Pub Date : 2024-02-29DOI: 10.4103/amhs.amhs_186_23
S. Khetrapal, Pushpa Bisht, Z. Jairajpuri, S. Rana, S. Jetley
Blood transfusions can be a crucial, life-saving treatment in modern medical and surgical practice. The primary objective of blood transfusion services worldwide is to guarantee the availability of a sufficient and safe supply of blood and blood products. Meticulous donor screening and use of highly sensitive techniques for the detection of transfusion-transmitted infections (TTIs) may help reduce the risk of TTIs and, hence, are important steps to ensure safety for both donor and recipient. This is a retrospective record-based study done at Hamdard Institute of Medical Sciences and Research. The blood donors’ data from January 2012 to December 2022 (10 years) were collected from the blood bank registry at the study site and were analyzed. Males dominated the donor population (98.2%) with females comprising only (1.8%). In total, 10.9% were found unfit for donation for various reasons. Voluntary donors were (6.3%) and replacement donors were (93.7%). Out of the reasons for deferral, majority 497/1223 (40.6%) donors were deferred due to hemoglobin <12.5 g/dl, followed by 156/1223 (12.8%) deferrals due to alcohol intake within the past 72 h. Safe donor selection is the first step toward safe transfusion services. Identification of population groups that can be targeted to enhance the pool of willing blood donors is made easier by studying and analyzing the blood donor profile.
{"title":"Blood Donor Selection Profile an Important Tool for Blood Safety: An Institutional Experience","authors":"S. Khetrapal, Pushpa Bisht, Z. Jairajpuri, S. Rana, S. Jetley","doi":"10.4103/amhs.amhs_186_23","DOIUrl":"https://doi.org/10.4103/amhs.amhs_186_23","url":null,"abstract":"\u0000 \u0000 \u0000 Blood transfusions can be a crucial, life-saving treatment in modern medical and surgical practice. The primary objective of blood transfusion services worldwide is to guarantee the availability of a sufficient and safe supply of blood and blood products. Meticulous donor screening and use of highly sensitive techniques for the detection of transfusion-transmitted infections (TTIs) may help reduce the risk of TTIs and, hence, are important steps to ensure safety for both donor and recipient.\u0000 \u0000 \u0000 \u0000 This is a retrospective record-based study done at Hamdard Institute of Medical Sciences and Research. The blood donors’ data from January 2012 to December 2022 (10 years) were collected from the blood bank registry at the study site and were analyzed.\u0000 \u0000 \u0000 \u0000 Males dominated the donor population (98.2%) with females comprising only (1.8%). In total, 10.9% were found unfit for donation for various reasons. Voluntary donors were (6.3%) and replacement donors were (93.7%). Out of the reasons for deferral, majority 497/1223 (40.6%) donors were deferred due to hemoglobin <12.5 g/dl, followed by 156/1223 (12.8%) deferrals due to alcohol intake within the past 72 h.\u0000 \u0000 \u0000 \u0000 Safe donor selection is the first step toward safe transfusion services. Identification of population groups that can be targeted to enhance the pool of willing blood donors is made easier by studying and analyzing the blood donor profile.\u0000","PeriodicalId":8296,"journal":{"name":"Archives of Medicine and Health Sciences","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-02-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140411531","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 : 2024-02-28DOI: 10.4103/amhs.amhs_153_23
Gaurav Bansal, Priyanka Bansal
Dentigerous cysts are the second-most common odontogenic cysts which are of developmental pathology. These cysts have a very rare occurrence during the first decade of life with a predilection for males compared to females. We report the earliest occurrence to date of a large dentigerous cyst of maxillary origin in a 1-day-old male baby. We were able to successfully manage the baby with a conservative surgical approach.
