective of the past status of diabetes. It is important to follow up the  patients with abnormal blood glucose values and without a past history of diabetes , to detect the development of Diabetes. Keywords: acute coronary syndrome; glycaemic control; hyperglycaemia Citation: Indrakumar J, Marasinghe MCGP. Glycaemic Status On Admission In Patients With Acute Coronary Syndrome. Sri Lanka Journal of Critical Care 2009;1:25-28 DOI: 10.4038/sljcc.v1i1.939","PeriodicalId":184615,"journal":{"name":"Sri Lanka Journal of Critical Care","volume":"35 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2009-08-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122358417","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}