BACKGROUND: The overuse, underuse, or misuse of medicines by the postgraduate residents results in wastage of scarce resources and widespread health hazards. "Rational use of medicines" (RUMs) would bring health care within the reach of the poor by reducing costs. This study was conducted to assess the knowledge, attitude, and practices of RUMs among the postgraduate residents of a tertiary care teaching hospital.MATERIALS AND METHODS: A facility-based cross-sectional study was conducted for a period of 6 months (November 2019–April 2020). With the help of universal sampling, a self-developed, prevalidated, semi-structured questionnaire was distributed to 200 residents, to obtain information about the knowledge, attitude, and practice of RUM. Written informed consent was obtained from the participants after explaining to them about the study.RESULTS: About 92.5% of the participants were aware of the term "RUM" and 84% were aware of the term "Essential Medicines." Sixty-one percent of the residents had good knowledge about RUM, and 51% had good practice of RUM. Logistic regression analysis showed statistically significant results that postgraduate students of the nonsurgical departments were more likely to have good knowledge and practice RUM than postgraduates of the surgical departments. Juniors (1st Year postgraduate residents) among the postgraduates also seemed to have an increased likelihood of practicing RUM.CONCLUSIONS: The knowledge gap and lack of good practice of RUM observed among the postgraduates can be reduced by imparting education regarding RUM more efficiently in the medical colleges, to inculcate it into daily clinical practice.
INTRODUCTION: The incidence of myocardial infarction (MI) is increasing among the young population in India. Change in lifestyle is the main reason for such an increase in prevalence. Although MI in young is less severe than in old patients, it causes a significant morbidity to the individual. Young MI has the potential of being a major public health problem in our country and its complications can cause major morbidity and mortality. Hence, it is necessary to understand the prevalence of risk factors in order to improve our strategies for the prevention and management of young MI. AIM: To study profile of young patients (≤45 years) suffering from acute myocardial infarction in a tertiary care centre in Goa. MATERIALS AND METHODS: A retrospective record-based study was conducted on patients aged ≤45 years who suffered from ST-elevation MI and were admitted in Goa Medical College, Bambolim, from January 1, 2019, to December 31, 2021. Data on anthropometric measurements, demographic characteristics, clinical profile, hospital stay, complications, and other details were extracted from these records. RESULTS: Among the 176 patients, 73 (42%) patients consumed alcohol, 116 (66%) were current smokers, 48 (28%) were diagnosed with hypertension (HTN), 92 (48%) were diagnosed with dyslipidemia, and 34 (20%) were diagnosed with diabetes. Among the patients, 36 (21%) had a history of coronary artery disease and 56 (32%) had a history of HTN. Fifty-three (30%) had a history of diabetes mellitus (DM) in the family; among them, 27 had diabetes and 10 were prediabetic. Fifty-six (31%) participants were admitted for >7 days following MI. Forty-eight (27%) had complications post-MI. Trend analysis showed a significant association of complications and increased hospital stay with type 2 DM (T2DM), HTN, smoking, and dyslipidemia (P < 0.05). Most of the patients 91% of T2DM, 90% of hypertensives, and 83% of patients suffering from dyslipidemia were diagnosed after they were admitted with MI. CONCLUSION: As we already know that the incidence of ischemic heart disease (IHD) is already rising in the general population, there is also an alarming rising trend of IHD in young people too. This study provides the prevalence of assorted risk factors in young MI. The rising trend of complications with an increase in risk factors studied in our group makes early diagnosis imperative for better management and prevention of complications. Increased burden of IHD in young people will lead to decreased quality of life, increased morbidity, and mortality and also have an increased economic burden for the society. This underscores the importance of building capacity of the primary health-care system for early detection of diabetes, HTN, and dyslipidemia and making people aware of unwarranted effects of smoking and alcohol consumption. Proper management and prevention of the above said risk factors would go a long way in preventing young MI as described in this study.
Perisylvian syndrome is a noncurable condition characterized by polymicrogyria in the perisylvian or perirolandic region. Perisylvian means the region or area of the brain that is responsible for language. The bilateral perisylvian syndrome is a congenital neurological condition marked by abnormal neuron distribution in the cortex. We report the case of a 21-year-old female patient with the complaints of recurrent generalized clonic–tonic seizures with intellectual development disorder, loss of consciousness (5–10 min), blurring of vision, poor academic performance, slurring of speech, and history of clubfoot. An intelligence quotient assessment was conducted, and the result showed borderline intelligence. She was diagnosed with a case of bilateral perisylvian syndrome with recurrent seizure disorder with intellectual development disorder and she was treated with anticonvulsant medications.
