Pub Date : 2024-03-15DOI: 10.22159/ijcpr.2024v16i2.4046
N. H. R., SOWMYA K.
Objective: Yolk sac is the primary source of exchange between the embryo and the mother before placental circulation and during organogenesis. Yolk sac has immunologic, metabolic, nutritive, endocrine, secretory, excretory and hematopoietic functions. Embryonic heart rate is seen after the appearance of foetal node at 7 w by TAS and 6 w by TVS. Studies have been conducted to establish the importance of yolk sac and EHR in pregnancy outcome. The prognostic significance of the yolk sac for the pregnancy outcome has been assessed with TVS. To measure yolk sac diameter and embryonic heart rate in early pregnancy (less than 10 weeks), to correlate yolk sac measurement and embryonic heart rate individually as prognostic factors for first trimester outcome and to evaluate the measurements in combination as a prognostic marker of first trimester pregnancy outcome. In view of this, the present study was undertaken. Methods: 108 patients attending OPD of Kempe Gowda institute of Medical Sciences Hospital, between 6 to 9 w of gestation, were evaluated with transvaginal sonography and measurements such as CRL, MSD and YSD were taken. Results: The mean age of the study population was 25 y and 88 % of the study population belonged to 20-30 y. 55.6 % of the study population were primigravida. Incidence of abnormal pregnancy outcome was 18.5%. The probability of abnormal outcome increased with the increase in gravidity of the patient (P= 0.890). There was a significant positive comparison of CRL (P= 0.223), GS (P= 0.251) and YSD (P= 0.016). Yolk sac diameter in the first trimester significantly correlates with the pregnancy outcome. An enlarged yolk sac is associated with an increased risk of preterm delivery. Our study influences the pregnancy outcome by the Embryonic heart rate. Foetal bradycardia is an impending sign of foetal death due to chromosomal abnormalities (Trisomy 18), foetal tachycardia featuring Trisomy 21. Conclusion: Yolk sac diameter and embryonic heart rate in the first trimester significantly correlates with the first trimester pregnancy outcome. Thus, the present study indicates that the yolk sac size and the embryonic heart rate is a reliable, beneficial and cost-effective in predicting first-trimester pregnancy outcome. The measurement of the secondary yolk sac diameter between 5th to 9th week of gestation can be used as a valuable tool to predict early pregnancy outcome.
{"title":"YOLK SAC DIAMETER AND EMBRYONIC HEART RATE AS PROGNOSTIC FACTORS OF FIRST TRIMESTER PREGNANCY OUTCOME","authors":"N. H. R., SOWMYA K.","doi":"10.22159/ijcpr.2024v16i2.4046","DOIUrl":"https://doi.org/10.22159/ijcpr.2024v16i2.4046","url":null,"abstract":"Objective: Yolk sac is the primary source of exchange between the embryo and the mother before placental circulation and during organogenesis. Yolk sac has immunologic, metabolic, nutritive, endocrine, secretory, excretory and hematopoietic functions. Embryonic heart rate is seen after the appearance of foetal node at 7 w by TAS and 6 w by TVS. Studies have been conducted to establish the importance of yolk sac and EHR in pregnancy outcome. The prognostic significance of the yolk sac for the pregnancy outcome has been assessed with TVS. To measure yolk sac diameter and embryonic heart rate in early pregnancy (less than 10 weeks), to correlate yolk sac measurement and embryonic heart rate individually as prognostic factors for first trimester outcome and to evaluate the measurements in combination as a prognostic marker of first trimester pregnancy outcome. In view of this, the present study was undertaken. \u0000Methods: 108 patients attending OPD of Kempe Gowda institute of Medical Sciences Hospital, between 6 to 9 w of gestation, were evaluated with transvaginal sonography and measurements such as CRL, MSD and YSD were taken. \u0000Results: The mean age of the study population was 25 y and 88 % of the study population belonged to 20-30 y. 55.6 % of the study population were primigravida. Incidence of abnormal pregnancy outcome was 18.5%. The probability of abnormal outcome increased with the increase in gravidity of the patient (P= 0.890). There was a significant positive comparison of CRL (P= 0.223), GS (P= 0.251) and YSD (P= 0.016). Yolk sac diameter in the first trimester significantly correlates with the pregnancy outcome. An enlarged yolk sac is associated with an increased risk of preterm delivery. Our study influences the pregnancy outcome by the Embryonic heart rate. Foetal bradycardia is an impending sign of foetal death due to chromosomal abnormalities (Trisomy 18), foetal tachycardia featuring Trisomy 21. \u0000Conclusion: Yolk sac diameter and embryonic heart rate in the first trimester significantly correlates with the first trimester pregnancy outcome. Thus, the present study indicates that the yolk sac size and the embryonic heart rate is a reliable, beneficial and cost-effective in predicting first-trimester pregnancy outcome. The measurement of the secondary yolk sac diameter between 5th to 9th week of gestation can be used as a valuable tool to predict early pregnancy outcome.","PeriodicalId":13875,"journal":{"name":"International Journal of Current Pharmaceutical Research","volume":"43 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140238928","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-03-15DOI: 10.22159/ijcpr.2024v16i2.4032
