RESUMO
INTRODUCTION: There are new concepts and developments in the diagnosis and management of acute pancreatitis. Current evidence suggests that there is no role of prophylactic antibiotics use in acute pancreatitis. However, it is still a common practice to administer prophylactic antibiotics in a country like Nepal. So, we have conducted a study in mild and moderately severe acute pancreatitis to study the efficacy of prophylactic antibiotics. METHODS: A case control study was conducted among 76 patients comparing efficacy of prophylactic antibiotics versus no antibiotics in patients with mild and moderately severe acute pancreatitis. RESULTS: The two most common etiology of acute pancreatitis in AG and NAG were alcohol 21 (55.2%) vs. 24 (63.1%) and biliary 10 (26.3%) vs. 4 (10.5%) respectively. Pancreatic necrosis was seen in five (13.1 %) in AG and four (10.5%) in NAG. Four (10.5%) developed extra pancreatic complications in AG and five (13.1%) in NAG. There was one (2.6%) death in AG and no death in NAG. Abdominal pain improvement seen in AG vs. NAG was 3.2 days vs. 2.4 days (P=0.002). The hospital stay was 7.7±2.23 days in AG and 7.5±1.85 days in NAG (P=0.65). CONCLUSIONS: The routine use of prophylactic antibiotics for mild and moderately severe acute pancreatitis is not associated with improvement in meaningful clinical outcomes.
Assuntos
Antibioticoprofilaxia , Ciprofloxacina/uso terapêutico , Metronidazol/uso terapêutico , Pancreatite , Doença Aguda , Adulto , Antibacterianos/uso terapêutico , Antibioticoprofilaxia/métodos , Antibioticoprofilaxia/estatística & dados numéricos , Estudos de Casos e Controles , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Nepal/epidemiologia , Avaliação de Processos e Resultados em Cuidados de Saúde , Pancreatite/epidemiologia , Pancreatite/etiologia , Pancreatite/terapia , Índice de Gravidade de Doença , Resultado do TratamentoRESUMO
Sex differences in the way men and women hold hands were investigated in a series of six studies. Specifically, it was hypothesized that men would have the uppermost hand in male-female couples holding hands in public significantly more often than women. Also, the American couples observed in Study 1 were classified by height, those in Study 2 by age, those in Study 3 by hand preference, those in Study 4 by ethnic group, and those in Study 6 by sex of initiator of the handholding; the handholding couples in Study 5 were Japanese adults. A combined total of 15,008 handholding couples were observed in these six studies, and across differences in height, age, hand preference, ethnicity, culture, and sex of the initiator of handholding in public, men were significantly more likely than women to have the uppermost hand.