BACKGROUND: Premenstrual syndrome (PMS) is a combination of physical, psychological, emotional, and mood disturbances that occurs after a women's ovulation. Worldwide, PMS affects 47.8% of the reproductive age group girls. The highest prevalence is found in developed countries. AIMS AND OBJECTIVES: The objectives of the study were to assess the level of knowledge regarding PMS among adolescent girls, to determine the association between the level of knowledge with selected demographic variables, and to develop and validate information booklet. MATERIALS AND METHODS: Quantitative approach and descriptive research design were used. One hundred and seventy-one adolescent girls were selected using nonprobability convenient sampling techniques from selected schools of Navi Mumbai. The structured knowledge questionnaire was used to collect the data. Data obtained were tabulated and analyzed in terms of objectives of the study using descriptive and inferential statistics. RESULTS: Major findings indicated that adolescent girls had average (56.5%) and good (37.1%) knowledge regarding PMS. The area of introduction to menstruation displayed the maximum mean percentage, whereas the least mean percentage was seen in the area of introduction and meaning of PMS. There was no association found between the level of knowledge with age, type of family, information on PMS, and family history of PMS, whereas the association was found with age of onset of PMS and monthly family income. The content of information booklet was validated by the Content Validity Index (CVI) calculation. The CVI score of the booklet was 0.94. CONCLUSION: Findings revealed that there was necessity for developing an information booklet to improve the knowledge regarding PMS among adolescent girls in selected schools of Navi Mumbai.
Primary fallopian tube carcinoma is an uncommon female genital tract malignancy that resembles epithelial ovarian neoplasm clinically and radiologically. We present a case of 49-year-old woman with postmenopausal intermittent vaginal bleeding, lower abdominal pain, and pelvic mass for 3 months. On physical examination, lower abdominal tenderness was found. Ultrasound examination revealed bilateral hydrosalpinx with hematometra. Her serum cancer antigen-125 was raised (190.0 U/ml). With the clinical diagnosis of endometrial cancer, patient underwent total abdominal hysterectomy with bilateral salpingo-oopherectomy, infracolic omentectomy and rectal deposit biopsy. Microscopic examination showed features of serous adenocarcinoma of the fallopian tube. Histologically, it is indistinguishable from primary ovarian malignancy. On post-surgical follow up at one year the patient is disease free. Here we report this rare entity and review the literature to highlight the preoperative clinical diagnostic difficulties.
Dear Editor, The world has faced unprecedented challenges following emergence of COVID-19 in December 2019 from Wuhan, Hubei, China, and recurrent waves of COVID-19 have worsened the adversary further. Due to lockdown and movement restrictions, various organizations including educational institutions were forced to close their doors. Medical schools have also suffered the same fate, affecting the quality of medical education. Medical facilities played a pivotal role to combat COVID-19. Medical colleges are the breeding ground of medical graduates and postgraduates, destined to carve the doctors for future battle. At the same time, medical education, if given in substandard manner, will make our armamentarium weaker against the present as well as unexpected future health adversaries. Pandemic has restricted the student–patient interactions, causing interruption in competency-based medical education.[1] The other aspect of concern is that medical students may contract the infection during their educational curriculum and become the potential source of spread to the patients and community. To make the medical education efficient, interactive, and innovative, new dimensions of teachings are being explored and online platform is providing with new opportunities in this regard. As a faculty, the prime obstacle I am facing in educating the undergraduates is in clinical classes. Due to lack of direct student–patient interactions, clinical competencies are difficult to achieve. Both the students and the teachers have been exposed to many new online educational platforms, to which both of the parties are amateur. This is not something an inefficiency or a skill deficit from either of the stakeholders, but it is mere an inexperience for the use of new technologies to teach or being taught. Although Kim et al., 2020 found that acceptance of online medical education is more among students in comparison to faculties.[2] Broadly, the problems faced can be viewed as in following categories.[3] Inexperience for online teaching platform Shortage of time Lack of interaction Poor engagement Inadequate IT infrastructure Negative attitude. Need of the hour, for clinicians, educators, and medical students, is to be digitally literate and the term “digital literacy” has been defined as the following.[3] “Ability to use digital technology, communication tools, or networks to locate, evaluate, use, and create information,” “Ability to understand and use information in multiple formats from a wide range of sources when it is presented via computers.” As pointed earlier, the clinical competencies cannot be relied solely on digital platform as the present-day technologies and simulations lack the basic tactile feel of clinical examination. The recent technological advancements of the 21st century offer great assistance to meet the needs of the educators, clinicians, and medical students to attain knowledge. Simulation-based Medical Education can transform the traditional way of learning from “See One, Do One, Teach One” to a new and successful method of “See One, Practice Many, Do One.”[4] As an ending note, the take-home message is that the need of the hour in medical education is rapid adaptation to digital platform, training all the potential stakeholders toward use of new educational technologies, and innovative research and development in digital educational technologies – to bring out not only the positive change in the medical education but also to produce an efficient healthcare provider for a better and safer future.[5] Financial support and sponsorship Nil. Conflicts of interest There are no conflicts of interest.