Shraddha Todkar, S. Dhole, Tanuja Umate, N. Kulkarni
Using cyclodextrin helps make different dosage forms more soluble. The oligosaccharide class known as cyclodextrins (CDs) is made up of glucose units bound together in a ring. CDs have the promising ability to assemble into complexes with drug molecules and improve their physicochemical properties without the need for molecular modifications. Generally, drug-CD complexes have a stoichiometry of 1:1. However, natural CDs have a tendency to self-assemble and form aggregates in aqueous media, which can reduce the solubility of the CDs by aggregating. One can increase their complexation capacity and solubility through derivative formation, but the final outcome depends on the kind and extent of substitution. Drug penetration through biological membranes can be improved by the formation of water-soluble drug-CD complexes. Solubility is the property of a solid dissolving into a liquid phase to form a homogenous system. Solubility is a crucial component in obtaining the right drug concentration in the systemic circulation for the optimal pharmacological response. Orally administered poorly soluble drugs often require high dosages to reach therapeutic plasma concentrations. Their low solubility in water is one of the primary problems with creating new chemical entities through formulation. The BCS classification system places these medications in class II, which is characterized by high permeability and poor solubility. To greatly improve these medications, it is possible to make them more bioavailable and soluble.
使用环糊精有助于提高不同剂型的溶解度。被称为环糊精（CD）的寡糖类是由环状结合在一起的葡萄糖单元组成的。环糊精具有与药物分子结合成复合物的能力，无需进行分子修饰即可改善药物的理化性质。一般来说，药物-CD 复合物的化学计量为 1:1。然而，天然 CD 在水介质中具有自组装和形成聚集体的倾向，聚集体会降低 CD 的溶解度。人们可以通过形成衍生物来提高它们的络合能力和溶解度，但最终结果取决于取代的种类和程度。通过形成水溶性药物-CD 复合物，可以提高药物在生物膜上的渗透性。溶解度是指固体溶解到液相中形成均匀体系的特性。溶解度是在全身循环中获得适当药物浓度以产生最佳药理反应的关键因素。口服溶解度低的药物通常需要高剂量才能达到治疗血浆浓度。它们在水中的低溶解度是通过制剂创造新化学实体的主要问题之一。BCS 分类系统将这类药物归入第二类，其特点是渗透性高、溶解性差。要大大改善这些药物，可以使其生物利用度和溶解度更高。
{"title":"CYCLODEXTRIN IN NOVEL FORMULATIONS AND SOLUBILITY ENHANCEMENT TECHNIQUES: A REVIEW","authors":"Shraddha Todkar, S. Dhole, Tanuja Umate, N. Kulkarni","doi":"10.22159/ijcpr.2024v16i2.4032","DOIUrl":"https://doi.org/10.22159/ijcpr.2024v16i2.4032","url":null,"abstract":"Using cyclodextrin helps make different dosage forms more soluble. The oligosaccharide class known as cyclodextrins (CDs) is made up of glucose units bound together in a ring. CDs have the promising ability to assemble into complexes with drug molecules and improve their physicochemical properties without the need for molecular modifications. Generally, drug-CD complexes have a stoichiometry of 1:1. However, natural CDs have a tendency to self-assemble and form aggregates in aqueous media, which can reduce the solubility of the CDs by aggregating. One can increase their complexation capacity and solubility through derivative formation, but the final outcome depends on the kind and extent of substitution. Drug penetration through biological membranes can be improved by the formation of water-soluble drug-CD complexes. Solubility is the property of a solid dissolving into a liquid phase to form a homogenous system. Solubility is a crucial component in obtaining the right drug concentration in the systemic circulation for the optimal pharmacological response. Orally administered poorly soluble drugs often require high dosages to reach therapeutic plasma concentrations. Their low solubility in water is one of the primary problems with creating new chemical entities through formulation. The BCS classification system places these medications in class II, which is characterized by high permeability and poor solubility. To greatly improve these medications, it is possible to make them more bioavailable and soluble.","PeriodicalId":13875,"journal":{"name":"International Journal of Current Pharmaceutical Research","volume":"11 8","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140239405","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-03-15DOI: 10.22159/ijcpr.2024v16i2.4039
K. U. Devi, B. Manjula, P. Kamala
