To study the impact of Baby friendly policies on lactation success, a semi-structured questionnaire was administered to mothers of babies attending the well baby clinic of an urban tertiary care Baby Friendly Hospital. The feeding practices of outborn babies was compared to inborn babies (Baby friendly hospital). No major differences were found in the duration and success of lactation among the 2 groups. More intensive efforts and public awareness is required if the ideals of a baby friendly hospital are to be met.

: Like any other Device associated infection, Ventilator Associated Pneumonia also poses a great threat to public health. This study aims to know the prevalence rate of VAP and study the drug resistance pattern of its causative agents. : A prospective, observational study involving 480 patients was conducted over a period of twelve months to calculate the prevalance of VAP amongst the intubated patients and to isolate the causative organisms with their resistance patterns for antibiotics. : Among the 480 patients on mechanical ventilation included in this study, sixty patients developed VAP. This amounted to a VAP rate of 31.25 per 1000 ventilator days. Culture yielded Gram negative organisms in 51 samples and Gram positive cocci in 9, majority of which were multi drug resistant organism by the virtue of producing ESBL, AmpC and MBL enzymes. : Identifying VAP and the MDR organisms causing it and formulating a tailored antibiotic therapy is very imperative for the timely treatment and reduction in morbidity and mortality caused by VAP.

Introduction: Urinary tract infection (UTI) is one of the commonest infections encountered in the hospital. Most of the hospital UTIs are caused by MDROs. There is scarcity of available drugs to treat MDR infections. In this scenario, reevaluation of the old antimicrobial agents is being done. Fosfomycin is one such old molecule. The studies suggest that Fosfomycin may provide a useful option for the treatment of patients with the MDR/XDR difficult-to-treat infections.Materials and Methods: Urine samples (including catheter samples) were collected in sterile containers; cultured on CHROME agar, using calibrated loop; colony count was done in positive cultures; identification and antimicrobial susceptibility of the organism was done by VITEK2 compact system. Susceptibility pattern of antimicrobial agents used for treatment of UTI including Fosfomycin was analyzed.Results: Of the 502 urinary MDRO isolates, 74.9% were ESBLs and 29.49% were CROs. MDRO susceptibility was 88% to Fosfomycin, 70.52% to Ertapenem, 53.98% to Nitrofurantoin, 37.05% to 22.31% to Norfloxacin, 20.91% to Ciprofloxacin, and 10.96% to Ampicillin respectively.Discussion: Gupta et al. 10 reported 52.6% E. coli urinary isolates to be ESBLs and all were susceptible to Fosfomycin. In the present study, 76.8% Escherichia coli isolates were ESBLs and 98.5% only were susceptible to Fosfomycin.