BACKGROUND: Major adverse drug reactions (ADRs) can cause significant morbidity and can compromise the treatment regimen. This can result in substantial additional cost due to added outpatient visits to the health facility or laboratory investigations or hospitalization in serious instances. Treatment is often prolonged with additional challenge of compliance. Hence, there is a need to monitor and manage these ADRs timely for better patient care and outcome. This study was carried out with the objective of studying the pattern of ADRs due to first-line antitubercular drugs and to carry out the causality and severity assessment of the reported ADRs.METHODOLOGY: A prospective observational study was conducted at four DOTS centers. All tuberculosis (TB) patients registered and receiving treatment under DOTS were enrolled for the study and were followed up at regular intervals till the end of their treatment. Patients' demographic, personal, disease, investigation, and ADRs details were entered in a predesigned patient recording form. Causality assessment of all ADRs were done using Naranjo algorithm. Severity assessment was done using modified Hartwig and Siegel scale. The study was approved by the institutional ethics committee of the institute. Statistical analysis was conducted using IBM SPSS Statistics for Windows.RESULTS: Of 186 patients, 23 patients (12.26%) developed one or more ADRs. The average number of ADRs per person was 1.43. Majority of the ADRs were reported in the 20–40 years of age group and ADRs were more likely to be among females compared to males. There was no association between type of TB, site of TB, regimen of anti-TB drugs, treatment outcomes, and ADRs. Around 84.85% and 15.15% of ADRs were classified as of mild and moderate severity, respectively, as per modified Hartwig and Siegel scale, while, as per Naranjo algorithm, 72.73% of the ADRs were classified as probable and 27.27% of ADRs as possible. No ADRs were classified as definite.CONCLUSION: Thorough understanding of the various ADRs and their management will help in the effective treatment of TB as well as designing effective counseling methods, which will help in adherence to treatment and also to have better compliance.
BACKGROUND: Internet has become a popular first-hand source of information for preventive, promotive, and curatives services. Online health information seekers face a big challenge with unregulated flow of information from Internet. AIMS AND OBJECTIVE: To assess the utilization of online health information of smartphone users and to study the various determinants of utilization of online health information of smartphone users of an urban area of Kancheepuram district, Tamil Nadu. MATERIALS AND METHODS: A descriptive cross-sectional study was conducted among 216 adult smartphone users residing in an urban area of Thiruporur, Kancheepuram district, Tamil Nadu. Through a systematic random sampling method, the participants were selected. Pretested semi-structured schedule was used after getting informed consent through face to face interview method. Data were analyzed using SPSS 20 version software. RESULTS: Utilization of online health information was 86.2% among smartphone users of an urban area of Kancheepuram district, Tamil Nadu. Nearly 12% of the online health information seekers self-medicated with the information they obtained online and about 60% of the online health information seekers did not validate the health information they obtained online with any of the health care providers. CONCLUSION: Even though, online health information empowers the population, there is some major negative effect like self-medication. This study found that the utilization of online health information was three fourth percentages among smartphone users and only a few of the participant’s accessed expertise information sources like government websites for health information. Thus needs definite regulation in the form of appropriate legislation to control the unregulated inflow of health information.
