Global Academic Journal of Medical Sciences最新文献

{"title":"Hospital Waste Management in Dhaka City during COVID-19 Pandemic","authors":"Dr. Salman Ahmed Taher Hamid, Dr. M. H Faruquee","doi":"10.36348/gajms.2022.v04i04.006","DOIUrl":"https://doi.org/10.36348/gajms.2022.v04i04.006","url":null,"abstract":"Background: Medical waste has received less attention in underdeveloped nations like Bangladesh and poses a severe threat to public health. The management of medical waste therefore, has been of major concern due to potentially high risks to human health and the environment. Notwithstanding this, Bangladesh has no standards governing the management of medical waste. As a result, the focus of this research was to gather information about the waste management in several hospitals in Dhaka city, Bangladesh. Methodology: This descriptive cross-sectional study was conducted among five different types of hospitals in Dhaka to find out the waste management methods of the hospital. Purposive sampling technique was used for selecting the study place. A checklist was used to observe the current medical waste management in all the hospitals. In addition, every hospital’s record regarding waste management was reviewed to extract information in this regard. A simple descriptive statistic was applied for data analysis. Results: The Mean ± SD age for the participants were 26.63± 4.18 years where female (52%) was more than male (48%). Among the participants, the highest (40%) were medical officer and maximum (77.3%) had working experiences ≤ 3 years. According to the checklist, it was found that United and Lab aid hospital had almost all the indicators related to placement of container. In regards to the segregation of wastes according to color code, all the selected 5 hospitals had seen to observe the protocol except liquid wastes. Unfortunately, Al-Basar, Al-Manar and city hospitals’ waste handler did not use safety gear during waste transportation despite they were provided safety stuff. Conclusion: This study concludes that in order to create an effective waste management program, the government should conduct periodic oversight by establishing strong provisions in this regard.","PeriodicalId":397187,"journal":{"name":"Global Academic Journal of Medical Sciences","volume":"50 3","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-08-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114125694","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":"Outcome of Core out Fistulectomy with Anal Spincter Reconstruction and Primary Repair of Internal Opening in the Treatment of Complex Anal Fistula; A Experience of 30 Cases","authors":"Dr. Chowdhury Sazzad Hyder, Dr. Rakesh Sah, S. Akramuzzaman","doi":"10.36348/gajms.2022.v04i04.005","DOIUrl":"https://doi.org/10.36348/gajms.2022.v04i04.005","url":null,"abstract":"Background: The principal of management of anal fistula include closure of interior opening of fistula tract, drainage of contamination or necrotic tissue, and eradication of fistulous tract with maintenance of sphincter function. The selection of surgical operation (simple fistulotomy, fistulectomy, seton placement, development flap, fibrin glue or anal plug) is decided with the aid of the route of the fistula tracts and continence status. Objectives: The aim of the study was to determine the surgical technique “core out fistulectomy with anal sphincter reconstruction and primary closure of internal opening” in the treatment of trans-sphincteric fistula (high type or long tract) or supra-sphincteric fistula in terms of fistula healing, morbidity, recurrence and anal continence. Methods: This prospective observational study was carried out in the Department of Surgery Dr Amanat khan hospital and other private hospitals, Dhaka, Bangladesh, during 5th March 2020 to 10th April 2022. A total 30 patients between the age group 20 to 70 years who were diagnosed with Fistula-in-Ano(Complex Variety) which underwent Core out Fistulectomy with Anal Spincter Reconstruction and Primary Repair of Internal Opening. This analysis was done using SPSS 24 software version. The level of significance was set to 5% (p < 0.05). Results: There were 30 (91%) men and three (9%) women with a median age of 42 years. The common anal fistula type was high transsphincteric fistula in 31 patients with deep postanal abscess in two patients and two patients were suprasphincteric fistula. Conclusions: Core out fistulectomy with anal sphincter reconstruction