Indian Journal of Medical Microbiology

Article	Citations
Circulation of a single hepatitis A virus genotype IIIA with two distinct clusters in different states of India	42
Blood borne infections and Hepatitis B virus immunization levels among medical students in India	42
Exploring the use of Congo red agar in improving the serotyping of non-serotypeable Shigella with In-silico evidence	40
Table of Contents	32
Cross sectional study to evaluate microbiological spectrum of RTI/STI and co-infections among women with cervicitis or cervico-vaginitis from a community clinic in Mumbai	21
Mycotic aneurysm by Bacteroides fragilis presenting as fever of unknown origin	19
Varied synergistic activity of colistin and polymyxin B with meropenem, rifampicin and tigecycline: An in vitro study on carbapenem resistant Acinetobacter baumannii from India	18
Molecular characterization of Orientia tsutsugamushi causing fatal scrub typhus in a young male affected by so-called “mystery fever” in North India	18
Changing epidemiological trend of Aeromonas species and ciprofloxacin sensitivity in South India	17
Investigation of the presence of Enterocytozoon bieneusi and Encephalitozoon intestinalis in immunosuppressed patients with diarrhea by IFA and real time PCR methods	15
Role of nurse: Patient ratio as a factor in hand hygiene compliance in a tertiary care hospital in North India: Perception versus reality	13
Genome sequence of pan drug-resistant enteroaggregative Escherichia coli belonging to ST38 clone from India, an emerging EAEC/UPEC hybrid pathotype	13
Pulmonary tuberculosis and neurologic melioidosis coinfection-first case report from Madurai	13
Current trends in antimicrobial resistance of ESKAPEEc pathogens from bloodstream infections – Experience of a tertiary care centre in North India	12
Molecular Metamorphosis and clinical ramifications: A study of sequence variants in acute bacterial meningitis	12
A hospital-based epidemiological study of the genes coding for carbapenemase production among carbapenem resistant Acinetobacter isolates in India	12
Rising trend of symptomatic infections due to Hepatitis A virus infection in adolescent and adult age group: An observational study from a tertiary care liver institute in India	11
Tinea universalis due to Trichophyton indotineae in an adult male	11
Aims and Scope	11
Outbreak of Burkholderia cenocepacia in an intensive care unit of a tertiary care hospital identified by pulsed-field gel electrophoresis	11
Pulmonary nocardiosis: Risk factors and species distribution from a high burden centre	10
Beyond the usual suspects: A case report of multi-etiological and multidrug-resistant Candida onychomycosis	10
Seroepidemiological and genomic investigation of SARS-CoV-2 spread in North East region of India	10
Evaluation of an in-house PCR for diagnosing scrub typhus along with a preliminary study of genotypic characterization of Orientia tsutshugamushi circulating in Chhattisgarh: A prospective clinico-mic	10
Keratitis due to Lasiodiplodia theobromae successfully treated with voriconazole: A case series from Assam	10

Cow dung, COVID-19, and mucormycosis … more damned lies	10
Table of Contents	10
A fatal misidentification: Burkholderia pseudomallei misidentified as Acinetobacter spp	9
Comparative evaluation of colistin broth disc elution (CBDE) and broth microdilution (BMD) in clinical isolates of Pseudomonas aeruginosa with special reference to heteroresistance	9
The mystery behind a 1000 day fever in a young male	9
Detection of vancomycin variable enterococci (VVE) among clinical isolates of Enterococcus faecium collected across India-first report from the subcontinent	9
The emergence of Klebsiella pneumoniae sequence type 395 non-susceptible to carbapenems and colistin from Turkey	9
Phenotypic and genomic characterization of a small colony variant of Klebsiella pneumoniae isolated from urine of a prostate cancer case	8
Diagnostic utility of LAMP PCR targeting bcsp-31 gene for human brucellosis infection	8
A study on candiduria in neonates and infants from a tertiary care center, North India	8
Delhi's network for surveillance of antimicrobial resistance: The journey, challenges and output from first year	8
Enhancing the diagnostic and surveillance framework for acute encephalitis syndrome in resource-limited settings	8
Influence of COVID-19 over seasonal influenza activity in southern India	8
