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Article
The role of aerobic and anaerobic bacteria innon gonococcal urethritis (NGU) in men

Authors: Haitham B. Fathi هيثم بدر فتحي --- Haitham M. Al-Habib هيثم محمد الحبيب
Journal: Annals of the College of Medicine Mosul مجلة طب الموصل ISSN: 00271446 23096217 Year: 2010 Volume: 36 Issue: 1&2 Pages: 99-105
Publisher: Mosul University جامعة الموصل

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Abstract

ABSTRACT
Objectives: To identify causative microorganisms of nongonococcal (NGU) urethritis in men.
Methods: A descriptive comparative study included 240 male patients with urethritis and 40 age-matched males free from urethritis was carried out. The urethral swabs were inoculated on different culture media and incubated both aerobically and anaerobically.
Results: A 153 patients were considered as NGU cases. From them, 18 genera of aerobic and anaerobic microorganisms were isolated. Aerobic bacterial isolates were two times the anaerobic bacterial isolates. The type of growth was heavy among patients in comparison to scanty growth among controls. The most common microorganism in each group were Staph. epidermidis, Gardnerella vaginalis, and Bacteroides species.
Conclusion: Aerobic and anaerobic microorganisms are associated with urethritis in men. The confluent growth and dramatic response after treatment by appropriate antibiotics confirm the roles of the isolated bacteria in development of NGU in men.
Key words: Urethritis, nongonococcal urethritis, aerobic & anaerobic bacteria.

الأهداف: تشخيص أنواع الجراثيم المسببة لخمج الاحليل غير السيلاني وغير الكلاميدي عند الرجال.طريقة البحث: أجري البحث بالطريقة المسحية المقارنة على عينة مكونة من 240 مريضا مصابا بخمج الاحليل. قورنت النتائج مع نتائج الفحص لـ 40 متطوعا مطابقين للمرضى في العمر ولا يعانون من خمج الاحليل. أخذت مسحات من الاحليل وزرعت على أوساط مختلفة لزرع الجراثيم تحت ظروف هوائية ولا هوائية.النتائج: أظهرت نتائج الدراسة الحالية أن 106 مريضا كانوا يعانون من خمج الاحليل غير السيلاني وغير كلاميدي. تم عزل 18 جنسا مختلفا من الجراثيم الهوائية واللاهوائية وكانت الجراثيم من النوع الهوائي ضعف الجراثيم من النوع اللاهوائي. كان النمو الجرثومي كثيفا في عينة المرضى مقارنة مع النمو المتفرق والشحيح عند الأصحاء من العينة الضابطة. أن أكثر أنواع الجراثيم شيوعا في كل مجموعة هي المكورات العنقودية الجلدية، الكاردنيريلا المهبلية وجراثيم الباكتيرويدس.الخلاصة: أن الجراثيم الهوائية واللاهوائية التي عزلت من مسحة الاحليل في الدراسة الحالية لها علاقة سببية وثيقة مع الإصابة بخمج الاحليل عند الرجال ويدعم هذا الرأي نتائج النمو الجرثومي الكثيف للجراثيم المعزولة من المرضى وكذالك الاستجابة الجيدة للمرضى بعد إعطائهم المضاد الحيوي المناسب.


Article
Diagnosis and therapeutic aspects of hematospermia: cross sectional survey

Author: Ala'a Al-Deen Al-Dabbagh
Journal: Mustansiriya Medical Journal مجلة المستنصرية الطبية ISSN: 20701128 22274081 Year: 2012 Volume: 11 Issue: 1 Pages: 13-15
Publisher: Al-Mustansyriah University الجامعة المستنصرية

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Abstract

Aims: to investigate hematospermia & study its clinical significance. Patients & methods: a prospective study was carried out on 31 patients with hematospermia at Al-Yermouk Teaching Hospital between January 2007 & January 2009. All patients were clinically assessed & subjected to urinalysis & seminal fluid analysis. Other investigations were done according to individual cases. More than 90% 0f the patients had no prior genitourinary symptoms or significant factors in their history. Results: The etiology of hematospermia was determined & found to be of inflammatory and infective origin in most men especially the young. In 3 of the 31 patients studied, hematuria occurred with hematospermia & was associated with significant lower urinary tract abnormalities such as bladder tumor, however in none of these a relationship appeared between hematospermia & the disease process. Conclusions: From this study we can conclude that hematospermia is of no importance, does not progress, tend to disappear in the course of time & rarely is associated with any significant urologic pathology.


