Acknowledgement: DR B Appalaraju M.D., Professor and Head, Department of Microbiology

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ACKNOWLEDGEMENT

With deep sense of gratitude I express my sincere thanks to Dr B Appalaraju M.D., Professor and Head, Department of Microbiology, P.S. Institute of Medical Sciences and !esearch, for his keen interest,

"aluable suggestions, guidance and constant encouragement in e"ery step #hich could make the study possible and purposeful. I express my sincere thanks to Professor Dr Marina Thomas, Professor Dr Parvathi S and Dr. . a!ala"shmi for their "aluable suggestions, support and encouragement. I am thankful to Dr.S #amalin$am, Principal of PS and Dr.%imal Kumar Govin&an, Medical Director of PS for permitting me to carry out this study. My #hole hearted thanks to all my T'a(h'rs) T'(hni(al an& non t'(hni(al sta** for their constant encouragement, "aluable suggestions and timely help rendered to me throughout the study. IMS$! Hospitals,

%inally I #ish to express my immense gratitude to my belo"ed hus+an&) par'nts an& m! +roth'r #ho supported me throughout the course of my study.

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