Objective: To determine the microbiological profile and their Antibiogram pattern in isolates from neonatal sepsis. Methods: This study was conducted from October 2022 to January 15th 2023. Total 663 blood samples received from NICU, which were processed in the department of microbiology Andhra Medical College, Visakhapatnam. Organisms were identified by conventional methods and an antibiotic susceptibility test was done by Kirby Bauer disc diffusion method as per CLSI guidelines. Results: Out of 663 samples 200 (30.16%) are culture positives, in which males are more affected than females, that is 103 (51.5%). Among the culture positives, the most predominant isolate was klebsiella species 106 (53%) followed by pseudomonas 28 (14%) Escherichia coli 28 (14%) Acinetobacter 24 (12%), MRSA 11 (0.05%), MSSA 3(0.015%). Regarding its antibiogram, klebsiella species and Escherichia coli were most sensitive to penicillins+beta lactamase inhibitors (83%), fluroquinolones (75%) and aminoglycosides (75%), respectively. Pseudomonas, Acinetobacter was sensitive to penicillins+betalactamase inhibitors (100%) and aminoglycosides (72%). Gram-positive organisms were mostly sensitive to vancomycin, linezolid, aminoglycosides (MRSA) and cefoxitin (MSSA). There was widespread resistance to third-generation cephalosporins (77.77%) among gram-negative organisms. Conclusion: Gram negative bacteria are the most common cause of neonatal sepsis and klebsiella species are the predominant pathogens. These gram negative bacteria were resistant to cephalosporins. Antibiogram helps as a guide to antimicrobial therapy and resistance to antibiotics, as it is the common problem that causes ineffectiveness of empirical treatment.
{"title":"BACTERIOLOGICAL PROFILE AND ANTIBIOGRAM PATTERN IN ISOLATES FROM NEONATAL SEPSIS IN A TERTIARY CARE HOSPITAL","authors":"K. U. Devi, B. Manjula, P. Kamala","doi":"10.22159/ijcpr.2024v16i2.4039","DOIUrl":"https://doi.org/10.22159/ijcpr.2024v16i2.4039","url":null,"abstract":"Objective: To determine the microbiological profile and their Antibiogram pattern in isolates from neonatal sepsis. \u0000Methods: This study was conducted from October 2022 to January 15th 2023. Total 663 blood samples received from NICU, which were processed in the department of microbiology Andhra Medical College, Visakhapatnam. Organisms were identified by conventional methods and an antibiotic susceptibility test was done by Kirby Bauer disc diffusion method as per CLSI guidelines. \u0000Results: Out of 663 samples 200 (30.16%) are culture positives, in which males are more affected than females, that is 103 (51.5%). Among the culture positives, the most predominant isolate was klebsiella species 106 (53%) followed by pseudomonas 28 (14%) Escherichia coli 28 (14%) Acinetobacter 24 (12%), MRSA 11 (0.05%), MSSA 3(0.015%). Regarding its antibiogram, klebsiella species and Escherichia coli were most sensitive to penicillins+beta lactamase inhibitors (83%), fluroquinolones (75%) and aminoglycosides (75%), respectively. Pseudomonas, Acinetobacter was sensitive to penicillins+betalactamase inhibitors (100%) and aminoglycosides (72%). Gram-positive organisms were mostly sensitive to vancomycin, linezolid, aminoglycosides (MRSA) and cefoxitin (MSSA). There was widespread resistance to third-generation cephalosporins (77.77%) among gram-negative organisms. \u0000Conclusion: Gram negative bacteria are the most common cause of neonatal sepsis and klebsiella species are the predominant pathogens. These gram negative bacteria were resistant to cephalosporins. Antibiogram helps as a guide to antimicrobial therapy and resistance to antibiotics, as it is the common problem that causes ineffectiveness of empirical treatment.","PeriodicalId":13875,"journal":{"name":"International Journal of Current Pharmaceutical Research","volume":"18 50","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140240570","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-03-15DOI: 10.22159/ijcpr.2024v16i2.4057
Aishwarya Malode, R. N. Yadav, Girdhar Gopal Goyal, Gunja Jain, Ajay Mathur, Laxmikant Goyal
Objective: Rheumatoid arthritis (RA) is an autoimmune disease with many extraarticular manifestations. Pulmonary involvement is seen in 60-80% cases with and without symptoms. This research studies the pattern of PFT (Pulmonary Function Test) in RA and find the correlation between PFT and Disease activity. Secondary objectives were to evaluate the effect of use of Methotrexate (MTx) on disease activity and PFT. Methods: An outpatient-based descriptive cross-sectional study was conducted in General Medicine department at a tertiary centre among 100 eligible patients. Disease activity score was recorded using DAS-28 (Disease Activity Score-28) and CDAI (Clinical Disease Activity Index). Patients underwent PFT by Spirometry thereafter. Results: 45 % patients had restrictive pattern and 55% had normal PFT. None had an obstructive pattern. The mean FVC (Forced Vital Capacity), FEV1 (Forced Expiratory Volume in the first second), FEV1/FVC ratio, PEFR (Peak Expiratory Flow Rate) and FEF 25-75% (Forced mid expiratory flow) were 78.83±14.37, 79.24±16.96, 103.56±11.03, 71.73±22.39 and 76.56±23.72 respectively. Both FVC and FEV1 were found to be significantly associated with age, disease duration, CDAI score, MTx dose and duration (P<0.05). Age, ESR(erythrocyte sedimentation rate) and MTx dose were significantly associated with FEV1/FVC ratio (P<0.05). Age, duration of disease, ESR. MTx dose and duration were significantly associated with PEFR (P<0.05). Lastly age, CDAI score, MTx dose and duration were significantly associated with FEF 25-75% (P<0.05). Conclusion: Restrictive pattern (45%) was the most common defect on PFT among RA patients. Severity of lung disease depends on age, MTx dose, disease activity (ESR, CDAI), duration of disease and MTx duration.
