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Journal articles on the topic 'Ziaur Rahman'
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1
Rahman, Mohammad Ziaur, Chi Wai Kwong, Kenneth Davey, and Shi Zhang Qiao. "Correction: 2D phosphorene as a water splitting photocatalyst: fundamentals to applications." Energy & Environmental Science 9, no. 4 (2016): 1513–14. http://dx.doi.org/10.1039/c6ee90016j.
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Islam, AHM Tohurul, Elora A. Leema, Tapos K. Das, O. Ibne Ali, MH Rahman, and Z. Nahar. "Hurler’s Syndrome - A Case Report (Mucopolysaccharidosis Type-1H)." TAJ: Journal of Teachers Association 24, no. 2 (November 28, 2018): 148–51. http://dx.doi.org/10.3329/taj.v24i2.37546.
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A girl named Tania, aged 5yrs was brought to Shaheed Ziaur Rahman Medical College Hospital, Bogra with the complains of swelling of both legs for 5days & low grade intermittent fever for 1month & she also had severe mental retardation, facial dysmorphism, hepatosplenomegaly, umbilical hernia, corneal clouding, large calvaria & features of dysostosis multiplex. Her clinical as well as radiological features arouse strong suspicion suffering from a rare genetic disease (autosomal recessive) hurler’s syndrome though it wasn’t confirmed by deficiency of specific enzyme or urinary excretion of GAG (glycosaminoglycan).TAJ 2011; 24(2): 148-151
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Awwal, Arpana. "From Villain to Hero: Masculinity and Political Aesthetics in the Films of Bangladeshi Action Star Joshim." BioScope: South Asian Screen Studies 9, no. 1 (June 2018): 24–45. http://dx.doi.org/10.1177/0974927618767277.
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In this article, I trace the growth of the action film genre in Bangladesh in the 1970s and 1980s, at a time when new technologies such as video cassette recorder (VCR) were emerging in the market and national politics was wrestling with the competing notions of masculinity, leadership and heroism. I look at the emergence of the Bangladeshi action star Joshim within the context of South Asian trans-regional cinema and its changing tropes of masculinity. I argue that anxiety over new technologies, changes within Bangladesh’s political regime and its leadership, including state censorship, and shifts in the representation of heroic masculinity within national imagery—from a socialist model associated with Sheikh Mujibur Rahman to the modern, energetic and globally inflected masculinity of Ziaur Rahman—were intertwined. These changes, I contend, are reflected in the transition in Joshim’s roles from the primarily villainous characters of his early films to an action hero from the 1980s onwards. The article examines Joshim’s role in the film Muhammad Ali (Motaleb Hossain, 1986b), as an example of a glocalised action film. Its sources include articles and letters printed in Purbani and Chitrali, the most widely read Bangladeshi film magazines of the 1970s and 1980s.
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Sheikh, Md Ziaul Haque, and Zahid Shahab Ahmed. "Military, Authoritarianism and Islam: A Comparative Analysis of Bangladesh and Pakistan." Politics and Religion 13, no. 2 (December 23, 2019): 333–60. http://dx.doi.org/10.1017/s1755048319000440.
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AbstractThe years 1975 and 1977 witnessed a wave of de facto military regimes in Bangladesh and Pakistan, respectively. In Pakistan, General Muhammad Zia-ul-Haq operationalized the country's preexisting Islamic identity from emblematic to substantive at both domestic and international levels. General Ziaur Rahman and General Ershad of Bangladesh revived the country's Islamic identity at the domestic and international levels and reopened the space for religious fractions that were banned from politics constitutionally in the previous regime. Focusing on military regimes in Bangladesh and Pakistan between 1975 and 1990, this paper aims to bridge that gap by specifically examining the use of Islam. This study argues that dictators in both countries used Islam to support their survival strategies of legitimacy, repression, and social control. Authoritarian rulers did not have to use Islam to maintain military coherence, because of the military's culture of subordination to superiors.