BACKGROUND: There are both interim and long-standing effects of low birth weight, which is a significant global public health issue. Using data from the National Family Health Survey-5, which was conducted in 2019–21. AIM AND OBJECTIVE: This study aimed to determine the relationship between the father's attributes and low birth weight in India. Materials and Method: Both bivariate and multivariate approaches were used to analyze a total of 18,950 samples of families with kids. RESULT: The overall percentage of low birth weight in India was 16.6%. The highest prevalence of low birth weight was among younger fathers and mothers (17.6% and 18.2%), the father who went elementary school (16.7%), the mother non-educated (16.6%), paternal who had a drinking alcohol habit (15.3%), living in rural areas (15.3%), those belongs to Hindu religion (16.4%) and those from the central region (18%) of India. After accounting for major background influences, the adjusted odds ratios showed that, the paternal who have not completed more than a primary education, who is the Hindu religion, and who consume alcohol had the highest risk of LBW babies compared to their counterparts. CONCLUSION: This study demonstrated the incidence of low birth weight in India and how it relates to the characteristics of the father. The research will assist decision-makers in developing interventions to reduce low birth weight in India.
INTRODUCTION: Globally, childhood and adolescent obesity prevalence has reached alarming levels with grave public health consequences. It is believed that a sedentary lifestyle and the consumption of calorie-dense and low-nutritional-value foods are two of the most significant etiological factors contributing to the rising prevalence of childhood and adolescent obesity in developing countries. OBJECTIVE: The main objective was to study the contributing factors (determinants) of obesity among adolescent students. MATERIALS AND METHODS: A cross-sectional study was conducted from January 2019 to October 2019 among 1050 schoolchildren from different schools in Belagavi. The results used for comparison were based on descriptive statistics, Chi-square test, and multiple logistic regression analysis using the statistical package for the social science version 22.0. The significance level of all the tests was set at P ≤ 0.05. RESULTS: The study results revealed that age, family history of diabetes, family history of hypertension, physical activity (running, swimming), number of hours spent with mobile every day, number of hours spent with a computer every day, frequency of foodstuffs consumed by a child (fried food, bakery items, sweets, and fast foods) were statistically significant or associated with overweight and obesity (P < 0.05). CONCLUSION: The study concluded that high-socioeconomic status, physical inactivity, frequency of consumption of fast food, inactive outdoor games, and poor nutritional knowledge were significantly associated with overweight and obesity. Therefore, there is a pressing need for cost-effective school-based strategies and appropriate policy changes in developing countries like India to stem the rising tide of overweight and obesity among adolescents.
Malignant melanoma of unknown primary is rare. Cystic malignant melanoma is again rare. Metastatic malignant melanoma with unknown primary presenting as a cystic mass in the anteromedial compartment of the thigh masquerading as soft tissue sarcoma has not been reported so far. We report one such rare occurrence in a 63-year-old male and review pertinent literature to increase awareness regarding such unusual presentations of malignant melanoma among radiologists and clinicians.
INTRODUCTION: Malaria poses a great socioeconomic burden on humanity as it affects the majority of countries in the tropical and subtropical regions. The estimated number of malaria deaths stood at 445,000 in 2016, a similar to the previous year (446,000). This study was conducted with the aim to assess community knowledge, attitude, and practices (KAPs) for protection against the malaria. MATERIALS AND METHODS: This was community-based with a cross-sectional study conducted for 4 months in the 6 villages under the subcenter Sangail, with household as a sampling unit, and study participants were selected by randomized multistage sampling technique. A pretested, predesigned, standardized questionnaire with close-ended responses was developed for data collection. All tests were performed at a 5% level of significance. RESULTS: In the present study, more than one-fifth of participants believed that malaria is due to the wrath of almighty (22.3%) or bad air (30.2%), the restrain was observed in about half of households (54.5%) for indoor indoor residual spray, half of the participants strongly believed that malaria is not a public health issue (45.3%) and more than three-fourth of households (34.8%) were still preferring to sleep outside of their homes. CONCLUSION: KAP of malaria and its control was observed to be low among the study population. Misconceptions about malaria transmission still exist. The result of this study will bring forward the health-care workers with the desired need for health education and promotion on malaria at the first contact either in the health facilities or in the patient’s family house on home visit.
The increasing burden of disease, rising health-care costs, rise in the patients’ and public’s expectations, and aging population all emphasize the constraints in providing quality health care with limited resources. The ability to innovate will be the determining factor in the future of health-care organizations. The editorial gives an overview of the dimensions that come into play to develop an organizational culture or an innovation ecosystem in health science organizations.
