Enteric Fever in India A Retrospective Review of Existing Hospital Based Data
|
|
|
- Emil Hawkins
- 6 years ago
- Views:
Transcription
1 Enteric Fever in India A Retrospective Review of Existing Hospital Based Data Surveillance for Enteric Fever in Asia Project (SEAP) Dr Dipika Sur, MD Consultant, THSTI
2 Overview and Objectives India lacks a nationally representative database on enteric fever extensive under-reporting Community based studies show 2-5/1000 person years. Highest in children < 15 yrs Morbidity and mortality of intestinal perforation not linked to enteric fever Objectives: To estimate the burden of hospitalized (severe) enteric fever cases in India Inform policy makers on development of effective policies for prevention and control Promote new vaccine development and utilization
3 Study period: Retrospective data collection Methods Case Definitions Laboratory-confirmed case: Patient with a positive blood culture for Salmonella Typhi or Paratyphi Surgical case: Patient with intestinal perforation, regardless of culture status Data sources Electronic laboratory data Organism, demographics Inpatient charts Clinical manifestations, complications, antimicrobial resistance Intestinal perforation surgical charts
4 Study Hospitals 5 hospitals situated across different regions of India: 1. Postgraduate Institute of Medical Sciences Chandigarh 2. Medanta Hospital Gurgaon 3. Apollo Hospital Kolkata 4. Christian Medical College Vellore 5. Kasturba Medical College, Manipal University Manipal
5 Laboratory-Confirmed Cases Hospitals performed 267,536 total blood cultures 1418 positive for enteric fever (0.53%) 1147 positive for S. Typhi (81%) 271 positive for S. Paratyphi (19%) Gender S. Typhi n=1147 (%) S. Paratyphi n=271 (%) Female 529/1114 (47) 112/265 (42) Male 585/1114 (53) 153/265 (58) Age, median (IQR) 24 (14-28) 24 (18-30) Department Inpatient* 502 (44) 95 (35) Outpatient 645 (56) 176 (65) * p < 0.05
6 Frequency Distribution of Age in Years, , by Organism (n=1382) S. Typhi S.Paratyphi Age in Years
7 January February March April May June July August September October November December January February March April May June July August September October November December Frequency Enteric Fever Cases over time, , by Hospital (n=1418) Medanta Apollo KMC CMC PGI
8 Clinical Features of Laboratory-Confirmed Inpatients Of 597 laboratory-confirmed inpatients, 429 charts were abstracted (72%) 362 positive for S. Typhi (84%) 67 positive for S. Paratyphi (16%) S. Typhi n=362 (%) S. Paratyphi n=67 (%) Fever 351 (97) 67 (100) Nausea/vomiting** 188 (52) 25 (37) Weakness/malaise 133 (34) 31 (46) Headache 123 (34) 27 (40) Abdominal pain 116 (32) 20 (30) Diarrhea** 115 (32) 11 (16) Cough/difficulty in breathing 107 (30) 18 (27) Skin rash/rose spots* 28 (8) 2 (3) Decreased consciousness 15 (4) 3 (4) Blood in stool* 15 (4) 0 (0) Constipation 11 (3) 2 (3) * p < 0.1 ** p < 0.05
9 % resistant Antimicrobial Resistance of Laboratory-Confirmed Inpatients by Organism, % 80% 82% 85% S. Typhi 60% S. Paratyphi 40% 20% 0% 3% 0% 6% 5% 2% 3% 1% 0% 7% 10%
10 % resistant Antimicrobial Resistance of Enteric Fever Cases by Year, % 89% 80% 75% % % 20% 0% 3% 5% 1% 7% 3% 2% 1% 1% 0% 12% *p<0.05
11 Complications of Laboratory-Confirmed Inpatients All cases n=429 (%) Hepatitis 26 (6) Encephalopathy 11 (3) Renal impairment 10 (2) Shock 7 (2) GI bleeding 6 (1) Death 5 (1) Intestinal perforation 3 (0.7) Myocarditis 1 (0.2) Other complications 31 (7)
12 Intestinal Perforations Abstracted 94 intestinal perforation charts 13 with provisional or confirmed diagnosis of enteric fever (13.8%); 4 culture confirmed (30.8%) Sex, n (%) Provisional or Confirmed Diagnosis of Enteric Fever, n=13 (%) Male 11 (85) Female 2 (15) Median Age (IQR) 24 (18-32) Symptoms, n (%) Fever 10 (77) Abdominal Pain 10 (77) Vomit 7 (54) General Weakness 6 (46) Constipation 5 (38) Diarrhea 3 (23) Prior antibiotics, n (%) 9 (69) Median Days Hospitalized (IQR) 10 (8-13) Complications, n (%) Wound infection 3/11 (27) Pulmonary Complications 2/11 (18) Other 3/11 (27) Location of Perforation Ileal 11/11 (100) Final Outcome, n (%) Discharged 12 (92) Death 1 (8)
13 Discussion Corporate hospitals with high profile clientele, have also identified large number of enteric fever cases Age group most affected - 2 spikes < 10 yrs and yrs Samples collected from sites of intestinal perforations less specificity. Duodenal aspirates are preferred which are usually not done. Antibiotic sensitivity - ceftriaxone and azithromycin (?) across the country Temporal distribution of cases at Medanta hospital in 2014 indicates increased numbers from community This study will give an insight of magnitude of severe cases. Community based surveillance will be needed for assessing total burden of disease for making policy decisions