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Alam, Md Khorsed, Md Saiduzzaman, Md Asadur Rahman, Syed Sanaul Islam, Mohammad Anisur Rahman, and Kanchan Kumar Sarker. "Quality of Life Assessment after Canal Wall Down Mastoidectomy: Our Experiences in Shaheed Ziaur Rahman Medical College Hospital, Bogura." Bangladesh Journal of Otorhinolaryngology 27, no. 1 (April 28, 2021): 52–58. http://dx.doi.org/10.3329/bjo.v27i1.53205.
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Objective: To determine subjective outcomes after cholesteatoma surgery.
Design: Cross sectional observational study
Methods: Study place: Shaheed Ziaur Rahman Medical college Hospital (SZMCH), Bogura, Bangladesh
Study population: Chronic otitis media (COM) with extensive cholesteatoma. Interventions: Canal wall down mastoidectomy for cholesteatoma.
Main Outcome Measures: In this study, the Chronic Ear Survey (CES) was provided to all patients preoperatively and one year after surgery. The preoperative and postoperative score differences were analyzed. We also assessed correlations between chronic ear survey scores and air conduction threshold.
Results: Seventy six patients were enrolled in our study & marked improvements were found in total CES score & all subscale scores postoperatively (P value: 0.00). The total CES score and symptom subscale scores were observed greater improvement (P value: 0.00).Significant negative linear correlations were observed among total CES scores, symptom subscale scores and air conduction thresholds (P<.05).
Conclusion: The present study suggests that canal wall down mastoidectomy (CWDM) provides a significant improvement in the post-operative Quality of life (QoL) &b there is a significant association between subjective outcomes &the objective audiometric results.
Bangladesh J Otorhinolaryngol; April 2021; 27(1): 52-58
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Haque, Muhammad Mahmudul, and Nitai Chandra Sarkar. "Prevalence of Pregnancy Induced Hypertension among the Pregnant Women: A Study in Shaheed Ziaur Rahman Medical College Hospital, Bogura, Bangladesh." Saudi Journal of Medical and Pharmaceutical Sciences 06, no. 01 (January 15, 2020): 53–57. http://dx.doi.org/10.36348/sjmps.2020.v06i01.009.
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Sadik, ABM Zafar, Md Mahmudul Hasan, Nur-E.-Zannat Afroza Haque, Farid Uddin Ahmed, and Md Zahidul Kabir. "Different Types of Breast Lump in Relation to Different Age Groups." Faridpur Medical College Journal 8, no. 2 (September 8, 2014): 56–58. http://dx.doi.org/10.3329/fmcj.v8i2.20369.
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This prospective observational study was carried out in the inpatient and outpatient department of surgery at Shaheed Ziaur Rahman Medical College Hospital, Bogra, during the period of 01.07.2008 to 31.12.2008 with a view to find out the incidence of breast carcinoma, fibroadenoma or other pathology in different age group. A total 130 patients with palpable breast lump were included in the study. Age of the patients was between 11 to 70 years. In most of the patients with breast lump Fine Needle Aspiration Cytology and biopsy were done. Sometimes ultrasonography, mammography and other routine investigations were also done. Among the study population 53.85% had benign lesions, Breast carcinoma accounted for 46.15% cases, fibroadenoma for 40.76% and fibroadenosis were in 10% cases. Fibroadenoma was common in second and third decade, while carcinoma of breast was common in third and fourth decade in this study. Here we attempted to find out the age incidence of breast lump and its correlation with clinical features, FNAC findings and histopathological report to improve the accuracy of diagnosis and management of breast disease. DOI: http://dx.doi.org/10.3329/fmcj.v8i2.20369 Faridpur Med. Coll. J. 2013;8(2): 56-58
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Nahar, K., MA Quddus, KMS Islam, and MA Islam. "Prevalence of Gall Bladder Carcinoma in Patients with Cholelithiasis." Journal of Surgical Sciences 16, no. 2 (October 21, 2019): 68–70. http://dx.doi.org/10.3329/jss.v16i2.43603.