Article
Urethral trichomoniasis in Iraqi females

Author: Aroub Abdul Rahman Al-Kaisi, Ph.D Bahjat Al- Janabi, *Ph.D Raja Al-Tikriti Ph.D د. عروب عبد الرحمن القيسي
Journal: Journal of the Faculty of Medicine مجلة كلية الطب ISSN: PISSN: 00419419 / EISSN: 24108057 Year: 2007 Volume: 49 Issue: 3 Pages: 312-314
Publisher: Baghdad University جامعة بغداد

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Abstract

Background: Trichomonas vaginalis has long been recognized as a cause of infectious vaginitis in women different studies have demonstrated a significant burden of the parasite to cause urethritis as well. It has been assumed that the localization of parasite in the urethra may be responsible for the recurrence of vaginal infection.Aim: To evaluate the infection rate of urethral trichomoniasis and to evaluate two different laboratory’ methods used in the diagnosis.Methods: The present study consisted of420female patients presented with vaginal discharge with or without itching or disorient, investigated for urethral trichomoniasis who were compared to 50 females represented the control group.Each female M’as asked to collect first 10-20 ml of urine in a sterile screw capped bottle; the deposits were examined microscopically by:. Wet mount method for Trichomonas vaginalis.2.Culture in a specific ready made culture media.At the same time high vaginal swabs were taken and examined by both wet mount and culture methods for vaginal trichomoniasis.Results: Among 420 female patients examined for both urine sediments and vaginal swabs ,80 (19.04%) females were found to be positive for T. vaginalis by vaginal SM'abs. The parasite was seen either in the vagina alone in 39 (9.28%) or in the vagina and urethra in 41(9.76%), but it M’as never isolated from urethra alone.Conclusion: Trichomonas vaginalis is a common parasite offemale urethm as well as of the vagina, the localization of this flagellate in the urethra may be responsible for the recurrence of vaginal infection, since it may survive in the urethra, possibly in the Paraurethral glands (skene's) so when the treatment is limited to the vagina, this will often fail to reach the urethra and the trichomonads may contaminate the vagina following urination or sexual intercourse, that is why systemic rather than local treatment is indicated.Keywords: Trichomonas vaginalis. Trichomoniasis. Urethritis.


Article
The Frequency Of Chlamydial Urethritis Among ِA Group Of Iraqi Male Patients

Authors: Mahdei Y. mohammed --- Sabeeh Al-Mashhadani --- Makram M. Al-Waiz د.مكرم مكي الواعظ
Journal: IRAQI JOURNALOF COMMUNITY MEDICINE المجلة العراقية لطب المجتمع ISSN: 16845382 Year: 2007 Volume: 20 Issue: 2 Pages: 354-359
Publisher: Al-Mustansyriah University الجامعة المستنصرية

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Abstract

AbstractBackground & Objective: The most important and potentially dangerous pathogen involved in non-gonococcal urethritis is Chlamydia trachomatis, so this study is conducted to evaluate the frequency of chlamydial urethritis among group of Iraqi male patients.Methods: The study design is a descriptive cross sectional study, including fifty two male patients complaining from urethral discharge, they were seen in the department of Dermatology and Venereology at Baghdad Teaching Hospital .Their ages ranged from 16-49 years (mean±SD 29.28Y±8.5).They were investigated using enzyme linked fluorescent assay to a direct urethral swabs for detection of chlamydial antigen.Results: Twenty one (40.38%) male patients were chlamydial antigen positive. Six of them (11.5%) had mixed infection (chlamydial and gonococcal urethritis).Chlamydial urethritis were most frequent at the third decade of life, those constitute of eight Patients (15.38%). Urethral discharge and dysuria were the most frequent symptoms which were noticed in all patients, frequency of micturation were seen in thirteen patients. Twenty patients were heterosexual and only one was homosexual; eight patients were practicing sex with single partner, the remainder practiced sex with multiple partners.Conclusion: Chlamydia is one of the common causes of urethritis among sexually active Iraqi male patients, enzyme linked fluorescent assay technique is simple reliable test in the diagnosis of this disease.Key words: Iraqi, chlamydial, urethritis