Strategically reducing carbapenem-resistant Acinetobacter baumannii through PDCA cycle-driven antibiotic management	8
Impact of care bundle audit on compliance to device care bundles and device associated infections in the Critical Care Unit of a tertiary care hospital, Southern India – A before-after interventional	7
Effect of electric current in viability, biofilm formation and antibiotic resistance of Pseudomonas aeruginosa: A systematic review	7
Antimicrobial consumption in intensive care unit patients at level 1 trauma centre in India	7
Human papillomavirus infection in non-cervical sites in India	7
Strengthening antimicrobial stewardship activities in secondary and primary public healthcare facilities in India: Insights from a qualitative study with stakeholders	7
Diagnosis of mucormycosis from nasal swabs using commercial PCR platforms; a feasible alternative?	7
Performance of EAST in diagnosing inhalant allergens in children with allergic rhinitis	7
Detection of 16S rRNA gene for rapid identification of bacterial pathogens causing peritonitis in patients on continuous ambulatory peritoneal dialysis	6
Outbreak of B.cepacia bacteremia following use of contaminated drug vials in a tertiary care centre	6
Adult cutaneous diphtheria by non-toxicogenic strain: Case report and review of literature	6
Comparative evaluation of Vitek®2 and broth microdilution method for colistin susceptibility testing of Gram-negative isolates from intensive care unit in a tertiary care hospital	6
Cytomegalovirus reactivation in a SARS-CoV-2 infected woman experiencing fetal demise in the first trimester with fetal trisomy 21: A case report	6
Pattern of InhA and KatG mutations in isoniazid mono resistant Mycobacterium tuberculosis isolates from Odisha	6
Ralstonia pickettii bacteremia: A retrospective review of records	6
Fasciolopsis buski isolated from human host, India has distinct clade based on nuclear ribosomal DNA sequences	6
Immunogenicity, safety and efficacy of COVID-19 vaccine: Correspondence	6
Forensic Microbiology in India: A missing piece in the puzzle of criminal investigation system	6
A rare encounter: Tuberculous pyomyositis in an immunosuppressed post-transplant patient	6
Current deadly dengue outbreak and serotype displacements in Bangladesh in 2023	6
Seropositivity of Anti-SARS CoV2 IgG antibodies in health care workers of an Indian tertiary care hospital during COVID-19	5
Aims and Scope	5
Use of different stains for microscopic evaluation for the diagnosis of Pythium keratitis	5
Aims and Scope	5
Molecular epidemiology of SARS-CoV-2 in healthcare workers and identification of viral genomic correlates of transmissibility and vaccine break through infection: A retrospective observational study f	5
Table of Contents	5
High public demand and acceptance of newer vaccines in private sector immunisation in Vellore, South India: Implications for India's national immunisation program	5
Basic virology of SARS-CoV 2	5
Syndromic panel testing- Understanding epidemiology of paediatric diarrhoea to augment antimicrobial stewardship in tertiary health care set-up	5
Isolate profiling and geographical distribution of COVID-19 associated mucormycosis cases presenting to a tertiary care hospital in Jodhpur, India	5
Diagnostic utility of PCR in detection of clinical cases and carriers of leprosy: A cross sectional study at a tertiary care teaching hospital in central India	5
In vitro activity of the newly approved antimicrobial agent Cefiderocol against Carbapenem resistant Gram negative clinical isolates	5
Genotypic characterization of group A rotavirus in children < 5 years of age at tertiary care hospital in North India	5
The Wolf in Sheep's Clothing: Incidental Pulmonary Hydatidosis masquerading as Constitutional Symptoms	5
"The nexus of extensively drug-resistant Gram-negative bacteria and intensive care: Elucidating propagation patterns to fortify infection control measures"	5
An interesting report of COVID-19 associated mucormycosis (CAM) cases by two different species of Mucorales	5
Temporal burden of WHO Critical-priority Enterobacteriaceae in the infant gut during early life influenced by maternal postpartum antibiotic exposure	5

Current trend of biapenem susceptibility and disc diffusion breakpoints in Enterobacterales and Pseudomonas aeruginosa	5
Pestalotiopsis, a rare cause of mycetoma; A case report	5
Editorial Board	5
A co-infection of Pneumocystis jirovecii and Lophomonas blattarum causing pneumonia in a patient with adenocarcinoma of lung	5
