SSB Global Journal of Medical Science最新文献

{"title":"Association of Sexual Dysfunctions and Sociodemographic Characteristics among Married Couples","authors":"Mohammad Mostafizur Rahman","doi":"10.61561/ssbj.v5i2.50","DOIUrl":"https://doi.org/10.61561/ssbj.v5i2.50","url":null,"abstract":"Background: Sexual dysfunction is a prevalent issue that affects the quality of life and marital satisfaction among couples. This study aims to explore the association of sexual dysfunction with various sociodemographic characteristics among married couples in Bangladesh. \u0000Methods: This cross-sectional study was conducted in Shaheed Monsur Ali Medical College Hospital, Dhaka, Bangladesh during the period from January 2015 to 31st August 2015. A total of 49 married patients with substance use disorder were selected using purposive sampling. Data were collected using a structured questionnaire, DSM-5 criteria for substance use disorder, and the Bangla version of the Arizona Sexual Experience Scale (ASEX). Statistical analyses were performed using SPSS version 25. \u0000Results: The study found that sexual dysfunction was significantly associated with age, gender, education, and occupation. Specifically, 22.22% of participants under 25 years, 44.44% of those between 25 to 40 years, and 33.33% of those over 40 years reported sexual dysfunction (p=0.025). Males reported a higher incidence (83.33%) compared to females (0%) (p=0.04). Sexual dysfunction was more common among illiterate participants (16.67%) compared to those with higher education levels (p=0.04). Farmers reported higher rates of sexual dysfunction (33.33%) compared to other occupations, though this was not statistically significant (p=0.18). Income, habitat, and family history of psychiatric illness did not show significant associations with sexual dysfunction. \u0000Conclusion: The study underscores the significant impact of sociodemographic factors on sexual dysfunction among married couples in Bangladesh. Targeted interventions addressing these specific factors are essential for improving sexual health outcomes. Further research should aim to deepen the understanding of these associations and develop culturally appropriate strategies for prevention and management. \u0000 ","PeriodicalId":516015,"journal":{"name":"SSB Global Journal of Medical Science","volume":" February","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141670055","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":"Risk Factors and Outcome of Early Puerperium Following Caesarean Section","authors":"Sheuly Begum","doi":"10.61561/ssbj.v5i2.52","DOIUrl":"https://doi.org/10.61561/ssbj.v5i2.52","url":null,"abstract":"Introduction: The postpartum period, or puerperium, typically lasts six weeks following childbirth and is crucial for the reversal of pregnancy-induced anatomical and physiological changes. This period is often divided into three stages: immediate, early, and remote puerperium. Early puerperium, the first week after childbirth, is critical due to the heightened risk of complications, especially following cesarean sections (CS). \u0000Objective: This study aims to investigate the prevalence and types of early puerperal complications in women undergoing elective and emergency cesarean sections. \u0000Methods: A retrospective observational study was conducted in the Obstetrics and Gynecology department at Enam Medical College Hospital, Savar, Dhaka, Bangladesh. Hospital records from January 2015 to December 2015 were reviewed, including 100 women who had undergone cesarean sections. Data on demographic characteristics, antenatal care, risk factors, and types of early puerperal morbidities were collected and analyzed using SPSS version 20. \u0000Results: The study found that 55% of the participants were aged 21-30 years, 70% belonged to poor socioeconomic backgrounds, and 90% were housewives. A significant 70% of the women had not received any antenatal care. The most prevalent risk factors for early puerperal morbidities were obstructed labor (40%) and prolonged labor (30%). Common complications included wound infections (50%), endomyometritis (45%), and urinary tract infections (35%). \u0000Conclusion: Early puerperal complications are prevalent among women who undergo cesarean sections, particularly those from low socioeconomic backgrounds with inadequate antenatal care. Addressing these issues through improved prenatal and postnatal care and better access to skilled birth attendants can potentially reduce these complications and enhance maternal health outcomes. \u0000 ","PeriodicalId":516015,"journal":{"name":"SSB Global Journal of Medical Science","volume":"6 18","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141668093","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":"Visual Outcome of Occlusion Therapy in Anisometropic Amblyopia","authors":"Mohammad Mostafizur Rahman","doi":"10.61561/ssbj.v5i2.53","DOIUrl":"https://doi.org/10.61561/ssbj.v5i2.53","url":null,"abstract":"Background: Amblyopia is a common visual disorder