Socio-economic profile of patients with community-acquired skin and soft tissue infections in Delhi

Ravishankar, Arjun; Singh, Seema; Rai, Sumit; Sharma, Naveen; Gupta, Sanjay; Thawani, Rajat

doi:10.1179/2047773214y.0000000154

Cited by 11 publications

(13 citation statements)

References 14 publications

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“…All of the 40 studies were considered for qualitative as well as the quantitative synthesis of etiological agents. Ultimately, only 34 of 40 studies were included in the MRSA meta-analysis, 8,9,15 -46 as the remaining 6 studies did not include data relevant to MRSA (4 efficacy studies, 1 study that described heteroresistance to vancomycin among methicillin-resistant S. aureus isolates, and 1 survey wherein no exact data on prevalence were presented). 47 -52 Table 1 represents the characteristics of the studies included in the analysis.…”

Section: Resultsmentioning

confidence: 99%

“…A total of 10 studies 8,16,18,23,28,31,36,38,41,46 identified risk factors and co-morbidities, including diabetes, tuberculosis, malignancy, leprosy, extremes of age, group-house inhabitants, high mean body temperature (101.80°F), history of preceding illness/upper respiratory tract infections/trauma, abnormal laboratory values (hemoglobin [<9.5 g%], erythrocyte sedimentation rate [>35 mm/h], c-reactive protein [>32 mg/dL], leucocytes (>14 000 cells/10 9 L), absolute neutrophil count [(>65%]), immuno-compromised status, hospitalization in the last 3 months, present intake/history of antibiotics, history of surgical procedures, history of alcohol intake and smoking, history of intravenous drugs, history of corticosteroid intake, history of mucocutaneous candidiasis, history of dermatitis, history of sexually transmitted infections, socio-economic status, chronic kidney disease, heart disease, chronic obstructive pulmonary disease, rheumatoid arthritis, MRSA carriage (nasal or axillary or perineal or hand carriage in patients), prolonged duration of hospital stay, and irrational use/over prescription of antibiotics.…”

Section: Resultsmentioning

confidence: 99%

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A Systemic Literature Review and Meta-Analysis Reporting the Prevalence and Impact of Methicillin-ResistantStaphylococcus aureusInfection in India

2020

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Aim and objective: This systematic review and meta-analysis was conducted to assess the prevalence, burden and epidemiology of methicillin-resistant S. aureus (MRSA). This systemic review was also aimed to highlight the challenges in the diagnosis and management of methicillin-resistant S. aureus (MRSA) in India (for all age groups). We also examined the published literature on the available treatment options and the role of prevention in the management of MRSA in India. By summarizing the currently available data, our objectives were to highlight the need for the prevention of MRSA infections and also emphasize the role of vaccination in the prevention of MRSA infections in India. Methodology: Electronic databases such as PubMed and databases of the National Institute of Science Communication and Information Resources and Indian Council of Medical Research Embase were searched for relevant literature published from 2005/01/01 to 2020/05/13 in English language, according to the predefined inclusion and exclusion criteria. A manual search was also conducted using the key term “MRSA ‘or’ Methicillin Resistant Staphylococcus aureus ‘and’ India.” An independent reviewer extracted data from the studies using a structured Microsoft Excel spreadsheet, and a meta-analysis of proportion for MRSA prevalence with a corresponding 95% confidence interval (CI) for all included individual studies were performed. Result: A total of 34 studies involving 16 237 patients were included in the final meta-analysis. The pooled proportion of patients with MRSA infection was 26.8% (95% CI: 23.2%-30.7%). The MRSA infection was more prevalent among male patients (60.4%; 95% CI: 53.9%-66.5%) as compared to female patients (39.6%; 95% CI: 33.5%-46.1%), while the prevalence of MRSA was higher among adults (18 years and above; 32%; 95% CI: 5%-80%) in comparison to pediatric patients (0-18 years; 68%; 95% CI: 20%-94.8%). The degree of heterogeneity was found to be significant. Conclusion: The prevalence of MRSA in India was relatively high at 27% with a higher proportion observed among men aged >18 years. The high prevalence of MRSA infections in India necessitates the implementation of surveillance and preventive measures to combat the spread of MRSA in both hospital and community settings.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

A Systemic Literature Review and Meta-Analysis Reporting the Prevalence and Impact of Methicillin-ResistantStaphylococcus aureusInfection in India