Influence of Hepatitis C virus genotype and other factors on the viral load	5
Comparison of intra-assay and inter-assay reproducibility and positive detection times of two different (BacT/Alert 3D and Autobio BC) commercial blood culture systems	5
Candida infections in COVID-19 patients: A review of prevalence, risk factors, and mortality	5
Threat of monkeypox: Correspondence	5
Utility of quantitative loop mediated isothermal amplification (qLAMP) assay for the diagnosis of invasive pneumococcal disease (IPD)	5
Acrophialophora jodhpurensis and Nocardia in idiopathic bronchiectasis: Colonizers or culprits?’	5
Digital gangrene without sclerodactyly in the presence of anticentromere antibodies: A unique presentation of scleroderma	5
Synergy testing of ceftazidime-avibactam and aztreonam combination by two different methods	5
Exploring the necessity of molecular detection for Streptococcus dysgalactiae subsp equisimilis: Often misdiagnosed, and emerging pathogen	5
Table of Contents	5
Insights into changing patterns of extrapulmonary tuberculosis in North India	5
Diagnosis of Ureaplasma parvum meningitis by mNGS in an extremely low birth weight infant with multi-system lesions	4
Development of a novel molecular assay based on conventional PCR liquid hybridization and ELISA (NAT-ELISA) for the detection of HIV, HCV, and HBV in blood donors	4
Treatment of MRSA infections in India: Clinical insights from a Delphi analysis	4
Fungal-associated pneumonia in patients with hematological malignancies	4
A novel case of Vibrio bacteremia in an immune-competent patient	4
Brain abscess caused by Scedosporium boydii in a systemic lupus erythematosus patient: A case report and literature review	4
Antimicrobial resistance in genital Mycoplasmas infections	4
Aims and Scope	4
Letter to the editor	4
Rapid identification of carbapenemases and in vitro synergy testing of ceftazidime-avibactam with aztreonam in extensively drug-resistant gram-negative pathogens: Establishing the realm of promise	4
Salmonella enterica serovar Give causing brain abscess and bacteremia: A case report	4
Recurrent MALDI-TOF MS identification failure for Sphingomonas paucimobilis from blood cultures: A single-center observation	4
Unveiling the uncommon: A rare case report of osteomyelitis caused by Enterococcus avium	4
‘Effectiveness of various sulbactam-based combination antibiotic therapy in the management of ventilator-associated pneumonia caused by carbapenem-resistant Acinetobacter baumannii in a tertiary care	4
Study of immunogenicity, safety and efficacy of covishield vaccine among health care workers in a tertiary cardiac care centre	4
Invasive Corynebacterium striatum infection: A case of concurrent isolation from blood and cerebrospinal fluid	4
Risk factors and clinical outcomes in patients with colistin-resistant Klebsiella pneumoniae bloodstream infection: A retrospective analysis	4
Aquatic whispers: Decoding skin manifestation of Aeromonas hydrophila	4
Strongyloides causing diarrhea in a Hepatitis B carrier patient: A case report and review of literature	4
Pertussis in India: Vaccine-driven evolution, waning immunity, and the urgent need for Tdap boosters	4
Carbapenem resistance in Enterobacterales: Predicting clinical outcomes in bloodstream infections	4
Impact of conducting hand hygiene audit in COVID-19 care locations of India—A large scale national multicentric study – HHAC study	4
Evaluation of T and B cell immunophenotyping and antibody response to Covid-19 vaccine: Comment	4
Burden of biocide resistance among multidrug-resistant bacteria isolated from various clinical specimens in a tertiary care hospital	4
Possible impact of revisions in disc diffusion breakpoints for aminoglycosides and piperacillin/tazobactam in the 33rd edition of CLSI M100 document on clinical reporting and use in Indian settings wi	4
HPV vaccines – A game changer for preventing HPV-related cancers	4
Musculoskeletal melioidosis-a retrospective review of 22 cases from a tertiary care centre in South Tamilnadu	4
Editorial Board	4
Delayed identification of treatment failure causes high levels of acquired drug resistance and less future drug options among HIV-1-infected South Indians	4
Clinical efficacy of novel combinations of older beta-lactam and beta-lactamase inhibitors: Where are the evidences?	4
Pk Pd and antibiotic of choice	4
Community Acquired Sphingomonas paucimobilis: Instigator or an Innocent Bystander	4
