Tropical Journal of Pathology and Microbiology最新文献

Risk factors and microbiological features of surgical site infections 手术部位感染的危险因素和微生物学特征

Tropical Journal of Pathology and Microbiology Pub Date : 2021-08-31 DOI: 10.17511/jopm.2021.i04.08

Dr.Atul kumar, Dr. Shivani Sinha

{"title":"Risk factors and microbiological features of surgical site infections","authors":"Dr.Atul kumar, Dr. Shivani Sinha","doi":"10.17511/jopm.2021.i04.08","DOIUrl":"https://doi.org/10.17511/jopm.2021.i04.08","url":null,"abstract":"Background: Surgical site infections are the infections of the tissues, organs or spaces exposed bysurgeons during the performance of an invasive procedure manifested in the postoperative periodwithin 30 days after a surgical procedure and up to one year if an implant was placed in the patient.SSI is still higher in India as compared to western data leading to increased morbidity and mortality.This study aimed to analyse the factors associated with SSI and its microflora in a tertiary carecentre. Methods: A descriptive cross-sectional study was done for one year in a tertiary care centrein Bareilly, U.P. All the patients who underwent surgeries related to git pathology in the surgerydepartment, either emergency or elective with surgical site infections, were included in this study.Patients less than 18, all cases operated else were, or re-operated were excluded from this study. Alltraumatic abdominal surgeries were also excluded from this study. Results: The present studyrevealed SSI was associated with 82 (9.4%) cases among elective and 80 (21%) in emergencysurgeries. Superficial incision SSI was found to be most common (90 cases), followed by deepincisional SSI (60 patients) and organ/space SSI (12 cases). Minor intestine surgeries were mostcommonly associated with SSI. The microbiological organism most widely isolated was E. Coli(41.2%), followed by Staphylococcus aureus (27.5%), Klebsiella (16.5%), group A beta-haemolyticStreptococci (9.1%) and Pseudomonas (5.5%). Conclusions: Surgical site infection still causesconsiderable morbidity and high cost to the health care system and is becoming increasingly crucialin medico-legal aspects. Prevention of SSI requires a targeted approach to improve health careworkers' knowledge, practising the guidelines strictly regarding asepsis and optimising the patientbefore surgery. Reduction in rate of SSI will improve cosmesis and make the results of operationsbetter as a whole.","PeriodicalId":274178,"journal":{"name":"Tropical Journal of Pathology and Microbiology","volume":"5 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121178827","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}

引用次数: 0

Diagnosis of Sinus Histiocytosis with Massive Lymphadenopathy (Rosai-Dorfman Disease) by Fine Needle Aspiration Cytology in a Paediatric patient 细针吸细胞学诊断小儿窦性组织细胞增多症伴大量淋巴结病(rossai - dorfman病)

Tropical Journal of Pathology and Microbiology Pub Date : 2021-08-31 DOI: 10.17511/jopm.2021.i04.10

Dr. Neema Ankur Rana, D. V. Patel, Dr. Hiral Shah, D. Daveshwar

引用次数: 0

Cytomorphological study of Benign breast lesions in a Tertiary Care Hospital 三级医院乳腺良性病变的细胞形态学研究

Tropical Journal of Pathology and Microbiology Pub Date : 2021-08-31 DOI: 10.17511/jopm.2021.i04.04

Manika Alexander, Mallikarjun. A. Pattanashetti

引用次数: 0

The Spectrum of Malignant Breast lesions by Fine Needle Aspiration Cytology in a Teaching Hospital 某教学医院乳腺恶性病变的细针穿刺细胞学谱分析

Tropical Journal of Pathology and Microbiology Pub Date : 2021-08-31 DOI: 10.17511/jopm.2021.i04.05

Mallikarjun. A. Pattanashetti, Manika Alexander

引用次数: 0

“The Study of Bacteriological Agents of Chronic Suppurative Otitis Media Aerobic Culture and Antibiotic Sensitivity Testing Pattern at a Tertiary Care Hospital in and around Rajamundry: A cross-sectional study” Rajamundry及周边地区三级医院慢性化脓性中耳炎细菌学因子的好氧培养及抗生素敏感性试验模式的横断面研究