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The objective of the study was to find out the prevalence of gallbladder carcinoma in patients having cholelithiasis. For this purpose a prospective study was carried out on 15 patients of both sexes in Shaheed Ziaur Rahman Medical College Hospital, Bogura. Their mean age was 56 ±8 years (range 30 to 70 years) having gall bladder mass. Gall bladder mass and stone were detected by history, Physical examination, ultrasonography and computed tomography of the abdomen. Carcinoma was confirmed by histopathological examination of specimens removed by operation. All gallbladder masses removed by operation showed malignat tumor on histopathological examination. Among them adenocarcinoma and squamous cell carcinoma were present in 94 and 6 percent respectively. Stones were present within gallbladder mass in 94 percent of cases. In 80 percent of cases the disease was in advanced stage. The results of the present study suggested that the patient having cholelithiasis are prone to develop malignancy in the gallbladder. However as the sample size is small further studies are needed by taking large number of sample to validate this statement
Journal of Surgical Sciences (2012) Vol. 16 (2) : 68-70
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Haque, GHM Shahidul, Md Jakir Hossain, Sabrina Haque, and Md Anisur Rahman. "A Clinicopathological Study of Solitary Thyroid Nodule." Medicine Today 31, no. 2 (June 26, 2019): 85–88. http://dx.doi.org/10.3329/medtoday.v31i2.41957.
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Introduction:Common presentation of thyroid disorders is solitary nodule. A discrete swelling in an otherwise impalpable gland is termed as solitary nodule of thyroid. The majority of solitary thyroid nodules are benign. The incidence of malignancy is 10-20%, being more common in females with a mean age of 35 years.The object of the study was to identify the incidence of malignancy in solitary nodule thyroid which emphasizes on the early diagnosis and adequate treatment.
Materials and Methods: The study was carried out in the department of ENT and Head-Neck Surgery of Rangpur Medical College Hospital, Rangpur and Shaheed Ziaur Rahman Medical College Hospital, Boruga in 50 patients with solitary thyroid nodule from July 2013 to June 2015.
Results: The solitary thyroid nodules were seen in 1.76% of surgical admissions. The mean age of the incidence of solitary thyroid nodule is 35 years. The incidence of malignancy in solitary thyroid nodule is 18.51%. The solitary thyroid nodules were frequent in females than males in the ratio of 6.71:1.
Conclusion: It is concluded from the present study that a remarkable proportion 10% of solitary thyroid nodules was malignant with females preponderance which emphasizes on the early diagnosis and adequate treatment.
Medicine Today 2019 Vol.31(2): 85-88
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Ali, Mohammad, Md Jamal E. Rabby, Md Masud Zaman, Md Abdus Salam, Md Kabirul Hassan, Md Mustafizur Rahman, and Farida Parvin. "Management and Outcome of Diabetic Foot-A Study of Hundred Case." Journal of Surgical Sciences 23, no. 1 (March 22, 2020): 25–28. http://dx.doi.org/10.3329/jss.v23i1.44241.
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Background: Diabetes mellitus is a complex metabolic disorder that affect 1-2 percent of the population. It can give rise to many tissue complications among which foot is particularly vulnerable to circulatory and neurological disorder, so that even minor trauma can lead to ulceration and infection.
Methods: Between September 2008 and August 2009, 100 patients were undergone treatment for diabetic foot at department of Surgery, Shaheed Ziaur Rahman Medical College Hospital, Bogra. This study included all the cases of diabetic foot irrespective of age, sex and diabetic status.
Results: After 12 weeks treatment 84% of patient were completely recovered, 2% developed abscess, 8% developed ulceration and 6% developed gangrene. Mean age of diabetic patients with foot ulcer is 50-60 years. Out of 100 cases 64% male and 36% female. Maximum number of patient (64%) had foot problems after suffering from diabetes mellitus for a period of 6-10 years.
Conclusion: The modalities of treatment of diabetic foot should be selected for each type of pathology depending on the pattern of presentations of diabetic foot. Careful selection of treatment modalities can reduce the rate of diabetic foot complications and improve the quality of life of diabetic patients.
Journal of Surgical Sciences (2019) Vol. 23 (1) : 25-28
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Nargis, SF, R. Ara, G. Ara, and Jahanara Begum. "Internal Podalic Version an Option for Developing Countries." Journal of Bangladesh College of Physicians and Surgeons 32, no. 1 (November 30, 2014): 16–20. http://dx.doi.org/10.3329/jbcps.v32i1.21030.
