IPRC - 2017
Permanent URI for this collectionhttp://repository.kln.ac.lk/handle/123456789/18564
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Item Hand Washing Practice among Intern House Officers (IHOs) during Working Hours at Colombo North Teaching Hospital (CNTH), Ragama.(In: Proceedings of the International Postgraduate Research Conference 2017 (IPRC – 2017), Faculty of Graduate Studies, University of Kelaniya, Sri Lanka., 2017) Kendawala, A.; Kodithuwakku, A.; Kondasinghe, N.; Kaumadie, N.; Karunathilaka, S.; Wijesooriya, L.I.Contaminated hands of healthcare workers (HCWs) are known to crosstransmit microorganisms causing hospital-acquired infections (HAIs). Hence, hand hygiene (HH) is the simplest and the most effective method to prevent HAIs. Therefore, all HCWs needs to adhere to recommended hand washing (HW) practices provided adequate HW facilities. Amongst HCWs, IHOs would have direct contact with patients mostly. Objective: To describe HW practice in IHOs and facilities available for effective HH in CNTH, Ragama. Methodology: Descriptive cross sectional study was conducted from 01.06.2017–31.09.2017 involving 2168 HW opportunities of 50 IHOs in 22 wards of CNTH. HH practices were assessed against WHO defined criteria; five opportunities for HH and six-steps in HW technique. HH facilities were assessed by evaluating availability of water supply, washing agent (soap), disposable hand towels and alcohol hand rub. Sink: bed ratio and display of poster with HW steps near sinks were noted.Item Case report: Edwardsiella tarda Sepsisfollowing Abortion.(In: Proceedings of the International Postgraduate Research Conference 2017 (IPRC – 2017), Faculty of Graduate Studies, University of Kelaniya, Sri Lanka., 2017) Wijesooriya, L.I.; Weerawardana, A.; Mohamed, R.Edwardsiella tarda is a Gram negative bacterium of Family Enterobacteriaceae - primarily a pathogen of fish. Human infections with E. tarda are rare. Reports of E. tarda septicemia is exceptional (<5%) with mortality of 44.6%. We report a case of E. tarda sepsis following an abortion. Case report A 31 year old female patient (P3C2) with period of amenorrhea of 12 weeks and 2 days was admitted with a history of lower abdominal pain and vaginal bleeding for 1 day with a similar episode 1 week prior. Patient was febrile with 1010F on admission. Her past medical history was uneventful except gestational diabetes. Hematological investigations on admission revealed WBC–17.5X103/UL with 80.0% granulocytes and CRP-52 mg/L. Abdominal ultrasound scanning found aborting fetus. Patient was started with empirical antibiotics as intravenous cefuroxime, metronidazole and gentamicin. Blood culture developed turbidity, 24 hours after incubation and grew Gram negative, motile bacillus on blood, chocolate and MacConkey agar as non-lactose fermenter. Moderate amount of H2S production was in Kligler Iron Agar (KIA)with acid butt and alkaline slant. Isolate was urease negative and indole positive. It was identified as E. tarda and was sensitive to most of the antibiotics: amikacin, cefotaxime, ceftazidime, cefuroxime, ciprofloxacin, co–amoxiclav, gentamicin and netilmicin but was resistant to polymyxin as per Stokes‘ comparative disc diffusion method. Evacuation of Retained Products of Conception was done 2 days following admission. Following antibiotics, patient was afebrile and improved clinically. Parenteral antibiotics were continued for one week, patient had uneventful recovery and was discharged with one week of oral antibiotics.Item Incidental Extra Spinal Findings in Magnetic Resonance Imaging of Spine: Beyond the Focus.(In: Proceedings of the International Postgraduate Research Conference 2017 (IPRC – 2017), Faculty of Graduate Studies, University of Kelaniya, Sri Lanka., 2017) Siriwardana, S.R.; Herath, S.; Wijesooriya, L.I.Magnetic resonance imaging (MRI) of the spine is a special imaging modality to evaluate various symptoms in spine including low back pain. However, extra spinal incidental findings (IF) which detect additionally during the MRI might influence the management of the patient. Objective: To describe IF detected during MRI spine and to emphasize the importance of identification of those. Methodology: Five patients who underwent MRI spine for back pain were selected and imaging appearances of various IFs were discussed.GE MR 360 advance 1.5-tesla MRI machine was used for the imaging. Results: Case 1: Thirty-seven year old female patient was evaluated for chronic neck pain. Sagittal T1W and T2W images show moderate size cystic lesion on posterior fossa of the brain. Follow-up MRI brain showed a moderate size arachnoid cyst causing indentation to the cerebellum. Case 2:Sixty-seven year old female patient was assessed for low back pain (LBP).T2W sagittal and coronal images showed 3.7 cm size oval shape mass medial to the right kidney. The mass was identified as an accessory kidney in follow-up contrast computed tomography (CT). Case 3:Thirty-eight year old female patient was assessed for LBP. Sagittal T1W, T2W and STIR images showed moderate size cystic mass with internal fat, fluid and low intensity nodules suggestive of calcium. MRI lumbar spine was uneventful. Subsequent surgery and histology revealed the mass as a dermoid cyst. Case 4:Forty- five year old male patient was evaluated for LBP. Sagittal T2W and Coronal STIR images showed uncomplicated left side pelvic kidney. Follow-up ultrasound scan too confirmed the diagnosis. Case 5:Eighty-three year old male patient presented with back pain and lower limb weakness. Sagittal and axial T2W images showed multiple spinal metastasis and coronal STIR images showed incidentally detected pleural based lung mass as a primary lesion.Item Study on Knowledge, Attitudes and Practices Regarding Dengue Fever in a Cohort of Advanced Level Students in Sri Lanka.(In: Proceedings of the International Postgraduate Research Conference 2017 (IPRC – 2017), Faculty of Graduate Studies, University of Kelaniya, Sri Lanka., 2017) Wijesooriya, L.I.; Hitige, D.G.; Herath, Y.B.; Sugandhi, R.A.I.; Siriwardana, S.R.Dengue is a leading healthcare challenge in Sri Lanka. In 2015, 29,777 dengue cases were reported and this increased by 85.2% (55150 cases) in 2016. Last 10 months of year 2017 reported 158854 suspected dengue cases. Of them, about 30% were children of 519 years. Schoolchildren of advanced level (A/L) (Grade-12&13) are influential and useful on dengue control activities in schools.