14 Acknowledgements THSTI Principal Investigator Prof. N.K.Ganguly Consultant Dr. Dipika Sur Country Co-ordinator Dr. Bratati Mukhopadhyay Swati Verma Nisha Arora Radhesh Notiyal Prity Kapoor Sabin Vaccine Institute Denise Garrett Caitlin Barkume Postgraduate Institute of Medical Sciences Pallab Ray Vikas Gautam Medanta Hospital Sharmila Sengupta Amarjeet Khan Christian Medical College Balaji Veeraraghavan Apollo Hospital Ujjwayini Khan Soma Dutta Kasturba Medical College, Manipal University Vandana KE Yasha Mukim
15 Thank you
Biological Hazards Module 3
1 - Objectives - Describe salmonellosis and typhoid fever (salmonella) Recognize symptoms of exposure Describe treatments available Develop a response plan 2 - Salmonellosis Definition - Severe lower GI
CHANGING TRENDS IN ANTIBIOGRAMS OF SALMONELLA ENTERICA IN PEDIATRIC POPULATION-A HOSPITAL BASED STUDY
CHANGING TRENDS IN ANTIBIOGRAMS OF SALMONELLA ENTERICA IN PEDIATRIC POPULATION-A HOSPITAL BASED STUDY Intro final Global burden as estimated in year 2000 Typhoid fever 21.65 million cases/yr Paratyphoid
Antimicrobial Resistance in Typhoid: implications for policy & immunization strategies
Antimicrobial Resistance in Typhoid: implications for policy & immunization strategies Zulfiqar A Bhutta, Imran Ahmed, Daina Als, Amruta Radhakrishnan, Farah Qamar, Jeffrey Stanaway, Christopher Parry
Citation for published version (APA): Khan, M. E. H. (2004). Typhoid fever in a South African in-patient population s.n.
University of Groningen Typhoid fever in a South African in-patient population Khan, Mohammad Enayet Hossain IMPORTANT NOTE: You are advised to consult the publisher's version (publisher's PDF) if you
Director of Medical Education and Program Director, Family Medicine Residency, Florida Hospital East Orlando;
Osteopathic Family Physician (2014)4, 23-27 Patricio Bruno, DO 1 ; Joseph Podolski, DO 2 ; Mona Doss, MSIV 3 ; Mike DeWall, OMSIII 4 1 Director of Medical Education and Program Director, Family Medicine
ENTERIC FEVER LECTURE BY DR. NAJAF MASOOD
ENTERIC FEVER LECTURE BY DR. NAJAF MASOOD DEFINITION Severe systemic disease Caused by salmonella ser typhi Characterized by Prolonge febrile illness Abdominal pain, diarrhea Delirium Rose spot Splenomegally
Enteric Fever Cases in the Two Largest Pediatric Hospitals of Bangladesh:
The Journal of Infectious Diseases SUPPLEMENT ARTICLE Enteric Fever Cases in the Two Largest Pediatric Hospitals of Bangladesh: 2013 2014 Shampa Saha, 1 Mohammad J. Uddin, 1 Maksuda Islam, 1 Rajib C. Das,
Supplementary Appendix
Supplementary Appendix This appendix has been provided by the authors to give readers additional information about their work. Supplement to: Jain S, Kamimoto L, Bramley AM, et al. Hospitalized patients
Surveillance for Enteric fever in Asia Project (SEAP)
Surveillance for Enteric fever in Asia Project (SEAP) Kashmira Date U.S. Centers for Disease Control and Prevention (CDC) 9 th International Conference on Typhoid and Invasive Non-Typhoidal Salmonella
Fecal- oral TRANSMITTED DISEASES
Fecal- oral TRANSMITTED DISEASES What the diseases in this group have in common is that the causative organisms are excreted in the stools of infected persons (or, rarely, animals). The portal of entry
Saudi Journal of Medicine (SJM)
Saudi Journal of Medicine (SJM) Scholars Middle East Publishers Dubai, United Arab Emirates Website: http://scholarsmepub.com/ ISSN 2518-3389 (Print) ISSN 2518-3397 (Online) Prevalence of Typhoid Fever
Travel-Related Infections in Canadian Children
Travel-Related Infections in Canadian Children Maryanne Crockett MD MPH FRCPC FAAP DTM&H Depts. of Pediatrics & Child Health and Medical Microbiology University of Manitoba Objectives To discuss travel-related
Khaled Ali Abu Ali. BSN. MPH. Ph.D. cand. -Nursing. Director of Epidemiology Department UCAS Lecturer
Khaled Ali Abu Ali BSN. MPH. Ph.D. cand. Director of Epidemiology Department UCAS Lecturer -Nursing Khaled_abuali@yahoo.com Communicable Disease Surveillance during Gaza War, 214. Introduction Public Health
How to talk about typhoid: menu of messages
How to talk about typhoid: menu of messages PATH/Rocky Prajapati The more we talk about typhoid, the better we ll be able to prioritize it. These messages were developed for use by anyone interested in
PREDICTORS OF INTESTINAL PERFORATION IN CHILDREN WITH TYPHOID FEVER
PREDICTORS OF INTESTINAL PERFORATION IN CHILDREN WITH TYPHOID FEVER A Case Study by Dr.Abdul Azees.V.K, India (MBBS, MD Pediatrics Student of Texila American University) Email: drazees229@gmail.com ABSTRACT
ACTIVE SURVEILLANCE FOR INTUSSUSCEPTION IN A PHASE III EFFICACY TRIAL OF AN ORAL MONOVALENT ROTAVIRUS VACCINE IN INDIA.