Keywords

Iraqi --- chlamydial --- urethritis


Article
Prevalence of gonorrhea among adult male with urethritis in Erbil City
انتشار السيلان بين الذكور البالغين المصابين بالتهاب الإحليل في مدينة أربيل

Author: Isam Yousif Mansoor
Journal: Zanco Journal of Medical Sciences مجلة زانكو للعلوم الطبية ISSN: 19955588/19955596 Year: 2014 Volume: 18 Issue: 2 Pages: 692 -696
Publisher: Hawler Medical Univeristy جامعة هولير الطبية

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Abstract

Background and objective: Gonorrhea is a sexually transmitted disease caused by Neisseria gonorrhoeae. The bacteria can be passed from one person to another through vaginal, oral, or anal sex. It can also be passed from mother to her baby during birth. The symptoms in adult male include a burning sensation when they urinate and a yellowish-white discharge may ooze out of the urethra. Gonorrhea can spread to epididymis causing pain and swelling in the testicular area. This can create scar tissue that can lead to infertility. The aim of this study was to determine the prevalence of gonorrhea in adult male in Erbil Governorate and the susceptibility of isolated Neisseria to antibiotics.Methods: Urethral discharge obtained from adult male aged between 19-49 years were examined for the presence of Neisseria gonorrhoeae using direct smear gram staining and cultural technique. The susceptibility of isolated bacteria to antibiotics was tested using disc diffusion method.Results: This study showed that the incidence of gonorrhea among 312 adult male with urethritis in Erbil city was (8.97%) while (91.03%) of patients examined had nongonococcal urethritis. The higher percentage of infection with Neisseria gonorrhoeae (14%) occurred among age group (19-29) years and the lower (3.48%) in the age group (39-49) years. Among the 210 unmarried patients, 26 (12.38%) had gonorrhea and 184 (87.62%) had nongonococcal urethrits. All Neisseria gonorrhoeae were sensitive to ceftriaxone, spectinomycin and azithromycin. The isolates showed low sensitivity (21.42%) to penicillin.Conclusion: It seems that gonorrhea is common among symptomatic adult male. The emergence of resistance to some antibiotics is worrying. Appropriate prevention strategies should be of highest priority of the policy makers.


Article
Signs and symptoms of urethritis and cervicitis among women with or without genital mycoplasma infection in governorate of Basrah
أعراض وعلامات التهاب الاحليل وعنق الرحم المرتبطة أو غير المرتبطة بالإصابة بالمايكوبلازما التناسلية للنساء في محافظة البصرة

Author: R.M. Al-Mosawi ريهام الموسوي
Journal: Journal of Basrah Researches (Sciences) مجلة ابحاث البصرة ( العلميات) ISSN: 18172695 Year: 2009 Volume: 35 Issue: 3A Pages: 42-57
Publisher: Basrah University جامعة البصرة