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Objective: To study the role of internal podalic version (IVP) in the management of transverse lie with fetal demise in labour and to assess the success and outcome of this almost obsolete procedure in obstetrics. Materials and Methods: Quasi experimental study was done in Shaheed Ziaur Rahman Medical College and Mohammad Ali Hospital, Bogra from January 2001 to December 2006. Results: Within this period total 180 cases transverse lie with intrauterine fetal death (IUFD) were studed. All these case were undiagnosed transverse lie with IUFD in labour and admitted in the hospital through the emergency department. In 60 cases IPV and in 120 cases lower uterine segment caesarean section (LUCS) were done to deliver the dead for per operative and post operative blood transfusion were only 03.33% in cases where IVP was done, and 41.66% in those who under went LUCS (P<.001). Hospital stay in IVP group was only 1.3 days where as 10 days for those who under went LUCS (P<.001). Regarding complications it was almost same in both groups. IVP was also very cost effective required some of taka 300 only where as for LUCS it required about 3000 taka. Conclusion: The success rate of IVP is good. It is cost effective, preserve the future fertility and prevent DOI: http://dx.doi.org/10.3329/jbcps.v32i1.21030 J Bangladesh Coll Phys Surg 2014; 32: 16-20
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Kamal, Abu Hena Mostafa, Sharmin Afrozy, Marjina Khatun, Mst Shaheen Nawrozy, and Most Merina Akhter. "Serum Electrolyte Profile of Children Less Than Five Years of Age Admitted with Pneumonia in a Tertiary Care Hospital." TAJ: Journal of Teachers Association 31, no. 2 (May 29, 2019): 59–62. http://dx.doi.org/10.3329/taj.v31i2.41602.
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The study was done to observe whether there is any association of pneumonia with hyponatraemia, as well as to have a view to the patients’ hospital-stay in this regard. This study was conducted from July 2009 to September 2011 at the Department of Biochemistry of Shaheed Ziaur Rahman Medical College (SZMC), Bogra. Total 35 cases, 1 month to 5 years of age, who suffered from pneumonia, were included in this study. Their serum Na+, K+& Cl- levels were measured and their hospital stays in days were recorded for the comparison between normonatraemics and hyponatraemics. The distribution patterns were described as percentage of total. In addition, Student’s ‘t’ test and Pearson’s correlation co-efficient test were also used. Among 35 cases, 22 (63%) cases were male and 13 (37%) cases were female; 14 (40%) cases were hyponatraemic and 21 (60%) cases were normonatraemic. Mean (±SD) of age was 19.6 (±15.2) months. For all the cases, there was a positive correlation of serum Cl– with serum Na+ levels (p<0.001); but no correlation was observed between serum K+& Na+ levels (P>0.10). Hospital stay of hyponatraemic cases was higher than the normonatraemic cases (P<0.05). Children with pneumonia may develop hyponatraemia, which if not managed in due time, may lead to delayed recovery from illness.
TAJ 2018; 31(2): 59-62
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Hassan, Md Kamrul, Amal Chandra Paul, Mizanur Rahaman Shibli, and Mahmudul Hasan. "Use of Propranolol for the management of haemangioma in children: Our experience." Faridpur Medical College Journal 12, no. 2 (October 9, 2017): 71–74. http://dx.doi.org/10.3329/fmcj.v12i2.34232.
