: Urinary tract infection is one of the most common infectious disease found in all population and has become a major health problem. The urinary tract infection also affects pediatric population especially in the age group of 0-5 years. The aim of this study to find out prevalence of UTI in children, its occurrence in different gender and seasons along with identification of causative agent of UTI in children in Ujjain. The study was carried out in SRL laboratory Ujjain center and total 881 suspected patients urine sample were collected and tested by conventional methods for prevalence of significant bacteriuria. It was seen that 550 samples were positive and out of these, positive case 111 belonged to children of 0-5 years of age. Thus, 20.18% positive cases were of children. The percentage of UTI in female children was high (54.0%) while in male children it was low (45.9%) and high number of cases were recorded in rainy season (39.6%), followed by summer and winter seasons which were (34.2%) and (26.1%) respectively. The six major uropathogens present in urine sample were isolated and identified and among them four were gram negative in which . , . , . , . were gram negative while and . and . were gram positive UTI causing bacteria in children. In our study frequency of . was highest (60.3%) while . was present in very low frequency (3.6%) so the prevention of UTI in children should be done by proper care of children by mothers.
Background: Hepatitis B virus (HBV), hepatitis C virus (HCV), and Human immunodeficiency virus (HIV) infections are prevalent throughout the world. HIV infection increases the risk of HBV and HCV liver disease especially when HIV-associated immunodeficiency progresses. Aims and Objectives: This study was carried out with the objectives as follows: Estimation of the prevalence of HIV- Hepatitis co-infection, determine CD4+T lymphocyte count in co-infected patients, identify most common opportunistic infections in HIV – Hepatitis co- infection. Materials and Methods: A hospital-based, prospective, cross-sectional, and observational study was carried among people with confirmed HIV infection. HIV antibody, hepatitis B surface antigen (HBsAg), and HCV antibody tests were done in all patients visiting to integrated counseling and testing center. HIV, HBV, and HCV viral load were done in all serologically confirmed patients. In HBsAg positive patients various markers for hepatitis such as hepatitis B envelop antigen (HBeAg), anti-hepatitis B core antibody (HBcAb), and anti-hepatitis B envelop antibody were also done. Results: Out of 357 people living with HIV/AIDS (PLHA) patients 15/357 (4.20%) were co-infected with HBV, 03/357 (0.84%) were co-infected with HCV. The overall seroprevalence of Hepatitis virus (HBV+HCV) in PLHA patients was found to be 5.04% (18/357). CD4+T lymphocyte count <200 cells/μL was seen in 66/339 (19.4%), 04/15 (26.6%), and 03/03 (100%) patients of HIV mono-infected, HBV co-infected, and in HCV co-infected patients, respectively. HIV Viral load ≤1000 copies/mL was seen in 324 and 15 patients in HIV mono-infected and HIV- hepatitis co-infected patient, respectively. Among PLHA patients who were positive for HBsAg; 46.7% (n=7) patients had HBV viral load >2000 IU/mL. All hepatitis B co-infected patients were positive for HBcAb test; HBeAg was positive in 40% (n=06). All HBeAg positive were having viral load >2000 IU/mL. Conclusion: HIV-infected patients are more prone to hepatitis associated liver diseases and exposure to the HBV infection than the general population.
Background: Vestibular stimulation was reported to inhibit the stress axis and brings individual stress to lower levels. This is very beneficial as the management of psychological factors is equivalently important in the management of peptic ulcers. Aims and Objectives: The present study was undertaken to observe the effectiveness of vestibular exercises in the management of depression, anxiety, and stress in gastric ulcer patients. Materials and Methods: A total of 20 gastric ulcer patients without severe complications were part of the study after obtaining written informed consent. After recruiting, the participants were randomly assigned into two groups with ten participants in each group. Standard vestibular exercises mentioned in the literature were adopted. Each session of exercises comprises 45 min. Two sessions per week were administered to the participants for a period of 1 month. Results: Depression, anxiety, and stress scores were not significantly different between the control and intervention groups before the intervention. There was a significant decrease in depression, anxiety, and stress in the intervention group followed by the intervention. Conclusion: The present study results showed the beneficial effects of vestibular exercises in the management of negative psychological emotions such as depression, anxiety, and stress in patients with gastric ulcers. There is a need for large-scale studies in this area to recommend the adoption of vestibular stimulation in the management of gastric ulcers.
Background: Urinary tract infections (UTI’s) define a condition in which urinary tract is infected with a pathogen causing inflammation. Urinary tract infections are one of the most prevalent infections affecting people of all age group from neonates to adults and are major cause of morbidity and several disorders in patients. In serious cases urinary tract infection lead to kidney failure, septicemia, bacterial endocarditis, prostatitis and infertility. Aim: The objective of this work was to the study the prevalence of urinary tract infections among patients of Ujjain and to identify prominent bacterial pathogens responsible for causing UTI. Methods: A total of 500 urine samples were collected aseptically and cultured on Blood agar and Mac’conkey agar. The bacterial isolates were identified based on their colony morphological characteristics, Gram stain reaction and their biochemical tests. Result: After overnight incubation a total of 307 out of 500 patients tested positive for UTI suggesting that (61%) of patients suffered from UTI infections. It was seen that (89%) of bacterial isolates causing UTI were Gram negative and (11%) were Gram positive. The identification of pathogens indicated that E. coli is most prevalent uropathogen followed by K. pneumonae, P. aeruginosa, E. faecalis, S. aureus and P.vulgaris. Conclusion: The study shows that prevalence of UTI is higher in females as compared to males. It was also been seen that UTI infections were prevalent in urban as well as in rural patients, however, the incidence of infection was slightly high in urban patients. This study is important as constant survey and identification of uropathogens is essential for effective treatment of UTI.
Urinary tract infection is most frequently found bacterial infection in urinary tract of human beings and 75-95% of urinary tract infections are caused by uropathogenic . The uropathogenic bacteria produces several virulence factors, siderophore is one of them. Siderophore is iron acquisition protein and play significant role in pathogenicity of UTI’s by helping uropathogenic bacteria to persist in urinary tract of host cells in adverse conditions. The study was conducted at SRL laboratory in Ujjain Center from November 2018- October 2019. Midstream urine sample of suspected UTI patients were collected and was isolated and identified using standard microbiological procedure and after incubation, growth was observed. Colonies more than 10cfu/ml were considered as significant for UTI and detection of siderophore production in uropathogenic bacteria was done by using Chrome Azurol Assay (CAS). Out of 200 collected urine sample in 120 urine samples uropathogenic bacteria was identified and isolated. Among 120 isolates of siderophore production was observed in 48 isolates of , and their percentage was 40%. Iron acquisition protein or siderophores are a major virulence factor necessary for pathogenesis of UTI caused by and CAS assay is the most efficient method for detection of siderophore production in uropathogenic
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