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Epidemiological study of the intestinal parasites in patients attending twohospitals in Baghdad
دراسة وبائية الطفيليات المعوية لدى المرضى الذين يحضرون twohospitals في بغداد

Authors: Sumaiah E.Al-Mufragi --- Abdul-Rahman A. Al-Tae
Journal: The Medical Journal of Tikrit مجلة تكريت الطبية ISSN: 16831813 Year: 2008 Volume: 2 Issue: 142 Pages: 179-182
Publisher: Tikrit University جامعة تكريت

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Abstract

This study has been carried out during the period August 2000 t0 October 2001 to compare the incidence of intestinal parasites in patients (old and children) who attended Baghdad teaching hospital and Al-Escan central teaching hospital. Three hundred and fifty four stool samples were examined by the direct method using normal physiological saline and logoul's iodine to determine the incidence of the intestinal parasites and its relation with sex and age. The results of this study revealed that the percentage of the total infection of these parasites were higher in patients in Baghdad Teaching Hospital than in those of Al-Escan Central Teaching Hospital ( 60%; 48% ) respectively . Also the rate of infection of the parasites ( Blastocystis hominis, Giardia lamblia, Entamoeba histolytica, Trichomonas honinis and Hyminolepis nana) was (18%, 8%, 29%, 3% and 1%) respectively. It has also been revealed from the result of this work that the rate of male infection was relatively higher than that of female in both hospetals (57%, 55%) and (55%, 36%) respectively. Regarding the age groups, the (61-70) years age group was acquired the highest infection, while the (6-10) year's age group acquired the highest percentage of infection in young patients

وقد أجريت هذه الدراسة خلال الفترة من أغسطس 2000 T0 أكتوبر 2001 إلى مقارنة معدلات الإصابة بالطفيليات المعوية لدى المرضى (القديمة والأطفال) الذين حضروا بغداد مستشفى تعليمي و آل-اسكان المستشفى التعليمي المركزي. تم فحص عينات البراز وثلاث مئة وأربعة وخمسون من خلال طريقة مباشرة باستخدام محلول فسيولوجي طبيعي واليود logoul لتحديد حالات الإصابة بالطفيليات المعوية وعلاقته مع الجنس والعمر. كشفت نتائج هذه الدراسة أن نسبة الإصابة الإجمالية لهذه الطفيليات كانت أعلى في المرضى في مستشفى بغداد التعليمي من تلك التي في شركة اسكان المستشفى التعليمي المركزي (60٪، 48٪) على التوالي. كما كان معدل الإصابة للطفيليات (المتبرعمة الكيسية البشرية، اللمبلية الجيارديات، نسج المتحولة، honinis المشعرة ونانا Hyminolepis) (18٪ و 8٪، 29٪، 3٪ و 1٪) على التوالي. كما تم الكشف عن نتائج هذا العمل إلى أن معدل إصابة الذكور كان أعلى نسبيا من تلك التي من الإناث في كل من hospetals (57٪، 55٪) و (55٪، 36٪) على التوالي. بخصوص الفئات العمرية، وكانت الشركة قد سن سنة (61-70) مجموعة أعلى عدوى، بينما جماعة السنة (6-10) في سن حصل على أعلى نسبة من الإصابة في المرضى الصغار


Article
Evaluation and Comparison of Immunchromatography and Immunofluorescent Techniques in Diagnosis and Epidemiological Studies in Iraqi Kala-Azar.

Authors: Mohammed F. Al-Timmimi --- Sami Y. Guirges --- Abdul Rahman A. Al-Tae
Journal: Iraqi Academic Scientific Journal المجلة العراقية للاختصاصات الطبية ISSN: 16088360 Year: 2009 Volume: 8 Issue: 3 Pages: 285-290
Publisher: The Iraqi Borad for Medical Specialization المجلس العراقي للاختصاصات الطبية

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Abstract

ABSTRACT:BACKGROUND:Infantile kala-azar is an endemic protozoal disease prevalent among children in Iraq. A rapid diagnostic laboratory tests are required for immediate treatment.OBJECTIVE:A prospective study was conducted in two pediatric hospitals in Baghdad during the period from Oct. 2005 to Sept. 2006 to evaluate the efficiency of immunochromatography strip test (IC) with rK39 antigen compared to indirect fluorescent antibody test (IFAT) for serodiagnosis of visceral leishmaniasis (VL) to investigate its use for epidemiological studies in Iraqi kala-azar.PATIENTSAND METHODS:The study included 54 proved cases for Leishmania donovani (L.D.) bodies in bone marrow, 108 clinically diagnosed cases, 38 with diseases other than VL (tuberculosis, acute amoebic dysentery, urinary schistosomiasis, brucellosis, toxoplasmosis and malaria) and 24 healthy controls. In addition of 3000 patients presented with fever, anaemia and hepatosplenomegaly.RESULT:The highest sensitivity of the sera was obtained by IC (92.6%) and by IFAT (96.3%), and the highest specificity by IC (100%) and by IFAT (86.8%). In the epidemiological study with rK39 strip test 66.1% positive reactions were obtained in patients with fever, anaemia and hepatosplenomegaly.CONCLUSION:IC strip test with rK39 antigen was more easy to perform but less sensitive than IFAT and the former was more specific than the latter


Article
Visceral Leishmaniasis Complicated By Secondary Bacterial Infections in Iraqi Kala-azar

Authors: Abdul Rahman A. Al-Tae --- Sami Y. Guirges --- Mohammed F. Al-Timmimi
Journal: Iraqi Academic Scientific Journal المجلة العراقية للاختصاصات الطبية ISSN: 16088360 Year: 2010 Volume: 9 Issue: 2 Pages: 135-139
Publisher: The Iraqi Borad for Medical Specialization المجلس العراقي للاختصاصات الطبية

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Abstract

ABSTRACT:BACKGROUND:Kala-azar is a vector borne parasitic disease endemic in Iraq. This disease is complicated by secondary bacterial infections which may lead to death.OBJECTIVE:The study was carried out to detect the bacterial infections associated with kala-azar and the effective treatment.MATERIALS AND METHODS:Collection of blood, urine, stool and ear exudate specimens from 63 proved kala-azar patients. The bacterial isolates from the specimens were subjected to antibiotics sensitivity test.RESULTS:63 (46.7%) of 135 hospitalized children with visceral leishmaniasis, developing 102 episodes of infections. The sites of these infections were urinary tract 46(45.1%), lower respiratory tract 37(36.3%), gastrointestinal 10(9.8%) and middle ear 9(8.9%). Both Gram negative and Gram positive bacteria were isolated. Most of the isolated bacteria belong to the family Enterobacteriaceae. The antibiotics gentamicin, amikacin and co-trimoxazole were the most effective.CONCLUSION:Bacterial infections were common among hospitalized children with kala-azar. The commonest were Gram negative bacteria of the family Enterobacteriaceae.

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