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Management of Sepsis in Intensive Care Units in Rajshahi Medical College, Bangladesh

Advances in Infectious Diseases 2020年第1期10卷 11-25页

作者： Abu Hena Mostafa Kamal Pranab Karmaker wahida khatun Arup Kumar Saha Md. Latifur Rahman Parvez Hassan ICU Rajshahi Medical College Hospital Rajshahi Bangladesh Institute of Biological Sciences University of Rajshahi Rajshahi Bangladesh City Dental College Dhaka Bangladesh Islami Bank Medical College and Hospital Rajshahi Bangladesh

Background: Sepsis was a life-threatening situation affecting roughly 27 million individuals globally every year. Devoid of proper management, sepsis could develop to austere sepsis and septic shock that reason certain eight million expiries every year. Initial identification and analysis of contaminations and quick introductions of antimicrobial management had long been predictable as essential principles of treatment. Methods: All patients were evaluated thoroughly by history, clinical and laboratory findings. Serum lactate levels were collected at 0 hr and 24 hrs of the total admission in the ICU. Blood culture and sensitivity was performed prior to antibiotic administration in this study. Results: In this research, total sample was 1367 patients. Among these sepsis patients were 305 (nearly 22%). These 305 studied sepsis cases, majority 128 (42%) of the patients were within the age group of 41 - 65 years, followed by 18 - 30 years consisting of 116 (38%) and the least number of sepsis patients were in the age group of >65 years (20%). This study found that 129 (42.3%) out of 305 blood samples screened from assumed sepsis infection were affirmative for the presence of sepsis causing pathogens. Among the 129 culture positive samples, majority of the isolated micro-organisms were gram negative bacteria 58% (75), followed by gram positive bacteria 38% (49), and 3.8% (5) were the fungi Candida albicans. Conclusion: At present, mortality & morbidity of sepsis subject was too big due to late identification, wrong & inadequate management of sepsis in the ward and also in the intensive care unit of Bangladesh.

关键词： Sepsis ICU SIRS Empirical Antibiotic

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Journal of Diabetes Mellitus 2022年第4期12卷 243-251页

作者： Md. Motiur Rahman Hafiza Sultana Farkhanda Mah Jebin Tanmoy Saha wahida Yasmeen Foisal Mohammad Mosiul Alom Syeda Tahmina Ferdous Jinia Syed Ahmed Laiak Ahammed Sheikh Sayera khatun Medical College and Hospital Gopalganj Bangladesh National Institute of Preventive & Social Medicine (NIPSOM) Dhaka Bangladesh Khwaja Yunus Ali Medical College Sirajganj Bangladesh Tooth Fairy Foundation Dhaka Bangladesh Udayan Dental College Rajshahi Bangladesh National Institute of Traumatology and Orthopaedic Rehabilitation (NITOR) Dhaka Bangladesh Institute of Epidemiology Disease Control and Research (IEDCR) Dhaka Bangladesh Bangabandhu Sheikh Mujib Medical College Fraidpur Bangladesh

Introduction: The health related quality of life (HRQoL) has an important role in adults suffering from diabetes. Objective: To assess the health related quality of life in adult with type 2 diabetes mellitus. Materials and methods: A cross-sectional study was conducted to assess diabetic patient’s HRQoL on 119 purposively selected type-2 DM patients (aged ≥ 18 years and duration of diabetes ≥ 1 year). Data were collected by face-to-face interview and by medical record review through a Bangle version of SF-36 semi-structured questionnaire and a checklist. Place and period of study: The study was conducted at outpatient department in Gopalganj 50 bedded diabetic hospital from 1st January, 2018 to 31st December 2018. Results: The mean age of the respondents was 52.34 (SD ± 10.19) years. Age group shows a significant difference associated with all domains of quality of life except role emotion (>0.05), gender shows the significant in social and pain domain (0.05) respectively co-morbidity shows the significant difference with all domains expect pain (>0.05). Physical functioning, emotional, pain and general health of the quality of life show the significant difference associated with use of insulin (Conclusion: The overall QoL of type-2 DM patients was poor and had lower score of health related quality of life.

关键词： Type 2 Diabetes Mellitus Health Related Quality of Life Diabetes Mellitus

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