INTRODUCTION: Periodontitis is known to cause inflammation and progressive breakdown of tooth-supporting structures. The treatment for periodontitis includes scaling and root planing that effectively removes the disease causing plaque and antimicrobial agents such as chlorhexidine (CHX) used as an adjunct to maintain the healthy state of tissues. However, these antimicrobial agents have unpleasant side effects that have led researchers toward discovering, isolating, and developing natural herbal plant extracts as effective antimicrobial agents. Hence, the purpose of the study was to assess and compare the antimicrobial activity of the one such herbal plant extract Glycyrrhiza glabra (licorice) gel and CHX gel on periopathogens.MATERIALS AND METHODS: The hydroalcoholic root extract of G. glabra (licorice) was prepared through maceration, evaporation, and lyophilization to obtain dried crude extract. Minimum inhibitory concentration (MIC) and minimum bactericidal concentration (MBC) of the G. glabra extract against Porphyromonas gingivalis, Aggregatibacter Actinomycetemcomitans, and Tannerella forsythia were determined using broth dilution method and streaking on blood agar plates. The gel was then prepared accordingly using Carbopol 940. The antibacterial activity of the prepared G. glabra gel was tested and compared to CHX gel using the agar well diffusion assay.RESULTS: The MIC of G. glabra extract was found to be 15 mg against A. actinomycetamcomitans and T. forsythia and 7.5 mg against P. gingivalis. The MBC of the G. glabra extract was 30 mg for all three organisms. The antibacterial effects of the prepared licorice gel were assessed using agar well diffusion assay, and it showed that 100 μl of prepared licorice gel had a greater effect on A. actinomycetamcomitans and T. forsythia but not P. gingivalis.CONCLUSION: Licorice extract showed inhibitory activity against P. gingivalis, A. actinomycetamcomitans, and T. forsythia.
BACKGROUND: Health and nutritional assessment of the institutionalized geriatric population is essential in providing better health care. OBJECTIVE: To assess the institutionalized geriatric population’s nutritional and mental health status. METHODOLOGY: One hundred elderly people aged 60 years and above residing at Little Drops – Old Age Home, Mangadu, Kanchipuram District, Tamil Nadu, were selected for the study. General information was obtained using a structured interview schedule. Nutrient intake was assessed using the three day dietary recall method. Standard methods were used to measure anthropometric, biochemical, and clinical parameters. Mental health was assessed using the Depression, anxiety, and Stress Scale (DASS-42) tool. RESULTS: Noncommunicable diseases such as hypertension (37%), osteoporosis (35%), and type 2 diabetes mellitus (25%) were reported by the participants. Walking and hand exercises were the most common form of physical exercise. The mean height, weight, and body mass index were 153.55 ± 11.83 cm, 55.49 ± 14.21 kg, and 23.83 ± 6.50 kg/m2, respectively. The mean systolic blood pressure and diastolic blood pressure were 128.61 ± 21.12 mmHg and 80.37 ± 10.70 mmHg, respectively. The mean hemoglobin value of male and female participants was 11.90 ± 2.33 g/dL and 11.09 ± 1.92 g/dL, respectively, thus indicating the presence of anemia. The intake of macro and micronutrients was less than the recommended dietary allowances. The decrease in food intake was due to tooth problems, xerostomia, difficulty in swallowing, nausea, and vomiting. Based on the scores obtained using the DASS-42 tool, most of the participants (70%) were depressed. CONCLUSIONS: The results specify the need to conduct periodical medical screening programs to improve the health status of geriatric people.
BACKGROUND: Students make their decision on a future medical career while experiencing different areas of medical specialties based on their perceptions and preferences. OBJECTIVE: The objective of the study is to explore the factors and perceptions of undergraduate medical students which influence their choice of postgraduate specialization. MATERIALS AND METHODS: This cross-sectional study was conducted in the year 2022 among 257 2nd year undergraduate medical students who were queried about possible factors that might influence their choice of specialization. The factors were grouped as intrinsic factors (personal attributes and preferences); and extrinsic factors (nature of work and working environment). Data entry and analysis were done in SPSS version 23. RESULTS: Final analysis was done on 235 students out of a total of 257 students (response rate of 91.43%). Majority (86.4%) were 19–20 years of age, with mean (±standard deviation) age of 19.8 (±0.9) years. Gender preference was observed to affect choices of a few specialties such as orthopedics and obstetrics/gynecology. Motivating factors for choosing a certain specialization were the perception of a better quality of life (84.7%); financial rewards (26.8%); and less work pressure (23.4%). Most of our medical students claimed that the selection of their specialty was based on prior clinical posting (65.5%) and influenced by teaching faculty and hospital consultants (59.6%). 8.1% of the students reported that COVID affected their choice of specialty. Specialization in pre- and para-clinical subjects was preferred by 3.4% (n = 8) of the participants. CONCLUSIONS: The study identified a mix of both intrinsic and extrinsic factors influencing, motivating, and guiding their choice. Specialized careers support programs may be integrated into the curriculum following an analysis of students' perceptions in different disciplines.