{"title":"PULMONARY FUNCTION IN RHEUMATOID ARTHRITS: A CROSS-SECTIONAL STUDY","authors":"Aishwarya Malode, R. N. Yadav, Girdhar Gopal Goyal, Gunja Jain, Ajay Mathur, Laxmikant Goyal","doi":"10.22159/ijcpr.2024v16i2.4057","DOIUrl":"https://doi.org/10.22159/ijcpr.2024v16i2.4057","url":null,"abstract":"Objective: Rheumatoid arthritis (RA) is an autoimmune disease with many extraarticular manifestations. Pulmonary involvement is seen in 60-80% cases with and without symptoms. This research studies the pattern of PFT (Pulmonary Function Test) in RA and find the correlation between PFT and Disease activity. Secondary objectives were to evaluate the effect of use of Methotrexate (MTx) on disease activity and PFT. \u0000Methods: An outpatient-based descriptive cross-sectional study was conducted in General Medicine department at a tertiary centre among 100 eligible patients. Disease activity score was recorded using DAS-28 (Disease Activity Score-28) and CDAI (Clinical Disease Activity Index). Patients underwent PFT by Spirometry thereafter. \u0000Results: 45 % patients had restrictive pattern and 55% had normal PFT. None had an obstructive pattern. The mean FVC (Forced Vital Capacity), FEV1 (Forced Expiratory Volume in the first second), FEV1/FVC ratio, PEFR (Peak Expiratory Flow Rate) and FEF 25-75% (Forced mid expiratory flow) were 78.83±14.37, 79.24±16.96, 103.56±11.03, 71.73±22.39 and 76.56±23.72 respectively. Both FVC and FEV1 were found to be significantly associated with age, disease duration, CDAI score, MTx dose and duration (P<0.05). Age, ESR(erythrocyte sedimentation rate) and MTx dose were significantly associated with FEV1/FVC ratio (P<0.05). Age, duration of disease, ESR. MTx dose and duration were significantly associated with PEFR (P<0.05). Lastly age, CDAI score, MTx dose and duration were significantly associated with FEF 25-75% (P<0.05). \u0000Conclusion: Restrictive pattern (45%) was the most common defect on PFT among RA patients. Severity of lung disease depends on age, MTx dose, disease activity (ESR, CDAI), duration of disease and MTx duration.","PeriodicalId":13875,"journal":{"name":"International Journal of Current Pharmaceutical Research","volume":"86 5","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140238456","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-03-15DOI: 10.22159/ijcpr.2024v16i2.4044
Hareesh, Abdul Haseeb, Sharanabasappa Malashetty
Objective: In the dynamic landscape of healthcare, the quest for precision in clinical decision-making is pivotal. The Pediatric Index of Mortality 3 (PIM 3) score has emerged as a crucial metric in predicting mortality risk among critically ill children, shaping medical choices in pediatric intensive care units. Methods: This single-center study, conducted at [Your Institution's Name], employed a [research design] to analyze the impact of the PIM 3 score on clinical decision-making within the pediatric intensive care unit. The study included [number] critically ill pediatric patients aged 1 mo to 18 y, with data extracted from electronic health records. Statistical analyses, including correlation and regression models, were applied to explore relationships and identify factors influencing clinical decision-making. Results: Among the 581 patients, gender distribution and age demographics varied, with notable associations between diagnostic categories and outcomes. Survivors exhibited lower PIM 3 scores compared to nonsurvivors. Probability scores related to outcomes revealed distinct patterns, emphasizing the predictive utility of the PIM 3 score. Conclusion: The study demonstrated a correlation between higher PIM 3 scores and increased mortality risk, guiding clinical decision-making in critically ill pediatric patients. Bridging theory and practice, the findings provide valuable insights for enhancing bedside decision-making and improving the quality of care. Acknowledging contextual factors is crucial for a comprehensive understanding of decision-making processes.
