A single-dose antibiotic prophylaxis to prevent surgical site infection in clean-contaminated surgery among diabetic patients

Introductions: Guidelines on antibiotics use in surgical patients recommends asingle dose prophylaxis for clean-contaminated cases and therapeutic coursefor contaminated and dirty cases. Compliance to this guideline is poor amongdiabetic patients. The aim of this study was to test the efficacy of single doseantibiotic prophylaxis on the occurrence of postoperative surgical site infection(SSI) in clean-contaminated surgery in diabetic patients.Methods: Retrospective cross-sectional study was carried out at KIST MedicalCollege and Teaching Hospital from September 2008 to August 2012 involving144 diabetic patients who underwent major clean-contaminated surgery. Fortyeight patients received one gram of ceftriaxone intravenously as prophylacticantibiotic within 30 minutes prior to incision (group 1) and 96 patients receivedthree doses of ceftriaxone (group 2). One dose was given within 30 minutesprior to incision and other two doses were given postoperatively. All patientswere followed up for 30 postoperative days on outpatient basis. The SSI rateswere compared in two groups. Pus from the infected wound was tested forculture and sensitivity.Results: The SSI rates in group 1 and group 2 were of 5/48 (10.42%) and of 9/96 (9.37%) respectively. There was no significant difference in SSI rates between group 1 and group 2 (p=0.322).Conclusions: Single dose of Ceftriaxone shows the similar effect as three dosesin clean-contaminated surgery in diabetic patients.Keywords: antibiotic prophylaxis, diabetic patients, surgical site infectio

Perceptions of Medical Students About Bedside Teaching in a Medical School

Introduction: Bedside teaching is an important and established learning tool in medical education. However there is a decline in bedside teachings over the years throughout the world including Nepal, due to advancement in medical technology, clinical skills labs and simulation techniques. This study aimed to find out the perception of Nepalese medical students towards different domains of bedside teaching. Methods: This was a descriptive cross-sectional study. A questionnaire consisting of Likert scale, open ended and closed ended questions was developed on different aspect of bedside teaching and the filled questionnaires were included for analysis. Results: Three hundred and six questionnaires were included. Almost all of medical students responded that bedside teaching is a useful learning modality in clinical teaching 304 (99.3%) and provides active learning in real context 291 (95%). The majority of medical students 233 (76%) were satisfied with the steps of history taking, examination followed by management discussion employed at bedside teaching. The students 223 (73%) were satisfied, how to elicit signs following demonstration of clinical exam by teachers at bedside. However majority 196 (64%) felt lack of individual opportunity at bedside. According to students, focussing more on practically oriented clinical skills with proper supervision would improve learning while hindering factors were large number of students and patient’s uncooperativeness. Good communication was considered the best method of alleviating patient discomfort at bedside teaching in this study. Conclusions: The study concluded that medical students have positive response and learning attitudes towards different aspects of bedside teaching

Tobacco: deadly in any form or disguise.

Journal ArticleSCOPUS: ar.jinfo:eu-repo/semantics/publishe

Curbing tobacco's toll starts with the professionals: World No Tobacco Day.

Journal ArticleSCOPUS: no.jinfo:eu-repo/semantics/publishe