ACTIVE SURVEILLANCE FOR INTUSSUSCEPTION IN A PHASE III EFFICACY TRIAL OF AN ORAL MONOVALENT ROTAVIRUS VACCINE IN INDIA. Sangeeth Rajkumar Christian Medical College, Vellore ORV 116E Phase III trial plan
Estimating RSV Disease Burden in the United States
Estimating RSV Disease Burden in the United States Brian Rha, MD, MSPH Medical Epidemiologist, Division of Viral Diseases Centers for Disease Control and Prevention Severe Acute Respiratory Infection Surveillance
Typhoid ileal perforation: a surgical audit
1 Original Article Typhoid ileal perforation: a surgical audit Ghulam Shabir Shaikh, Saira Fatima, Shahida Shaikh Department of Surgery, Chandka Medical College and Hospital, Larkana. ABSTRACT Objective
TYPHOID FEVER THOSE WHO FORGOT THE PAST ARE CONDEMNED TO REPEAT IT
TYPHOID FEVER THOSE WHO FORGOT THE PAST ARE CONDEMNED TO REPEAT IT Background Typhoid fever is caused by Salmonella typhi and serotypes paratyphi A, B & C Challenging to diagnose due to its variable manifestations
Study of demographic features of abdominal tuberculosis in Urban population in Pune
Original article: Study of demographic features of abdominal tuberculosis in Urban population in Pune 1 Dr. J.S Dhadwad*, 2 Dr. Akshay Shewale 1Associate Professor in Medicine, Pad.Dr.DY Patil Medical
Original Article. Vol. 28 No. 2 Thai Adult Dengue Hemorrhagic Fever:- Sorakhunpipitkul L, et al.
Original Article Vol. 28 No. 2 Thai Adult Dengue Hemorrhagic Fever:- Sorakhunpipitkul L, et al. 99 Thai Adult Dengue Hemorrhagic Fever During 2008-2010: Seven Cases Presented with Severe Multiorgan Failure
Infection control in Aged Residential Care Facilities. Dr Sally Roberts Clinical Advisor for IP&C Service, ADHB
Infection control in Aged Residential Care Facilities Dr Sally Roberts Clinical Advisor for IP&C Service, ADHB Background Endemic infections Epidemic infections Managing outbreaks Administrative measures
Aging Persons with Intellectual Developmental Disorders (IDD): Constipation KEYPOINTS OVERVIEW
Aging Persons with Intellectual Developmental Disorders (IDD): Constipation KEYPOINTS A major medical conditions that commonly is seen among persons with IDD and may lead to serious complications is constipation.