{"title":"EXPLORING THE IMPACT OF PIM 3 SCORE ON CLINICAL DECISION-MAKING: A SINGLE-CENTER STUDY","authors":"Hareesh, Abdul Haseeb, Sharanabasappa Malashetty","doi":"10.22159/ijcpr.2024v16i2.4044","DOIUrl":"https://doi.org/10.22159/ijcpr.2024v16i2.4044","url":null,"abstract":"Objective: In the dynamic landscape of healthcare, the quest for precision in clinical decision-making is pivotal. The Pediatric Index of Mortality 3 (PIM 3) score has emerged as a crucial metric in predicting mortality risk among critically ill children, shaping medical choices in pediatric intensive care units. \u0000Methods: This single-center study, conducted at [Your Institution's Name], employed a [research design] to analyze the impact of the PIM 3 score on clinical decision-making within the pediatric intensive care unit. The study included [number] critically ill pediatric patients aged 1 mo to 18 y, with data extracted from electronic health records. Statistical analyses, including correlation and regression models, were applied to explore relationships and identify factors influencing clinical decision-making. \u0000Results: Among the 581 patients, gender distribution and age demographics varied, with notable associations between diagnostic categories and outcomes. Survivors exhibited lower PIM 3 scores compared to nonsurvivors. Probability scores related to outcomes revealed distinct patterns, emphasizing the predictive utility of the PIM 3 score. \u0000Conclusion: The study demonstrated a correlation between higher PIM 3 scores and increased mortality risk, guiding clinical decision-making in critically ill pediatric patients. Bridging theory and practice, the findings provide valuable insights for enhancing bedside decision-making and improving the quality of care. Acknowledging contextual factors is crucial for a comprehensive understanding of decision-making processes.","PeriodicalId":13875,"journal":{"name":"International Journal of Current Pharmaceutical Research","volume":"12 15","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140239364","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Objective: The present study determined the prevalence of various aerobic bacteria causing ventilator-associated pneumonia in adult patients. Initially the bacteria causing ventilator-associated pneumonia was isolated from ET samples and studied the antimicrobial susceptibility pattern of bacterial isolates. Methods: Total 250 endotracheal aspiration (ET) samples were collected from patients admitted in Medical, Respiratory and Surgical ICUs for 1 y period. ET aspirates were collected under aseptic precautions and processed as per standard operating procedure for the identification of microorganisms. The antibiotic susceptibility test was performed by using Kirby-Bauer disk diffusion method as per CLSI guidelines. Results: Out of the 250 samples processed, culture-positive were 34.8% (n=87) and culture-negative were 65.2% (n=163). Out of 87 culture-positive samples, polymicrobial growth was observed in 9.19% (n=8) and monomicrobial growth was observed in 90.8% (n=79). Gram negative bacilli 95.7% (n=91), and gram-positive cocci isolates are 4.2% (n=4). Among Gram-negative organisms isolated, A. baumannii is the most common isolate 33 (34.7%), followed by P. aeruginosa 28 (29.5%) and K. pneumoniae 20 (21.0%) E. coli 8 (8.4%) and E. cloacae 2 (2.1%). Out of 4 Gram-positive organisms isolated, 3 (3.1%) were MSSA, and 1(1.1%) was MRSA. Conclusion: VAP is increasingly associated with multidrug-resistant (MDR) pathogens due to the production of ESBL, Amp C b-lactamase, Metallo-b-lactamase. It is important to carry out aggressive surveillance to determine the prevalence of MDR organisms and to generate a local antibiogram periodically. Early and appropriate antibiotics in right doses followed by de-escalation based on microbiological culture results are essential to curtail the VAP rate. VAP bundle care shall be implemented correctly.
