Volume : 2, Issue : 8, AUG 2016

PREDICTION OF INFECTIONS PREVAILING IN A GEOGRAPHICAL REGION THROUGH MICROBIAL TESTS DONE IN A TERTIARY CARE CENTRE, BHUBANESWAR, ODISHA

Sonali Kar, Rahul Pal, Dipti Pattnaik

Abstract

Kalinga Institute of Medical Sciences has a state of art microbiology lab that receives on an average 2000 samples in any given day to test for various infections.Inspite of advanced diagnostics, culture of various body exudates continue to be the gold standard to identify the exact etiological agent especially bacteriological. These tests are done routinely besides as a part of treatment of admitted patients in order to prescribe apt antibiotics to an admitted patient. Aims & Objectives: The current study hypothesizes that:
1. Exudates examined at the micro lab that hint at the common infections prevailing in the community and also probably the hospital acquired infections.
2. To decide on parameters like skill sets of the lab technicians and any other quality measures that should be undertaken to improve upon the lab reporting. With this view, an integrated secondary data based study was attempted by Dept of Community Medicine and Microbiology wherein the culture results of all patients regardless of age, gender and form of exudates and departments were taken from the record register for the months of June-July 2015 ; entered in excel sheet and analysed for any trends of infections that are common to the people in this part of state. Data of 2 months which came out to be 410 culture reports were collated. Results showed that culture was done for 51.2% males. 40% of the results were for routine OPD cases and among referral departments ICU accounted for highest ie 22% followed by Medicine(12.5%) and Pediatrics (9.8%). Irrespective of type of exudates, E.Coli accounted for highest ie 18% followed by Enterococcus which was 9%. E. Coli was also commonest infection reported from females. Enterococcus was commonest among infants. For lab records 8.7% reports were contaminated mostly for women ie 69% which meant that special precautions should be undertaken to take the specimens in case of women.
Conclusion: This simple study suggests the epidemiological patterns of infections in June July months in a rain prone state of Odisha and helps the hospital administration to take steps to initiate target interventions for the same.

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