Anthrax: An Epidemiologic Perspective. Denise Dietz Public Health Epidemiologist
Anthrax: An Epidemiologic Perspective Denise Dietz Public Health Epidemiologist Outline Overview of anthrax Explain different types of anthrax Clinical Why a good weapon Epidemiology Bacillus anthracis
Bacterial infections Diphtheria, Pertussis and Enteric fever. Dr Mubarak Abdelrahman Assistant Professor Jazan University
Bacterial infections Diphtheria, Pertussis and Enteric fever Dr Mubarak Abdelrahman Assistant Professor Jazan University Gram negative: Diplococci Bacilli Coccobacilli Gram Positive: Diplococci Chains
Severe Dengue Infection in ICU. Shirish Prayag MD, FCCM Pune, India
Severe Dengue Infection in ICU Shirish Prayag MD, FCCM Pune, India Greetings from India Declaration Honararia from MSD, Astra Zenecea, Fresenius Kabi, Pfizer, Intas, Glenmark for conducting lectures. No
Defining incidence of intussusception (IS) in Bangladesh in preparation for a phase III trial of a new Rotavirus vaccine
Defining incidence of intussusception (IS) in Bangladesh in preparation for a phase III trial of a new Rotavirus vaccine Principal Investigator: Dr. K. Zaman Final Report June 1, 2007 1 This study was
High rates of enteric fever diagnosis and low burden of culture-confirmed disease in rural Nepal
High rates of enteric fever diagnosis and low burden of culture-confirmed disease in rural Nepal J A S O N A N D R E W S D I V I S I O N OF I N F E C T I O U S D I S E A S E S A N D G E O G R A P H I C
+ Color Change - + Hearing Loss - + Apnea - + Enuresis (urine - + Tremors - + Rash -
Review of Systems: 0-1 year old Constitution neg Eyes neg GI neg Neurological neg + Activity Change - + Eye Discharge - + Reflux - + Facial Asymmetry - + Appetite Change - + Eye Redness - + Vomiting -
MODULE 7: Outpatient Management
MODULE 7: Outpatient Management Dengue Clinical Management Acknowledgements This curriculum was developed with technical assistance from the University of Malaya Medical Centre. Materials were contributed
Diarrheal Diseases in Asia: overview and update. G. Balakrish Nair, PhD Ag. Regional Advisor Research Policy and Cooperation WHO, SEARO
Diarrheal Diseases in Asia: overview and update G. Balakrish Nair, PhD Ag. Regional Advisor Research Policy and Cooperation WHO, SEARO Overview of the talk Global and Regional burden of diarrheal disease
Dr. May Book-Montellano, FPPS, FPIDSP, FPSMID President Pediatric Infectious Disease Society of the Philippines
Dr. May Book-Montellano, FPPS, FPIDSP, FPSMID President Pediatric Infectious Disease Society of the Philippines CHRONOLOGY OF H1N1 PANDEMIC FLU 17 APRIL 2009 Two children in California became ill due
A Reappraisal of Clinical Characteristics of Typhoid Fever
5 BANGLADESH J CHILD HEALTH 2010; VOL 34 (3): 80-85 Original Articles A Reappraisal of Clinical Characteristics of Typhoid Fever ABM SHAHIDUL ALAM 1, SANJANA ZAMAN 2, FARHANA CHAITI 3, NAVEEN SHEIKH 4,
Management of acute abdomen: Study of 110 cases
Original Research Article Management of acute abdomen: Study of 110 cases Samir Ray 1, Manthan Patel 2, Hiren Parmar 3* 1 Associate Professor, Department of Surgery, GMERS Medical College, Gotri, Vadodara,
Annual Surveillance Summary: Clostridium difficile Infections in the Military Health System (MHS), 2016
Annual Surveillance Summary: Clostridium difficile Infections in the Military Health System (MHS), 2016 Charlotte Neumann and Uzo Chukwuma Approved for public release. Distribution is unlimited. The views
09-ID-67. Committee: Infectious. Title: Public Health Reporting and National Notification for Typhoid Fever. I. Statement of the Problem
09-ID-67 Committee: Infectious Title: Public Health Reporting and National Notification for Typhoid Fever I. Statement of the Problem CSTE position statement 07-EC-02 recognized the need to develop an
Diarrhoea on the AMU. Dr Chris Roseveare
Diarrhoea on the AMU Dr Chris Roseveare The Society for Acute Medicine, Spring Meeting, Radisson Blu Hotel, Dublin 3-4 May 2012 Acute diarrhoea in developed countries adult populations Mainly a primary
Present-on-Admission (POA) Coding
1 Present-on-Admission (POA) Coding Michael Pine, MD, MBA Michael Pine and Associates, Inc 2 POA and Coding Guidelines (1) Unless otherwise specified, a POA modifier must be assigned to each principal
Clinical profile and Outcome of Enteric Fever in hospitalized children aged 6 months to 2 years
Original Article Clinical profile and Outcome of Enteric Fever in hospitalized children aged 6 months to 2 years R T Hyder 1, B H N Yasmeen 2, S Ahmed 3, M S Islam 4, F Islam 5 1 Dr. Rumy Tabrez Hyder
Fecal shedding of rotavirus vaccine in premature babies in the neonatal unit