and major closure of inner opening is a secure and nice method for excessive trans-sphincteric fistula. It has desirable useful results and no disturbance of continence. This has to be viewed in the cure of high trans-sphincteric fistula.","PeriodicalId":397187,"journal":{"name":"Global Academic Journal of Medical Sciences","volume":"127 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-08-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"117353080","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":"Audit of General Intensive Care Unit of Sir Salimullah Medical College, Mitford, Dhaka","authors":"Dr. Md. Tajul Islam, Dr. Md. Waheed Murshed, Dr. Jesmine Akter, Dr. Md. Shafiqul Islam, Dr. Mohammad Ashrafur Rahman, Dr. Md. Nazmul Islam","doi":"10.36348/gajms.2022.v04i04.003","DOIUrl":"https://doi.org/10.36348/gajms.2022.v04i04.003","url":null,"abstract":"Background: Intensive care units provide care to patients with severe or life-threatening illnesses and injuries, which require constant support, close supervision from life support equipment and medication in order to ensure normal bodily functions. It is staffed by highly trained physicians, nurses and respiratory therapists who specialize in caring for critically ill patients. ICUs are also different from general hospital wards by a higher staff-to-patient ratio and access to advanced medical resources and equipment that is not routinely available somewhere else. Common conditions include acute respiratory distress syndrome, septic shock, and other life-threatening conditions that are treated within ICUs. Aim of the study: The aim of the study was to assess the operational power, existing facilities, bed requirement, patients source and follow up and to determine and analyze the mortality in the ICU of this institution. Methods: It was a retrospective study conducted in the General Intensive Care Unit of Sir Salimullah Medical College and Mitford Hospital, Dhaka, Bangladesh from January 2019 to December 2019. A total of 607 patients who had been taken admission in General ICU unit of the hospital was recruited as study population. According to the criteria of analysis already informed, data were collected from admission register and mortality record books. We divided the total number of patients into 4 age groups, 10-30 years, 31-45 years, 46-65 years and above 65 years. We calculated patients’ mortality and male female ratio. We also considered patients coming from different specialties those who were referred to the ICU. We observed the relationship of mortality with number of organ failure too. We categorized the patients as single, double or more organs involvement and its relationship with mortality. Duration of stay in the ICU was defined as the number of days between the admission in ICU and discharge with a minimum stay of one day and also more. Relationship with mortality and number of staying days was noticed. All data were collected within data collection sheets. Result: Hospital ICU mortality in an average was 45%. Patients with long ICU stay have higher mortality than shorter stay. Nonsurvivors were older than survivors. Patients from outside have a higher mortality (85%) than those from ward, postoperative and emergency (35%).25% of patients were in the intensive care unit for more than 3 days and shared 80% of bed occupancy. Much mortality was due to inappropriate early discharge, lack of meticulous attention before admission and inadequate care after discharge. Conclusion: So strengthening of facilities may be provided by appropriate transport system and acute medicine service at emergency and also by step down units or high dependency unit in ICU surroundings. Resources and study should be directed towards the low probable mortalities to improve the ICU outcome and to decrease the mortality percentage. Continuous advice and fo","PeriodicalId":397187,"journal":{"name":"Global Academic Journal of Medical Sciences","volume":"5 3 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125291838","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":"Correlation between CRP Level and Stroke Volume","authors":"Dr. Md. Sayedur Rahman Sheikh, Dr. Abdus Salam, Dr. Md. Ibrahim Khalil, Dr. Muhammed Arshad Ul Azim, Dr. Sk. Abdullah Al Mamun","doi":"10.36348/gajms.2022.v04i04.004","DOIUrl":"https://doi.org/10.36348/gajms.2022.v04i04.004","url":null,"abstract":"Background: Stroke is an important health issue for individuals and society. Early identification