2020

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“…5 Poorer housing conditions and smaller spaces for living have been shown to be associated with increased exposure to infections and other communicable diseases. 6 Socioeconomic status has been a concern for many infectious diseases as it has been shown to be a risk factor for worse outcomes or more resistant organisms, 7 although this may be attributed to more specific factors, such as lower level of education or monthly income. 8 More specifically with regard to respiratory infections, people from impoverished backgrounds have been noted to have both a higher incidence of disease as well as a more severe infection.…”

Section: Observations and Resultsmentioning

confidence: 99%

Demographic Pattern of Covid 19 cases in and around Vijayawada, Andhra Pradesh

Ravimuni.K,

Srinivasu Rao Palagani,

Usha Rani.K

2021

Indian Journal of Forensic Medicine & Toxicology

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COVID-19 Pandemic has brought a threatening challenge to the world and as well as for Indian society and economy. In India, it has become a public health disaster and its' intensity increasing continuously. For the disaster risk reduction, and capacity building against the COVID-19 pandemic understanding of the relationship between socio-environmental conditions with the pandemic is very necessary. India is the 2nd largest country in terms of population and 6th leading economy in the world. This study represents the hospitalized patients with COVID-19. In this cohort, significantly more patients admitted to hospital were found to be in lower socioeconomic groups. patients with comorbidities should take all necessary precautions to avoid getting infected with SARS CoV-2, as they usually have the worst prognosis. These precautions include regular handwashing with soap and water or use of alcohol-based hand sanitizer, limiting person-toperson contact and practicing social distancing, wearing a face mask in public places, and overall limiting going to public areas at this time unless it is necessary.

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“…Nevertheless, the ndings from this study are useful to uncover the landscape epidemiology of MRS carriage in Australian dogs. Second, the ecological nature of our model could have contributed to a lack of statistical support for the socioeconomic variable which as previously been postulated to be an important factor in antimicrobial resistant bacteria epidemiology, including MRSA (56,57). While SEIFA scores were signi cant at the univariable analysis the fact that the SEIFA scores were available at the postcode level could have contribute to the loss of statistical support due to presence of regression dilution bias (58).…”

Section: Gympie Regional Council Surveillance Strategies Associated mentioning

confidence: 93%

Epidemiology of methicillin resistant Staphylococcus species carriage in companion animals in the Greater Brisbane Area, Australia

Rynhoud

Meler

Gibson

et al. 2020

Preprint

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Background: Methicillin resistant Staphylococcus species such as S. aureus (MRSA) and S. pseudintermedius (MRSP) can be involved in life-threatening multidrug resistant infections in companion animals. Knowledge of methicillin resistant Staphylococcus (MRS) carriage and factors influencing carriage in companion animals from South East Queensland is limited. Nasal and rectal swab samples were collected from dogs, cats and horses upon admission or within 24 hours of hospitalisation to several primary accession and referral veterinary practices between November 2015 and December 2017. MRSA and MRSP were identified using standard microbiological (Brilliance selective medium) and molecular (mecA gene PCR) methods. Risk factors associated with methicillin resistant Staphylococcus (MRS) carriage were quantified using Bernoulli logistic regression models. A Bayesian geostatistical model was developed to predict the probability of MRS carriage in Brisbane and surrounding areas. Results: Our results indicated that while the prevalence of MRSP carriage in dogs was 8.7% (35/402) no MRSP was isolated from cats (0/69) and horses (0/60); no MRSA was isolated in any species. MRSP carriage in dogs was significantly associated with previous hospitalisation, previous bacterial infection, consultation type, average precipitation, and human population density. Our predictive map of MRSP carriage indicated that the probability of carriage was highest along the coastal areas of Greater Brisbane, particularly Brisbane city, Sunshine Coast and Gympie areas. Conclusions: This study determined that MRSP carriage in dog populations from South East Queensland is geographically clustered and associated with both clinical and environmental factors.

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Socio-economic profile of patients with community-acquired skin and soft tissue infections in Delhi

Cited by 11 publications

References 14 publications

A Systemic Literature Review and Meta-Analysis Reporting the Prevalence and Impact of Methicillin-ResistantStaphylococcus aureusInfection in India

A Systemic Literature Review and Meta-Analysis Reporting the Prevalence and Impact of Methicillin-ResistantStaphylococcus aureusInfection in India

Demographic Pattern of Covid 19 cases in and around Vijayawada, Andhra Pradesh

Epidemiology of methicillin resistant Staphylococcus species carriage in companion animals in the Greater Brisbane Area, Australia

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