in children, often treated with occlusion therapy. This study aimed to assess the visual outcomes following occlusion therapy in children with anisometropic amblyopia, focusing on improvements in best-corrected visual acuity (BCVA) over a six-month period. \u0000Methods: This cross-sectional study was conducted in Shaheed Monsur Ali Medical College Hospital, Dhaka, Bangladesh during the period from January 2015 to August 2015. Participants underwent occlusion therapy, where the better-seeing eye was covered for varying durations based on initial BCVA. Visual acuity was measured using the Snellen chart and converted to logMAR units at baseline, and after 1, 3, and 6 months of therapy. Statistical analysis was performed using Pearson’s correlation test. \u0000Results: The mean BCVA improved significantly from 0.88±0.28 at baseline to 0.55±0.21 after 1 month, 0.42±0.15 after 3 months, and 0.23±0.12 after 6 months (p < 0.001 for all comparisons). Among the participants, 68% had hypermetropia, 22% had astigmatism, and 10% had myopia. The majority of participants (68%) had anisometropic amblyopia in the right eye. The age distribution was 32% aged 5-7 years, 47% aged 8-9 years, and 21% aged 10-11 years, with a mean age of 8.64 years. Gender distribution was 64% male and 36% female. \u0000Conclusion: Occlusion therapy significantly improves visual acuity in children with anisometropic amblyopia, with early and consistent treatment yielding the best results. These findings support the continued use of occlusion therapy as an effective treatment modality, even when initiated later in childhood. Future research should explore long-term outcomes and complementary treatment approaches. \u0000 ","PeriodicalId":516015,"journal":{"name":"SSB Global Journal of Medical Science","volume":" 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141670085","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":"Observation of Postpartum Complications and Neonatal Birthweight among 54 cases of Cesarean Section","authors":"Shaheen Ferdous","doi":"10.61561/ssbj.v5i1.48","DOIUrl":"https://doi.org/10.61561/ssbj.v5i1.48","url":null,"abstract":"Background: The puerperal period is critical for both the physical and emotional well-being of the mother and newborn. Cesarean sections are associated with various postpartum complications and neonatal outcomes, which necessitate thorough observation and management. \u0000Objective: To observe the puerperal conditions and neonatal birth weights among women who underwent cesarean sections at Enam Medical College Hospital, Dhaka, Bangladesh. \u0000Methods: This cross-sectional observational study was conducted at Department of Gynae and Obs, Pabna Medical College, Pabna, Bangladesh during the period from June 2014 to December 2014. A total of 54 patients who had given birth via cesarean section were included. Data on age, pregnancy duration, clinical complaints, comorbidities, previous cesarean section history, puerperal complications, and neonatal birth weights were collected and analyzed. \u0000Results: The majority of participants were aged 21-30 years (66.67%), with a mean age of 26.50 years. Most pregnancies lasted more than 37 weeks (46.30%). Clinical complaints included lower abdominal pain (40.74%) and per vaginal discharge (20.37%). Comorbidities such as gestational diabetes (25.93%) and anemia (24.07%) were prevalent. Previous cesarean section history showed that 57.41% had no prior cesarean sections, 25.93% had one, and 16.67% had two previous cesarean sections. Puerperal complications included tenderness (66.67%) and excessive bleeding (16.67%). Neonatal birth weights were classified as low birth weight (37.04%), normal birth weight (59.26%), and overweight (3.70%), with a mean birth weight of 2.749 kg (SD ± 0.497 kg). \u0000Conclusion: The study highlights the significant prevalence of clinical complaints, comorbidities, and puerperal complications among women undergoing cesarean sections. These findings emphasize the need for comprehensive monitoring and targeted interventions to reduce maternal and neonatal morbidity, particularly in low-resource settings. \u0000 ","PeriodicalId":516015,"journal":{"name":"SSB Global Journal of Medical Science","volume":" 24","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141671542","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":"Radiological Outcome of Calcium Hydroxide as A Root Canal Sealer Constituent","authors":"Mukhlachur Rahman","doi":"10.61561/ssbj.v5i1.47","DOIUrl":"https://doi.org/10.61561/ssbj.v5i1.47","url":null,"abstract":"Background: The effectiveness of root canal sealers plays a crucial role in the success of endodontic treatments by preventing microbial leakage and promoting periapical healing. This study aimed to compare the radiological outcomes of calcium hydroxide-based sealers and zinc oxide eugenol sealers in treating teeth with periradicular pathosis. \u0000Methods: This cross-sectional observational study was conducted at different private clinics, Dhaka, Bangladesh during