Fecal shedding of rotavirus vaccine in premature babies in the neonatal unit Dr. Manish Sadarangani Director, Vaccine Evaluation Center, BC Children s Hospital Research Institute Assistant Professor, Division
CASE SCENARIO EXERCISE
påçííáëü=pìêîéáää~ååé=çñ=eé~äíüå~êé ^ëëçåá~íéç=fåñéåíáçå=mêçöê~ããé CASE SCENARIO EXERCISE CATHETER-ASSOCIATED URINARY TRACT INFECTION SURVEILLANCE SCOTTISH SURVEILLANCE OF HEALTHCARE ASSOCIATED INFECTION
Community Acquired Pneumonia
April 2014 References: 1. Bradley JS, Byington CL, Shah SS, Alverson B, Carter ER, Harrison C, Kaplan SL Mace SE, McCracken Jr. GH, Moor MR, St. Peter SD, Stockwell JA, and Swanson JT. The Management of
Objectives. 3HP and Flu Syndrome What is the Underlying Mechanism? Case #1 3/23/2016. Christina T. Fiske, MD MPH March 30, 2016
Objectives 3HP and Flu Syndrome What is the Underlying Mechanism? Christina T. Fiske, MD MPH March 30, 2016 Illustrate the side effect of 3HP flu like syndrome after its initiation to raise awareness in
Genentech Statement on Counterfeit Drug Labeled as Avastin (bevacizumab) in the United States
Genentech Statement on Counterfeit Drug Labeled as Avastin (bevacizumab) in the United States SOUTH SAN FRANCISCO, Calif. February 14, 2012 Roche and Genentech have been informed that a counterfeit product,
https://www.travax.com/travinfo/showarticlesummary.aspx?docid=typhoid
Page 1 of 5 Traveler Information TYPHOID GENERAL INFORMATION Introduction Typhoid fever and paratyphoid fever are bacterial infections of the intestinal tract. Typhoid is caused by Salmonella typhi and
A Retrospective Clinical Study Of Factors Affecting Tetanus
ISPUB.COM The Internet Journal of Microbiology Volume 7 Number 1 A Retrospective Clinical Study Of Factors Affecting Tetanus L Ramachandra, K Shobha, P Arun Kannan Citation L Ramachandra, K Shobha, P Arun
Create the Following Chart in your notebook. Fill in as you go through each one.
Diseases of Africa Create the Following Chart in your notebook. Fill in as you go through each one. History of disease? Affected Population? How do you catch the disease? Symptoms? Prevention / Treatment?
Type of intervention Treatment. Economic study type Cost-effectiveness analysis.
A randomized comparison of oral chloramphenicol versus ofloxacin in the treatment of uncomplicated typhoid fever in Laos Phongmany S, Phetsouvanh R, Sisouphone S, Darasavath C, Vongphachane P, Rattanavong
TENNCARE Bundled Payment Initiative: Description of Bundle Risk Adjustment for Wave 8 Episodes
TENNCARE Bundled Payment Initiative: Description of Bundle Risk Adjustment for Wave 8 Episodes Acute Seizure, Syncope, Acute Gastroenteritis, Pediatric Pneumonia, Bronchiolitis, Colposcopy, Hysterectomy,
Enteric bacteria(pseudomonas+salmonella) Dr.Asem shihabi. Jumanah Nayef Abu Asbeh
15 Microbiology sheet #15 1. Gram-negative facultative anaerobic rapidly growing bacteria are divided into 2 major Lactose fermenter group which is represented by the Coliforms. 2. Lactose non-fermenter
INTRODUCTION. An Acute Generalized Infection of Intestinal Lymphoid Tissues, RES, Gall Bladder
ENTERIC FEVER INTRODUCTION Fever (Caused) by Infection in Intestine An Acute Generalized Infection of Intestinal Lymphoid Tissues, RES, Gall Bladder Typhoid 90 % cases Paratyphoid 10 % cases 2 HISTORICAL
Risk Factors for Enteric Perforation in Patients with Typhoid Fever
American Journal of Epidemiology Copyright 2004 by the Johns Hopkins Bloomberg School of Public Health All rights reserved Vol. 160, No. 1 Printed in U.S.A. DOI: 10.1093/aje/kwh172 Risk Factors for Enteric
OST. Gain a healthy respect for the risks of typhoid, before you. The only oral vaccine for protection against typhoid fever 1,2
Gain a healthy respect for the risks of typhoid, before you ET OST (Typhoid Vaccine Live Oral Attenuated Ty21a) 1 Typhoid fever affects about 21.5 million people each year in the developing world 3 Are
Supplementary Online Content
Supplementary Online Content Tran AH, Ngor EWM, Wu BU. Surveillance colonoscopy in elderly patients: a retrospective cohort study. JAMA Intern Med. Published online August 11, 2014. doi:10.1001/jamainternmed.2014.3746
Typhoid Fever. Information from
Typhoid Fever Information from http://kidshealth.org/en/parents/typhoid.html# Typhoid fever is a serious and sometimes life-threatening infection that mostly affects people in developing countries, where
A comparative study of Widal test and Typhidot (IgM and IgG specific assay) test in the diagnosis of enteric fever
Original Research Article A comparative study of Widal test and Typhidot (IgM and IgG specific assay) test in the diagnosis of enteric fever Jyoti Kumar Dinkar 1, Naresh Kumar 2*, Chandrakishore 3 1 M.D.
