Patrick Harnarayan

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CONTEXT Foot infection is the most common complication of diabetes mellitus in the Caribbean. Diabetic foot infections place a heavy burden on health care resources in the Caribbean. OBJECTIVE To evaluate the treatment-related costs for diabetic foot infections in a Caribbean nation. METHODS We identified all patients with diabetic foot infections in a(More)
AIMS To examine the microbiologic profile of diabetic foot infections in order to guide empiric antibiotic choices. METHODS All patients with moderate-severe diabetic foot infections at a tertiary care facility were identified from July 2011 to June 2012. Culture samples were routinely collected before empiric antibiotics were commenced. Retrospective(More)
Idiopathic granulomatous mastitis (IGM) is a relatively rare condition and may commonly mimic carcinoma. Clinically and radiologically, these lesions could be misdiagnosed as carcinoma and histopathology is the most definitive method of diagnosis and to differentiate it from other granulomatous conditions such as sarcoidosis and Wegener's granulomatosis. We(More)
Traumatic penile amputation is a rare condition requiring urgent surgical consultation with almost immediate surgical intervention. Although seen in both paediatric and adult populations, the majority are seen in the latter age group. These injuries are penetrating in nature, usually occur with the organ flaccid and most are self-inflicted by mentally(More)
INTRODUCTION This study evaluates the epidemiology of diabetic foot infections in an Eastern Caribbean nation in order to direct public health preventive measures. METHODS We prospectively identified all patients with diabetic foot infections who were admitted to tertiary care hospitals across Trinidad and Tobago from July 2011 to June 2012. A(More)
BACKGROUND The aim of conventional medical therapy in diabetic foot infections is to control infection, thereby reducing amputation rates, infectious morbidity, and death. Any delay incurred during a trial of home remedies could allow an infection to progress unchecked, increasing the risk of these adverse outcomes. This study sought to determine the(More)
Most countries have instituted measures to limit the complications of diabetes. We evaluate secondary prevention strategies for diabetic foot infections in a Caribbean country. We performed a prospective questionnaire study evaluating all patients admitted to tertiary care hospitals across Trinidad and Tobago from July 2011 to June 2012. Primary study end(More)
1 Springer Indian J Gastroenterol 2009(May–June):28(3):115–119 B had lower QoL scores as compared to the general population. In our study, the control subjects were family members of patients. Qol can be influenced by many factors such as socioeconomic factors, life style, social support and self-help, individual cultural heritage, and religion. With(More)
UNLABELLED : Wonder of Life (kalanchoe pinnata) leaves are commonly used to treat diabetic foot infections. These patients are usually non-compliant with conventional medical therapy. We surmised that these patients would have a higher incidence of treatment failures. Patients admitted with diabetic foot infections were separated into two groups: a Study(More)