the period from January 2019 to December 2019. A total of 60 permanent teeth with periradicular pathosis were randomly assigned into two groups: Group 1 (n=30), treated with zinc oxide eugenol sealer, and Group 2 (n=30), treated with calcium hydroxide-based sealer. Clinical evaluations were conducted on days 2 and 7 post-treatment, and radiological evaluations were performed at 3, 6, and 12 months. Data were analyzed using SPSS version 22. \u0000Results: The majority of participants were aged 11-30 years, with a higher proportion of males in both groups. Trauma was the leading etiological factor, with maxillary teeth being more frequently affected. Group 2 showed significantly better radiological outcomes, with 80.00% exhibiting reduced periapical pathosis size at 3 months, compared to 26.67% in Group 1 (p < 0.001). At 6 months, 93.33% of Group 2 showed reduced pathosis size, compared to 60.00% in Group 1 (p = 0.002). At 12 months, 96.67% of Group 2 and 83.33% of Group 1 showed reduced pathosis size (p = 0.194). The final success rate was 96.67% in Group 2 and 86.67% in Group 1, with no statistically significant difference (p = 0.353). \u0000Conclusion: Calcium hydroxide-based sealers provide superior radiological outcomes compared to zinc oxide eugenol sealers in the treatment of teeth with periradicular pathosis. These findings support the use of calcium hydroxide sealers for enhanced endodontic treatment outcomes. \u0000Background: The effectiveness of root canal sealers plays a crucial role in the success of endodontic treatments by preventing microbial leakage and promoting periapical healing. This study aimed to compare the radiological outcomes of calcium hydroxide-based sealers and zinc oxide eugenol sealers in treating teeth with periradicular pathosis. \u0000Methods: This cross-sectional observational study was conducted at different private clinics, Dhaka, Bangladesh during the period from January 2019 to December 2019. A total of 60 permanent teeth with periradicular pathosis were randomly assigned into two groups: Group 1 (n=30), treated with zinc oxide eugenol sealer, and Group 2 (n=30), treated with calcium hydroxide-based sealer. Clinical evaluations were conducted on days 2 and 7 post-treatment, and radiological evaluations were performed at 3, 6, and 12 months. Data were analyzed using SPSS version 22. \u0000Results: The majority of participants were aged 11-30 years, with a higher proportion of males in both groups. Trauma was the leading etiological factor, with maxillary teeth being more frequ","PeriodicalId":516015,"journal":{"name":"SSB Global Journal of Medical Science","volume":" 17","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141672113","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":"Clinical Outcome Evaluation of The Effectiveness of Calcium Hydroxide as A Root Canal Sealer Constituent","authors":"Md. Mukhlachur Rahman","doi":"10.61561/ssbj.v5i1.49","DOIUrl":"https://doi.org/10.61561/ssbj.v5i1.49","url":null,"abstract":"Background: The objective of this study was to evaluate the clinical outcomes of using calcium hydroxide-containing sealer (Sealapex) compared to zinc oxide eugenol (ZOE) sealer in single-visit root canal treatments. \u0000Methods: This cross-sectional observational study was conducted at different private clinics, Dhaka, Bangladesh during the period from January 2018  to December 2018. A total of 60 permanent teeth with periradicular pathosis were selected and randomly assigned into two groups. Group 1 (ZOE group) comprised 30 teeth treated with a ZOE sealer, while Group 2 (Sealapex group) included 30 teeth treated with a calcium hydroxide-containing sealer. Clinical evaluations were performed at 3 months and 12 months post-treatment, with patient complaints recorded and analyzed using SPSS version 22 and Microsoft Excel. \u0000Results: Group 2 had a higher proportion of younger participants (40.00% aged 11-20) compared to Group 1 (26.67%). Group 1 had more males (66.67%) compared to Group 2 (56.67%). Trauma was the leading etiological factor in both groups. Maxillary teeth were more frequently affected, with 56.67% in Group 1 and 63.33% in Group 2. Pre-operative pain was higher in Group 2 (90.00%) compared to Group 1 (76.67%). At the 3-month follow-up, percussion pain was more prevalent in Group 1 (76.67%) than in Group 2 (46.67%, p = 0.016). By the 12-month follow-up, percussion pain persisted in 13.33% of Group 1 but was absent in Group 2. Group 2 achieved a 100.00% success rate, significantly higher than Group 1’s 86.67% (p = 0.038). \u0000Conclusion: The use of calcium hydroxide-containing sealer (Sealapex) in single-visit root canal treatments resulted in superior clinical outcomes compared to zinc oxide eugenol sealer. These findings suggest that calcium hydroxide-containing sealers offer better pain management and higher long-term success rates, making them a more effective alternative for endodontic treatments. Further research is recommended to confirm these results in broader clinical settings. \u0000 ","PeriodicalId":516015,"journal":{"name":"SSB Global Journal of Medical Science","volume":" 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141671904","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":"The Future of Medicine: Embracing Technology and Collaboration","authors":"Kariul Islam","doi":"10.61561/ssbj.v4i4.41","DOIUrl":"https://doi.org/10.61561/ssbj.v4i4.41","url":null,"abstract":"The field of medicine stands on the cusp of a new era marked by remarkable advancements and promising possibilities. In this reflection, we acknowledge the profound impact of technology on healthcare and underscore the importance of embracing innovation while upholding core values of evidence-based practice and ethical care. The convergence of medicine and technology has sparked unprecedented innovation, revolutionizing how we diagnose, treat, and care for patients. From cutting-edge imaging techniques to personalized medicine driven by genomics, we are witnessing a transformative shift in our understanding of health and disease. Artificial intelligence and machine learning empower us to decode complex data, leading to more precise diagnoses and tailored treatment strategies. Additionally, the digitalization of healthcare through electronic records, telemedicine, and wearable devices promises to broaden patient access and enhance outcomes worldwide, a trend accelerated by the COVID-19 pandemic. Amidst these advancements, we must remain vigilant in safeguarding patient privacy and ethical principles. The future of medicine hinges not only on technological progress but also on interdisciplinary collaboration and compassionate, patient-centered care. As stewards of healthcare, we must prioritize holistic patient well-being and foster a culture of empathy and collaboration. By embracing technology while staying true to our ethical compass, we can shape a future healthcare landscape defined by improved outcomes, enhanced patient experiences, and equitable access to medical resources. We express confidence in the collective efforts of our colleagues to drive continued innovation and inspire future generations in the pursuit of better healthcare.","PeriodicalId":516015,"journal":{"name":"SSB Global Journal of Medical Science","volume":"188 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139834803","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":"The Future of Medicine: Embracing Technology and Collaboration","authors":"Kariul Islam","doi":"10.61561/ssbj.v4i4.41","DOIUrl":"https://doi.org/10.61561/ssbj.v4i4.41","url":null,"abstract":"The field of medicine stands on the cusp of a new era marked by remarkable advancements and promising possibilities. In this reflection, we acknowledge the profound impact of technology on healthcare and underscore the importance of embracing innovation while upholding core values of evidence-based practice and ethical care. The convergence of medicine and technology has sparked unprecedented innovation, revolutionizing how we diagnose, treat, and care for patients. From cutting-edge imaging techniques to personalized medicine driven by genomics, we are witnessing a transformative shift in our understanding of health and disease. Artificial intelligence and machine learning empower us to decode complex data, leading to more precise diagnoses and tailored treatment strategies. Additionally, the digitalization of healthcare through electronic records, telemedicine, and wearable devices promises to broaden patient access and enhance outcomes worldwide, a trend accelerated by the COVID-19 pandemic. Amidst these advancements, we must remain vigilant in safeguarding patient privacy and ethical principles. The future of medicine hinges not only on technological progress but also on interdisciplinary collaboration and compassionate, patient-centered care. As stewards of healthcare, we must prioritize holistic patient well-being and foster a culture of empathy and collaboration. By embracing technology while staying true to our ethical compass, we can shape a future healthcare landscape defined by improved outcomes, enhanced patient experiences, and equitable access to medical resources. We express confidence in the collective efforts of our colleagues to drive continued innovation and inspire future generations in the pursuit of better healthcare.","PeriodicalId":516015,"journal":{"name":"SSB Global Journal of Medical Science","volume":"32 9","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139775355","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":"Impact of Gestational and Pre-Gestational Diabetes on Maternal Complications and Fetal Outcomes: A Comparative Observational Study at Rangpur Medical College Hospital","authors":"Nahida Sultana","doi":"10.61561/ssbj.v4i3.39","DOIUrl":"https://doi.org/10.61561/ssbj.v4i3.39","url":null,"abstract":"Introduction: Diabetes in pregnancy, including gestational and pre-gestational diabetes, presents significant risks to both maternal and fetal health. Understanding the impact of these conditions