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Prevalence of sexually transmitted Diseases (STDs) in Iraq for the years (1999–2001) based on syndromic approach
أنتشار ألامراض المنقولة جنسيا في العراق خلال السنوات ( 1999-2000-2001) والمشخصة بطريقة المتلازمه

Author: Hammody F. Al Jumaily د. حمودي الجميلي
Journal: IRAQI JOURNALOF COMMUNITY MEDICINE المجلة العراقية لطب المجتمع ISSN: 16845382 Year: 2011 Volume: 24 Issue: 2 Pages: 105-108
Publisher: Al-Mustansyriah University الجامعة المستنصرية

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Abstract

Objectives: To create a baseline data for the estimation of Sexually Transmitted Diseases (STDs) among population based on syndromic presentation and to assess the commonest clinical presentation syndromes by age and gender.Patients & Methods: Prevalence estimates for STDs, according to the syndromic case presentation reports were conducted in the AIDS/ STD center- ministry of health, for the years (99- 2001) based on the data collected in each health care facility. The information is collected on tally sheet and is collected locally, then sent to AIDS/ STD center on monthly basis.Results: A total of (53776) cases were reported in 1999, there were (48266) cases in 2000 while a total of (62139) cases were reported in 2001. Among those reported cases on syndrmoic approach, vaginal discharge (40.5% - 46%) is the commonest presentation followed by lower abdominal pain (for woman) (35.7% - 41.2%), urethral discharge (for male) (5.8%-7.4%), genital ulcers (4.5%-4.6%) and neonatal conjunctivitis (4.5%). The vast majority of these cases were among (15 – 49) years of age group. The sex distribution is more prevalent among female individual, where female to male ratio is (8:1).Conclusion: STDs are among the most common causes of morbidity in Iraq. Their health and social wellbeing impacts are mostly affecting those in reproductive and economically productive age groups and their offspring. Estimates of the prevalence of these infections are limited by quantity and quality of data available from different health care facilities necessitating an improvement of reporting system which requires more well designed epidemiological studies on the incidence, prevalence and duration of infection, this may be achieved by offering professional training.Key words: Prevalence, STDs and syndromic approach.

الاهداف: بناء قاعدة معلومات للانتشار الوبائي ومعرفة أكثر الاعراض والعلامات تمثيلا لهذه الامراض نسبة الى العمر والجنس .طرق البحث : دراسة مدى أنتشار الامراض المنقولة جنسيا وحسب نظام المتلازمة قد أجريت للسنوات (1999-2000-2001) في مركز دراسات وبحوث المتلازمة التابع لوزارة الصحة والمعلومات الموثقة في المركز المذكور تعتمد على التقارير الشهرية المرسلة من مراكز المحافظات والتي أخذت من المرضى في المؤسسات الصحية على أسس أستمارة ( تالي) .النتائج :لقد تم الحصول على (53776) حالة و (48266) حالة و (62139) حالة شخصت ودونت في السنوات ( 1999, 2000,2001) على التوالي ومن بين هذه الحالات كانت الافرازات المهبلية أكثر شيوعا وبنسبة مئوية تتراوح بين ( 40.5% الى 46% ), وأتبعت بألم في أسفل البطن للمراة (35.7% الى 41.2% ), أفرازات الاحليل للرجل (5.8% الى 7.4% ), قرح تناسلية (4.5% الى 4.6% ) , رمد وليدي (4.5% ) وكانت أكثر الاصابات ضمن الفئات العمرية البالغة والاقل بلوغا (من 15سنة الى 49سنة ) وأن شيوعها في المراة أكثر من الرجل بنسبة ثمانية الى واحد (1:8) .الآستنتاجات : شيوع الامراض المنقولة جنسيا في الفئات العمربة المنجبة والاكثر انتاجا وفعالية مع أمكانية عدم ظهور الاعراض والعلامات السريرية عند كثير من المصابين وخصوصا المراة مؤدية الى أظرار خطرة على المصاب والمواليد . ولاجل ذلك يتوجب ارساء دعائم التقصي المبكر المنضبط ونظام معلوماتي دقيق من خلال توفير مجاميع طبية وصحية مدربة لتلك الاغراض


Article
ELFA and IFAT Techniques to Detect Chlamydial Infections in Baghdad Women and Its Effect on the Immunoglobulins Level.

Authors: Khamael M. Kadaem* MSc --- Raad K. Al-Husseinei --- Lamya A. AL-Janabi --- Mun'im M. Fathei
Journal: Journal of the Faculty of Medicine مجلة كلية الطب ISSN: 00419419 Year: 2009 Volume: 51 Issue: 2 Pages: 192-197
Publisher: Baghdad University جامعة بغداد

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Abstract

Background: Chlamydia trachomatis is one of the most common human pathogens and considered asone of the causative agents of STDs. This organism cause acute and recurrent pelvic infections andinfertility.Patients and Methods: Two hundred and seventy three females were included in the present study,attending infertility department, AL-Elwiya hospital, AL-Jarah private hospital, central public healthlaboratory and STDs clinic to whom IFAT, ELAF and immunoglobulins concentration were done.Results: Females were divided into three age groups <20; 20-39 and ≥40 years. Single and repeatedabortions were 44.9%, 55.1% respectively. Primary and secondary infertility were 55.6% and 44.4%.Higher abortions rate were in the age group 20-39 years which represents 31.5% and 41.6% in singleand repeated abortions. Primary and secondary infertility were high in the same age group whichrepresents 42.6% and 33.3% of the total investigated females, also the multipartners within the sameage group constitutes 56.7%.Chlamydial infections detected by IFAT technique constitute 12.8% whichwere represented as 14.6%, 11.1%, 36.7% and 5% in abortions, infertility, multipartners and fertilitywith no abortion groups respectively. While by ELFA technique the percentages were 12.4%, 9.3%,30% and 4% in the same mentioned groups.Immunoglobulins mean value in females with chlamydialinfections wee as follows IgG = 2102.1 mg/dl; IgA = 317.9 mg/dl and IgM = 272.5 mg/dl. Which weremore than the normal values of the immunoglobulins.Conclusions: Chlamydial infections were distributed largely among multipartners than other abortedfemales. High abortions were noted in age group 20-39 years. IFAT technique was more reliable thanELFA technique to detect chlamydial infections.IgG and IgM concentrations were higher than normal concentrations, while IgA remains normal.

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