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Article
None anticipated bacterial urinary tract infections in type 2 diabetic patients relative to duration and angiopathies

Author: Salim M. Alruba’ae سالم الربيعي
Journal: Al-Kindy College Medical Journal مجلة كلية الطب الكندي ISSN: 18109543 Year: 2011 Volume: 7 Issue: 2 Pages: 37-44
Publisher: Baghdad University جامعة بغداد

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Abstract

Background: Diabetes mellitus is a well known metabolic and vascular illness associated with high incidence of bacterial urinary tract infections especially in diabetic complications including both micro and macro-vascular types. Objective: To study the incidence of bacterial urinary tract infections in type 2 diabetic patients, the type of micro-organism responsible in relation to age, sex of patients, duration of the disease & related micro & macrovascular diabetic complications. Methods: A prospective study of the diabetic patients including 40 males with mean age of 54(±9) years and 50 females, mean age of 51(±7) years and duration of the and sex matched controls (27 males and 33 females).Symptoms of urinary tract infections, general urine examination, urine culture & ultrasound of abdomen were studied & reported for both groups. Results: This study showed significant increase in urinary tract infections among diabetic patients with four fold rise in bacteriuria especially among diabetic women & Escherechia Coli was the predominant micro-organism in 85% of cases.Conclusion: Urinary tract infection has significant increase incidence in type 2 diabetic patients with fourfold rise among diabetic women.


Article
Bacteriological study of Hospital-acquired urinary tract infections in Erbil city
دراسة بكتريولوجية لعدوى المسالك البولية المكتسبة من المستشفيات في مدينة أربيل

Author: Aza Bahadeen Taha
Journal: Zanco Journal of Medical Sciences مجلة زانكو للعلوم الطبية ISSN: 19955588/19955596 Year: 2011 Volume: 15 Issue: 2 Pages: 45-50
Publisher: Hawler Medical Univeristy جامعة هولير الطبية

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Abstract

Background and objectives: Urinary tract infections are amongst the most common infections, Hospital-acquired urinary tract infection increases not only morbidity and mortality but also hospital costs. The objectives of this study were to determine bacteria responsible for hospital-acquired urinary tract infection, their antibiotic sensitivities and to describe the risk factors of the infection.Methods: All urine samples fulfilling the criteria for significant bacteriuria were included in the study. Isolation and identification of bacteria was performed by standard method and susceptibility testing was determined by disk diffusion method.Results: Out of 290 patients, 133 (45.86%) have acquired hospital-acquired urinary tract infection. Older age, hospitalization and catheterization were risk factors of the infection. Escherichia coli (51.70%) and Klebsiella pneumoniae (16.33%) represented the most common isolates. The most bacteria isolates were sensitive to ciprofloxacin, rifampin and trimethoprim + sulphamethoxazole.Conclusions: To prevent hospital-acquired urinary tract infections, important factors must be taken into consideration, for example: avoid unnecessary urethral catheterization, choose narrow spectrum antibiotics according to antibiotic sensitivities, and investigate regularly the causative bacteria and their susceptibility patterns


Article
Radiological finding in pediatric patients with urinary tract infections
الموجودات الشعاعية عند الاطفال المصابون بالالتهابات المجاري البولية .

Authors: Mahjoob N. Al-naddawi محجوب نفل النداوي --- Muneera F. Rida منيرة فاضل رضا
Journal: Journal of the Faculty of Medicine مجلة كلية الطب ISSN: 00419419 Year: 2011 Volume: 53 Issue: 3 Pages: 257-260
Publisher: Baghdad University جامعة بغداد

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Abstract

Background; determining what radiologic studies to obtain following the diagnosis of a urinary tract infection(uti) is an area of medicine that is still not agreed upon, nor is there a gold standard.Objective; to study the radiological abnormalities in paediatric patients with urinary tract infections.Patients and methods; this prospective study was done from the first of june 2008 to the first of may 2009 include 104 pediatric patients who were referred to children welfare hospital ,(pediatric nephrological out patient clinic) with signs and symptoms of urinary tract infections, all of them had culture positive urine examination , ultrasonograhy was done for all patients, voiding cystouretherography was done for patients with recurrent attacks of urinary tracts infections (58 patients),and intravenous urography was done for patients with urinary tract abnormalities on ultrasonography (41patients).Results; the results of the present study showed that about 63( 59.4%)of infants and children with (culture positive) urinary tract infections had positive ultrasonic findings ,the most frequent ultrasonic findings was pelvicalyceal and ureteral dilatation whichwas observed in 32.6%. Thirty four(32.6% )of patients had positive findings on voiding cystography ,( grade 5&4 reflux found in 22.4%). The intravenous urography study was beneficial in diagnosis of pelviureteric junction obstruction in 12.2% and visualized the obstructive effect of renal and ureteric stones in 24.4%.Conclusion; the positive radiological findings supported the idea that the patients with recurent urinary tract infections need imaging work up.

خلفية البحث : تحديد الدراسات الشعاعية التي يجب اجرائها بعد تشخيص التهابات المجاري البولية عند الاطفال هي محل خلاف علمي اهداف الدراسة :دراسة الموجودات الاشعاعية عند الاطفال المصابون بالتهابات المجاري البولية المتكررة طرائق العمل : شملت الدراسة (104) اطفال مصابون بالتهابات المجاري البولية , اجريت لهم فحوصات التشخيص بالامواج فوق الصوتية ( السونار ) لجميع المرضى , تلوين المثانة والاحليل خلال التبول للاطفال المصابون بالتهابات المجاري البولية المتكررة (58) مريضاً وفحص الاشعة الملونة الوريدي للاطفال الذين لديهم مشاكل في الجهاز البولي العلوي (41) مريضا النتائج : نتائج الدراسة تظهر بان 59.4% من الاطفال المصابين بالتهابات المجاري البولية لديهم موجودات خلال الفحص بالامواج فوق الصوتية , 32.6% لديهم موجودات خلال الفحص بتلوين المثانة والاحليل خلال التبول , و12.2% لديهم موجودات خلال الفحص بالاشعة الملونة الوريدية .الاستنتاجات : النسب المبينة اعلاه من الموجودات الشعاعية عند المرضى الاطفال المصابين بالتهابات المجاري البولية تدعم فكرة اجراء الدراسات الاشعاعية عند الاطفال المصابين بالتهابات المجاري البولية المتكررة .

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