of risk factors of stroke patients helps take measures to prevent the development of further stroke. C-reactive protein is a marker of acute infection as well as acute inflammation. A high level of CRP may be associated with poor outcomes because they reflect either an inflammatory reaction or tissue damage (den Hertog HM et al., 2009). Increase in inflammatory parameters correlated significantly with lesion volume and stroke severity (Audebert HJ et al., 2004). Aim of the study: To see the Correlation between CRP level and stroke volume. And to see the CRP level as a prognostic marker in 3 months follow-ups in ischemic stroke. Methods: This was a descriptive cross-sectional study undertaken in the neurology department of a medical college hospital in Bangladesh. A total of 130 patients were included in the study group who met the inclusion and exclusion criteria. Out of 130 patients, 63 were ischemic strokes and 67 were hemorrhagic strokes. Results: In our study, the estimated level of mean CRP level in acute haemorrhagic stroke was 8.6 mg/L. and in acute ischemic stroke was 21.6mg/L. In this study, there was a statistically significant relationship between the size of the infarct and the level of estimated CRP in ischemic stroke. There was no correlation between CRP level and volume of hemorrhage in hemorrhagic stroke. In this study, the mean CRP value was 19.1 mg/L in those patients who were alive and 28.4 mg/L in those patients who died of ischemic stroke. The difference between the two groups was not statistically significant (p-value 0.30) though the mean CRP in patients who died were much higher than in those who were alive. Conclusion: In conclusion, we believe that these data support two main conclusions. First, the elevation of CRP is common in ischemic stroke. Second, advanced CRP levels were associated with larger infarct size in cases with acute ischemic stroke. These results suggest that elevated CRP levels, reflecting a large infarct size, may serve as a helpful serologic marker in the evaluation of inflexibility of acute ischemic stroke.","PeriodicalId":397187,"journal":{"name":"Global Academic Journal of Medical Sciences","volume":"16 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116676274","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":"Study of CD117 Expression on Phyllodes Tumor of Breast and Its Correlation with Histopathological Grade","authors":"Dr. Nazma Shaheen, Dr. Ruksana Jeba, Dr. Mohammad Razaul Karim Ripon, Syeda Sadia Afrin, Dr. Md. Oyes Qurani, Dr. Mridul Kumar Saha, Dr. Abu Anis Khan","doi":"10.36348/gajms.2022.v04i04.002","DOIUrl":"https://doi.org/10.36348/gajms.2022.v04i04.002","url":null,"abstract":"Background: Accurately predicting the nature and differentiating of various grades of Phyllodes tumor, the diagnosis may vary by different pathologists1, as there is no standard interpretation of the histologic cut-point criteria and therefore. In this study, we evaluated the impact of CD117 expression on Phyllodes tumor of breast and usefulness of this marker to differentiating benign from malignant phyllodes tumors. Methods: This cross-sectional observational study was conducted in the Department of Pathology, Dhaka Medical College. The study includes mastectomy/lumpectomy specimens received from surgery and surgical oncology departments and diagnosed as phyllodes tumor histopathological. Tissue processing and staining were performed using standard protocol. Histopathological typing and grading were done according to WHO recommended criteria 2012. Immunostaining for CD117 done on all 50 cases. Toluidine blue staining was performed on CD117 immunostaining positive cases, to see presence of mast cells. Result: This study consists of 50 cases of phyllodes tumor of breast. In all the cases immunohistochemistry was done with markers CD117. Histological Grading of phyllodes tumor was done using stromal cellularity, nuclear pleomorphic, stromal overgrowth, mitotic rate, margin of tumor. Statistical analysis was done and results were compared with various available previous studies. This study showed that most of benign/low grade phyllodes tumors belonged to the age group of 35-46 years and most of malignant phyllodes tumors belonged to the age group of 30.50-47.50 malignant phyllodes tumor in this study was 40 years. Overall 44% (22 out of 50) of the cases showed positivity for CD117 in the stroma. Among them 85% cases of malignant Phyllodes tumors of breast shows stromal