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Hemangioma is one of the most common benign tumors of infancy and occurs in approximately 5-10% of infants. The treatment options for problematic haemangioma are intralesional and systemic steroids, chemotherapeutic agents including vincristine and interferon-alpha, laser therapy or surgical intervention. In this case series effectiveness of propranolon was observed on haemangioma. This study was conducted in the Department of Pediatric Surgery, Faridpur Medical College Hospital, Faridpur and Shahid Ziaur Rahman Medical College, Bogra. This study period was from January 2013 to December 2015. A total of 38 patients of haemangioma were admitted in Pediatric Surgery ward in FMCH and 26 patients in SZRMCH. These 54 patients were counseled about the study in detail. First dose of propranolol was given at a dose of 3 mg/kg/day in three divided doses. Pulse and blood pressure were recorded during initial 3 hours. Patients were then advised to continue with this treatment at home, with monthly follow-up. Total number of patients were 54. Of them 11 were male and 43 were female, giving a male: female ratio of 1:4. 60 % of the patients (32) were in <6 months. After 1 month, sign of regression was marked in all cases. Complete regression was seen in 6 patients (11.1 %) during second follow-up after 3 months of treatment. Only 4 patient required 9 months to reach the complete recovery. This case series contributes to the growing evidence that oral propranolol is efficacious and safe, with a careful dosing and monitoring. We hope a national guidelines will be developed in time for use of propranolol to treat the haemangioma.Faridpur Med. Coll. J. Jul 2017;12(2): 71-74
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Islam, Jinnat Ara, Gulshan Ara, and Farzana Rabee Choudhury. "Risk Factors and Outcome of Obstructed Labour at a tertiary care Hospital." Journal of Shaheed Suhrawardy Medical College 4, no. 2 (April 3, 2013): 43–46. http://dx.doi.org/10.3329/jssmc.v4i2.14401.
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Background: Obstructed labour is one of the most common preventable cause of maternal and prenatal morbidity and mortality in developing countries. Objective: The purpose of the present study was to determine the risk factors as well as to asses the outcome of obstructed labour. Method: This cross sectional study was conducted in the Department of Gynecology & Obstetrics at Shaheed Ziaur Rahman Medical College Hospital, Bogra during the period from January 2007 to December 2007. One hundred and five cases with features of obstructed labour were selected as per inclusion and exclusion criteria in a consecutive method. A detailed history included sociodemographic feature, obstetric history, features of obstruction, intrapartum events were recorded to detect risk factors. Condition of patients, mode of delivery, preoperative and post operative complications, maternal and fetal outcomes were recorded. Results: A total number of 3171 deliveries were conducted during this period and 132 cases of obstructed labour were found constituting an incidence of 4.2%. The highest frequency was found among the unbooked, primigravid patients that were illiterate or only having primary education level. The commonest cause was cephalo-pelvic disproportion (47.5%) followed by fetal malpostion (25.7%) and malpresentation (24.8%). The majority of the patients were between 25-29 years, caeserean section was the most common mode of delivery (78.09%). Maternal morbidity due to different complication accounted for 76.19% of the case while the fetal morbidity was 51.31% of the cases. The maternal mortality was 1% and prenatal mortality was 24.76%. Conclusion: In this study the incidence of obstructed labour was very high. The commonest cause was cephalo-pelvic disproportion followed by fetal malpostion and malpresentation. DOI: http://dx.doi.org/10.3329/jssmc.v4i2.14401 J Shaheed Suhrawardy Med Coll, 2012;4(2):43-46
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Quddus, Md Abdul, Md Alimunzzaman, Md Zilluar Rahman, and Md Kausar Alam. "Clinicopathological Study of 50 Cases Colorectal Carcinoma At Tertiary Care Hospital." Journal of Shaheed Suhrawardy Medical College 4, no. 2 (April 3, 2013): 53–56. http://dx.doi.org/10.3329/jssmc.v4i2.14413.