Clinico-microbiological profile of Burkholderia pseudomallei infections in a tertiary care hospital in South India	4
Cerebral sparganosis masquerading brain neoplasm: A rare incidental case	4
Phenotypic and genotypic characterization of antimicrobial resistance in clinical isolates of Vibrio cholerae over a decade (2002-2016)	4
Editorial Board	4
Clinical significance and outcome of Aeromonas infection among 19 patients-a descriptive study from south India	4
Impact of improving infection control and antibiotic stewardship practices on nosocomial infections and antimicrobial resistance in an oncology centre from India	4
E6-E7 based nested multiplex PCR assay for genital HPV detection and simultaneous typing of 15 high and low-risk HPV types	4
Current surge of COVID-19 infection in China and its impact on India	4
Molecular epidemiology of hand, foot, and mouth disease in Karnataka, India in 2022	4
Discovery of HCV vaccine: Where do we stand?	4
Seroprevalence of spotted fever group rickettsiosis in Kashmir: A community-based study using indirect immunofluorescence assay	4
Control of extensively drug-resistant Pseudomonas aeruginosa co-harboring metallo-β-lactamase enzymes with oprD gene downregulation	3
Disseminated cerebral cryptococcoma mimicking glioblastoma - A case report.”	3
Advancing beyond conventional vaccines: The potential of next-generation vaccines in combatting antibiotic-resistant bacteria	3
First autochthonous case of cutaneous leishmaniasis from Gujarat—a non-endemic area in India	3
Outbreak of leptospirosis caused by Leptospira wolffii with HAV coinfections in lower Assam, Northeast India in 2024: Clinical impact and public health implications	3
Tn5406, a staphylococcal transposon associated with macrolide-lincosamide-streptograminb resistance in clinical isolates of Staphylococcus aureus	3
COVID-19: a boon or a bane for the microbiologists	3
Serial active surveillance cultures of children admitted to a medical pediatric intensive care unit of a tertiary care teaching hospital: A prospective observational study	3
Targeted Next Generation Sequencing (tNGS) for detection of drug-resistant tuberculous meningitis: Is this sequencing technology ready for prime time?	3
Indian microbiology EQAS registered laboratory’s capacity building and infection control practices during the COVID-19 pandemic in India: Lessons learnt and gaps identified	3
Diagnostic accuracy of truenat MTB plus for the detection of pulmonary and extrapulmonary tuberculosis	3
Antimicrobial resistance in blood culture proven sepsis in outborn and inborn neonates	3
Neutralizing antibody responses to SARS-CoV-2: A population based seroepidemiological analysis	3
Three waves, three vaccines, three COVID-19 infections - Saga of a frontline health care worker during the pandemic	3
Out of Sight, Should not be out of mind: A perplexing case of Malaria	3
Malaria a culprit of Gullian Barre Syndrome (GBS): A case report	3
Commonly associated aerobic microbial pathogens and their antibiotic susceptibility profile in diabetic foot ulcers in tertiary care centre in Western Maharashtra	3
Macrolides versus other antibiotics in pediatric scrub typhus: A meta-analysis	3
Identification of Enterocytozoon bieneusi in an HIV-negative bronchiectasis patient with respiratory infection based on metagenomic next-generation sequencing: A case report	3
Defining drug resistance beyond rifampicin: use of Xpert® MTB/XDR assay in tuberculous meningitis	3
Aims and Scope	3
Molecular characterization of methicillin-resistant Staphylococcus aureus: Dissemination of multidrug-resistant community-associated MRSA and emergence of LA-MRSA, in a healthcare setting	3

Species identification and antifungal susceptibility pattern of oral Candida isolates in pemphigus vulgaris: results from a case-control study	3
Editorial Board	3
Aeromonas dhakensis - A red alert in blood cultures!	3
Candida glabrata associated primary pleuro-pulmonary infections: A report of two cases	3
Recurrent sternal wound infection caused by Gordonia bronchialis after open heart surgery	3
Editorial Board	3
Sputnik V vaccine-related complications and its impression on inflammatory biomarkers in healthcare providers	3
The enigmatic voyage of pneumococcal carriage: Unraveling the risk factors in pediatric populations -- A scoping review	3
Presence of diarrhea associated with better outcomes in patients with COVID-19 – A prospective evaluation	3
