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HbS-Hofu has a variable clinical presentation. The retention time of Hb Hofu on HPLC is very close to that of HbA(0) and often elutes in the A0 window. Thus, there is every possibility of the HbS-Hofu chromatogram to be misinterpreted as that of a sickle cell trait/transfused sickle cell-beta-thalassemia case. This is the first time where Hb Hofu has been detected by HPLC, which is the widely accepted screening technique for hemoglobinopathies around the world.

Background: Nosocomial infections are one of the leading causes of morbidity and mortality in hospitalized patients especially the critically ill patients in the intensive care unit (ICU) where a large number of drugs are administered to the patient’ which in turn leads to the generation of antibiotic resistant pathogens. The present study was conducted to identify the prevalence of predominant bacterial microorganisms and their drug sensitivity and resistance in ICU of a teaching hospital in Eastern India. Methods: A retrospective record based study was conducted in the ICU of Hi-Tech Medical College and Hospital, Odisha, Eastern India from November, 2011 to October, 2012. Patients who were clinically suspected of having acquired any infection after 48 hours of admission to the ICUs were included in the study. The clinically suspected laboratory samples were collected from the patients and subjected to testing and antibiotic sensitivity. Results: The rate of nosocomial infection was 28.2%. Urinary tract infection was the most common infection (54.9%). The predominant isolate was E. coli (52.7%) followed by P. mirabilis (15.4%) and Ps aeruginosa (13.2%). E. coli was highly sensitive to Polymyxin B, Gatifloxacin and Ceftriaxone and showed high degree of resistance to Cephalexin, Cefadroxil, Tobramycin and Prulifloxacin. Conclusions: Most of the bacterial isolates were resistant to third generation Cephalosporins and Aminoglycosides. Regular surveillance of antibiotic susceptibility pattern, judicious use of antibiotics are very important for reducing the nosocomial infection rate and antimicrobial resistance. [Int J Basic Clin Pharmacol 2013; 2(2.000): 153-159

Background: Drug prescription pattern for the treatment of falciparum malaria differs widely from place to place; but there is also some intra organizational variation of prescription pattern of anti-malarial drugs for the treatment of falciparum malaria.Aims and Objectives: The present study was planned to study the drug utilization pattern for the treatment of falciparum malaria in a tertiary care teaching hospital in eastern India.Materials and Methods: It was a hospital based study conducted in the department of medicine among the patients admitted with confirmed diagnosis of falciparum malaria. Drugs prescribed, average number of drugs per prescription, percentage of drugs prescribed in generic name, percentage of prescription with co-prescription of antibiotics, percentage of prescription having at least an injection prescribed, percentage of drugs prescribed from essential drug list or formulary and average drug cost per prescription are the parameters studied in this study.Results: Average number of drugs per prescription in the present study was 3.96. Artesunate and Mefloquine were the most common anti-malarial drugs prescribed among study subjects. 22.9% patients received oral Chloroquine as anti-malarial drug. 43.3% prescriptions had antibiotics co-prescribed. Only 16.9% drugs were prescribed in generic name. 85.4% of the prescribed drugs were from essential drug list. Average drug cost per patient was Rs. 282/- with minimum of Rs. 55/- and maximum of Rs. 1750/-.Conclusion: Though Artesunate combination therapy is getting popularized gradually but a sizable proportion of patients (22.9%) were prescribed with oral Chloroquine therapy. Generic prescription of drugs should be encouraged among the physicians. Multi-centric study regarding drug prescription can give a broader picture in changing scenario.Asian Journal of Medical Sciences Vol.7(4) 2016 80-83

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