{"title":"A Rare Case of Dentigerous Cyst in a 1-day-old Neonate","authors":"Gaurav Bansal, Priyanka Bansal","doi":"10.4103/amhs.amhs_153_23","DOIUrl":"https://doi.org/10.4103/amhs.amhs_153_23","url":null,"abstract":"\u0000 Dentigerous cysts are the second-most common odontogenic cysts which are of developmental pathology. These cysts have a very rare occurrence during the first decade of life with a predilection for males compared to females. We report the earliest occurrence to date of a large dentigerous cyst of maxillary origin in a 1-day-old male baby. We were able to successfully manage the baby with a conservative surgical approach.","PeriodicalId":8296,"journal":{"name":"Archives of Medicine and Health Sciences","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140418902","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 : 2024-02-28DOI: 10.4103/amhs.amhs_243_23
Ramegowda Chethana, Divyarajan Vinitha Kiruffi, K. S. Seema, A. H. Shivalingaiah
Adolescent pregnancy has become an important health and social issue in both developing and developed countries. According to the National Family Health Survey-5, the prevalence of adolescent pregnancy in India is 6.8%. Adolescent pregnancy has shown association with preterm birth, low birth weight, perinatal death, miscarriage, puerperal sepsis, mental illness, and maternal death. With this background, this study was taken up with the objective to delineate the maternal and neonatal complications seen in teenage pregnant women. This study was a retrospective case record analysis with descriptive study design of all adolescent pregnancies delivered between October 2021 and September 2022 with mother’s age being ≤19 years, at a first referral hospital in Bengaluru were included in the study. Participants who could not be contacted were excluded from the study. Out of the 1005 deliveries during the study period, 55 were adolescent pregnancy with a proportion of 5.47%. The most common maternal complication is pregnancy-induced hypertension (8.5%) and the most common neonatal complication is low birth weight (21.2%). Despite continuous and consistent efforts by the health-care administration and health-care personnel under maternal and child national health program, the expected outcomes in terms of usage of contraception and delaying first pregnancy have not been attained.
{"title":"A Retrospective Study on Maternal and Neonatal Outcomes of Adolescent Pregnancies at a Referral Hospital in Bengaluru","authors":"Ramegowda Chethana, Divyarajan Vinitha Kiruffi, K. S. Seema, A. H. Shivalingaiah","doi":"10.4103/amhs.amhs_243_23","DOIUrl":"https://doi.org/10.4103/amhs.amhs_243_23","url":null,"abstract":"\u0000 \u0000 \u0000 Adolescent pregnancy has become an important health and social issue in both developing and developed countries. According to the National Family Health Survey-5, the prevalence of adolescent pregnancy in India is 6.8%. Adolescent pregnancy has shown association with preterm birth, low birth weight, perinatal death, miscarriage, puerperal sepsis, mental illness, and maternal death. With this background, this study was taken up with the objective to delineate the maternal and neonatal complications seen in teenage pregnant women.\u0000 \u0000 \u0000 \u0000 This study was a retrospective case record analysis with descriptive study design of all adolescent pregnancies delivered between October 2021 and September 2022 with mother’s age being ≤19 years, at a first referral hospital in Bengaluru were included in the study. Participants who could not be contacted were excluded from the study.\u0000 \u0000 \u0000 \u0000 Out of the 1005 deliveries during the study period, 55 were adolescent pregnancy with a proportion of 5.47%. The most common maternal complication is pregnancy-induced hypertension (8.5%) and the most common neonatal complication is low birth weight (21.2%).\u0000 \u0000 \u0000 \u0000 Despite continuous and consistent efforts by the health-care administration and health-care personnel under maternal and child national health program, the expected outcomes in terms of usage of contraception and delaying first pregnancy have not been attained.\u0000","PeriodicalId":8296,"journal":{"name":"Archives of Medicine and Health Sciences","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140420683","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 : 2024-02-28DOI: 10.4103/amhs.amhs_244_23
Ashina Singla, Afreen Ali, Himanshi Galav, V. Mamoria
Dengue is one of the most severe mosquito-borne viral infection. In the absence of specific treatments and vaccines for dengue fever (DF), vector control is the only method by which the spread of dengue can be prevented. This study investigates the seroprevalence of DF cases by detecting NS1 antigen and immunoglobulin (Ig)-G and IgM antibody by enzyme-linked immunosorbent assay (ELISA) test. This study was carried out in the Department of Microbiology, at a Tertiary Care Hospital, Jaipur (Rajasthan), done between 6 months. Blood samples from clinically suspected cases of dengue were tested immediately for qualitative detection of NS1 Ag, IgM, and IgG antibodies by ELISA. One thousand seven hundred and sixty-three serum samples were tested for dengue NS1 antigen, IgM, and IgG, out of which 1066 were positive for one or more serological parameters. Dengue cases for the NS1 infection are 52.53%, for the IgM infection is 33.39%, and for the IgG infection is 14.07%. Sixty-two percentage positive samples were of male patients and 57% of positive samples were from 19 to 40 years of age group (adult population) (59%). The seasonal trend showed a gradual increase in dengue-positive cases that started in September with a peak in October (46.24%). The monsoon and postmonsoon seasons are times of high virus activity and enhanced vector breeding. The population must thus be constantly monitored to prevent the virus from spreading further, and serological tests are crucial for making an early diagnosis. ELISA is advised for all suspected dengue patients to initiate therapy and decrease the morbidity and fatality rate.
