Background: In spite of advanced operative techniques, availability of higher antibiotics, modern sterilization techniques, higher rate of SSI in government set up after major surgeries is quiet worrisome. Present study is an attempt to assess knowledge and practices of health care professionals to decrease incidence of SSI and to determine their relationship with each other.Methods: This is cross sectional study conducted in one of the tertiary institute in western Maharashtra. Data collection was done by using pre-tested, structured questionnaire. We assessed knowledge and practices followed in wards and operation theatre and compared with standard practices according to WHO infection control protocols. We analyzed data according to Low (<60%), moderate or good (60-80%) and >80% means high knowledge and practices using 3-point Likert scale (never practiced, sometimes practiced, and always practiced). Subgroup analysis will be made by dividing participants in 3 groups mainly consultants (faculty), residents and interns, and staff nurses.Results: Authors found poor knowledge among all three subgroups and in assessment of level of practices, we found that 68.75 % of consultants were following very high level of practices followed by staff nurses (64.51%) and then Interns and residents (49.15%) and while assessing relationship between knowledge and practices in each subgroup by calculating spearman’s Rho coefficient (R), authors found that for interns and residents, P value is 0.025, so association is statistically significant.Conclusions: It can be concluded that health care professionals in the current study have good practices level regarding infection control but knowledge of surgical site infection prevention activities among those was found low. It emphasizes importance of providing training programs for newly joined students, staff nurses and for consultants about infection control protocols at regular intervals.
Background: Considering higher rate of postoperative wound complications in Government set up hospitals, this study was an attempt to compare incision time, incisional blood loss, hospital stay, post-operative pain and postoperative wound complications when subcutaneous tissue is opened with either scalpel or electrocautery in elective gynaecological surgeries after keeping all other clinical and surgical variables same i.e. age, BMI, haemoglobin, incision depth and hospital stay.Methods: This was a prospective observational comparative study conducted in one of the tertiary teaching hospital in Western Maharashtra, India over 12 months. All patients (n=100) were divided into 2 groups. Group A in which skin and subcutaneous tissue was dissected by using scalpel and Group B in which after skin, anterior abdominal wall was opened by using electrocautery. Data analyzed for indication, incisional blood loss, incision time, postoperative pain, wound complications and hospital stay.Results: There were no significant association between preoperative diagnosis and the development of a post-operative wound complications. Mean incision blood loss was found to be significantly higher in group A compared to group B patients. Postoperative pain was significantly higher in group A (P value <0.05). Among wound complications, no statistically significant differences were seen regarding wound complications for the two groups.Conclusions: Electrosurgical dissection for abdominal incision is safe, less time consuming and with less blood loss during subcutaneous incision and produces less postoperative pain. We conclude that the method of subcutaneous tissue incision was unrelated to the development of postoperative abdominal incision problems.
Caesarean section scar ectopic pregnancy (SEP) is a rarest form of ectopic pregnancy. If not diagnosed and adequately treated in early pregnancy leads to considerable maternal morbidity and mortality. With the increasing rate of caesarean section there is a substantial increase in this condition with better understanding of this disease. Caesarean scar ectopic is the implantation of a gestational sac in the myometrium and brous tissues at the site of a previous uterine scar (mostly cesarean section scar). We describe the presentation, workup including radiology studies and management of a caesarean scar ectopic pregnancy in a 23 yrs. old gravida 4 para1 living 1 with 2 abortions with previous one caesarean section. The mean gestational age at the time of diagnosis was 7w 5d. The majority of the women presented with either pain or bleeding, but few cases were asymptomatic and were diagnosed with scar ectopic pregnancy during routine obstetric ultrasonography. We were successful in treating this rare form of ectopic pregnancy without any maternal morbidity and with medical management.
Background: The aim of this study is to examine the knowledge of human papilloma virus (HPV) and cervical cancer among HIV-infected and HIV-uninfected female adolescents attending Antenatal OPD in Department of Obstetrics and Gynecology, Government Medical College, Miraj, Maharashtra, India.Methods: Subjects were recruited randomly from OPD attending patients. A total of 30 subjects, 15 HIV-infected and 15 HIV-uninfected were selected via randomization and completed a measure of HPV knowledge, based on a previously validated instrument. The study took place in December 2017.Results: The overall mean score on the measure for all subjects was 43.3% (S.D. 10.9). There was no significant difference in HPV knowledge between the HIV-infected and HIV-uninfected groups. Based on results from a previous large-scale study using the same validated measure, this sample scored significantly worse on general HPV knowledge than samples from the other studies.Conclusions: Given the limited knowledge of HPV in this sample, there is greater need for education about the prevention of cervical cancer, specifically among high-risk adolescent women.
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