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Abstract

Due to the absence of antisera in Iraq, thereupon, in this search, the isolated species which belonged to genus Mycoplasma are presumptive (probably) species of genital mycoplasma, the characteristic and biochemical properties of them were fit with those of M.hominis, U.urealyticum, M.fermentans, M.genitalium and M.penetrans in dependence on Bergey,s Manual of determinative bacteriology (Holt et al., 1994). ,This study was current on 120 women attending the outpatient clinic of the obstetric and gynecology department of Basrah General Hospital during the period from February to July, 2007. Comprised women who suffered from some obstetric and gynecological conditions, for that purpose urethral swabs and the other from endocervix region were cultured then handled and processed with a Monophasic-diphasic culture setup (MDCS), a statistically significant difference at the level of (P< 0.01) was noted in the isolation of both presumptive mycoplasmal species M.fermentans and M.hominis from urethral region in comparison with endocervix region while, the isolation rates of U.urealyticum and M.genitalium were highest from endocervix region. Also, the results show, presumptive (probably) mycoplasmal species: M.fermentans , U.urealyticum, M.hominis and M.penetrans were more frequently distributed in women who were complaining of vaginal discharge followed by urethral abnormal and itching. Statistically, the associated significance was noted only in case of M.hominis at level of (P< 0.05). The genital mycoplasmas were recovered 15.0 percent in 18 cases as a single infection and 20.8 percent in 25 cases as a mixed infection with other causative agents (bacterial other than mycoplasmas), so this study showed the conjunction of U.urealyticum with M.hominis in 5 cases (4.1 %) and the M.genitalium with M.fermentans in 6 cases (5.0 %). Finally, the E.coli was found as a single infection in 5 cases and conjuncted with E.faecalis in 3 cases (2.5 %) while, P.aeruginosa found as a single infection in 4 cases and recovered 0.8 percent in 1 case only as a mixed infection with S.epidermidis.

لعدم وجود المضاد المصلي في العراق فان الانواع المعزولة في هذا البحث والعائدة لجنس المايكوبلازما هي الانواع المحتملة من المفطورات التناسلية , وكانت مميزاتها وخواصها البايوكيميائية مطابقة لكل من M.hominis و U.urealyticum و M.fermentans و M.genitalium و M.penetrans من المصدر المعتمد Bergey,s Manual of determinative bacteriology (Holt et al., 1994) . أجريت هذه الدراسة على 120 أمرآة من المراجعات إلى العيادة الاستشارية الخارجية في قسم النسائية والتوليد في مستشفى البصرة العام للفترة من شباط إلى تموز 2007. حيث شملت النساء اللواتي يعانين من بعض الحالات النسائية الخاصة ولهذا الغرض زرعت مسحات من الاحليل وأخرى من منطقة عنق الرحم وعوملت بتقنية نظام الزرع أحادي الطور وثنائيه MDCS حيث لوحظ وجود اختلاف مهم إحصائيا وبفارق معنوي عال عند مستوى الأهمية (p< 0.01) في عزل كلا من. M.fermentans وM.hominis المحتملة من منطقة الاحليل مقارنة بمنطقة عنق الرحم بينما كانت معدلات عزل الـU.urealyticum و M.genitalium أعلى من منطقة عنق الرحم. كما وأظهرت النتائج بان كل من الانواع المايكوبلازمية المحتملة (الافتراظية) وهي M.fermentans و U.urealyticum و M.hominis وM.penetrans منتشرة بكثافة في النساء اللواتي يعانين من الإفرازات المهبلية المفرطة تتبعها إفرازات الاحليل غير الطبيعية والحكة والارتباط المهم إحصائيا لوحظ فقط في حالة M.hominis عند مستوى الأهمية (P< 0.05) .كما و غطت المايكوبلازما التناسلية 15.0 % كإصابة مفردة في 18 حالة و 20.8 % متداخلة مع مسببات مرضية أخرى غير المفطورات (بكتريا أخرى غير المايكوبلازما) في 25 حالة على التوالي. . كذلك أظهرت تلك الدراسة تداخل إل U.urealyticum مع M.hominis في 5 حالة وبنسبة (% 4.1) إضافة إلى تداخل مفطورة M.genitalium مع M.fermentans في 6 حالة بنسبة (% 5.0) , وأخيرا وجدت جرثومة ُE.coli كإصابة منفردة في 5 حالة ومتداخلة مع E.faecalis في 3 حالة بنسبة (% 2.5) بينما جرثومة P.aeruginosa وجدت كإصابة منفردة في 4 حالة ومتداخلة مع S.epidermidis في 1 حالة فقط وبنسبة(% 0.8) .

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