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Article
chlamydia pneumoniae unfection in - patients with community acquired pneumonia in Iraq

Author: hayfaa D. Salman هيفاء سلمان الحديثي
Journal: Journal of the Faculty of Medicine مجلة كلية الطب ISSN: 00419419 Year: 2008 Volume: 50 Issue: 4 Pages: 488-490
Publisher: Baghdad University جامعة بغداد

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Article
Community and Hospital Acquired Infection of Methicillin-Resistant Staphylococcus aureus (MRSA) in Erbil City
حصول المجتمع والمستشفى على العدوى من المكورات العنقودية الذهبية المقاومة للميثيسيلين في مدينة أربيل

Authors: Sabria M. Said Al-Salihi --- Aza Bahadeen Taha
Journal: Zanco Journal of Medical Sciences مجلة زانكو للعلوم الطبية ISSN: 19955588/19955596 Year: 2010 Volume: 14 Issue: 3 Pages: 52-60
Publisher: Hawler Medical Univeristy جامعة هولير الطبية

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Background and Objectives: Methicillin-resistant Staphylococcus aureus (MRSA) is one of the most frequently isolated pathogens in both community and hospitals, and associated with high morbidity and mortality rates with rapid development of resistance. The ethicillin-resistance occurs due to the presence of PBP2a of the bacterial cell wall, which has low affinity for β-lactam antibiotics. MRSA are often multi-resistant to both β-lactams and non-β-lactams antibiotics. The study was documented the occurrence of community and hospital acquired MRSA infections.Method: The clinical specimens were collected from patients at three teaching hospitals in Erbil city. All Staphylococcus aureus were identified as MRSA by detection of PBP2a.Results: Out of 377 Staphylococcus aureus isolated, 30.24% were MRSA. The wound was the most common infection site for both community and hospital acquired MRSA. Statistically the patients with hospital acquired MRSA were older than the community acquired MRSA.Conclusions: MRSA is one of the most common causes of serious infection in community and hospital settings. The most common site infected by MRSA is the surgical wound infection.


Article
PREVALENCE OF METHICILLIN-RESISTANT STAPHYLOCOCCUSAUREUS (MRSA) IN COMMUNITY-ACQUIRED PRIMARY PYODERMA

Author: Mariam K. Ali
Journal: Al-Nahrain Journal of Science مجلة النهرين للعلوم ISSN: (print)26635453,(online)26635461 Year: 2010 Volume: 13 Issue: 1 Pages: 103-106
Publisher: Al-Nahrain University جامعة النهرين

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Background: Although prevalence of MRSA strains is reported to be increasing, there are no studies of their prevalence in community-acquired primary pyodermas in Iraq.Aims: This study aimed at determining the prevalence of MRSA infection in community-acquired primary pyodermas.Methods: prospective survey carried out in Dermatology Department of Baghdad Teaching Hospital in Baghdad.Materials and Methods: Eighty-six patients with primary pyoderma, visiting the dermatology outpatient, were studied clinically and microbiologically. Sensitivity testing was done for vancomycin, sisomycin, gentamicin, framycetin, erythromycin, methicillin, cefazolin, cefuroxime, penicillin G and ciprofloxacin.Results: The culture positivity rate was 83.7%. Staphylococcus aureus was isolated in all cases except two. Barring one, all strains of Staphylococcus aureus were sensitive to methicillin. Conclusions: Methicillin resistance is uncommon in community-acquired primary pyodermas in Baghdad. Treatment with antibacterial active against MRSA is probably unwarranted for community-acquired primary pyodermas.


Article
Assessment Severity of Community Acquired Pneumonia
تقيم شدة التهاب ذات الرئة المكتسبة مجتمعيا باستخدام معيار كيرب 65

Authors: Muhammed .W.Al.Obaidy محمد العبيدي --- Ahmed .T. A bdulla --- kassim .M. Sultan قاسم محمد سلطان
Journal: Journal of the Faculty of Medicine مجلة كلية الطب ISSN: 00419419 Year: 2011 Volume: 53 Issue: 3 Pages: 251-253
Publisher: Baghdad University جامعة بغداد

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Abstract

Background: Community acquired pneumonia is the most frequent infection-related cause of death. Illness severity might usefully guide a number of management decisions and predict mortality. Confusion, blood urea ,respiratory rate ,blood pressure and age 65 years or older (CURB-65) based largely on clinical assessment.Objective: To evaluate the efficacy of CURB-65 score in assessment severity of community-acquired pneumonia and to predict mortality.Patients and Methods: Fifty patients were enrolled in this prospective study between 1st. of March 2007 and 31st. of January 2008, recruited at Baghdad Teaching Hospital diagnosed as community acquired pneumonia depending on having lower respiratory tract infection symptoms , signs and new infiltrate on the chest radiograph.CURB-65 scoring system was applied and the patients were divided into three groups low risk[CURB-65= (0-1)], intermediate risk [CURB-65= (2)], and high risk [CURB-65= (3-5)] groups . The low risk group was managed at home with oral antibiotics, the intermediate and high risk groups were managed at hospital with intravenous antibiotics. The 30-day mortalities were established.Results: There were 27(54%) females and 23 (46%) males at a median age of 68 year range from(15-90) year Thirty three patients (66%) had their age 65or older, 26 patients (52%) had B.U>7mmol/l, 11patients (22%) had R.R> 30/minute, 3 patients (6%) had systolic B.P<90 mm Hg, 11patients(22%) had diastolic B.P<60 mm Hg and 14 patients (28%) had confusion. Twenty patients (40%) were in the low risk group (CURB-65=0-1), 12 patients (24%) were in the intermediate risk group (CURB-65=2) and 18 patients (36%) were in the high risk group (CURB-65=3-5). The 30 day mortalities were (0%) in the low risk group, (16.5%) in the intermediate risk group and (30%) in the high risk.The overall mortality was 8 (16%) patients.Conclusion: CURB-65 effectively stratified patients regarding the site of medical care, type . route of administration of treatment and predicted mortality.

