Background: Healthcare organization is a sector where patient is the main focus where improving the patient outcome is the imperative function. Patient satisfaction survey helps in evaluating the quality of the services provided by the hospital. Objective: The current prospective observational (survey-based) study of six months duration aimed in evaluating the patient experience and satisfaction towards the paramedical services provided in a healthcare setting of south India. Methods: A standard and validated questionnaire on paramedical services was designed consisting of 32 questions reviewed by the nurses and pharmacists, for the simplicity, reliability and clear understanding of the patients relating to various aspects that influence the patient satisfaction. The questions had been scored ranging from 1-5 based on the satisfaction levels. A proper information consent was made during data collection by clearly explaining the patients about the study. Results: In 250 patients, the study participant responded 49.2% of satisfaction towards patient centered pharmaceutical care services, 43.6% of satisfaction towards nursing care service, 52% and 53.6% of satisfactory level towards nutrition and laboratory services respectively. In our study, the overall response of the patient about paramedical services was satisfactorial. Conclusion: In conclusion, the principles of patient centered paramedical care services has to be implemented and practiced to achieve better health outcome and patient satisfaction.
Medication adherence and knowledge towards tuberculosis management are very important to cure and to prevent resistant tuberculosis. The study aims to evaluate the impact of pharmacist delivered counseling services on knowledge and medication adherence levels of tuberculosis patients. This is a quasi-experimental design without control conducted in an infectious unit of a secondary care referral hospital located in rural settings of Anantapur district, India. The study protocol was approved by the institutional review board. A suitable data collection form was used to collect the knowledge and medication adherence levels of the study participants, A total of 258 smear positive pulmonary tuberculosis patients were recruited in the study. More than half of the participants belonged to male gender with a mean age of 48.1±15.3years. Majority of the participants had smoking and alcohol consumption habits (30.6%), coolie as occupation (37.9%), and no formal education (36.4%). The mean knowledge score was significantly improved from baseline to first follow-up, and first follow-up to second follow-up, and baseline to second follow-up visits with a P <0.05. There was a significant difference in the medication adherence levels measured by pill-count method at baseline, 1 st follow-up, and 2 nd follow-up visits with P <0.05. The study concludes that pharmacist mediated counseling in tuberculosis patient showed a significant improvement in knowledge and medication adherence levels from baseline to 1 st and 2 nd follow-up visits. Knowledge regarding causes, mode of transmission, symptoms, management and prevention of tuberculosis are most important to minimize spread of infection and drug resistance.
Aims: The study aims to assess the incidence, causality, and severity of adverse transfusion reactions in patients transfused with blood or blood components at a secondary care referral hospital. Study Design: A prospective observational study was conducted in the secondary care referral hospital located in rural settings of Anantapur district, Andhra Pradesh, India. The study was conducted for a period of six months from May 2019 to October 2019 Methodology: All the patients transfused with blood or blood components in the hospital located in Andhra Pradesh during those six months study period were included. The transfusion reactions were reported to the blood bank in the Adverse Transfusion Reaction Report Form (ATRRF). Descriptive statistics were used to represent the adverse transfusion reactions. Results: From 2549 transfusions, 30 adverse transfusion reactions were reported (1.17%).Most of the reactions reported were febrile non-hemolytic transfusion reactions FNHTRs (73.3%) followed by allergic reactions (20.0%). Transfusion reactions were predominant in females 21 (70.0%) than males 9 (30.0%). Most of the reactions were confirmed/definite (46.6%) in causality assessment and moderate (63.3%) in severity assessment. The incidence of adverse transfusion reactions was found to be 1.17%. Conclusion: The study concludes that there was a low incidence of adverse transfusion reactions indicating probably underreporting in the healthcare system. This would be due to lack of knowledge regarding importance of surveillance and reporting of adverse transfusion reactions by blood or blood components. There was a need to conduct continuous educational programs (CEP) on hemovigilance system towards healthcare providers to improve the reporting practice. The study provides insights about type of adverse transfusion reactions and their causality and severity. This data helps in motivating the healthcare staff to report ATRs and also to develop strategies to handle preventable ATRs.
The aim of our study is to assess the pattern of antimicrobial susceptibility and resistance to the bacterial pathogens isolated from patient specimens. The main objectives are to evaluate the pattern of antimicrobial susceptibility and resistance to the bacterial pathogens isolated from patient specimens, to determine the proportion of antimicrobial sensitivity and resistance against specific antibiotics by bacterial pathogens isolated from various specimens collected and to assess the difference in Resistance of bacterial isolates to various antibiotics within different years. Emergence of antimicrobial resistance is a major public health problem worldwide. Antimicrobial resistance is one of the ten threats identified by the World Health Organization in 2019. Approximately 0.7 million people die every year from AMR. The WHO estimates 350,000,000 deaths could be caused by AMR by 2050. For three years the retrospective observational study was conducted among all the age groups of people. Antibiograms were used based on CLSI guidelines. A total of 2430 samples, 1226 males and 1204 females, are there. The samples were collected by different types like Urine Blood, Pus, Tissue culture, Stool culture, swab culture, CSF, and other fluids. Among all the isolated bacteria E. coli, Klebsiella, and Enterobacter were more isolated and were more resistant to the penicillins and cephalosporins category of drugs. The study shows that isolated gram-negative bacteria were resistant to ampicillin, amoxicillin, cephalothin, ciprofloxacin, cefuroxime, cefepime, ceftazidime, and ceftriaxone. So, these drugs can be replaced with organism-sensitive antibiotics like amikacin, chloramphenicol, colistin, and gentamicin to treat bacterial infections. When compared to year to year, the resistance will be increased.
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