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Medical negligence-perception among undergraduate medical students: a cross-sectional study from Vijayapura, North Karnataka, India

2026-05-11T00:00:00Z

Title: Medical negligence-perception among undergraduate medical students: a cross-sectional study from Vijayapura, North Karnataka, India Authors: Shamin Eabenson; M. R. Gudadinni Abstract: Background: Medical negligence is a grave concern both to patients and the medical fraternity. Lapses in concentration, stress, burnout, gross misconduct, lack of knowledge or application, sleeplessness, overwork, lack of continuing medical education can all lead to medical negligence. The trauma experienced by both the victim and the person causing the mistake is traumatic. Medical negligence should be minimised by the application of standard operating procedures, training, work scheduling and provision of support in time of need. Medical students, the future doctors of tomorrow have to cope with the stress they encounter during medical studies and practice. The dearth of knowledge about this issue needs to be studied to find out remedies and alleviate this problem altogether, Methods: Cross-sectional study involving 151 medical students of BLDE DU Shri B M Patil Medical College and Research Centre, Vijayapura, North Karnataka, India. Convenience sampling method was used in this study. Results: 151 medical students were part of this study; socio demographic profile indicates that the majority of the participants belonged to male gender 78 (51.7%) and 73 (48.3%) females. The majority of the participants were from urban areas 126 (83.4%) followed by rural 25 (16.6%). Most of the participants belonged to the age group 18-22 years, Knowledge Grading showed that 95 (62.9%) had good knowledge Conclusions: Medical negligence and its causative factors need to be studied in detail to sensitize future doctors to bring a sea change to this situation.

Clinical profile and outcome of urinary tract infections caused by extended- Spectrum beta-lactamase-producing escherichia coli: a retrospective Observational study from intensive care units of a tertiary care teaching Hospital in south india

2026-05-18T00:00:00Z

Title: Clinical profile and outcome of urinary tract infections caused by extended- Spectrum beta-lactamase-producing escherichia coli: a retrospective Observational study from intensive care units of a tertiary care teaching Hospital in south india Authors: s b, Rashmi; sajjan, Annapurna Abstract: Objective: The objective of the study is to compare the clinical profile, antimicrobial susceptibility pattern, severity indicators, and outcomes of urinary tract infections (UTIs) caused by extended-spectrum beta-lactamase (ESBL)-producing and non-ESBL-producing Escherichia coli among critically ill patients admitted to intensive care units (ICUs). Methods: This retrospective observational study was conducted in a tertiary care teaching hospital over a three-year period and included 1237 culture-confirmed E. coli UTI isolates from ICU patients. Patients were categorized into ESBL and non-ESBL groups based on phenotypic ESBL detection. Demographic variables, clinical presentation, comorbidities, complications, antimicrobial susceptibility, ICU stay, Acute Physiology and Chronic Health Evaluation (APACHE IV) and Sequential Organ Failure Assessment (SOFA) scores, and clinical outcomes were analyzed. Results: Among 1237 isolates, 742 (60.0%) were ESBL producers and 495 (40.0%) were non-ESBL producers. ESBL infections were associated with higher complication rates, including renal failure (58.0%), septic shock (18.0%), and multi-organ dysfunction syndrome (10.0%). Mean ICU stay was significantly longer in the ESBL group than in the non-ESBL group (5.1 vs. 3.6 days; p<0.01). Mortality was higher among ESBL patients than among non-ESBL patients (12.4% vs. 6.8%), with an absolute risk difference of 5.5% (95% confidence interval: 2.3–8.8%). APACHE IV and SOFA scores showed good mortality prediction, with area under the curve values of 0.82 and 0.79, respectively. Carbapenems showed the highest sensitivity among ESBL isolates. Conclusion: ESBL-producing E. coli UTIs in ICU patients are associated with increased morbidity, prolonged ICU stay, higher complication rates, and greater mortality. Early identification, appropriate empirical therapy, severity-based risk stratification, and antimicrobial stewardship are essential to improve clinical outcomes.

Methicillin-resistant Staphylococcus aureus: Carriage rate, knowledge, attitude, and practice levels among healthcare workers.

2022-01-01T00:00:00Z

Title: Methicillin-resistant Staphylococcus aureus: Carriage rate, knowledge, attitude, and practice levels among healthcare workers. Authors: Smita S Mangalgi, Astha Agarwal, Annapurna G Sajjan, Muragesh Math.

Breakthrough Infections: Clinical Profile and Outcomes of COVID-19 Vaccinated and Unvaccinated People From a Tertiary Care Hospital.

2022-01-01T00:00:00Z

Title: Breakthrough Infections: Clinical Profile and Outcomes of COVID-19 Vaccinated and Unvaccinated People From a Tertiary Care Hospital. Authors: Praveen R Shahapur, Roopa Shahapur, Smitha Bagali, Rashmi Karigoudar, Sanjay Wavare, Jyothi P, Venkataramana Kandi, Tarun Kumar Suvvari, Rahul J Mittal, Mamtha Jadhav.