Discover the facts about
Avastin is approved to treat metastatic colorectal cancer (mcrc) for: First- or second-line treatment in combination with intravenous 5-fluorouracil based chemotherapy Second-line treatment when used with
Enteric Fever Outbreaks in Africa: Same old Foe but Emerging New Challenges in Management. Sam Kariuki
Enteric Fever Outbreaks in Africa: Same old Foe but Emerging New Challenges in Management Sam Kariuki Lecture outline Epidemiology of typhoid in Africa New clonal expansions and Antimicrobial Resistance
Florida Department of Health - Polk County Weekly Morbidity Report - Confirmed and Probable cases * Week #9 (through March 3, 2018)
Florida Department of Health - Polk County Weekly Morbidity Report - Confirmed and Probable cases * Week #9 (through March 3, 2018) Weekly Cumulative (YTD) Annual Totals ICD 9 code Disease Category 2018
Pediatric influenza-associated deaths in Arizona,
Pediatric influenza-associated deaths in Arizona, 2004-2012 (Poster is shared here as an 8.5 x11 document for easier viewing. All content is identical, though graphs and tables are formatted differently.)
STUDY OF CLINICAL AND LABORATORY PROFILE OF ENTERIC FEVER IN PEDIATRIC AGE GROUP
STUDY OF CLINICAL AND LABORATORY PROFILE OF ENTERIC FEVER IN PEDIATRIC AGE GROUP *Chandrashekar 1, Anil Kumar YC 1, Kirandeep Sodhi 2 and Dalal S.S. 2 1 Department of Pediatrics, MVJ Medical College, Bangalore,
University Medical Center at Brackenridge. Gastroenterology Clinic Worksheet
Gastroenterology Clinic Worksheet 1. GI Bleeding (occult or symptomatic) a. CBC b. Iron, Ferritin b. Medication history 2. Iron Deficiency Anemia and no evident source (if no iron deficiency consider hematological
Medical History Form
Medical History Form Full Name Title: Mr/Mrs/Ms/Miss Address Date of Birth Date Telephone: Mobile: Email: How did you hear about the Garden of health? G.P s Name and Address Are you currently seeing your
Colonoscopy Quality Data
Colonoscopy Quality Data www.dhsgi.com Introduction Colorectal cancer is the second leading cause of cancer related deaths in the United States, in men and women combined. In 2016, there are expected to
City State Zip Code. Ethnic Background: Caucasian African-American Asian Hispanic Native American. Previous. Hobbies/Leisure activities:,,,
History # UPIN # (Please leave blank) Name: First M.I. Last Address: Street (Apt #) City State Zip Code Phone number: ( ) ( ) Home Business Birth Date: / / Day-Month-Year Gender: M F Marital status: (Maiden
Digestive and liver diseases are common in the. Digestive and Liver Diseases Statistics, Materials and Methods
GASTROENTEROLOGY 2004;126:1448 1453 Digestive and Liver Diseases Statistics, 2004 MARK W. RUSSO, JEFFREY T. WEI, MICHELLE T. THINY, LISA M. GANGAROSA, ALPHONSO BROWN, YEHUDA RINGEL, NICHOLAS J. SHAHEEN,
Appendicitis. Diagnosis and Surgery
Appendicitis Diagnosis and Surgery What Is Appendicitis? Your side may hurt so much that you called your doctor. Or maybe you went straight to the hospital emergency room. If the symptoms came on quickly,
Wasatch School District Guidelines for Student Exclusion and Readmission
Wasatch School District Guidelines for Student Exclusion and Readmission Condition Chicken pox (Varicella) Colds, Sore Throat, or a Persistent Cough Cytomegalovirus (CMV) Diarrhea (An increased number
Treatment of Typhoid Fever in Children: Comparison of Efficacy of Ciprofloxacin with Ceftriaxone
Treatment of Typhoid Fever in Children: Comparison of Efficacy of Ciprofloxacin with Ceftriaxone Dr. Amna Naveed Pediatrics Specialist, Fellow College of Physicians and Surgeons Pakistan Dr. Zeeshan Ahmed
BRINCIDOFOVIR WAS USED TO SUCCESSFULLY TREAT ADENOVIRUS INFECTIONS IN SOLID ORGAN TRANSPLANT RECIPIENTS AND OTHER IMMUNOCOMPROMISED PATIENTS
BRINCIDOFOVIR WAS USED TO SUCCESSFULLY TREAT ADENOVIRUS INFECTIONS IN SOLID ORGAN TRANSPLANT RECIPIENTS AND OTHER IMMUNOCOMPROMISED PATIENTS Diana F. Florescu, MD 1, Michael S. Grimley, MD 2, Genovefa
Situation update pandemic (H1N1) 2009
Situation update pandemic (H1N1) 2009 February 2010 USPACOM/COE Pandemic Influenza Workshop Overview Overview of Events Pandemic (H1N1) 2009 Issues/Concerns 2 Overview of events April 12: an outbreak of
True Pathogens of the Enterobacteriaceae: Salmonella, Shigella & Yersinia Salmonella
Lec. 6 Oral Microbiology Dr. Chatin True Pathogens of the Enterobacteriaceae: Salmonella, Shigella & Yersinia Salmonella General Characteristics of Salmonella جامعة تكريت كلية طب االسنان Coliform bacilli
VIVAXIM Salmonella typhi Vi polysaccharide and inactivated hepatitis A virus antigen vaccine
VIVAXIM Salmonella typhi Vi polysaccharide and inactivated hepatitis A virus antigen vaccine Consumer Medicine Information What is in this leaflet This leaflet answers some common questions about VIVAXIM.
