Comparison of the efficiency of the nebulization of salbutamol, epinephrine and normal saline on treatment of bronchiolitis

2016-11-11T05-36-50Z
Source: International Journal of Research in Medical Sciences
Rakotomalala Rivo Lova Herilanto, Lovaniaina Ravelomanana, Andriatahirintsoa Emilson J. P. R., Tsifiregna Rosa Lalao, Ravelomanana Noeline.
Background: Bronchiolitis is a frequent cause of hospitalization. Despite the frequency of this pathology, there is not a single, widely practiced evidence-driven treatment especially using of nebulization. Present purpose was to compare which is efficient: nebulized salbutamol, epinephrine or normal saline. Methods: We have preceded to a prospective study from January 1st 2011 to March 31st 2012 including children between 29 days old and 2 years old. Results: We have included 90 patients divided in three groups and received nebulized salbutamol, epinephrine or normal saline. There was no real difference in the variables of the groups: clinical score, oxygen saturation, heart rate, temperature and weight but the hospitalization duration was shorter in the group who have been cured by normal saline Conclusions: This study shows that salbutamol, epinephrine and normal saline can be used in the same situation but the normal saline has more advantages because of his low coast and the absence of risk of side effects.


http://www.scopemed.org/?mno=247110

A comparative study between the efficacies of betadine scrub (10%) versus alcohol based hand rub in preoperative hand disinfection

2016-11-11T05-36-50Z
Source: International Journal of Research in Medical Sciences
Rahul Kadam, Chinmoy Sharma, Abhaykumar Chhallani, Sunil Yadav.
Background: Hand hygiene is a crucial measure for preventing healthcare-related infections. Surgical scrub is an important factor in the safety and success of a surgical operation. The aim of this study was to comparatively evaluate effectiveness of povidone iodine scrub (10%) and alcohol based hand rubs (Sterilium). Methods: Single centre, double blinded, comparative study performed over a period of 6 months in MGM Medical College and hospital. Sampling was conducted, after the surgeons participating had used either technique for preoperative hand disinfection. Colonies were counted after 48 hours of aerobic incubation at 37°C. Positive cultures were identified and their frequencies were compared. Data were summarized using descriptive statistical methods. Comparison of counts between groups was performed using Chi square test. Results: From the 100 obtained samples, there was higher number of positive growth in Sterilium as compared to povidone iodine scrub (14% versus 8%) though statistically not significant. Staphylococcus aureus, Staphylococcus epidermidis, Acinetobacter was the most common organism isolated in both the groups. Conclusions: Povidone-iodine is more efficacious than that of alcohol-based solutions in preoperative hand disinfection


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