Background: Nosocomial bloodstream infection in paediatric ICU is a leading, preventable infectious complication in critically ill patients and has a negative impact on patient's outcome. This study was done to determine the type of pathogens responsible for nosocomial infections and its sensitivity pattern, to evaluate the probable sources (fomites) of nosocomial infections and also to compare the outcome of treatment between children with and without nosocomial bloodstream infections in terms of length of ICU stay and mortality

Background: Tetanus is a vaccine preventable serious disease that can affect people of all age group with a high mortality. Although tetanus incidence is significantly reduced due to nationwide vaccination coverage, it is not uncommon in our country. Aims & Objectives: To determine of the socio-demographic profile, nature of injury, incubation period and outcome of the tetanus patients who were admitted in the Infectious Diseases Hospital, Dhaka during the study period. Materials and Methods: This cross sectional observational study was done in the Infectious diseases hospital, Dhaka during the period of February 2017 to January 2018. The data, were collected, compiled and analyzed. Results: Out of 149 patients, neonates were 13(8.7%) in number. Most of the cases were in middle aged group. Malefemale ratio about 4.5:1. Majority of the patients (134, 89.9%) had no history of immunization but one patient was immunized within five years. Mean incubation period tetanus was 8.45 days with ±5.56 SD. Death occurs in 41(27.5%) patients and all of them had no history of immunization. Death rate of patients having early incubation period was significantly higher (p=0.003). Death rate in neonatal tetanus (53.84%) also significantly higher than that of non-neonatal tetanus (25%) (p= 0.026). Conclusion: Tetanus is not uncommon in Bangladesh, especially in neonates and adult male and mortality rate is high. Short incubation period predicts were outcome. J Bangladesh Coll Phys Surg 2021; 39(3): 160-166

Abstract:Herpes zoster is a neurocutaneous disease caused by varicella zoster virus (VZV). It results from the reactivation of latent virus in dorsal root or cranial nerve cells following primary infection or vaccination as a consequence of waning of immunity. There may be a possible association between the occurrence of varicella infection and various environmental factors. So this study was designed to know the pattern of clinical presentation, seasonal variations and epidemiological factors of Herpes Zoster patients. A total of 172 Herpes Zoster out of 27979 patients of different skin diseases attending at Dhamrai Upazilla Hospital in Bangladesh were studied between March 2010 to June 2013. The frequency of occurrence of Herpes Zoster was 0.61%. Among the patients, 57.56% were male and 42.44% were female between the ages of 5 months to 90 years, with mean age 39 years. Nearly half of the patients (48.26%) were in between 30-59 years age. The patients were continued to report throughout the year with a surge in rainy season. Majority of the patients (65.70%) had thoracic dermatome followed by cervical and lumbar distribution, each of them 11%. A large-scale and prospective community based study is recommended to enrich the findings as well as a complete clinical and epidemiological picture of Herpes zoster in Bangladesh.