{"title":"Seroprevalence Study of Dengue at a Tertiary Care Hospital in Jaipur, Rajasthan","authors":"Ashina Singla, Afreen Ali, Himanshi Galav, V. Mamoria","doi":"10.4103/amhs.amhs_244_23","DOIUrl":"https://doi.org/10.4103/amhs.amhs_244_23","url":null,"abstract":"\u0000 \u0000 \u0000 Dengue is one of the most severe mosquito-borne viral infection. In the absence of specific treatments and vaccines for dengue fever (DF), vector control is the only method by which the spread of dengue can be prevented. This study investigates the seroprevalence of DF cases by detecting NS1 antigen and immunoglobulin (Ig)-G and IgM antibody by enzyme-linked immunosorbent assay (ELISA) test.\u0000 \u0000 \u0000 \u0000 This study was carried out in the Department of Microbiology, at a Tertiary Care Hospital, Jaipur (Rajasthan), done between 6 months. Blood samples from clinically suspected cases of dengue were tested immediately for qualitative detection of NS1 Ag, IgM, and IgG antibodies by ELISA.\u0000 \u0000 \u0000 \u0000 One thousand seven hundred and sixty-three serum samples were tested for dengue NS1 antigen, IgM, and IgG, out of which 1066 were positive for one or more serological parameters. Dengue cases for the NS1 infection are 52.53%, for the IgM infection is 33.39%, and for the IgG infection is 14.07%. Sixty-two percentage positive samples were of male patients and 57% of positive samples were from 19 to 40 years of age group (adult population) (59%). The seasonal trend showed a gradual increase in dengue-positive cases that started in September with a peak in October (46.24%).\u0000 \u0000 \u0000 \u0000 The monsoon and postmonsoon seasons are times of high virus activity and enhanced vector breeding. The population must thus be constantly monitored to prevent the virus from spreading further, and serological tests are crucial for making an early diagnosis. ELISA is advised for all suspected dengue patients to initiate therapy and decrease the morbidity and fatality rate.\u0000","PeriodicalId":8296,"journal":{"name":"Archives of Medicine and Health Sciences","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140421737","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 : 2024-02-28DOI: 10.4103/amhs.amhs_226_23
Neena Elsa Varghese, K. Jegaveerapandi, Goutham Yerrakula
This review article explores the importance of a masculinity- and feminine-specific approach in choosing the appropriate angiotensin-converting enzyme (ACE) inhibitors for patients with cardiovascular diseases. This review highlights the historical underrepresentation of women in clinical trials for cardiovascular medications, leading to a knowledge gap regarding the effectiveness and safety of these drugs in female patients. The article discusses the potential differences in treatment outcomes between men and women when it comes to ACE inhibitors and the gender-specific factors that can impact drug responses. The integration of bigender-specific data into clinical guidelines and decision-making processes can contribute to a more equitable and evidence-based approach to cardiovascular care. The article also references a report by the American College of Obstetricians and Gynecologists Force on Hypertension in Pregnancy, which emphasizes the importance of managing hypertension in pregnant women. By embracing a personalized medicine framework that accounts for gender-related differences, health-care professionals can optimize therapeutic interventions, minimize treatment disparities, and strive for improved cardiovascular health outcomes for all individuals. Overall, this review article provides insights into the potential mechanisms underlying sexuality-related differences in ACE inhibitor efficacy, safety, and adverse effects and discusses the implications of these findings in advancing personalized cardiovascular medicine.