{"title":"BACTERIOLOGICAL STUDY OF VENTILATOR-ASSOCIATED PNEUMONIA AND ANTIBIOTIC SUSCEPTIBILITY OF ISOLATES","authors":"Vijaya Kumar Kanipakam, Himabindu Thoti, Yamini Sharabu, Anitha Valluri, Rajyalakshmi Gunti","doi":"10.22159/ijcpr.2024v16i2.4049","DOIUrl":"https://doi.org/10.22159/ijcpr.2024v16i2.4049","url":null,"abstract":"Objective: The present study determined the prevalence of various aerobic bacteria causing ventilator-associated pneumonia in adult patients. Initially the bacteria causing ventilator-associated pneumonia was isolated from ET samples and studied the antimicrobial susceptibility pattern of bacterial isolates. \u0000Methods: Total 250 endotracheal aspiration (ET) samples were collected from patients admitted in Medical, Respiratory and Surgical ICUs for 1 y period. ET aspirates were collected under aseptic precautions and processed as per standard operating procedure for the identification of microorganisms. The antibiotic susceptibility test was performed by using Kirby-Bauer disk diffusion method as per CLSI guidelines. \u0000Results: Out of the 250 samples processed, culture-positive were 34.8% (n=87) and culture-negative were 65.2% (n=163). Out of 87 culture-positive samples, polymicrobial growth was observed in 9.19% (n=8) and monomicrobial growth was observed in 90.8% (n=79). Gram negative bacilli 95.7% (n=91), and gram-positive cocci isolates are 4.2% (n=4). Among Gram-negative organisms isolated, A. baumannii is the most common isolate 33 (34.7%), followed by P. aeruginosa 28 (29.5%) and K. pneumoniae 20 (21.0%) E. coli 8 (8.4%) and E. cloacae 2 (2.1%). Out of 4 Gram-positive organisms isolated, 3 (3.1%) were MSSA, and 1(1.1%) was MRSA. \u0000Conclusion: VAP is increasingly associated with multidrug-resistant (MDR) pathogens due to the production of ESBL, Amp C b-lactamase, Metallo-b-lactamase. It is important to carry out aggressive surveillance to determine the prevalence of MDR organisms and to generate a local antibiogram periodically. Early and appropriate antibiotics in right doses followed by de-escalation based on microbiological culture results are essential to curtail the VAP rate. VAP bundle care shall be implemented correctly.","PeriodicalId":13875,"journal":{"name":"International Journal of Current Pharmaceutical Research","volume":"77 6","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140239697","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-01-15DOI: 10.22159/ijcpr.2024v16i1.4006
Praveen Singh, Pooja Arnote, Kajal Thakur
Objective: To assess the amount of proteinuria in preeclamptic pregnant women by comparing the spot urine protein/creatinine ratio with the traditional 24 h urine protein collection method. The purpose of the study was to evaluate the spot urine protein/creatinine ratio's diagnostic accuracy and usefulness for proteinuria in this particular patient group. Methods: transversal research. Ages 18 to 40, gestational age greater than 20 w, and a diagnosis of hypertension (BP ≥140/90 mmHg) with proteinuria are the selection criteria. Chronic renal illness, recurrent urinary tract infections, birth prior to a 24 h urine collection period are all considered exclusion factors. Results: 28.9 y is the mean age, with 45.55% primigravida and 65.55% multigravida. Systolic blood pressure: 94.98 mmHg±8.54. Abnormalities in liver function include total bilirubin (90%), ALT (60%), and AST (60%). Urine protein average over 24 h: 1884 mg/d±2562. Conclusion: India's HDP epidemiology is complicated and impacted by a wide range of variables. Research and medical interventions must be customized. Additional research is essential for managing and preventing problems in this multicultural country.
{"title":"EPIDEMIOLOGY OF HYPERTENSIVE DISORDERS OF PREGNANCY IN INDIA","authors":"Praveen Singh, Pooja Arnote, Kajal Thakur","doi":"10.22159/ijcpr.2024v16i1.4006","DOIUrl":"https://doi.org/10.22159/ijcpr.2024v16i1.4006","url":null,"abstract":"Objective: To assess the amount of proteinuria in preeclamptic pregnant women by comparing the spot urine protein/creatinine ratio with the traditional 24 h urine protein collection method. The purpose of the study was to evaluate the spot urine protein/creatinine ratio's diagnostic accuracy and usefulness for proteinuria in this particular patient group. \u0000Methods: transversal research. Ages 18 to 40, gestational age greater than 20 w, and a diagnosis of hypertension (BP ≥140/90 mmHg) with proteinuria are the selection criteria. Chronic renal illness, recurrent urinary tract infections, birth prior to a 24 h urine collection period are all considered exclusion factors. \u0000Results: 28.9 y is the mean age, with 45.55% primigravida and 65.55% multigravida. Systolic blood pressure: 94.98 mmHg±8.54. Abnormalities in liver function include total bilirubin (90%), ALT (60%), and AST (60%). Urine protein average over 24 h: 1884 mg/d±2562. \u0000Conclusion: India's HDP epidemiology is complicated and impacted by a wide range of variables. Research and medical interventions must be customized. Additional research is essential for managing and preventing problems in this multicultural country.","PeriodicalId":13875,"journal":{"name":"International Journal of Current Pharmaceutical Research","volume":" 35","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139621690","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-01-15DOI: 10.22159/ijcpr.2024v16i1.4018
V. B. J., S. SINGH J., Mohammed Zakir
Objective: Pregnancy is a special physiological condition where drug treatment presents a special concern. The aim of the study is to evaluate the pattern of drug use and WHO prescribing indicators in high-risk pregnancies. Methods: A prospective observational study was carried out for a period of six months. A self-designed data collection form was used to collect the data from the prescriptions. The collected data was entered and analyzed using Microsoft Excel. Results: A total of 200 patients were included in this study. Preeclampsia (45, 22.5%) was the most frequently recorded complication, followed by eclampsia (43, 21.5%), anemia (34, 17%), and PIH (32, 16%). Antimicrobial agents (435, 32.5%) were the most frequently prescribed class of drug, followed by hematinics (194, 14.4%). A total of 1,338 drugs were prescribed in 200 patients. The average number of drugs per prescription was 6.69, the percentage of drugs prescribed by generic name was 88.04%, the percentage of drugs prescribed from EDL was 83.10%, the percentage of prescriptions with an antibiotic prescribed was 88%, and the percentage of prescriptions with an injection prescribed was 76%. Conclusion: During pregnancy, as we see, every complication need treatment and different class of drugs in, which some drugs may cause serious side effect to both mother and fetus. The prescription pattern was suboptimal when compared to the WHO core prescribing indicators' suggested values. Studying drug prescribing patterns in high-risk pregnancies can help improve practices, leading to safer and more effective medication use and, ultimately better health outcomes for both mothers and fetuses.