Laser Vein Center Thomas Wright MD Page 1 of 4
Demographics Laser Vein Center Thomas Wright MD Page 1 of 4 Patient Name: Address: City, St, Zip Primary Phone: Alternate: DOB: Social Security #: Insurance Information Primary Insurance ID# Group# Subscriber
Typhoid. Typhoid. and other invasive salmonellosis. Vaccine-Preventable Diseases WHO Vaccine-Preventable Diseases Surveillance Standards
Typhoid Typhoid and other invasive salmonellosis Vaccine-Preventable Diseases Surveillance Standards 1 Typhoid DISEASE AND VACCINE CHARACTERISTICS Enteric fever (typhoid and paratyphoid fever) is caused
EMILOK Global. (omeprazole) Composition: Each capsule contains 20 mg omeprazole as enteric-coated
EMILOK Global (omeprazole) Composition: Each capsule contains 20 mg omeprazole as enteric-coated granules. Properties: Emilok (omeprazole) belongs to the group of proton pump inhibitors, inhibits both
Rotavirus is a leading cause of severe acute
R E S E A R C H P A P E R Prevalence of Rotavirus Diarrhea among Hospitalized Under-five Children MA MATHEW, ABRAHAM PAULOSE, S CHITRALEKHA, *MKC NAIR, GAGANDEEP KANG AND PAUL KILGORE From Department of
GASTROINESTINAL BLEEDING. Dr.Ammar I. Abdul-Latif
GASTROINESTINAL BLEEDING Dr.Ammar I. Abdul-Latif CLASSIFICATION OF G.I.BLEEDING GIB Appearance Acuity Site Apparent Acute Upper Obscure Chronic Lower UPPER&LOWER G.I.BLEEDING CAUSES OF UPPER G.I. BLEEDING
VIVAXIM. Salmonella typhi Vi polysaccharide and inactivated hepatitis A virus antigen vaccine. Consumer Medicine Information
VIVAXIM Salmonella typhi Vi polysaccharide and inactivated hepatitis A virus antigen vaccine What is in this leaflet Consumer Medicine Information This leaflet answers some common questions about VIVAXIM.
International Journal of Pharma and Bio Sciences A STUDY OF CLINCAL PROFILE IN DENGUE CASES ABSTRACT
Research Article Microbiology International Journal of Pharma and Bio Sciences ISSN 0975-6299 A STUDY OF CLINCAL PROFILE IN DENGUE CASES DHANDAPANI E.* 1 AND SUDHA M 2 1 Formerly Professor of Medicine,
Risk Evaluation and Mitigation Strategy (REMS): Cytokine release syndrome and neurological toxicities
Risk Evaluation and Mitigation Strategy (REMS): Cytokine release syndrome and neurological toxicities A REMS is a program required by the FDA to manage known or potential serious risks associated with
Influenza Related Complications and Deaths in Australian Children: Seasonal Surveillance
Influenza Related Complications and Deaths in Australian Children: Seasonal Surveillance 2008-2015 Authors: Yvonne Zurynski, Greta Ridley, Amy Phu, Robert Booy, Elizabeth Elliott and all clinicians who
PITFALL IN THE DIAGNOSIS AND MANAGEMENT OF TYPHOID FEVER. Dr. M. Amir Hossain Professor (Medicine) Chittagong Medical College Chittagong, Bangladesh
PITFALL IN THE DIAGNOSIS AND MANAGEMENT OF TYPHOID FEVER Dr. M. Amir Hossain Professor (Medicine) Chittagong Medical College Chittagong, Bangladesh Introduction Enteric fever also known as typhoid fever
DRUG UTILIZATION STUDIES TO GUIDE BETTER HOSPITAL PHARMACEUTICAL POLICY
DRUG UTILIZATION STUDIES TO GUIDE BETTER HOSPITAL PHARMACEUTICAL POLICY Dr. G. Parthasarathi Professor, Pharmacy Practice JSS University, Mysore 30 October 2011 ACPE6 Beijing, 2011 1 Presentation Outline
Laser Vein Center Thomas Wright MD RVT Page 1 of 4
Demographics Laser Vein Center Thomas Wright MD RVT Page 1 of 4 Patient Name: Address: City, St, Zip Primary Phone: Alternate: DOB: Social Security #: Marital Status: Married Single Other Emergency Contact:
Diagnosis, Management, and Prevention of Clostridium difficile infection in Long-Term Care Facilities: A Review
Diagnosis, Management, and Prevention of Clostridium difficile infection in Long-Term Care Facilities: A Review October 18, 2010 James Kahn and Carolyn Kenney, MSIV Overview Burden of disease associated
TRAINER: Read this page ahead of time to prepare for teaching the module.