on pregnancy outcomes is crucial for developing effective management strategies. \u0000Methods: This observational comparative study involved 300 pregnant women at Rangpur Medical College Hospital, divided into three groups: pre-gestational diabetic (Group A), gestational diabetic (Group B), and non-diabetic control (Group C). Data on socio-demographic characteristics, obstetric profiles, mode of delivery, maternal complications, and fetal outcomes were collected and analyzed. \u0000Result: The study meticulously analyzed socio-demographic characteristics, revealing no significant differences across the groups. In obstetric profiles, Group A (Pre-Gestational Diabetic) had a notably lower mean gestational age at delivery (36.06 ± 2.71 weeks) compared to Group B (Gestational Diabetic) and Group C (Control), with mean ages of 37.34± 1.12 and 38.46±1.13 weeks, respectively. Maternal complications were significantly higher in Group A at 47%, compared to 25% in Group B and 12% in Group C. Fetal outcomes showed marked variations: Group A had 95% stable births, 5% stillbirths, and 60% of neonates with Apgar scores ≤7 at 5 minutes. In contrast, Group B had 96% stable births, 4% stillbirths, and 27% of neonates with Apgar scores ≤7, while Group C reported 100% stable births and 11% with Apgar scores ≤7. Birth weight distribution indicated 24% of neonates in Group A weighed <2 kg, compared to 5% in Group B and 4% in Group C. NICU admissions were highest in Group A (44%), followed by Group B (29%) and Group C (11%). Perinatal complications like birth asphyxia (38% in Group A, 16% in Group B, 6% in Group C), hypoglycemia (22% in Group A, 10% in Group B, 4% in Group C), and hyperbilirubinemia (16% in Group A, 12% in Group B, 0% in Group C) were also significantly higher in diabetic groups. \u0000Conclusion: The presence of gestational or pre-gestational diabetes in mothers significantly impacts fetal outcomes and increases the risk of maternal complications. This study highlights the need for specialized care and vigilant monitoring in pregnancies complicated by diabetes to improve health outcomes for mothers and babies.","PeriodicalId":516015,"journal":{"name":"SSB Global Journal of Medical Science","volume":"183 6","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140475350","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":"Antibiotic Sensitivity Patterns in Pediatric Enteric Fever: A Cross-Sectional Study at a Tertiary Care Hospital in Bangladesh","authors":"Md. Atiqul Islam, Sheuly Begum, Mohammad Mostafizur Rahman, Md.Mizanur Rahaman, AKM Tajuddin Bhuiyan","doi":"10.61561/ssbj.v4i3.38","DOIUrl":"https://doi.org/10.61561/ssbj.v4i3.38","url":null,"abstract":"Background: This cross-sectional study aimed to investigate the antibiotic sensitivity patterns among pediatric patients with enteric fever at the Department of Paediatrics, Bangladesh Institute of Child Health, Dhaka Shishu Hospital, during the period from July 2005 to June 2006. The primary objective was to identify the prevalent antibiotic sensitivities in order to enhance the efficacy of treatment strategies for typhoid fever in children. Methods: Ninety-eight suspected cases of enteric fever, aged between 2 and 12 years, were selected from admissions to the above-mentioned hospital. Blood culture and sensitivity testing were performed for Salmonella typhi and paratyphi. Demographic information, pre-admission antibiotic usage, and sensitivity profiles to various antibiotics, including Ceftriaxone, Cefixime, Chloramphenicol, Ciprofloxacin, Azithromycin, Amoxicillin, Imipenem, Nalidixic acid, and Ampicillin, were analyzed. Results: The majority of patients (62.2%) were in the 5-9 years age group, and males constituted 61.22% of the study population. Blood cultures revealed 71.44% sensitivity for Salmonella typhi and 28.57% for paratyphi. Among the antibiotics tested, Ceftriaxone exhibited 100% sensitivity, followed by Cefixime (80.2%), Chloramphenicol (78.57%), Ciprofloxacin (65.20%), Azithromycin (60%), Amoxicillin (54.6%), Imipenem, Nalidixic acid (Intermediate sensitive, 56.3%), Ciprofloxacin (Intermediate sensitive, 25%), and Ampicillin (Intermediate sensitive, 18.8%). Nearly half of the patients (47.3%) received antibiotics before admission, and 43.8% of culture-positive patients had a history of pre-admission antibiotic use. Conclusion: The study concludes that understanding antibiotic sensitivity patterns is crucial for successful typhoid fever treatment in children. Ceftriaxone and Cefixime emerged as highly effective, while the unnecessary use of antibiotics prior to admission may influence sensitivity patterns. This information underscores the importance of judicious antibiotic prescribing practices to ensure optimal therapeutic outcomes in pediatric enteric fever cases. \u0000; , ,  \u0000 ","PeriodicalId":516015,"journal":{"name":"SSB Global Journal of Medical Science","volume":"42 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139599553","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}