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Background: Colorectal carcinoma is a major causes of mortality and morbidity worldwide. Objective: The purpose of the present study was to consider the socio-demographic status and serum CEA level as diagnostic tool for advanced stages of colorectal cancer. Methodology: This analytical cross-sectional study was conducted in the Department of Surgery at Shaheed Ziaur Rahman Medical College Hospital, Bogra during the period of January 2010 to December 2011. Patients age ranged from 15 years to 75 years and above were included in this study. All efforts and available modern technologies including ultrasonography (USG), CT scan, endo-anal USG, chest X-ray were done to detect the primary site and metastasis of colorectal cancer. Result: The most frequent colorectal cancer was detected in 35-44 years age group with 60.0% male and 40.0% female patients. A total number of 41(82%) cases had been suffering from rectal carcinoma and 9(18%) with colonic cancer. Abdominal pain, anorexia, altered bowel habit, per rectal bleeding and abdominal lump were the cardinal features in clinical presentation. This study showed that serum CEA level was raised in 3(11.11%) cases with tumour size 2-5 cm and 21(91.30%) cases with tumor size >5cm. It was observed that serum CEA level was raised in 100% cases of Dukes stage 'D', 92.31% cases of stage 'C' and 30.56% cases of stage 'B' colorectal cancer. The serum CEA level in relation with tumour size and stage has been proved highly significant (p<0.001). Conclusion: Rectal carcinoma is found common than colonic cancer and level of serum CEA is directly related to the cancer stage. DOI: http://dx.doi.org/10.3329/jssmc.v4i2.14413 J Shaheed Suhrawardy Med Coll, 2012;4(2):53-56
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Khanam, Rebeka, Fatema Mahbooba Akter, Rabeya Parvin, and Lutfunnahar Shampa. "Indications of Preterm Caesarean Section: Experience of 100 Cases at a Tertiary Care Hospital in Bangladesh." Journal of Current and Advance Medical Research 8, no. 1 (March 23, 2021): 49–53. http://dx.doi.org/10.3329/jcamr.v8i1.52595.
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Background: Preterm caesarean section is performed for different indication among the pregnant women.
Objective: The purpose of the present study was to find out the indications of preterm caesarean section among pregnant women.
Methodology: This cross sectional study was conducted in the Department of Obstetric & Gynaecology at Shaheed Ziaur Rahman Medical College Hospital, Bogra, Bangladesh from January 2007 to December 2007 for a period of one year. Women with the gestational age between 32 to 36 completed weeks who were selected for delivery by Caesarean section were selected as study population. All the women of study were assessed on the basis of detailed history, clinical examination, gestational period, history of premature rupture of membranes, any vaginal bleeding and fetal condition.
Result: A total number of 100 pregnant women were recruited for this study. In this study most of the pregnant women were in the age group of15 to 20 years which was 40(40.0%) cases followed by the age group of 21 to 25 years which were 20(20.0%) cases. About 43(43.0%) cases were complicated with pregnancy induced hypertension. Almost all of them had indication for immediate caesarean section. Among the group incidence of eclampsia was high which was in 23(23.0%) cases; however, preeclampsia was found in 20(20.0%) cases. Ante partum haemorrhage was reported in 10(10.0%) cases. Pregnant women with premature rupture of membrane (PROM) was found in 14(14.0%) cases; furthermore, PROM with Chorioamnionitis was detected in 5(5.0%) cases. Preterm labour with history of previous caesarean section was given by 5(5.0%) women.
Conclusion: In conclusion eclampsia and preeclampsia are the most common indication for preterm caesarean section followed by premature rupture of membrane.
Journal of Current and Advance Medical Research, January 2021;8(1):44-48
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Rabby, Md Jamal E., Md Masud Zaman, Mohammad Ali, Md Kabirul Hassan, Md Shohidul Lslam, Md Mustafizur Rahman, and ATM Asbaduzzaman. "Urolithiasis Associated with Renal Impairment: Management and its Outcome." Journal of Surgical Sciences 20, no. 1 (November 5, 2019): 18–23. http://dx.doi.org/10.3329/jss.v20i1.43797.
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Background: Urolithiasis may be associated with various degree of renal impairment secondaryto a combination of obstruction, urinary infection, long standing calculus, stone burden,frequent surgical intervention, and co-existing medical diseases.
Objective: The purpose of the study is to predict the factors those have a significant impact foroutcome of the patients with renal impairment following treatment of urolithiasis.
Methods: Fifty patients of urolithiasis with renal impairment were enrolled in this prospectivestudy, carried out between 1st July, 2008 and 30th June, 2009, at department of Surgery,Shaheed Ziaur Rahman Medical College Hospital, Bogra. Patients with renal impairment wasdefined as a baseline serum creatinine of >1.2mg/dl and/or on the basis of DTPA isotoperenogram findings (mild, moderate or severe impairment). Definite management was carriedout by means of open surgery, ESWL or in combinations available at study place. Follow-up after3 months, the postoperative renal functional outcome was defined as improved (>20% fall inserum creatinine), stabilized (<20% rise or <20% fall in serum creatinine), or deteriorated(>20% rise in serum creatinine). Renal function was also assessed by the impression madefrom the graph of DTPA isotope renogram (normal functioning or mild, moderate and severeimpairment). Predictive factors to be evaluated for the stone clearance and renal functionaloutcome were age of the patients, duration of symptomatology and urolithiasis, associateddiseases (hypertension and diabetes mellitus), stone burden, stone number and associatedurinary infection.
