Background: Cotton and synthetic textile industry in India is the largest industry in the country accounting for 14 percent of industrial output and providing employment to around 35 million workers. The workers are at risk of suffering from various chronic respiratory illnesses like byssinosis, chronic bronchitis due to exposure to the cotton dust in the worksites. Even though quite a few studies have been conducted in textile mills in India enough emphasis has not been given on the epidemiological aspects of chronic respiratory illness among the workers in these mills. The present study was, therefore, undertaken with two fold objectives to determine prevalence of respiratory morbidities and to find out the epidemiological aspects of the respiratory morbidities in spinning mill workers.Methodology: A Cross sectional study was conducted among 462 cotton textile workers in Babashaheb Kedar Sut Girni Pvt. Ltd. of Central India. Interview technique was used to collect sociodemographic, anthropometric & addiction information on a predesigned proforma followed by detailed general and systemic examination.Results: Present study revealed that among 462 workers (25.3%) workers had chronic respiratory morbidities. The morbidities included Byssinosis (11.7 %), chronic bronchitis (5.8%), Bronchial asthma (4.5%), Tuberculosis (1.5%), other obstructive pulmonary diseases (1.7 %) All the workers were male and age ranged from 21 -58 years. Majority of the workers 450 i.e (97.4 %) were literate and 437 (94.6%) belonged to class III & IV according to modified Kuppu swamy's classification. The spinning process was carried out in seven main sections. Majority of the workers belonged to ring frame section 217 (47%). The present study showed that 151 (32.7%) had cotton dust exposure for more than 20 years. Only masks were provided as protective devices and 191 (41.3%) of the workers were using it. Total 160 (34.7 %) workers were smokers.Conclusion: Advancing age, sections, duration of exposure, non usage of protective devices and smoking were seen as major determinants of chronic respiratory morbidities in spinning mill workers.
Background/ Objectives: The use of antibiotics in all kinds of medical treatments has increased tremendously in the past few years. Many tertiary care hospitals have developed guidelines and protocols on antibiotic usage but are unable to achieve targeted compliance and the desired outcome. This study aims to assess the status of antibiotic prescription and compliance with the hospital antibiotic policy during surgical cases. Methods: A retrospective study was carried out for a period of 2 months by passive file auditing of the patients’ record. Findings: The results obtained show 84.8 % compliance with respect to the choice of antibiotic, 90.4 % to indication, and prophylactic antibiotic was given in only 51.2 % amongst the 122 surgical cases. With respect to the time within which antibiotics were given it was found that in 10.4 % it was given more than 2 hours of surgery being started, in 26.4 % it was given in less than one hour and for the remaining 63.2 % that data was not recorded properly. The mean duration of administering the antibiotic was 6.29 hours with SD of 5.20 hours with a median of 4 hours. Novelty: The study highlights the lacunae and flaws amounting to the non-compliance to the antibiotic policy in surgical cases and suggests that most of the tertiary care hospitals too need an implementable policy than a perfect policy. Keywords: Antibiotic; assessment; compliance; prescription; surgical cases
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