{"title":"Choosing the Right Angiotensin Converting Enzyme Inhibitors; Gender –Specific Approach","authors":"Neena Elsa Varghese, K. Jegaveerapandi, Goutham Yerrakula","doi":"10.4103/amhs.amhs_226_23","DOIUrl":"https://doi.org/10.4103/amhs.amhs_226_23","url":null,"abstract":"\u0000 This review article explores the importance of a masculinity- and feminine-specific approach in choosing the appropriate angiotensin-converting enzyme (ACE) inhibitors for patients with cardiovascular diseases. This review highlights the historical underrepresentation of women in clinical trials for cardiovascular medications, leading to a knowledge gap regarding the effectiveness and safety of these drugs in female patients. The article discusses the potential differences in treatment outcomes between men and women when it comes to ACE inhibitors and the gender-specific factors that can impact drug responses. The integration of bigender-specific data into clinical guidelines and decision-making processes can contribute to a more equitable and evidence-based approach to cardiovascular care. The article also references a report by the American College of Obstetricians and Gynecologists Force on Hypertension in Pregnancy, which emphasizes the importance of managing hypertension in pregnant women. By embracing a personalized medicine framework that accounts for gender-related differences, health-care professionals can optimize therapeutic interventions, minimize treatment disparities, and strive for improved cardiovascular health outcomes for all individuals. Overall, this review article provides insights into the potential mechanisms underlying sexuality-related differences in ACE inhibitor efficacy, safety, and adverse effects and discusses the implications of these findings in advancing personalized cardiovascular medicine.","PeriodicalId":8296,"journal":{"name":"Archives of Medicine and Health Sciences","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140418460","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 : 2024-02-28DOI: 10.4103/amhs.amhs_255_23
S. Sheetal, Nikhil Gladson, Chandana Ram, Joel Varghese Sujan
Carotid cavernous fistula (CCF) is an abnormal vascular shunt from the carotid artery to the cavernous sinus. The characteristic clinical features include chemosis, proptosis, ocular bruit, headache, diplopia, and ophthalmoplegia. The classical radiological features on magnetic resonance imaging (MRI) include proptosis, extraocular muscle enlargement, dilatation of the superior ophthalmic vein, and ipsilateral cavernous sinus enlargement. We report the case of a 66-year-old female who presented with headache, redness of the right eye, and double vision, who had features of CCF on MRI.
{"title":"Carotid Cavernous Fistula – Radiological Features","authors":"S. Sheetal, Nikhil Gladson, Chandana Ram, Joel Varghese Sujan","doi":"10.4103/amhs.amhs_255_23","DOIUrl":"https://doi.org/10.4103/amhs.amhs_255_23","url":null,"abstract":"\u0000 Carotid cavernous fistula (CCF) is an abnormal vascular shunt from the carotid artery to the cavernous sinus. The characteristic clinical features include chemosis, proptosis, ocular bruit, headache, diplopia, and ophthalmoplegia. The classical radiological features on magnetic resonance imaging (MRI) include proptosis, extraocular muscle enlargement, dilatation of the superior ophthalmic vein, and ipsilateral cavernous sinus enlargement. We report the case of a 66-year-old female who presented with headache, redness of the right eye, and double vision, who had features of CCF on MRI.","PeriodicalId":8296,"journal":{"name":"Archives of Medicine and Health Sciences","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140419918","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 : 2024-02-28DOI: 10.4103/amhs.amhs_273_23
Shivani Choudhary, A. Sathe, D. Kumar
Baxter’s neuropathy is a rare condition that has often been overlooked in the realm of peripheral nerve disorders. This brief communication aims to shed light on the elusive nature of Baxter’s neuropathy, emphasizing the significance of recognizing and understanding this condition for proper diagnosis and management. By addressing this “missing nerve,” we hope to contribute to improved patient outcomes and enhance the overall understanding of peripheral nerve pathologies.