{"title":"ASSESSMENT OF PRESCRIPTION PATTERN IN HIGH-RISK PREGNANCY AT A TERTIARY CARE HOSPITAL","authors":"V. B. J., S. SINGH J., Mohammed Zakir","doi":"10.22159/ijcpr.2024v16i1.4018","DOIUrl":"https://doi.org/10.22159/ijcpr.2024v16i1.4018","url":null,"abstract":"Objective: Pregnancy is a special physiological condition where drug treatment presents a special concern. The aim of the study is to evaluate the pattern of drug use and WHO prescribing indicators in high-risk pregnancies. \u0000Methods: A prospective observational study was carried out for a period of six months. A self-designed data collection form was used to collect the data from the prescriptions. The collected data was entered and analyzed using Microsoft Excel. \u0000Results: A total of 200 patients were included in this study. Preeclampsia (45, 22.5%) was the most frequently recorded complication, followed by eclampsia (43, 21.5%), anemia (34, 17%), and PIH (32, 16%). Antimicrobial agents (435, 32.5%) were the most frequently prescribed class of drug, followed by hematinics (194, 14.4%). A total of 1,338 drugs were prescribed in 200 patients. The average number of drugs per prescription was 6.69, the percentage of drugs prescribed by generic name was 88.04%, the percentage of drugs prescribed from EDL was 83.10%, the percentage of prescriptions with an antibiotic prescribed was 88%, and the percentage of prescriptions with an injection prescribed was 76%. \u0000Conclusion: During pregnancy, as we see, every complication need treatment and different class of drugs in, which some drugs may cause serious side effect to both mother and fetus. The prescription pattern was suboptimal when compared to the WHO core prescribing indicators' suggested values. Studying drug prescribing patterns in high-risk pregnancies can help improve practices, leading to safer and more effective medication use and, ultimately better health outcomes for both mothers and fetuses.","PeriodicalId":13875,"journal":{"name":"International Journal of Current Pharmaceutical Research","volume":" 48","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139621786","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-01-15DOI: 10.22159/ijcpr.2024v16i1.4016
C. K. J., Mahalaxmi C Patil, Moumita Banerjee, A. H. M.
Objective: Since there is no evidence of silver nanoparticle preparation using the Ficus lacor plant, our present study was designed to synthesise silver nanoparticles using a Ficus lacor leaves extract, which was expected to show an enhanced wound healing activity with greater advantages of green synthesis. Methods: In the present study, silver nanoparticles were prepared using Ficus lacor leaf extract and the prepared nanoparticles were characterised by Ultraviolet-Visible spectroscopy and Particle size analysis later a topical gel is prepared and its effectiveness was evaluated by using animal excision wound model. Results: The study results showed that the Ficus lacor-based silver nanoparticle topical gel on an animal excision wound model exhibited almost similar wound healing activity in comparison with standard marketed product. Conclusion: This study concluded that Ficus lacor-silver nanoparticle gel showed considerable improvement in the excision wound model and hence this can be a promising candidate in wound healing.