Molecular characterization of coxsackievirus A24 variants isolated from an outbreak of acute hemorrhagic conjunctivitis	3
Papulaspora equi keratitis in an infant	3
Rhino-orbito-cerebral mucormycosis during Covid-19 pandemic- a prospective observational study	3
Table of Contents	3
False positivity of cryptococcal LFA: A diagnostic challenge	3
Evaluation of in-vitro colistin susceptibility and clinical profile of carbapenem resistant Enterobacteriaceae related invasive infections	3
Approach to fever in children	3
Fever in the returning traveler	3
Analysing the clinical knowledge of ChatGPT in medical microbiology in the undergraduate medical examination	3
Concordance of dengue viral load with disease severity and different clinical manifestations: A systematic review and meta-analysis	3
Effect of delay in processing and storage temperature on diagnosis of SARS-CoV-2 by RTPCR testing	3
In-vitro susceptibility of cefiderocol and other comparators in carbapenem-resistant Gram-negative bacilli: A study from India	3
Fatal case of Leptospira wolffii infection in Sikkim, India: An autochthonous case from a new geographical region	3
Rational test selection in immunology laboratory: Investigating the utility of repeated antinuclear antibody tests	3
Outbreak investigation of Dengue like fever in rural area of Rajasthan	3
Minimum inhibitory concentration of doxycycline for Vibrio parahaemolyticus	3
Diptheroids can cause nosocomial UTI and be multidrug resistant: A case report of Corynebacterium striatum, first from India	3
Hepatosplenic abscess due to Burkholderia pseudomallei-a retrospective review of nineteen cases from a tertiary care centre in South India	3
Clinical relevance of virulence genes in Helicobacter pylori isolates recovered from adult dyspeptic patients in Turkey	3
Performance of Cepheid CT/NG Xpert rapid PCR test for detection of Chlamydia trachomatis and Neisseria gonorrhoeae at a tertiary care centre in North India	3
Approach towards surveillance-based diagnosis of acute respiratory illness in India: Expert recommendations	3
Whole-genome sequence analysis of cefiderocol-resistant E. coli and Klebsiella pneumoniae isolates from cefiderocol treatment-naïve patients	3
New design and optimization of an in-house quantitative TaqMan Real-Time PCR-based assay for the detection and monitoring of occult hepatitis B virus (genotype A-J) infection	3
The importance of stool antigen test in the diagnosis and management of Helicobacter pylori infections	3
A retrospective analysis on seroprevalence of acute viral hepatitis observed among dengue patients attending a tertiary care centre in central India	3
Manual methods of antimicrobial resistance are not obsolete	3
Unmasking a looming crisis: Escalating MIC of last resort drugs against MRSA isolates from a tertiary care hospital in Central India	3
Effectiveness of sample pooling strategies for diagnosis of SARS-CoV-2: Specimen pooling vs. RNA elutes pooling	3
Comparison of B1 and RE 529 gene targets by real time PCR and LAMP assay for diagnosis of toxoplasmosis in pregnant females	2
Burkholderia vietnamiensis infection in a haematological unit: Case series and review of literature of this new emerging pathogen	2
Microsphaeropsis arundinis: a coelomycetes and an emerging cause of human phaeohyphomycosis reported from Assam, India with review of the literature	2
Sputnik V vaccine-related complications and inflammatory biomarkers: Correspondence	2
Infections caused by Aeromonas species in hospitalized patients: A case series	2
Difficult-to-treat resistant gram-negative blood stream infections – the beginning of a superbug era – a prospective observational study	2
Brucellosis in pyrexia of unknown origin: Reminiscing the forgotten entity	2
Molecular analysis of acute hemorrhagic conjunctivitis in a tertiary care hospital, Kalburgi district, Karnataka 2023	2
Human Bocavirus infection in childhood acute respiratory infection: Is it an innocent bystander?	2
Molecular and genomic characterization of Leptospira isolates in humans and its relation to disease severity	2
Eight year study on evolution of antimicrobial resistance in an antimicrobial-naïve trauma population	2
Table of Contents	2
Accuracy of various matrix assisted laser desorption ionization-time of flight mass spectrometry (MALDI-TOF MS)-based rapid identification methods—As a tool to augment diagnostic stewardship in blood	2
Influenza virus and its subtypes circulating during 2018–2019: A hospital-based study from Assam	2
