Background: Antibiotic resistance (ABR) has now become a global health problem. It has significantly increased the mortality and morbidity related to infectious diseases as well as the economic burden due to these infections. There is global consensus on development of new strategies for prevention of antibiotic abuse and hence decreasing the prevalence of ABR. Medical students should be given more education during their undergraduate training regarding antibiotic resistance and appropriate prescribing. Therefore, this study was planned to assess Knowledge, attitude and practice (KAP) about antibiotics usage among medical undergraduates.Methods: An observational cross-sectional study was done among 2nd year undergraduate medical students of NC Medical College and Hospital, Israna, Panipat. Data was collected through specifically developed structured questionnaire from 130 students. The data was entered in MS excel 2010 and statistical analysis was done using MS excel 2010 and IBM Statistical package for social sciences (SPSS) version 20.0.0.Results: 93.07% (n=121) of the students were aware that antibiotic resistance has become an important and serious global public health issue. The attitude of the students about antibiotic use and resistance was found to be casual and negligent. 21.53% (n=28) of study participants believed that they should take antibiotics when they have cold to prevent from getting a serious illness. 38.46% (n=50) of students considered taking antibiotics whenever they had fever.Conclusions: This study provides useful information about the knowledge, attitudes and the practices of 2nd year undergraduate medical students about antibiotic resistance and usage.
Background: Seizures are one of the important causes of morbidity and mortality in adults. There are many studies based on the old seizure and epilepsy classification system but there are only few studies on the clinical profile and cause of seizures. The present study attempted to explore the clinical and etiological profile of seizures in adults above 18 years of age in our tertiary care hospital.Methods: This was a cross sectional study on 100 seizure participants having EEG abnormality. Patient seizure type was classified according to clinical features. History taking and physical examination of all selected participants were done and investigations were done and recorded to find the etiology according to proforma.Results: GTCS was the most common seizure type accounting for 57%. Ischemic infarct was most common cause of post stroke seizures. Hypoglycemia was most common metabolic cause of seizures. Bacterial meningitis was most common cause of seizures due to infections. Stroke was the most common aetiology accounting for 21%. Focal seizures were seen predominantly in participants with calcified granuloma. In participants with alcohol withdrawal GTCS was the predominant seizure type.Conclusions: GTCS was the most common type of seizure in present study. Stroke was the most common cause of seizures and rheumatic heart disease was most common cause of seizures due to stroke in young participants. Seizures due to alcohol withdrawal were on the rise.
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