Background: Worldwide, Neonatal Jaundice is one of the most common disorders and causes of avoidable brain damage and physical and mental impairment, and probable death in newborns. It is an important contributor to the high neonatal morbidity and mortality in Nepal.Objective: To assess among mothers the knowledge about neonatal jaundice. Method:A descriptive cross-sectional study was conducted among 177 mothers in selected village with convenient sampling technique.Results: Findings revealed that around half of the mothers (49.90%) had low level of knowledge (score <50%), 28.60% mothers had moderate level of knowledge (score 50-75%) and only 22% mothers had adequate level of knowledge (score >75%) regarding neonatal jaundice. A large proportion of mothers (84%) believed that danger sign of neonatal jaundice was unable to feed the baby. Few 11% mothers believed that mental retardation and death was the complication of neonatal jaundice. Few mothers (12%) were aware about the cause of neonatal jaundice. Around 74% believed that exposing the baby to the sunlight is the primary management of neonatal jaundice but only 2% heard about the phototherapy.Conclusion: Knowledge about neonatal jaundice was low among Nepalese mothers. Awareness should be created among the expecting mothers about neonatal jaundice and encourage them to take preventive measures to avert neonatal mortality and morbidity.

Introduction: Pyoderma is defined as any purulent skin disease and represents infections inepidermis and dermis or hair follicles. This study aims to find out the prevalence of communityacquired pyoderma in dermatological outpatient department of a tertiary care hospital. Methods: A descriptive cross-sectional study was carried out among patients who presented atdermatology outpatient department of Kathmandu Medical College Teaching Hospital betweenDecember 2018 and March 2019 after ethical clearance from institutional review committee.Convenience sampling method was done. Data was collected and analysis was done using SPSSsoftware, point estimate at 95% CI was calculated along with frequency and proportion for binarydata. Results: Out of 385 cases, 72 (18%) cases were of community-acquired pyoderma. Prevalence ofcommunity-acquired pyoderma is 72 (18%) at 95% CI(). Primary pyoderma was seen in 49 (12.72%)mainly folliculitis 17 (4.41%), furunculosis 16 (4.15%), impetigo 6 (1.55%), abscess 6 (1.55%) andbacterial paronychia 4 (1.03%). Staphylococcus aureus was the most common organism isolated in 42(58.3%) cases and Staphylococcus epidermidis was isolated in 3 (4.17%) cases. Staphylococcus aureuswas most sensitive to Vancomycin 42 (100%) followed by Gentamycin 40 (95.2%), Ciprofloxacin 40(95.2%) and Ceftriaxone 40 (95.2%). Highest resistance was seen to Azithromycin in 13 (30.95%),followed by Cloxacilllin in 11 (26.19%). Males were affected predominantly in 49 (68.06%) ascompared to females in 23 (31.94%). Conclusions: Prevalence of community-acquired pyoderma is high among patients visitingdermatological outpatient departments of a tertiary care hospital compared to other studies.Antibiotic resistance of commonly used antibiotics are increasing and thus proper cultureand sensitivity reports may be required to guide our treatment

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Cephalohematoma is a benign medical condition affecting 1 to 2% of all live births, which resolves spontaneously in most of the cases. Infected cephalohematomas are very rare and serious as they can cause sepsis, osteomyelitis and meningitis. We report a case of 40 days male who presented to our outpatient clinic with ruptured scalp swelling. Deep seated scalp abscess was incised and drained. Culture proved E.Coli infection which was managed with intravenous antibiotics for 5 days during the hospital stay and was later discharged on oral antibiotics. The wound completely healed with no evidence of residual abscess on 1-week follow-up. Infected cephalohematoma has good prognosis if appropriately drained and managed on culture guided antibiotics.