{"title":"Baxter’s Nerve Entrapment: The Missing Nerve","authors":"Shivani Choudhary, A. Sathe, D. Kumar","doi":"10.4103/amhs.amhs_273_23","DOIUrl":"https://doi.org/10.4103/amhs.amhs_273_23","url":null,"abstract":"\u0000 Baxter’s neuropathy is a rare condition that has often been overlooked in the realm of peripheral nerve disorders. This brief communication aims to shed light on the elusive nature of Baxter’s neuropathy, emphasizing the significance of recognizing and understanding this condition for proper diagnosis and management. By addressing this “missing nerve,” we hope to contribute to improved patient outcomes and enhance the overall understanding of peripheral nerve pathologies.","PeriodicalId":8296,"journal":{"name":"Archives of Medicine and Health Sciences","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140420850","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 : 2024-02-09DOI: 10.4103/amhs.amhs_149_23
Ms. Marissa De Souza Eremita, J. Chitra
Sleep deprivation refers to getting less than the required amount of sleep, which for adults range between 7 and 9 h per night and can be caused due to social and biological factors. Virtual reality therapy (VRT) allows individuals to experience a computer-generated virtual environment so that they can be exposed to stimuli that imitate real-world experiences and have been used in other psychological conditions with positive outcomes. Brain Gym (BG) is a kinesiology program that engages the participant in a number of activities that teach the body how to comprehend the primary behavior and coordinate the brain and body. A randomized clinical trial was performed by screening 51 samples, from which 32 individuals were recruited, using purposive sampling, based on the Pittsburgh Sleep Quality Index (PSQI) which was used as the inclusion criteria. VRT session was for 15 min and BG exercises were given thrice a week for 4 weeks. The PSQI and Athens Insomnia Scale (AIS) were used as the outcome measures and were assessed after the intervention. The Shapiro–Wilk test, paired t-test, and independent sample t-test were used for the statistical analysis of the data. There was a significant difference between the pre- and postscores of the PSQI of Group A (Pre – 7.00 ± 1.55; Post – 6.31 ± 2.06; P = 0.029) and Group B (Pre – 8.44 ± 2.63; Post – 6.19 ± 2.97; P = 0.001), although Group B showed a better improvement, based on the effect size (1.06) and Group B (Pre – 7.13 ± 2.58; Post – 5.63 ± 2.60) showed a significant difference in the pre- and postvalues of the AIS (P = 0.011). The study concluded that VRT and BG exercises were effective interventions, although BG exercises were shown to be more effective than the virtual reality intervention.
{"title":"Effect of Virtual Reality Therapy with Brain Gym Exercises for Sleep-deprived Individuals: A Randomized Clinical Trial","authors":"Ms. Marissa De Souza Eremita, J. Chitra","doi":"10.4103/amhs.amhs_149_23","DOIUrl":"https://doi.org/10.4103/amhs.amhs_149_23","url":null,"abstract":"\u0000 \u0000 \u0000 Sleep deprivation refers to getting less than the required amount of sleep, which for adults range between 7 and 9 h per night and can be caused due to social and biological factors. Virtual reality therapy (VRT) allows individuals to experience a computer-generated virtual environment so that they can be exposed to stimuli that imitate real-world experiences and have been used in other psychological conditions with positive outcomes. Brain Gym (BG) is a kinesiology program that engages the participant in a number of activities that teach the body how to comprehend the primary behavior and coordinate the brain and body.\u0000 \u0000 \u0000 \u0000 A randomized clinical trial was performed by screening 51 samples, from which 32 individuals were recruited, using purposive sampling, based on the Pittsburgh Sleep Quality Index (PSQI) which was used as the inclusion criteria. VRT session was for 15 min and BG exercises were given thrice a week for 4 weeks. The PSQI and Athens Insomnia Scale (AIS) were used as the outcome measures and were assessed after the intervention. The Shapiro–Wilk test, paired t-test, and independent sample t-test were used for the statistical analysis of the data.\u0000 \u0000 \u0000 \u0000 There was a significant difference between the pre- and postscores of the PSQI of Group A (Pre – 7.00 ± 1.55; Post – 6.31 ± 2.06; P = 0.029) and Group B (Pre – 8.44 ± 2.63; Post – 6.19 ± 2.97; P = 0.001), although Group B showed a better improvement, based on the effect size (1.06) and Group B (Pre – 7.13 ± 2.58; Post – 5.63 ± 2.60) showed a significant difference in the pre- and postvalues of the AIS (P = 0.011).\u0000 \u0000 \u0000 \u0000 The study concluded that VRT and BG exercises were effective interventions, although BG exercises were shown to be more effective than the virtual reality intervention.\u0000","PeriodicalId":8296,"journal":{"name":"Archives of Medicine and Health Sciences","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-02-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139788516","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 : 2024-02-09DOI: 10.4103/amhs.amhs_194_23
Ekadashi Rajni, Ayushi Jorwal, Tanisha Jain
Diagnosis and management of candiduria in hospitalized patients is often a gray zone for clinicians and microbiologists alike. The presence of Candida in urine could mean anything ranging from contamination and colonization to frank urinary tract infection. This study aims to enhance the understanding of candiduria among critically ill patients admitted in the intensive care unit (ICU). Out of 226 urine samples received in the laboratory from patients admitted in the ICU with an indwelling urinary catheter, 15 were found to have candiduria, prevalence being 6.6%. Various species isolated were Candida tropicalis (40%), Candida albicans (33.33%), Candida lusitaniae (13.33%), Candida parapsilosis (6.66%), and Candida dubliniensis (6.66%). In all patients, candiduria resolved spontaneously upon removal of the catheter. No antifungal was administered, and no concurrent positive blood culture was found in any of these patients. This study emphasizes that simply culturing the organism does not imply clinical significance. Removal or change of catheter must be undertaken once such a report is received from the laboratory.
