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IDENTIFICATION OF HELICOBACTER PYLORI INFECTION IN ‎PATIENTS WITH UPPER GASTROINTESTINAL DISEASES, ‎AND ITS ANTIMICROBIAL SENSITIVITY

Author: Saad Sh Hammadi ‎
Journal: Basrah Journal of Surgery مجلة البصرة الجراحية ISSN: 16833589 / ONLINE 2409501X Year: 2005 Volume: 11 Issue: 2 Pages: 97-101
Publisher: Basrah University جامعة البصرة

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Abstract

H.pylori is the cause of duodenal ulcer, and a lot of other gastrointestinal diseases, the aim of this study ‎was to see the extent of this microorganism in our patients and to study its antimicrobial sensitivity. The ‎study included 283 patients(148 males and 135 females) with upper gastrointestinal complaints including ‎dyspepsia, heartburn, bleeding, and malabsorption to evaluate the presence of Helicobacter pylori ‎‎(H.pylori) infection using rapid urease test (RUT) and culture to see there sensitivity to different ‎antibiotics.‎‎ The study revealed that 199 patients (70.3%) have positive RUT compared to 218 patients (77.0%) ‎showed positive culture results. The positive culture results were confirmed by positive results of ‎biochemical tests (oxidase, catalase and urease).‎‎ Antibiotic sensitivity testing was performed in 28 cultures of H. pylori, and the results showed that 26 ‎cultures ( 92.9%) were sensitive to amoxycillin, followed by clarithromycin, rifampicin and cephalexin with ‎figures of 23 (82.1%), 22 (78.6%) and 21 (75.0%) respectively. Whereas, 16 cultures (57.1%) were ‎resistant to metronidazole, 15 (53.4%) to erythromycin and 9 (32.1%) to both cephalothin and ‎tetracycline.‎‎ It is concluded that, H.pylori infection is a predominant etiological factor of upper gastrointestinal ‎diseases, Also, RUT represent simple, convenient and reliable mean for the rapid diagnosis of H.Pylori ‎infection. Antibiotic sensitivity was the highest with amoxycillin and clarithromycin while the most ‎resistant antibiotic strains were encountered with metronidazole

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Article
Histological changes in antrum associated with Helicobacter pylori infection.
التغييرات النسيجية في البواب المرافقة للاصابات بجرثومة الملوية البوابية

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Abstract

Out of 136 cases 85 cases undergo histopathological test and age groups (20-80)were included 65 gastritis (48/65 (73.8%) male, 17/65 (26.1% ) female, 13cases (9/13(69.2%) male,4/13(30.7%) female) mild gastritis (rare neutrophils seen) ,30 cases 24/30(80%) male,6/30(20%) female, moderate gastritis (obvious neutrophils within glandular and foveolarepithilum),22 cases (15/22(68.1%) male, 7/22(31.8%) female) severe gastritis (numerous neutrophils with glandular micro abscesses and mucosal erosion ),12(8/12(66.6%) male,4/12(33.3%) female)ulcer and 8 normal (4/8 (50%) male, 4/8(50%) female).The statistical study refer that non significant differences between age groups and sexes .

من مجموع 136 حالة مرضية خضعت للفحص النسيجي وكانت ضمن الفئات العمرية من (20-80) تضمنت 65 حالة التهاب المعدة منهم 4865 (73.8%) ذكور و1765 (26.1%) اناث، 13 حالة يعانون من التهاب المعدة الخفيف (نادرا ما تشاهد العدلات) منهم 913 (69.2%) ذكور و413 (30.7%) اناث. تعاني 30 حالة منهم من التهاب المعدة المتوسط (وضوح العدلات مع خلايا غدية طلائية) منهم 2430(80%) ذكور و630 (20%) اناث .22 حالة يعانون من التهاب المعدة الشديد (كثرة عدد الخلايا العدلة مع وجود تقيحات غدية وتاكل في النسيج، 1522 (68.1%) ذكور و722 (31.8%) اناث وتعاني 12 حالة من القرحة ، 812 (66.6%) ذكور و412 (31.3 %) اناث. مع وجود 8 حالات طبيعية 48 .(50%) ذكور و48 (50%) اناث.اظهرتنتائج التحليل الاحصائي عدم وجود فرق معنوي بين المجاميع العمرية والجنس.

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