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TREATMENT OF ACUTE OTITIS MEDIA IN CHILDREN (SYSTEMIC ANTIBIOTIC AND TOPICAL NASAL DECONGESTANT VERSUS SYSTEMIC ANTIBIOTIC ALONE) 儿童急性中耳炎的治疗(全身性抗生素和局部减充血剂与单用全身性抗生素)

Duhok Medical Journal Pub Date : 2018-06-30 DOI: 10.31386/DMJ.UOD.18.12.1.10

Edrees M. Hussain, M. Yaseen

{"title":"TREATMENT OF ACUTE OTITIS MEDIA IN CHILDREN (SYSTEMIC ANTIBIOTIC AND TOPICAL NASAL DECONGESTANT VERSUS SYSTEMIC ANTIBIOTIC ALONE)","authors":"Edrees M. Hussain, M. Yaseen","doi":"10.31386/DMJ.UOD.18.12.1.10","DOIUrl":"https://doi.org/10.31386/DMJ.UOD.18.12.1.10","url":null,"abstract":"Background: decongestants whether systemic or topical nasal are widely used in the treatment of acute otitis media but there is still controversy about their effectiveness. The aim of this study is to evaluate the effectiveness of topical nasal decongestants in the treatment of acute otitis media and their role in the resolution of middle ear effusion after acute otitis media attack. Subject and Methods: The current study involved 100 children ranging from 4-12 years of both sexes with acute otitis media that need antibiotics in treatment and the study done in Rizgary teaching hospital in Erbil during the period of 2015-2017. Patients subsequently divided into two groups for treatment. Group A treated with oral co-amoxiclav, oral paracetamol, and topical nasal xylometazoline drop. Group B treated with the same antibiotic but without topical nasal xylometazoline drop. The children are followed up three months by 5 visits; in the first and second follow up visits the children are examined clinically for the improvement in the signs and symptoms of acute infection. In the last three visits the children are followed up for the resolution of middle ear effusion by otoscopic examination and tympanometry test. Pure Tone Audiometry (PTA) test done for children in the first and fifth visits, to know the hearing gain between the two visits and the difference between group A and group B. Results: The mean age + SD of the children were 7.26 + 2.4 years, ranging from 4 to 12 years. The median was 7 years. 58% of the patients were boys and 42% were girls. In the first visit, we found better results in group A that was near significant for pain relief (p=0.067). During subsequent visits we found good resolution in both groups with non significant better results in group A. Conclusions: there is no significant benefit from the use of topical nasal decongestant in the treatment of AOM. Duhok Med J 2018; 12 (1): 96-105","PeriodicalId":432925,"journal":{"name":"Duhok Medical Journal","volume":"110 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127108961","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

A STUDY ON SCREENING OF IRAQI CURRENCIES COLLECTED FROM DUHOK CITY, IRAQ FOR BACTERIAL CONTAMINATION 对从伊拉克杜胡克市收集的伊拉克货币进行细菌污染筛查的研究