FIA (fluorescent immunoassay) test in Dengue	2
Molecular characterization of Carbapenem resistant Enterobacterales causing blood stream infections in critically ill patients	2
Peritoneal dialysis-associated peritonitis caused by Neisseria.sicca: A case report and literature review	2
Epidemiological, clinical and genetic characterization of scrub typhus in patients presenting with acute febrile illness in New Delhi	2
MicroRNA profiles in Zika virus infection: Insights from diverse sources	2
Diagnostic utility and performance of rapid antigen test in SARS CoV- 2 in symptomatic and asymptomatic patients during the second pandemic wave in Kashmir, North India	2
Silent escalation: The journey of Shigella from gut to blood	2
Clinical implications of revised piperacillin-tazobactam breakpoints in CLSI M-100 S32	2
Management of infections caused by Extended-spectrum beta-lactamase-producing Enterobacterales in Indian patients	2
Haemophilus influenzae bacteremia: A 5-year (2016–2020) retrospective study analysing the clinical and laboratory features	2
Pulmonary cryptococcosis in chronic kidney disease	2
Indian association of medical microbiologists (IAMM) position paper on guidelines for COVID and SARSCoV2 infections	2
Bloodstream infection caused by Solobacteriummoorei: A case report and literature review	2
Whole genome sequencing for the prediction of resistant tuberculosis strains from northern India	2
Prevalence of faecal carriage of Carbapenemase Producing Enterobacteriaceae in healthy Indian subjects from the community	2
Evaluation of the presence of integrons, sul and smqnr genes and the prevalence of antibiotic resistance in Stenotrophomonas maltophilia clinical isolates	2
Table of Contents	2
Malaria in travelers: Childhood vaccination and focus on endemic regions	2
First case report of recurrent cervical lymphadenopathy due to Chordomyces antarcticum	2
Burkholderia cepacia complex as a cause of community acquired bacteremia in a young immuncompetent male	2
Genotyping of Orientia tsutsugamushi circulating in and around Vellore (South India) using TSA 56 gene	2
Human African Trypanosomiasis – A rare case report from India	2
Aims and Scope	2
Microbial cell-free DNA detection: Minimally invasive diagnosis of infectious diseases	2
Study of the association of Burkholderia pseudomallei lipopolysaccharide genotypes and variable virulence factors with different clinical manifestations of melioidosis	2
Table of Contents	2
Fulminant Pneumocystis jirovecii pneumonia presenting as multi-organ dysfunction syndrome in an immunocompetent host	2
Burkholderia cepacia infections at sites other than the respiratory tract: A large case series from a tertiary hospital in Madurai	2
Paeniclostridium sordellii causing liver abscess: A rare case report in India	2
Current perspective of adrenal histoplasmosis in India: A prospective study in a tertiary care hospital, Eastern India	2
Table of Contents	2
Faster and accurate identification of clinically important Trichosporon using MALDI TOF MS	2
Acanthamoeba species from a post-covid patient with CSF rhinorrhea; a next possible post covid menace? A case report	2
Microbiology: Foundational science of modern medicine	2
Ceftriaxone-resistant Salmonella Typhi isolated from paediatric patients in north India: Insights into genetic profiles and antibiotic resistance mechanisms	2
Accelerating pneumococcal protection in India: The case for rapid adoption of PCV20 across pediatric and adult populations	2
Corrigendum to ‘Molecular epidemiology of hand, foot, and mouth disease in Karnataka, India in 2022’ [Indian J Med Microbiol 46 (2023) 100429]	2
Expanding geographical niche of emerging pathogen Fonsecaea nubica: First report of its isolation from India from a case of chromoblastomycosis	2
Evaluation of SARS-CoV-2 antibody responses in healthcare workers at a tertiary care COVID 19 dedicated hospital in Delhi	2
An insight into whole genome sequencing data of methicillin-resistant Staphylococcus aureus circulating in a teaching hospital in North India	2
Autoimmune encephalitis: A diagnostic enigma	2
Evaluation of BD Phoenix and VITEK 2 for direct and routine antimicrobial susceptibility from positive blood culture bottles	2
Trends of drug resistance in M. tuberculosis in a reference laboratory in Central India: Forging ahead towards TB elimination	2
Occult hepatitis B virus infection among chronic liver disease patients: Insights from a tertiary care hospital	2