Results: After 3 months of follow-up, the overall stone clearance rate was 76%. Out of 50patients, 27 patients (54%) showed improvement, 19 patients (38%) showed stabilization, and04 patients (08%) showed deterioration in their renal function. Age <40 years, duration ofsymptoms <6 months, stone burden <5 cm2 and single urinary stone were significant predictorsof subsequent good renal functional outcome.
Conclusion: The renal recoverability rate after treatment of urinary stone disease could bepredicted by age, duration of symptoms, stone burden and stone number
Journal of Surgical Sciences (2016) Vol. 20 (1) : 18-23
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Dasgupta, Chandrika, Md Abdur Rafi, and Md Abdus Salam. "High prevalence of multidrug resistant uropathogens: A recent audit of antimicrobial susceptibility testing from a tertiary care hospital in Bangladesh." Pakistan Journal of Medical Sciences 36, no. 6 (July 24, 2020). http://dx.doi.org/10.12669/pjms.36.6.2943.
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Objectives: Urinary tract infections due to multi drug resistant bacteria have been on the rise globally with serious implications for public health. The objective of this study was to explore the prevalence of multi drug resistant uropathogens and to correlate the urinary tract infections with some demographic and clinical characteristics of patients admitted in a tertiary care hospital in Bangladesh.
Methods: A cross sectional prospective study was conducted at Shaheed Ziaur Rahman Medical College Hospital, Bogura, Bangladesh among clinically suspected urinary tract infection patients from January to December, 2018. Clean-catch midstream or catheter-catch urine samples were subjected to bacteriological culture using chromogenic agar media. Antimicrobial susceptibility testing of the isolates was done by Kirby-Bauer disk diffusion method following Clinical and Laboratory Standards Institute guidelines. Descriptive statistical methods were used for data analysis.
Results: Culture yielded a total of 537 (42.8%) significant bacterial growths including 420 (78.2%) multi drug resistant uropathogens from 1255 urine samples. Escherichia coli was the most common isolate (61.6%) followed by Klebsiella spp. (22.5%), Pseudomonas spp. (7.8%), Staphylococcus aureus (5.4%) and Enterobacter spp. (2.6%) with multi drug resistance frequency of 77.6%, 71.9%, 90.5%, 86.2% and 92.9% respectively. There was female preponderance (M:F; 1:1.97; P=0.007) but insignificant differences between paediatric and adult population (43.65% vs. 42.57%) and also among different age groups. Diabetes, chronic renal failure, fever and supra-pubic pain had significant association as co-morbidities and presentations of urinary tract infections (P<0.05). Multi drug resistance ranged from 3.7 to 88.1% including moderate to high resistance found against commonly used antibiotics like ciprofloxacin, cephalosporin, azithromycin, aztreonam, cotrimoxazole and nalidixic acid (28.6 to 92.9%). Isolates showed 2.4 to 32.2% resistance to nitrofurantoin, amikacin, netilmicin and carbapenems except Pseudomonas spp. (66.7% resistance to nitrofurantoin) and Enterobacter spp. (28.6 to 42.9% resistance to carbapenems).
Conclusion: There is very high prevalence of multi drug resistant uropathogens among hospitalized patients and emergence of carbapenem resistance is an alarming situation. Antibiotic stewardship program is highly recommended for hospitals to combat antimicrobial resistance.
doi: https://doi.org/10.12669/pjms.36.6.2943
How to cite this:Dasgupta C, Rafi MA, Salam MA. High prevalence of multidrug resistant uropathogens: A recent audit of antimicrobial susceptibility testing from a tertiary care hospital in Bangladesh. Pak J Med Sci. 2020;36(6):---------. doi: https://doi.org/10.12669/pjms.36.6.2943
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