الخلاصه :ذات الرئه المكتسبه مجتمعيا واحده من اهم الالتهابات التنفسيه المسببه للوفاه. لذا استحدث هذا المعيار للسرعه تصنيف وتشخيص الالتهابات الصدريه لضمان سرعه التشخيص واعطاء القرار الصائب في العلاج السريع, لتجنب المضاعفات الخطيره للمرض .الغرض من الدراسه: لبيان مدى فاعليه استخدام معيار الكيرب 65 في تقيم وتشخيص شده الاصابه بالتهاب ذات الرئه المكتسبه مجتمعيا لدى المرضى الواصلين الى مدينه الطب – مستشفى بغداد التعليمي.طريقة البحث : تم جمع 50 مريضا مصابين بالتهاب ذات الرئه المكتسبه مجتمعيا( 27 انثى و 23 ذكر ) بمتوسط عمر 68 سنه بين 15-90 سنه , وكانت نسبه الذكور 46% والاناث 54% للفتره من حزيران 2007 الى كانون الثاني 2008.وهي دراسه مسح مقطعي .النتائج: تبين من الدراسه ان 20 حوالي (40%) مريضا كانوا في المتسوى الاقل خطوره الذين لايحتاجون الدخول الى المستشفى فقط اخذ العلاج من العياده الخارجيه.كما تبين ان 12 مريضا (24%) هم بالمستوى المتوسط الذي يتطلب اخذ العلاج والدخول الى المستشفى . كما تبين ان 18 مريضا ( 36%) هم بالمستوى شديد الخطوره الذي يحتاج الدخول الى صاله الانعاش.ان نسبه الوفيات كانت بالمستوى الاول هي صفر وبالمستوى الثاني هي 16.5% اما المستوى الثالث من شده الخطوره كانت نسبه الوفيات هي 30 % .


Article
Antibacterial Susceptibility Of Commonly Encountered Uropathogens In Al-Hussain Teaching Hospital-Thi-Qar Province: A Retrospective Study
دراسة ارتجاعية حول حساسية البكتيريا المسببة لعدوىالقناة البولية للمضادات البكتيرية في مستشفى الحسين التعليمي- محافظة ذي قار

Author: Dr.Rana M. Khalaf د. رنا محسن خلف
Journal: Thi-Qar Medical Journal مجلة ذي قار الطبية ISSN: 19929218 Year: 2010 Volume: 4 Issue: 2 Pages: 74-81
Publisher: Thi-Qar University جامعة ذي قار

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ABSTRACT: Background: Antibacterial resistance is an evolving problem which reflects the antibacterial prescription in our community. Such problem has great impact on proper management and consequences of urinary tract infection (UTI)Aim: To determine the relative role of uropathogens and their antibiotic susceptibility pattern in community-acquired urinary tract infection (UTI) in Al-Hussain Teaching Hospital/ Thi-Qar Province.Methodology: A retrospective study was carried out to review urine culture and antibiotic sensitivity testing from symptomatic outpatients visiting Al-Hussain Teaching Hospitals/ Thi-Qar Province over the period from June 2007 to June 2008. Results: Of 236 samples, 124(52.5%) were culture positive. Staphylococci and Escherichia coli were the leading cause of UTI accounting for 75% of all isolates. The rates and roles of other pathogens, including Klebsiella species (11%), Pseudomonas species (8%), Enterobacter, Proteus, and Streptococci were responsible for the remaining 6%. More than 75% of isolated Staphylococci and Escherichia coli were sensitive to nitrofurantoin and amikacin, while more than 60% were sensitive to ciprofloxacin. Sensitivity to commonly prescribed antibacterials as co-trimoxazole, amoxicillin,ampicillin and gentamicin were less. Conclusion: Common uropathogens were highly sensitive to nitrofurantoin, amikacin and to lesser extent to ciprofloxacin, while exhibiting low sensitivity pattern against commonly prescribed antibiotics including co-trimoxazole, amoxicillin, ampicillin, nalidixic acid and gentamicin.

الخلاصة: من اجل تحديد نمط حساسية البكتيريا المسببة لعدوى القناة البولية للمضادات البكتيرية في مستشفى الحسين التعليمي- محافظة ذي قار تم اجراء دراسة ارتجاعية لنتائج زرع البول و فحوصات حساسية المضادات البكتيرية للمرضى المراجعين للعيادة الاستشارية في المستشفى المذكور ابتداءا من حزيران 2007 و لغاية حزيران 2008.من بين 236 عينة وجد ان 124 (52.5%) عينة موجبة للنمو البكتيري, الستافيلوكوكس و اي كولاي كانت السبب الرئيسي لعدوى القناة البولية(75%) من بين العينات الموجبة, فيما وجد ان الكلبسيلا مسؤلة عن 11%, سودوموناس 8%, اما الانتيروبكتر والبروتيس و الستربتوكوكس فقد شخصت في 6% من العينات.البكتيريا المرضية الاكثر شيوعا اظهرت حساسية معتد بها لكل من الناتروفيورانتوين و الاميكاسين وبدرجة اقل للسبروفلوكساسين. بينما اظهرت حساسية محدودة للمضادات البكتيرية الشائعة الاستعمال و هي الكوترايماكسازول, اموكسسلين, امبسلين, جنتامايسين و نالدكسك اسد.

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