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Article
Antibiotics Sensitivity Test as an important investigation measure in the Management of Odontogenic Abscesses: Clinical Study.
أهمية اختبار المضادات الحيوية في السيطرة على الخراجات الناشئة عن التهابات الفم والأسنان:دراسة تطبيقية

Author: Emad H. Abdulla عماد حمودي عبد الله
Journal: Tikrit Journal of Pure Science مجلة تكريت للعلوم الصرفة ISSN: 18131662 Year: 2009 Volume: 14 Issue: 2 Pages: 18-20
Publisher: Tikrit University جامعة تكريت

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Abstract

The purpose of this study was to know the prevalence of microorganisms in odontogenic infections and the antibiotics sensitivity test for these isolated microorganisms in patients in Al-Door city by studying (19)females and (6)males .It showed that Viridans Streptococci, Aeromonas, commensal Neisseria sp., Haemophilus sp., Enterobacter ,Staphylococcus aureus, Streptococcus sp. was isolated from patients suffer from odontogenic infections. Erythromycin, gentamycin, tetracycline, tobramycin, rifampicin are more effected for isolated bacteria .Health education programs to improve oral hygiene practice should be considered.

الغرض من هذه الدراسة هو للتعرف على الأحياء المجهرية في إصابات واختبار الحساسية للمضادات الحيوية لهذه الأحياء المجهرية المعزولة من المرضى في منطقة الدور بدراسة(19)ذكر و(6)إناث.لوحظ إنViridans streptococci ,Aeromonas, commensal Neisseria sp. ,Haemophilus sp. Enterobacter ,Staphylococcus aureus, Streptococcus sp.عزلت من المرضى الذين يعانون من اصابات الفم والاسنان. Erythromycin, gentamycin, tetracycline, tobramycin, rifampicin أكثر تأثيرا للبكتريا المعزولة.يجب إن يؤخذ بنظر الاعتبار الثقافة الصحية للفم التابعة لمنظمة الصحة العالمية.


Article
Identification and Antimicrobial Susceptibility of Bacterial Isolates from Odontogenic Abscesses

Authors: Dr. Haween T. Hassan.*** د. هاوين حسان --- Dr. Lukmman F. Omar.** د. لقمان عمر --- Dr. Ahmad Hayder Abdulla.* د. احمد حيدر
Journal: MUSTANSIRIA DENTAL JOURNAL مجلة المستنصرية لطب الاسنان ISSN: 18138500 Year: 2008 Volume: 5 Issue: 4 Pages: 422-428
Publisher: Al-Mustansyriah University الجامعة المستنصرية

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Abstract

Objective: The purpose of the study was to identify the bacterial composition of the microbiota from odontogenic abscesses and their antimicrobial susceptibilities.Study Design: An aspirate of pus from 37 patients with odontogenic abscesses was obtained by needle aspiration and processed aerobically and under anaerobic conditions. Bacteria were isolated and identified by standard Laboratory methods. Then antimicrobial susceptibility of isolated bacteria was determined by using disc diffusion method.Results: Out of 37 aspirates, 100% yielded positive culture, 34 aspirates contained a mix of microorganisms. A total of 90 strains of bacteria were isolated.Out of 90 strains, 63 strains were anaerobes and 27 strains were aerobes and facultative anaerobes. The mean number of strains per sample was 2.4, two samples were purely anaerobes, 9 samples were mixed anaerobes, 2 samples were purely facultative anaerobes, no purely aerobic, 17 had mixed growth of anaerobes and facultative anaerobes, and 7 samples had mixed growth of aerobes and facultative anaerobic bacteria. Out of 90 isolates, 42 (46.67%) were Gram-positive cocci, 25 (27.78%) were Gram-positive bacilli, 21 (23.33%) were Gram-negative bacilli, and 2 (2.22%) were Candida albicans. The genera of bacteria most frequently isolated were viridans group streptococci, Peptostreptococcus spp., Eubacterium spp., and Prevotella spp. Invitro antibiotic sensitivity of isolated microorganisms were tested for Penicillin, Amoxillin, Ampicillin, Amoxicillin/Clavulanic acid, Erythromycin, and Metronidazole by disc diffusion method. All isolates were sensitive to Amoxillin+ clavulanic acid: 27/27(100%), followed by Ampicillin: 24/27(88.89%), Amoxillin: 23/27(85.19%), Penicillin: 22/27(81.48%), Erythromycin: 12/27(44.44%), and metronidazole: 10/27(37.04%).Conclusions: The present results confirm the existence of mixed infection with predominance of anaerobic and facultative anaerobic bacteria in odontogenic abscesses. Penicillin still possesses antimicrobial activity against the majority of bacteria isolated from odontogenic infections. However, if penicillin therapy has failed to be effective, the combination of penicillin with ampicillin or amoxillin with clavulanic acid is recommended.


Article
Prevalence of odontogenic infections and clinical consequences of untreated dental caries in Iraqi preschool children: cross sectional study

Author: Dr. Zena Kamel Kadhem, B.D.S., M.Sc. Oral Medicine.* د.زينة كامل كاظم
Journal: MUSTANSIRIA DENTAL JOURNAL مجلة المستنصرية لطب الاسنان ISSN: 18138500 Year: 2018 Volume: 15 Issue: 1 Pages: 33-40
Publisher: Al-Mustansyriah University الجامعة المستنصرية

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Abstract

Aim: the aim of this study was to report the prevalence of untreated dental caries andtheir clinical consequences and odontogenic infections in primary teeth of (3-6)year’s old preschool Iraqi children.Materials and Methods: cross sectional study consisted of 238 children (128 male,110 female) were at preschool age of (3 – 6) years who were selected from threeprimary health centers at new Baghdad city complaining from dental pain and/orfrom abscess as present as a localized area of dental sepsis. The clinicalconsequences of untreated dental caries were measured using pufa index of Monseet al included four components: pulpal involvement (p), ulceration (u), fistula (f),and abscess (a).Results: the total children were divided according to age into three groups: (3-4) yearsold group (3 years to 4 years and 11 months), (n=56, 23.52%), (5) years old group(5 years to 5 years and 11 months), (n=98, 41.18%) and (6) years old group (6years to 6 years and 11 months), (n=84, 35.29%). (4660) primary teeth of the totalchildren were examined and (n=1645, 35.30%) were the untreated dental caries.The mean pufa and prevalence for the total children was (1.33±1.63, 77.51%) andthe “p” component showed the higher mean value and prevalence (3.22±2.19,46.63%), and other components including “u” (0.62±0.85, 8.94%), “f” (0.97±0.27,13.98%) and “a” (0.55±0.50, 7.96%) also showed high results. Prevalence’sdifferences of the total pufa between the age groups showed a nearly results butsignificant high pufa prevalence was at (3-4) years old children (78.81%)(p=0.000), “p” component showed the significant high prevalence at (3-4) yearsold children (49.63%) (p=0.000), “u” component showed the significant highprevalence at (6) years old (9.37%) (p=0.000), “f” component showed significanthigh prevalence at (5) years old children (15.04%) (p=0.000), and “a” componentshowed significant high prevalence at (6) years old children (8.56%) (p=0.000).Conclusions: high prevalence of the clinical consequences of the untreated dentalcaries in Iraqi preschool children required urgent intervention program and theopportunities to offer such preventive measures in the Iraqi health system.

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