Duhok Medical Journal Pub Date : 2018-06-30 DOI: 10.31386/DMJ.UOD.18.12.1.7

Z. Saleh, Siham N. Jaafar, Halimah Mohammed

{"title":"A STUDY ON SCREENING OF IRAQI CURRENCIES COLLECTED FROM DUHOK CITY, IRAQ FOR BACTERIAL CONTAMINATION","authors":"Z. Saleh, Siham N. Jaafar, Halimah Mohammed","doi":"10.31386/DMJ.UOD.18.12.1.7","DOIUrl":"https://doi.org/10.31386/DMJ.UOD.18.12.1.7","url":null,"abstract":"Background: Paper currenciesarelargely exchanged and as of the high incidencevarying from place to place, could help as ways for communication of multi-resistant bacterial pathogens. The purpose is to found out bacterial contaminations of Iraqi currencies collected from numerous communities and their susceptibility to antibiotics at Duhok city, Iraq. Subject and Methods: A total of 302 currencies were collected from 8 community residents and examined by culturing on Blood, Mannitol salt, MacConkey and Chocolate agar.Identification of the growing isolates were done byregular conventional bacteriological approaches. Results of susceptibility testing to fourteen antibiotics were carried out as per Clinical and Laboratory Standards Institute (CLSI) guidelines. Results: Out of 302 collected samples, 96% revealed bacterial contamination that 16 % had mixed bacterial isolates. An overall of 9 different bacterial species were isolated from six Iraqi currencies. Of them, (24.2%) was Bacillus subtitles followed by Escherichia coli (14.6%), Staphylococcus aureus (13.4%), Micrococcus (13.0%), Staphylococcu salbus (10.6%), Pseudomonas aeruginosa (10.2%), Klebsiella (9.9%), Proteus (2.5%) and Enterobacter (1.6%); general isolates were displayed high resistance to Vancomycin, Erythromycin, Ampicillin and Cefixime; lacking or slight resistance to Amikacin, Gentamicin, Ciprofloxacin, Norfloxacin, Azithromycin, Ceftriaxone and Rifampin. Conclusions: Study revealed that Iraqi currencies that circulating in Duhok city was contaminated with diverse and likely pathogenic bacteria comprising multi antibiotic resistant strains. Therefore the need to progress health awareness among people while handling currency is a crucial matter. Duhok Med J 2018; 12 (1): 63-72","PeriodicalId":432925,"journal":{"name":"Duhok Medical Journal","volume":"45 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127360219","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

LATERAL INTERNAL SPHINCTEROTOMY FOR TREATMENT OF CHRONIC ANAL FISSURE IN PEDIATRICS 外侧内括约肌切开术治疗儿科慢性肛裂

Duhok Medical Journal Pub Date : 2018-06-30 DOI: 10.31386/DMJ.UOD.18.12.1.3

A. Haleem, Qader M.Salih, Sahned Jaafar

{"title":"LATERAL INTERNAL SPHINCTEROTOMY FOR TREATMENT OF CHRONIC ANAL FISSURE IN PEDIATRICS","authors":"A. Haleem, Qader M.Salih, Sahned Jaafar","doi":"10.31386/DMJ.UOD.18.12.1.3","DOIUrl":"https://doi.org/10.31386/DMJ.UOD.18.12.1.3","url":null,"abstract":"Background: Lateral internal sphincterotomy is a well established surgical technique for treatment of chronic anal fissure in the adult. The aim of this study was toevaluate the outcome of lateral internal sphincterotomy in Pediatrics. Subject and Methods: This is a prospective study performed over a period of 4 years from October 2008 to October 2012 on 37 patients with the chronic anal fissure of a duration exceeding three months and history of failure to conservative treatment. All patients underwent left lateral internal sphincterotomy through an open technique. The outcome was evaluated by assessing the effectiveness of this procedure in relieving the symptoms, fissure healing, parents’ satisfaction and complication rate. Results: There were 26 boys and 11 girls, mean age was 11 months with a range of (6 months – 12 years), and symptoms were relieved within two weeks in 28 cases and within one month in 5 cases. 4 patients require postoperative oral laxative for 1-3 months to overcome the withholding behavior. Fissures healed in 34 by eight weeks postoperatively. Parents were satisfied with the outcome in 32 patients. Four patients developed postoperative bleeding, and only one of them was serious and required cauterization, soiling occurred in 3 cases. No permanent incontinence was reported. Conclusions: Lateral internal sphincterotomy is an effective and safe surgical technique for treatment of chronic anal fissure not responding to medical therapy in pediatric. Complications are uncommon, and the risk of incontinence is very minimal if the proper surgical technique is performed. Duhok Med J 2018; 12 (1): 24-30.","PeriodicalId":432925,"journal":{"name":"Duhok Medical Journal","volume":"21 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122358339","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

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