Module 2 Overview: Employee Illness TRAINER: Read this page ahead of time to prepare for teaching the module. PARTICIPANTS WILL: 1. Describe FOODBORNE ILLNESS symptoms. 2. Explain the difference between
Dialysis Event Reporting ESRD Network 8 LAN June 18, 2014
Dialysis Event Reporting ESRD Network 8 LAN June 18, 2014 Meredith Kanago, MSPH Epidemiologist, Healthcare Associated Infections and Antimicrobial Resistance Program, Tennessee Department of Health Acknowledgements
Report to the Board. Typhoid vaccines: WHO Position paper. Weekly epidemiological record. 2008; 6: ibid
Annex B: Background and Overview of Analyses Gavi s Historical Decisions on TCV In the 2008 VIS, the Board prioritised TCVs for Gavi s portfolio along with Rubella, HPV, and JE vaccines. Although no financial
Vaccine Preventable Disease Surveillance: Overview. Thomas Cherian, WHO
Vaccine Preventable Disease Surveillance: Overview Thomas Cherian, WHO Global Framework on Immunization Monitoring and Surveillance (GFIMS) l An extension of the GIVS, published on December 07 - http://www.who.int/immunization/en/
Strategic Plan - Jan Dec 16 (southasia.cochrane.org)
Strategic Plan - Jan 2015- Dec 16 (southasia.cochrane.org) Our Network Centre s C o c h r a n e S o u t h A s i a C a r m a n B l o c k, 2 n d F l o o r, C h r i s t i a n M e d i c a l C o l l e g e,
Initial History Form
William C. Gorospe, M.D., Ph.D. Sebastian R. Stanciu, M.D. Christina L. Bailey, M.D. Initial History Form Welcome to First Coast Infectious Disease Consultants, LLC. In order for us to get to know you
February 24 - March 2, 2019 (MMWR Week 9)
February 24 - March 2, 2019 (MMWR Week 9) Highlights Flu activity was decreased to low this week. Flu activity rating explanation and weekly flu reports can be found here: http://www.ccbh.net/flu-weekly-reports/
February 10 - February 16, 2019 (MMWR Week 7)
February 10 - February 16, 2019 (MMWR Week 7) Highlights Flu activity decreased to minimal this week. Week 5 activity was revised to low due to revised ED visits and TC data. Flu activity rating explanation
CASE IN... Acute Infectious Diseases. in the Returning Traveller. James Case. Acute Infectious Diseases
in the Returning Traveller Copyright CASE IN... Not for Sale or Commercial Distribution Unauthorised use prohibited. Authorised users can download, display, view and print a single copy for personal use
For the Patient: Rituximab injection Other names: RITUXAN
For the Patient: Rituximab injection Other names: RITUXAN Rituximab (ri tux' i mab) is a drug that is used to treat some types of cancer. It is a monoclonal antibody, a type of protein designed to target
Summary of the Risk Management Plan (RMP) V. 1.6, July 2017 for BAVENCIO. Avelumab 200 mg/10 ml. Concentrate for Solution for Infusion
Summary of the Risk Management Plan (RMP) V. 1.6, July 2017 for BAVENCIO Avelumab 200 mg/10 ml Concentrate for Solution for Infusion Marketing Authorisation Number 66380 Marketing Authorisation Holder:
Validation of Clinical Outcomes in Electronic Data Sources
Validation of Clinical Outcomes in Electronic Data Sources Vincent Lo Re, MD, MSCE Assistant Professor of Medicine and Epidemiology Center for Clinical Epidemiology and Biostatistics Center for Pharmacoepidemiology
What to do with Sick Food Handlers? Michelle Malavet, MSA, HO, REHS Foodborne Disease Surveillance Coordinator NJDOH, Communicable Disease Service
What to do with Sick Food Handlers? Michelle Malavet, MSA, HO, REHS Foodborne Disease Surveillance Coordinator NJDOH, Communicable Disease Service Health Officer Authority May prohibit a person infected