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  1. Article: Relation between Serum Ferritin Level and the Risk of Acute Myocardial Infarction.

    Medisetty, Mahender Kumar / Runwal, Kiran / Phalgune, Deepak S

    The Journal of the Association of Physicians of India

    2022  Volume 70, Issue 8, Page(s) 11–12

    Abstract: Background: An association between increased incidence of acute myocardial infarction (AMI) and elevated levels of stored iron concentration was recently reported. The data in India regarding association between AMI and levels of serum ferritin are ... ...

    Abstract Background: An association between increased incidence of acute myocardial infarction (AMI) and elevated levels of stored iron concentration was recently reported. The data in India regarding association between AMI and levels of serum ferritin are lacking.
    Objectives: To study the association between serum ferritin level and risk of AMI.
    Materials and methods: The present case-control study was conducted from May 2016 to October 2017 on 64 patients aged ≥30 years of either sex who were diagnosed with AMI (group I) and 60 controls (group II). Patients who attended outpatient department of hospital for minor illnesses, routine health checkups, and persons accompanying patients were selected randomly as controls. The controls had no signs of AMI or coronary heart disease (CHD) on clinical examination and had normal electrocardiogram (ECG). Quantitative measurement of serum ferritin was done in all subjects. The Chi-square or Fisher's exact test and unpaired t-test were used to compare the categorical and quantitative variables, respectively. The independent association of serum ferritin with AMI was tested using multivariate logistic regression analysis.
    Results: The mean serum ferritin level was significantly higher in group I (203.5 µg/L) as compared to group II (111.8 µg/L). In group I, 82.9% patients had serum ferritin ≥150 µg/L as compared to group II (15.0%) with p-value = 0.001. Multivariate analysis showed history of smoking, body mass index (BMI) >25 kg/m2 , serum ferritin levels >200 µg/L, and high-density lipoprotein (HDL) cholesterol level <35mg/dL were independent and significant determinants of AMI.
    Conclusions: There was an association between elevated serum ferritin levels with AMI.
    MeSH term(s) Adult ; Case-Control Studies ; Female ; Ferritins/blood ; Humans ; Male ; Myocardial Infarction/epidemiology ; Risk
    Chemical Substances Ferritins (9007-73-2)
    Language English
    Publishing date 2022-09-09
    Publishing country India
    Document type Journal Article
    ZDB-ID 800766-4
    ISSN 0004-5772
    ISSN 0004-5772
    DOI 10.5005/japi-11001-0059
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Letter to the editor on "Efficacy and safety of favipiravir, an oral RNA-dependent RNA polymerase inhibitor, in mild-to-moderate COVID-19: A randomized, comparative, open-label, multicenter, phase 3 clinical trial" by Udwadia et al.

    Medisetty, Mahender Kumar / Patel, Atul / Pujari, Sanjay

    International journal of infectious diseases : IJID : official publication of the International Society for Infectious Diseases

    2021  Volume 105, Page(s) 722

    MeSH term(s) Amides ; COVID-19 ; Humans ; Pyrazines ; RNA-Dependent RNA Polymerase ; SARS-CoV-2
    Chemical Substances Amides ; Pyrazines ; RNA-Dependent RNA Polymerase (EC 2.7.7.48) ; favipiravir (EW5GL2X7E0)
    Language English
    Publishing date 2021-02-15
    Publishing country Canada
    Document type Letter ; Comment
    ZDB-ID 1331197-9
    ISSN 1878-3511 ; 1201-9712
    ISSN (online) 1878-3511
    ISSN 1201-9712
    DOI 10.1016/j.ijid.2021.02.035
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Impact of an Antimicrobial Stewardship Intervention on Usage of Antibiotics in Coronavirus Disease-2019 at a Tertiary Care Teaching Hospital in India.

    Borde, Kalyani / Medisetty, Mahender Kumar / Muppala, Baby Shalini / Reddy, Aishwarya B / Nosina, Sireesha / Dass, Manick S / Prashanthi, A / Billuri, Pushpanjali / Mathai, Dilip

    IJID Regions (Online)

    2022  Volume 3, Page(s) 15–20

    Abstract: Background: There was evidence that antibiotic usage increased in hospitalized COVID-19 patients during the early days of the pandemic.: Objective: We assessed the impact of stewardship interventions on antibiotic usage in these patients.: Methods!# ...

    Abstract Background: There was evidence that antibiotic usage increased in hospitalized COVID-19 patients during the early days of the pandemic.
    Objective: We assessed the impact of stewardship interventions on antibiotic usage in these patients.
    Methods: We designed a quasi-experimental study using an interrupted time series. Patients were stratified according to the severity category of the illness - mild and moderate-to-severe (O2 saturation ≥94% and <93% respectively). Baseline antibiotic usage data was collected in the pre-intervention phase. Intervention was given in the form of focus group discussion (FGD) and followed up with feedback-audit during the post-intervention phase. Primary outcome was the change in days of therapy (DOT) per 1000 patient-days.
    Results: 361 adult patients were recruited in both phases during July to December, 2020. In the post-intervention phase, DOT per 1000 patient-days reduced from 589 to 523 (P=0.013) and from 843 to 585 (P <0.0001) in mild and moderate-to-severe categories, respectively. De-escalations at 48 hours increased significantly from 21% to 41% (P=0.0079) and from 31% to 62% (P=0.0006), respectively. No difference in mortality was observed.
    Conclusion: We found high usage of empirical antibiotics in adult patients hospitalized with COVID-19. FGD and feedback audits can successfully reduce antibiotic overuse in these patients.
    Language English
    Publishing date 2022-02-07
    Publishing country England
    Document type Journal Article
    ISSN 2772-7076
    ISSN (online) 2772-7076
    DOI 10.1016/j.ijregi.2022.02.003
    Database MEDical Literature Analysis and Retrieval System OnLINE

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