expression of CD117. This study shows association of CD117 expression with malignant phyllodes tumor. Epithelial CD117 positivity was found in 69.5% cases of benign/low grade Phyllodes tumors of breast. Current study also shows association of CD117 epithelial expression with benign phyllodes tumor the result of our study show strong correlation between CD117 expression and histopathological grade. Conclusion: In conclusion, we can report an association of CD117 protein expression in borderline/malignant tumors and which may be associated with worse prognosis. So we can suggest for targeted therapy for these patient group having Phyllodes Tumor with positive CD117 expression.","PeriodicalId":397187,"journal":{"name":"Global Academic Journal of Medical Sciences","volume":"14 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-07-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129495004","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":"Role of Subcutaneous Drainage Can Reduce Such Complications in Patients Undergoing Elective and Emergency Abdominal Surgery","authors":"M. Akter, Sarwat Jahan Zubyra, Jebunnessa Begum, Z. Haque","doi":"10.36348/gajms.2022.v04i04.001","DOIUrl":"https://doi.org/10.36348/gajms.2022.v04i04.001","url":null,"abstract":"Prophylactic drainage of wounds is aimed to reduce the wound complications and thereby morbidity. Obese patients are at more risk. Wound management is a basic practice in surgery, especially after an elective abdominal surgery. Our task after surgery is to avoid and thereby to reduce the adverse effects of wound complications. Objective: To determine whether subcutaneous drainage can reduce such complications in patients undergoing elective and emergency abdominal surgery. Materials and Methods: It is a prospective open comparative study carried out Department of obstetrics and gynecology, in two hospitals Al-Hera Hospital, Mawna, Chowrasta, Sreepur, Gazipur and Shaheed Tajuddin Ahmad Medical College Hospital, Gazipur, Bangladesh over a period of six (6) months August 2021 to January 2022. Patients were randomized before surgery and divided into two groups by systemic random sampling. Total sample size 150 with 75 in each group. All patients will receive same preparations. Results: Wound complications observed in 2 patients with subcutaneous drain which forms 8% of the total patients with subcutaneous drain. Wound complications observed in 25 patients without subcutaneous drain which forms 33.3% of the total patients without subcutaneous drain. Comparing these two data found to be statistically significant with P value < 0.05. Thus the incidence of wound complication is low in those with subcutaneous drain than those without drain. Conclusion: Subcutaneous drain when kept in obese individuals with more subcutaneous fat thickness who undergo elective abdominal surgeries had lesser incidence of local wound complications and lesser hospital stay when compared to those patients without subcutaneous drain.","PeriodicalId":397187,"journal":{"name":"Global Academic Journal of Medical Sciences","volume":"339 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-07-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124308032","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":"Motor Neuron Disease (MND) Treatment through Acupuncture: My Experience at Suo Xi Hospital in Bangladesh","authors":"D. S. S. Islam, S. Yasmin, Dr. Huihui Li","doi":"10.36348/gajms.2022.v04i03.006","DOIUrl":"https://doi.org/10.36348/gajms.2022.v04i03.006","url":null,"abstract":"Motor neuron disease (MND), often known as amyotrophic lateral sclerosis, is a degenerative neurological illness for which there is no recognized cause (ALS). Increased muscular weakening and bulbar dysfunction lead to respiratory failure, which is the most common cause of mortality [1]. It may be difficult to establish the diagnosis until all of the clinical signs and symptoms are present. One should always get a professional neurology opinion for all types of ailments since there is a wide differential diagnosis to consider, including treatable conditions. Though it is possible that only a small percentage of people with familial ALS can be shown to have an inherited gene disorder, research into the molecular basis of genetic subgroups is yielding vital discoveries that might one day lead to medications for those with sporadic cases [2]. A multidisciplinary team provides supportive care in the absence of a cure or treatment