Browsing by Author "Kachhadiya, Nilesh"

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    Central Line-Associated Bloodstream Infection: A Case Study
    (International Research Organization for Life and Health Sciences, 2019-03) Shah, Jignesh; Kachhadiya, Nilesh; Chaudhari, Kaushik
    Introduction: Use of vascular catheters is common in both inpatient and outpatient care. In the United States, it is estimated that almost 300 million catheters are used each year; nearly 3 million of these are central venous catheters (CVCs), also known as central lines. Material and Method: Prospective observational study includes 50 patients aged more than 18 years admitted to SICU / surgical wards / transferred from either, in whom central line access inserted. During the study period the total number of patients admitted to the hospital was monitored daily and the patients meeting the inclusion criteria were enrolled in the study. The surveillance of CLABSI (central line associated blood stream infection) was performed in surgical intensive care unit, and all surgical wards, including burns wards. The data were collected using a standardized proforma. Observation: The incidence rate of central line catheter colonization of various studies ranges from 31.58% to 76 % . In all other studies, gram positive cocci were the predominant colonizers of central venous catheter, but in our study, we found gram negative bacilli like Klebsiella, E-coli, Pseudomonas aeruginosa, Acinetobacter species, species to be the predominant ones compare to gram positive cocci like Staphylococcus species. Conclusion: In present study incidence of CLABSI is 3.27% which almost equal to its global incidence. Commonest organism in present study is klebsiella followed by pseudomonas.
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    Complaints, Resumption of Work, and Coping at 6 Months after Mild Traumatic Brain Injuries.
    (2016-11) Patel, Soham; Kachhadiya, Nilesh; Meena, Mahendra; Pancholi, M
    Introduction: Mild traumatic brain injury (MTBI) is a significant public health concern worldwide. Materials and Methodology: Patients who were admitted at New Civil Hospital, Surat, from December 2014 to June 2015 were analyzed, and substantial recovery is expected to occur within the first 3 months of MTBI, but up to 15% of cases may not have recovered more than a year after injuries. This group typically presents with complex and clinically challenging symptoms with associated psychosocial burden and is often referred to as suffering from the postconcussion syndrome. Results: In the present study, 67 (67%) patients were males and 33 (33%) were females. Most common presenting complaint was loss of consciousness in 54 (54%) patients, followed by vomiting in 32(32%) patients. At the time of 6 months follow-up, most common complaint is headache in 42.8% cases, followed by giddiness in 18.7%, insomnia in 9.9%, and seizure with least common in 2.2% cases. Conclusion: MTBI is a significant health problem due to wide majority of patients. Epidemiology is suggesting that there is a significant increase in incidence of traumatic brain injuries, and almost 75% are of mild variety.
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    Effectiveness of Endoscopic Balloon Dilatation in Corrosive Esophageal Stricture
    (International Research Organization for Life and Health Sciences, 2019-03) Shah, Jignesh; Chaudhari, Kaushik; Kachhadiya, Nilesh
    Introduction: Esophageal strictures are a problem frequently encountered by clinicians. Corrosive injuries to the esophagus and stomach is one of the common conditions encountered in developing countries like India. It may result in major morbidity and mortality particularly in the younger age group. Material and Method: The material of study consists of 30 patients of corrosive esophageal stricture undergone endoscopic balloon dilatation. Patients of >12 year age group were taken in this study. Patients undergone endoscopic balloon dilation for corrosive oesophageal stricture of various lengths and at different sites. Observation : All patients have normal dietary intake including solid food at the time of discharge. All patients under study were followed after 1week, 3 weeks and 6 weeks interval. In our study out of 30 patients 24 patients (80%) had satisfactory oral diet and 6 patients (20%) developed recurrence of symptoms after 6 weeks of follow up. Conclusion : Endoscopic balloon dilatation found to be safe, effective and promising treatment for corrosive esophageal structure.