Background: The Surgical site infections (SSI’s) put up to nearly 20% of all the Healthcare associated infections (HAI). Atypical mycobacteria have been known to colonize in water and soil and can therefore easily contaminate solutions, instruments and disinfectants used in hospital settings. Erroneous cleaning, disinfection and sterilization of laparoscopic instruments is predominantly responsible for such outbreaks.
Material and methods: Clinical suspicion by the surgeons of DRPGMC, Tanda of atypical mycobacterial infection from non-healing wounds after laparoscopic surgery was raised to the Infection control team. Pus samples from non healing ulcer sites, environmental and laproscope samples were collected and processed as per the standard guidelines.
Results: Out of 7 postoperative patients with non healing ulcers, 5 showed Acid fast bacilli (AFB) on Ziehl-Neelsen (ZN) staining. Out of these 5 samples only 3 were culture positive showing growth of LJ media slant and blood agar within 7 to 10 days of incubation at 37°C. Samples from laparoscopic lumen and reusable ports on ZN staining showed Acid fast bacilli. Similarly growth was obtained within 7-10 days from reusable ports on LJ media. On molecular diagnosis Mycobacterium abscessus was confirmed from the reusable port.
Conclusion: Nontuberculous Mycobacterial infections in post operative wounds though rare but should be suspected in all postoperative wound infections which occur late, lack local and systemic signs of pyogenic infections and have sterile cultures. Guidelines for strict sterilization procedures of laparoscopic instruments should be followed.

Asthma, a chronic respiratory condition characterized by airway inflammation and bronchoconstriction, has a profound impact on millions of lives worldwide. Often overshadowed by its physical manifestations, the intricate connection between asthma and mental health is gaining recognition. In this abstract, we explore this multifaceted relationship from an Ayurvedic perspective, shedding light on the underlying principles, contributing factors, and Ayurvedic strategies for holistic management.
Ayurveda, the ancient system of medicine from India, provides a holistic framework for understanding and addressing both asthma and mental health. It views asthma as a Vata-Kapha disorder, where imbalances in these vital energies disrupt the respiratory system. Ayurvedic principles highlight the role of Prana, the life force, in governing the respiratory system and its close connection with mental well-being. When Prana flow is disturbed, mental distress can exacerbate asthma symptoms, and vice versa, creating a complex interplay.
Ayurveda offers a diverse range of herbal remedies, including Vasaka and Pushkarmool, to alleviate asthma's physical symptoms. Additionally, adaptogenic herbs like Ashwagandha and Brahmi support mental well-being by reducing stress and anxiety.
Pranayama and yoga practices regulate Prana, enhancing lung function and promoting mental equilibrium. Ayurvedic dietary and lifestyle modifications cater to individual constitutions, emphasizing the importance of avoiding dietary triggers and maintaining a balanced daily routine.
Holistic healing in Ayurveda revolves around balancing Doshas, addressing individual Prakriti and Vikriti, and integrating mind and body. By restoring doshic harmony, managing emotions, and fostering mental well-being, individuals can experience lasting relief from asthma symptoms and improved mental health.
Understanding asthma and mental health through the Ayurvedic lens offers profound insights into their intricate connection, emphasizing the significance of a balanced approach that encompasses both physical and mental well-being.