that may alter the course of the illness. Motor neuron illness may be caused by a combination of genetic and environmental factors, and future treatment may involve a combination of molecular medications and stem cell transplantation. A progressive degenerative disease, such as MND or ALS, has no known cause in the patients who suffer from it. When examining the differential diagnosis of motor neuron illnesses, it is necessary to consider the relative involvement of upper and lower motor neurons.","PeriodicalId":397187,"journal":{"name":"Global Academic Journal of Medical Sciences","volume":"9 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-06-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121018829","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":"Primary Cardiac Sarcoma of the Left Atrium, A Case Report and Literature Review","authors":"G. Negamiyimana, J. Bagorane, G. Adjadé, J. Meunier, M. E. Fadli, R. Belbaraka","doi":"10.36348/gajms.2022.v04i03.004","DOIUrl":"https://doi.org/10.36348/gajms.2022.v04i03.004","url":null,"abstract":"Primary malignant cardiac tumours are extremely rare. They count for a quarter of all possible cardiac tumors, and are mostly sarcomas. For a long time, their diagnosis was made post mortem, and they were only reported through autopsy series. Since then, diagnostic and therapeutic advances have been made, making clinical diagnosis of this entity more accessible ante mortem. Nevertheless, due to their rarity, cardiac sarcomas suffer from a lack of therapeutic guidelines. Their treatment is modelled on that of sarcomas developed in other organs of the body. We report an interesting case of a 74-year-old female patient operated on for an infiltrating sarcomatous tumour of the left atrium revealed by dyspnoea associated with cardiac palpitations. Thoracic angioscan and transthoracic echocardiography led to the diagnosis of a cardiac tumour, and the thoracic-abdominal-pelvic Computed Tomography (CT) scan did not reveal any other extracardiac lesions except for a minimal non-neoplastic bilateral pleural effusion. The patient underwent an incomplete surgical procedure with R2 resection followed by adjuvant chemotherapy with doxorubicin monotherapy. The evolution under this treatment was marked by a locoregional progression of the disease with further progression in the atria, mediastinum and dorsal spine after 4 courses. A second line of chemotherapy with Dacarbazine monotherapy was initiated, but the patient died shortly after receiving two courses of the new treatment.","PeriodicalId":397187,"journal":{"name":"Global Academic Journal of Medical Sciences","volume":"35 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-06-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116921891","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":"Role of Imprint Cytology in Diagnosis and Assessment of Surgical Margin Clearance of Tumours Compared to Frozen Section","authors":"A. Mt, Karimov Ss, Hyde Cs, A. F","doi":"10.36348/gajms.2022.v04i03.003","DOIUrl":"https://doi.org/10.36348/gajms.2022.v04i03.003","url":null,"abstract":"Introduction: Touch imprint cytology is an economical, simple and quick intraoperative diagnostic procedure with good cytological clarity but cannot provide information on the depth of invasion. Frozen section is the standard method but is limited by its cost, need of qualified technical staff and the freezing arte facts. Thus, both the techniques have their own limitations and the combination of these two methods helps in achieving high diagnostic accuracy rates. Objectives: To assess the combined role of imprint cytology and frozen section in the diagnosis of tumours and surgical margin clearance of various organs and to compare the diagnostic accuracy of imprint cytology to frozen section individually verified by subsequent histopathological examination. Material and Methods: The present study was done in the pathology department of Dhaka Medical College Hospital for a period of one year. A total of 72 surgical specimens from various organs were received for imprint cytology and frozen section. The results of both the techniques were verified by the subsequent histopathological diagnosis as “gold standard’’. Results: Out of 72 cases, majority were ovarian neoplasms comprising of 29(40.3%) cases followed by soft tissue tumours (16.7%), breast (9.7%) and brain (8.3%) neoplasms. The majority of the cases were malignant (70.83% including metastatic) followed by