30th Anniversary Academic Sessions, Faculty of Medicine-2021
Permanent URI for this collectionhttp://repository.kln.ac.lk/handle/123456789/23855
Plenaries, Symposia and free papers presented at the 30th Anniversary Academic Sessions, held on 28-31st October 2021, Faculty of Medicine, University of Kelaniya to celebrate the 30th Anniversary of Faculty of Medicine
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Item Identification of staphylococci contaminating clinical white coats of 4th year medical students(Faculty of Medicine, University of Kelaniya, Sri Lanka, 2021) Daraniyagala, H.U.; Dahanayake, O.S.; Dasanayake, A.P.; Dayarathna, M.P.; Dayarathna, S.N.; Dayasiri, K.G.; de Silva, D.N.; de Silva, S.A.; de Silva, N.U.; de Silva, D.; de Zoysa, D.S .; Vidanapathirana, G.; Dissanayake, R.U.; Ekanayake, A.; Liyanapathirana, V.Introduction: Infections caused by-resistant bacteria (ARB) have become a major global issue. Medical students’ clinical white coats can harbor these organisms and function as a possible reservoir for ARB transmission during their clinical training. More common species that contaminate clinical white coats include Staphylococcus aureus and its antibiotic-resistant variation, Methicillin-Resistant Staphylococcus aureus (MRSA). Objectives: To determine the prevalence of S. aureus and MRSA contamination of clinical white coats worn by medical students. Methods: A cross-sectional study was done with the participation of 4th-year medical students of the Faculty of Medicine, University of Peradeniya. Swabs were taken from the pockets and sleeves of the clinical white coats, and S. aureus was identified using routine microbiological methods. Disc diffusion-based cefoxitin sensitivity test was used to identify MRSA isolates among the S. aureus. Results: S. aureus has contaminated 53 (35.1%) of the 151 white coats of participants. MRSA was found in 20 (30.30%) of the isolates, accounting for 15 (9.9%) of the total participants. Factors analysed, including sex, type of clinical appointment and frequency of washing white coats were not found to be significantly associated with contamination by either of bacteria. Conclusions: Clinical white coats worn by medical students were found to be heavily contaminated with S. aureus and MRSA. As a result, these coats can be regarded as a potential mode of infection transmission between individuals. Therefore, steps should be taken to rectify the proper use and cleaning of medical students’ white clinical coats.Item Anxiety and Depression among the patients with Dysphagia following Oral Maxillofacial and Neck surgeries in four selected hospitals in Western Province, Sri Lanka.(Faculty of Medicine, University of Kelaniya, Sri Lanka, 2021) Fernando, K.; Fernando, R.; de Silva, D.Introduction: Undiagnosed anxiety and depression are obstacles to effective management of post-operative dysphagia. In Sri Lanka, the prevalence of anxiety and depression among patients with postoperative dysphagia is not known. Objectives: This study aimed at determining the severity and the stage of dysphagia, presence of anxiety and depression, and to identify the association between the severity and the stage of dysphagia with anxiety and depression following Neck, Oral & Maxillo-Facial (OMF) Surgeries. Methods: A cross-sectional study was conducted among 97 participants, with post¬operative dysphagia following OMF and Neck surgeries at four selected hospitals. Oral-motor and cranial nerve examination, the 3 ml water test, Cervical auscultation, Dysphagia Severity Rating Scale and Hospital Anxiety and Depression Scale were used for data collection. Results: Among the participants 51% presented with pharyngeal phase dysphagia and severe dysphagia. Prevalence of depression was 51% and anxiety was 38%, while 35% and 45% were at the borderline range respectively. With the increasement of dysphagia severity, high levels of anxiety and depression were noted. There was a statistically significant association between the severity of anxiety with severity of dysphagia (p< 0.05). Conclusion: Psychological burden is high among the participants with dysphagia following OMF and neck surgeries. Holistic management of dysphagia following OMF and neck surgeries, should include an assessment of the mental state of these patients and the treatment of anxiety and depression if required.