Primary hyperparathyroidism (PHPT) is usually seen in females above the age of 50 years, with a prevalence of 21/1000 whereas the incidence in patients aged 12–28 years is <5%. A solitary adenoma is responsible for 80% of cases of PHPT. PHPT is most commonly asymptomatic. The young age of the patient and her presentation with osteoporosis and bone fractures make this an extremely rare presentation of parathyroid adenoma (PTA). Here, we report a case of PTA in a young female presented with pathological fracture of tibia and humerus. The case was diagnosed as PTA based on clinical symptoms and investigations. Surgical intervention, i.e. parathyroidectomy was performed under GA.
BACKGROUND: Infectious diseases are important public health issues in India. Rajasthan state reported 20,749 numbers of dengue fever (DF) cases in 2021, which was 10.73% of the country’s total dengue cases. AIMS AND OBJECTIVES: The aim of the study was to diagnose fever cases in the nearby villages of Model Rural Health Research Unit (MRHRU) through the use of its diagnostic facility and to mitigate the diseases using appropriate control methods. MATERIALS AND METHODS: This is a community health center (CHC)-based serosurveillance study. The study subjects were the patients who reported at the Outpatient Department of the CHCs Bhanpur Kalan and Jamwa Ramgarh of Jaipur district in Rajasthan with clinical suspicion of DF. The study was conducted for 6 months from July to December. The serum samples received from CHC Bhanpur Kalan and Jamwa Ramgarh were tested for the detection of dengue antibodies against NS1 antigen at MRHRU. RESULTS: A total of 148 blood samples were received from CHC and were diagnosed with dengue NS1 at MRHRU. Out of 148 serum samples, 79 were male and 69 were female. Among the 148 samples subjected to the NS1 dengue enzyme-linked immunosorbent assay test, 33.1% were found to be positive for dengue, 63.5% were negative, and 3.37% were equivocal. Out of the 113 samples of Jamwa Ramgarh, 31.8% were found to be NS1 positive and 2.65% were equivocal, wherein 35 serum samples of Amber block were tested for diagnosis of NS1 test, and out of them, 37.14% were NS1 positive and 5.71% were equivocal. CONCLUSION: The number of dengue cases was observed to be higher, and control measure was taken to stop the spreading of the disease. Early and proper diagnosis of dengue cases is helpful in the treatment and control of disease. MRHRU facility was found to be effective in the containment of the disease.
The COVID-19 pandemic is one of its kinds of public health emergencies that the world is grappling with. The health-care workers (HCWs) were at the forefront of the battle against this scourge. As a result of continuous service delivery, they experienced stress and burnout which varied from the type of HCWs, gender, type of service, and the length of service rendered by them. Given the context, this systematic review assessed the prevalence and predictors of stress among different types of HCWs in India. The systematic review was conducted using PubMed search engine and 13 articles were selected for the purpose of review. Of the 13 studies identified, 11 studies were carried out predominantly in India or in some Indian states and 2 studies were multinational studies, in which samples were also drawn from India. Of these 13 studies, 6, 5, 3, 2, and 2 studies were conducted among the doctors, specialists, nurses, dentists, and allied HCWs in India, respectively. It was observed that the prevalence of stress among HCWs varied with age, gender, type of HCWs, place of work, and duration of work, and the predictors were long working hours, continuous contact with patients, fear of self-infection, stigmatization, and fear of carrying the infection to the family. Stress and burnout among HCWs are inevitable; however, there should be ways and means to have coping behavior else the same would affect the professionals’ personal life and patient care. Hence, appropriate measures need to be taken to address this issue by the HCWs themselves, government, and other social sectors organizations.
