A system for undertaking antimicrobial stewardship with a mechanism for prospective audit was put in place. The system may be adopted by other public sector hospitals of the developing country.
Both tadalafil and combination of Tadalafil + Pentoxifylline improve erectile function in patients of ED. Patients with severe ED showed much significant improvement in erectile function with combination therapy.
A 55-year-old Indian male presented with intermittent epigastric pain 15 days after accidental ingestion of a wooden tooth brush (commonly used in India). A week later he developed severe pain, high grade fever, lump and induration in left iliac fossa. Thereafter he noticed spontaneous rupture of the lump with drainage of copious amount of pus and expulsion of 17 cm long wooden tooth brush [
ABSTRACTLarge and sharp foreign bodies invariably need surgical removal. A 55-year-old male, had epigastric pain, two weeks after accidental ingestion of wooden tooth brush. Later he developed pain, fever and indurations in left iliac fossa followed by spontaneous expulsion of foreign body through indurated area on the anterior abdominal wall. Contrast enhanced computed tomography revealed an inflammatory tract along the posterior wall of stomach communicating with the anterior abdominal wall. Patient was managed conservatively and made an uneventful recovery.
Objective: surgical site infections (SSIs) are substantial cause of morbidity and mortality among the hospitalized patients. The present study was performed to analyze the incidence of SSIs and to evaluate the risk factors for SSI following abdominal surgeries at a tertiary healthcare centre. Material & Methods: The present study is a prospective study carried out in the Department of general surgery, Dungarpur Medical College & Hospital, Rajasthan during the period of 1 year from January 2018 to January 2019. A total of 100 elective and emergency cases of abdominal surgeries were included in the study. Results: 76 patients were male and 24 were female. Age of the patients ranges from 15 to 70 years with the mean age of 52.2 years. Out of 100 procedures, 38 were emergencies and 62 were elective procedures. 11 cases of SSIs were encountered during the study period. Exploratory laparotomy was the surgery most commonly associated with SSIs (4 cases), followed by bowel resection (3 cases) and cholecystectomy (2 cases). Conclusion: Postoperative surgical site infections causes substantial increase in morbidity and mortality associated with the disease and also increase the healthcare cost. Meticulous surgical techniques, minimizing the duration of operation, proper sterilization, hygienic operation theatres and ward environments are few of the habits which can reduce the risk of SSIs.
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