Tropical Journal of Pathology and Microbiology Pub Date : 2021-08-31 DOI: 10.17511/jopm.2021.i04.09

Dr. Neelima Pantagada, Dr. Praveen Kavoori

{"title":"“The Study of Bacteriological Agents of Chronic Suppurative Otitis Media Aerobic Culture and Antibiotic Sensitivity Testing Pattern at a Tertiary Care Hospital in and around Rajamundry: A cross-sectional study”","authors":"Dr. Neelima Pantagada, Dr. Praveen Kavoori","doi":"10.17511/jopm.2021.i04.09","DOIUrl":"https://doi.org/10.17511/jopm.2021.i04.09","url":null,"abstract":"Introduction: Chronic suppurative otitis media is a chronic infection of the middle ear and mastoidcavity which if not treated leads to partial or total loss of hearing and even life-threateningcomplications like meningitis and Intracranial abscess. Hence it is important to treat the persistentear discharge in CSOM according to the antimicrobial sensitivity of the organism isolated. Methods:This is a prospective cross-sectional study done in 135 clinically diagnosed patients of CSOM at GSLmedical college and General Hospital, Rajamundry, Andhra Pradesh from May 2019 to October 2019.Sterile swabs were used to collect pus from discharging ear and were inoculated onto Blood andMacConkey agar for 24-48 hrs, and identification of organisms was done by using standardbiochemical reactions and antibiotic sensitivity testing done by using modified Kirby- Bauer methodas per CLSI guidelines. Results: A total of 156 strains were isolated from 135 patients in thepresent study of which Pseudomonas aeruginosa and Staphylococcus aureus were amongst the mostisolated pathogens in culture. Imipenem showed the most sensitivity against Pseudomonas,subsequently levofloxacin and piperacillin. Linezolid was the most sensitive versus Staphylococcusensued by ciprofloxacin and cloxacillin. Conclusions: In the present study of Chronic suppurativeotitis media patients, Pseudomonas and Staphylococcus were highly prevalent and showed increasedresistance to beta-lactams and commonly used antimicrobial drugs. Antimicrobials like imipenem,piperacillin, and quinolones are effective against most cases of chronic suppurative otitis media","PeriodicalId":274178,"journal":{"name":"Tropical Journal of Pathology and Microbiology","volume":"50 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130380978","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}

引用次数: 0

Comparison of various principles of coagulation tests in handling hemolysed blood samples 处理溶血标本时各种凝血试验原理的比较

Tropical Journal of Pathology and Microbiology Pub Date : 2021-08-31 DOI: 10.17511/jopm.2021.i04.06

V. Krishnamurthy, Rubiya Ahmad, Skmch Muzaffarpur Bihar India Tutor

{"title":"Comparison of various principles of coagulation tests in handling hemolysed blood samples","authors":"V. Krishnamurthy, Rubiya Ahmad, Skmch Muzaffarpur Bihar India Tutor","doi":"10.17511/jopm.2021.i04.06","DOIUrl":"https://doi.org/10.17511/jopm.2021.i04.06","url":null,"abstract":"Background: Rejection of hemolysed samples for coagulation test is the standard practice.However, when clinicians deal with extremely sick patients where repeat sampling is difficult toobtain, rejection of the sample is a lost opportunity for the lab physician to assist inpatient care.Proceeding with the test and providing a clinically helpful interpretation of the results will ensure theactive participation of the laboratory physician. Different principles of coagulation testing handle thehemolysed samples differently. It is essential to know the best principle to proceed with thehemolysed sample if need be. This study set out to estimate the predictive values of post-hemolyticsample coagulation test results with various coagulation test principles. Methods: This is aprospective experimental study where the non-hemolysed samples were processed for coagulationtests. Part of the sample was deliberately hemolysed, and the coagulation tests were repeated.Results: Two hundred and forty-eight samples were studied. A median of 11% hemolysis wasachieved experimentally. The mean difference in prothrombin time between pre and post hemolyticsamples with normal PT was 0.9 and with abnormal PT, it was 1.1 seconds. The same for APTT was4.9 and 1.1 seconds, respectively. The majority of the samples showed prolonged coagulation posthemolysis. Positive (PPV) and negative (NPV) predictive values for prothrombin time are 97.3 and73.4%, respectively. Similarly, PPV and NPV for APTT are 97.4 and 47.1%, respectively.Conclusions: Samples with normal values after hemolysis are more likely to be normal.","PeriodicalId":274178,"journal":{"name":"Tropical Journal of Pathology and Microbiology","volume":"76 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128656754","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}