{"title":"PREPARATION AND CHARACTERIZATION OF FICUS LACOR METALLIC PARTICLES BASED NANOGEL FOR WOUND HEALING ACTIVITY","authors":"C. K. J., Mahalaxmi C Patil, Moumita Banerjee, A. H. M.","doi":"10.22159/ijcpr.2024v16i1.4016","DOIUrl":"https://doi.org/10.22159/ijcpr.2024v16i1.4016","url":null,"abstract":"Objective: Since there is no evidence of silver nanoparticle preparation using the Ficus lacor plant, our present study was designed to synthesise silver nanoparticles using a Ficus lacor leaves extract, which was expected to show an enhanced wound healing activity with greater advantages of green synthesis. \u0000Methods: In the present study, silver nanoparticles were prepared using Ficus lacor leaf extract and the prepared nanoparticles were characterised by Ultraviolet-Visible spectroscopy and Particle size analysis later a topical gel is prepared and its effectiveness was evaluated by using animal excision wound model. \u0000Results: The study results showed that the Ficus lacor-based silver nanoparticle topical gel on an animal excision wound model exhibited almost similar wound healing activity in comparison with standard marketed product. \u0000Conclusion: This study concluded that Ficus lacor-silver nanoparticle gel showed considerable improvement in the excision wound model and hence this can be a promising candidate in wound healing.","PeriodicalId":13875,"journal":{"name":"International Journal of Current Pharmaceutical Research","volume":"19 12","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139529430","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-01-15DOI: 10.22159/ijcpr.2024v16i1.4001
V. B. J., S. P. M., Y. R.
Objective: Antibiotics encompass a great extent of the important cornerstone in clinical medicine. Antibiotics are being used more often for treatment, prophylaxis, and diagnosis as the diversity of infectious illnesses grows. Irrational prescribing of antibiotics leads to antibiotic resistance, ineffective treatment, polypharmacy, and an increase in treatment cost. This study is to assess prescribing pattern of antibiotics in the general medicine ward of a tertiary care hospital, Chitradurga. Methods: A prospective observational study was carried out for a period of six months. A self-designed data collection form was used to collect the data from the prescriptions. The collected data was entered and analysed using Microsoft Excel. Results: In 300 prescriptions, a total of 2,468 drugs were prescribed, with an average of 8.2 drugs per prescription. A total of 719 antibiotics were prescribed, with an average of 2.3 per prescription. Percentage of antibiotics prescribed by generic name was 6% and prescribed according to EDL was 74%. About 96% of prescriptions containing antibiotics are in injection form. Ceftriaxone (30.32%) was the most frequently prescribed antibiotic. Cephalosporins (44.51%) were the most frequently prescribed class of antibiotics. Conclusion: This study indicate that prescription pattern was not optimal compared to the recommended values of the WHO core prescribing indicators. The prescribing practices were not appropriate as they consisted of polypharmacy, lesser prescription by generic name, and parenteral route of administration more than the oral route. Hence, there is a need to implement the standards of antibiotic guidelines prescribed rational therapy.
{"title":"ASSESSMENT OF ANTIBIOTICS PRESCRIPTION PATTERN BY USING WHO PRESCRIBING INDICATORS IN GENERAL MEDICINE WARD OF A TERTIARY CARE HOSPITAL","authors":"V. B. J., S. P. M., Y. R.","doi":"10.22159/ijcpr.2024v16i1.4001","DOIUrl":"https://doi.org/10.22159/ijcpr.2024v16i1.4001","url":null,"abstract":"Objective: Antibiotics encompass a great extent of the important cornerstone in clinical medicine. Antibiotics are being used more often for treatment, prophylaxis, and diagnosis as the diversity of infectious illnesses grows. Irrational prescribing of antibiotics leads to antibiotic resistance, ineffective treatment, polypharmacy, and an increase in treatment cost. This study is to assess prescribing pattern of antibiotics in the general medicine ward of a tertiary care hospital, Chitradurga. \u0000Methods: A prospective observational study was carried out for a period of six months. A self-designed data collection form was used to collect the data from the prescriptions. The collected data was entered and analysed using Microsoft Excel. \u0000Results: In 300 prescriptions, a total of 2,468 drugs were prescribed, with an average of 8.2 drugs per prescription. A total of 719 antibiotics were prescribed, with an average of 2.3 per prescription. Percentage of antibiotics prescribed by generic name was 6% and prescribed according to EDL was 74%. About 96% of prescriptions containing antibiotics are in injection form. Ceftriaxone (30.32%) was the most frequently prescribed antibiotic. Cephalosporins (44.51%) were the most frequently prescribed class of antibiotics. \u0000Conclusion: This study indicate that prescription pattern was not optimal compared to the recommended values of the WHO core prescribing indicators. The prescribing practices were not appropriate as they consisted of polypharmacy, lesser prescription by generic name, and parenteral route of administration more than the oral route. Hence, there is a need to implement the standards of antibiotic guidelines prescribed rational therapy.","PeriodicalId":13875,"journal":{"name":"International Journal of Current Pharmaceutical Research","volume":" 51","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139621392","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
京公网安备 11010802042870号
京ICP备2023020795号-1
扫码关注我们
求助内容：
应助结果提醒方式：