{"title":"Candiduria in the Critically Ill: A Gray Zone for the Microbiologist and Clinician Alike!","authors":"Ekadashi Rajni, Ayushi Jorwal, Tanisha Jain","doi":"10.4103/amhs.amhs_194_23","DOIUrl":"https://doi.org/10.4103/amhs.amhs_194_23","url":null,"abstract":"\u0000 Diagnosis and management of candiduria in hospitalized patients is often a gray zone for clinicians and microbiologists alike. The presence of Candida in urine could mean anything ranging from contamination and colonization to frank urinary tract infection. This study aims to enhance the understanding of candiduria among critically ill patients admitted in the intensive care unit (ICU). Out of 226 urine samples received in the laboratory from patients admitted in the ICU with an indwelling urinary catheter, 15 were found to have candiduria, prevalence being 6.6%. Various species isolated were Candida tropicalis (40%), Candida albicans (33.33%), Candida lusitaniae (13.33%), Candida parapsilosis (6.66%), and Candida dubliniensis (6.66%). In all patients, candiduria resolved spontaneously upon removal of the catheter. No antifungal was administered, and no concurrent positive blood culture was found in any of these patients. This study emphasizes that simply culturing the organism does not imply clinical significance. Removal or change of catheter must be undertaken once such a report is received from the laboratory.","PeriodicalId":8296,"journal":{"name":"Archives of Medicine and Health Sciences","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-02-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139848197","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 : 2024-02-09DOI: 10.4103/amhs.amhs_194_23
Ekadashi Rajni, Ayushi Jorwal, Tanisha Jain
Diagnosis and management of candiduria in hospitalized patients is often a gray zone for clinicians and microbiologists alike. The presence of Candida in urine could mean anything ranging from contamination and colonization to frank urinary tract infection. This study aims to enhance the understanding of candiduria among critically ill patients admitted in the intensive care unit (ICU). Out of 226 urine samples received in the laboratory from patients admitted in the ICU with an indwelling urinary catheter, 15 were found to have candiduria, prevalence being 6.6%. Various species isolated were Candida tropicalis (40%), Candida albicans (33.33%), Candida lusitaniae (13.33%), Candida parapsilosis (6.66%), and Candida dubliniensis (6.66%). In all patients, candiduria resolved spontaneously upon removal of the catheter. No antifungal was administered, and no concurrent positive blood culture was found in any of these patients. This study emphasizes that simply culturing the organism does not imply clinical significance. Removal or change of catheter must be undertaken once such a report is received from the laboratory.
{"title":"Candiduria in the Critically Ill: A Gray Zone for the Microbiologist and Clinician Alike!","authors":"Ekadashi Rajni, Ayushi Jorwal, Tanisha Jain","doi":"10.4103/amhs.amhs_194_23","DOIUrl":"https://doi.org/10.4103/amhs.amhs_194_23","url":null,"abstract":"\u0000 Diagnosis and management of candiduria in hospitalized patients is often a gray zone for clinicians and microbiologists alike. The presence of Candida in urine could mean anything ranging from contamination and colonization to frank urinary tract infection. This study aims to enhance the understanding of candiduria among critically ill patients admitted in the intensive care unit (ICU). Out of 226 urine samples received in the laboratory from patients admitted in the ICU with an indwelling urinary catheter, 15 were found to have candiduria, prevalence being 6.6%. Various species isolated were Candida tropicalis (40%), Candida albicans (33.33%), Candida lusitaniae (13.33%), Candida parapsilosis (6.66%), and Candida dubliniensis (6.66%). In all patients, candiduria resolved spontaneously upon removal of the catheter. No antifungal was administered, and no concurrent positive blood culture was found in any of these patients. This study emphasizes that simply culturing the organism does not imply clinical significance. Removal or change of catheter must be undertaken once such a report is received from the laboratory.","PeriodicalId":8296,"journal":{"name":"Archives of Medicine and Health Sciences","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-02-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139788184","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}
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