引用次数: 0

A comparative study of various screening tests of Asymptomatic Bacteriuria in pregnant women attending Antenatal Outpatient Department’ 产前门诊孕妇无症状菌尿各种筛查方法的比较研究

Tropical Journal of Pathology and Microbiology Pub Date : 2021-08-31 DOI: 10.17511/jopm.2021.i04.03

Savitha Hiremath

{"title":"A comparative study of various screening tests of Asymptomatic Bacteriuria in pregnant women attending Antenatal Outpatient Department’","authors":"Savitha Hiremath","doi":"10.17511/jopm.2021.i04.03","DOIUrl":"https://doi.org/10.17511/jopm.2021.i04.03","url":null,"abstract":"Introduction: Urinary tract infections are the most common bacterial infections in pregnancy.Asymptomatic bacteriuria (ASB) refers to the presence of bacteria in the urine of an individualwithout symptoms of urinary tract infection. ASB which occurs in 2-11% of pregnancies is a majorpredisposition to the development of pyelonephritis. Aims and objectives: The aims and objectivesof the study were to: Study the effectiveness of various screening tests: urine microscopy, gramstain, catalase test, leukocyte esterase test and nitrite test and to compare their sensitivity,specificity, positive predictive value and negative predictive value. Materials and Methods: Thestudy included 500 pregnant women attending the outpatient department over 18 months. The urinesamples collected in sterile containers were screened for urine microscopy, gram stain, catalase test,leukocyte esterase test and nitrite test. The samples were processed on CLED (Cysteine lactoseelectrolyte deficient) agar as the standard against which other screening tests are identified.Results: Gram’s stain (89.34%) was the most sensitive of all and the least reliable test was thecatalase test among the methods of screening tests. Conclusion: Urine culture is considered to bethe gold standard in detecting ASB in pregnant women. Gram’s stain of urine is a good screeningtest when compared to other screening methods. Screening for bacteria in all trimesters isnecessary to prevent the dangerous complications associated with ASB.","PeriodicalId":274178,"journal":{"name":"Tropical Journal of Pathology and Microbiology","volume":"99 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131027323","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}

引用次数: 0

Histopathological study of lower gastrointestinal tract lesions 下消化道病变的组织病理学研究

Tropical Journal of Pathology and Microbiology Pub Date : 2021-08-31 DOI: 10.17511/jopm.2021.i04.07

V. K. Patel, Anjali Goyal

引用次数: 0

Role of Fine Needle Aspiration Cytology in Effective Management of Patients with Granulomatous Inflammation in Neoplastic and Non-Neoplastic Lesions 细针抽吸细胞学在肿瘤和非肿瘤皮损肉芽肿性炎症患者有效治疗中的作用

Tropical Journal of Pathology and Microbiology Pub Date : 2021-06-30 DOI: 10.17511/jopm.2021.i03.06

Drashti Patel, Ashwini A. Shukla, Toral Jivani

引用次数: 0

A Rare Case of Rhinosporidiosis in Popliteal Fossa 腘窝鼻孢子虫病1例

Tropical Journal of Pathology and Microbiology Pub Date : 2021-06-30 DOI: 10.17511/jopm.2021.i03.04

Ranu Gupta, Saishruti Iyer

引用次数: 0