benign (20.83%), and borderline (8.33%). The overall diagnostic accuracy of imprint cytology and frozen section in various organs were 95.8% and 97.2% respectively. The combined diagnostic accuracy was 98.6%. The combined accuracy of surgical margin clearance in epithelial tumours was 91.66% and it was higher than the accuracy of 66.66% in non-epithelial tumours. Conclusion: The combination of imprint cytology and frozen section helps in achieving high diagnostic accuracy rates in distinguishing benign and malignant lesions and the accuracy rate for assessment of surgical margin clearance is higher in epithelial neoplasms than that in non-epithelial neoplasms in intraoperative diagnosis.","PeriodicalId":397187,"journal":{"name":"Global Academic Journal of Medical Sciences","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130792162","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":"“Pattern of Disease among the Patients Suffering from Otitis Externa in ENT Outpatient Department at Shaheed Ziaur Rahman Medical College Hospital, Bogura, Bangladesh”","authors":"Md. Habibur Rahman","doi":"10.36348/gajms.2022.v04i03.002","DOIUrl":"https://doi.org/10.36348/gajms.2022.v04i03.002","url":null,"abstract":"Introduction: Otitis externa is a common otologic problem affecting between 5% -20% of patients seen in an otolaryngological practice in the tropical and subtropical regions of the world, a general practitioner can expect to see 16 new cases per year. Objective: To assess the pattern of disease among the patients suffering from otitis externa in ENT outpatient department at shaheed ziaur rahman medical college hospital, bogura, Bangladesh. Materials and Methods: This prospective study was carried out on the patients suffering from aural symptoms suggestive of otitis externa in ENT outpatient department of Shaheed Ziaur Rahman Medical College Hospital, Bogura, Bangladesh. Among 202 patients (222 affected ears) with the aural symptoms suggestive of otitis externa and 111 healthy control (222 ears), from January 2019 to December 2020. We also included age and sex matched 111 healthy individuals to serve as control, which provided total 222 control units. The patients having symptoms suggestive of otitis externa were randomly selected from the ENT outpatient department of SZRMCH. Results: Our study maximum 71(35.1%) patients were in the 21 -30 years age group followed by 47 (23.2%) were in the 11 -20 years age group. 30 (14.8%) patients were within 31 - 40 years. 18 (8.9%) patients were within both 41 -50 years and > 60 years of age groups. Out of the total 202 patients 113 (55.9%) patients were male and remaining 89 (44.0%) were female. The male -female ratio was 1.3:1. Shows that 106 (52%) patients were smoker and 96 (48%) patients were non-smoker. Maximum number of 169(76.1%) cases were acute otitis externa, which had been suffering for less than two months. Rest 53(23.8%) were chronic cases suffering for more than two months. Most of the ears had multiple complains of which commonest was itching in 203 (91.4%) affected ears, followed by earache in 177(79.7%) ears, sense of blocked ear in 132 (59.4%) ears, discharge in 114 (51.3%) ears, deafness in 26 (11.7%) ears and tinnitus in 17 (7.6%) affected ears. From the results of microscopic examination and culture of ear swab we detected pure bacterial growth in 48 (21.6%) acute cases and 10 (4.5%) chronic cases, pure fungal growth in 74 (33.3%) acute cases and 22 (9.9%) chronic cases, mixed bacterial and fungal growth in 16 (7.2%) acute cases and 10 (4.5%) chronic cases, no growth or contamination in 32 (14.4%) acute cases and 10 (4.5%) cases. Most of the ears were affected by fungal infection accounting 49.0% (109 cases), followed by bacterial infection in 31.9% ears. Out of 71 cases of otitis externa caused by bacteria 29 (40.8%) were due to Pseudomonas aeroginosa, 26 (36.6%) were due to Staphylococcus aureus, 10 (14.0%) were due to E.coli and 6 (8.4%) were due to Proteus mirabilis. Among the culture positive ears 13 (38.2%) were due to Aspergillus, 9 (26.4%) were due to Candida, 6 (17.6%) Penicillium, 3 (8.8%) Mucor and 3 (8.8%) were due to other fungal strains. The microbiological and culture find","PeriodicalId":397187,"journal":{"name":"Global Academic Journal of Medical Sciences","volume":"16 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-05-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128244458","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}