Subscribe to the gold package and get unlimited access to Shamra Academy
Register a new userResults of Continuous Irrigation With Antibiotics Method in Complex Therapy of Chronic Osteomyelitis
نتائج طريقة الإرواء المستمر بالصادات الحيوية في سياق العلاج المركب لذات العظم والنقي المزمنة
1224
0 11
0
(
0
)
Added by
Tishreen University ورقة بحثية
Publication date
2014
fields
Medicine
and research's language is
العربية
Authors
أحمد جوني( باحث )
Created by
Shamra Editor
Ask ChatGPT about the research
شملت الدراسة 84 مصاباً بذات العظم والنقي المزمنة (86 حالة) بأسباب مختلفة، وتوضع ودرجات مختلفة، وقد خضع جميع المرضى لعمل جراحي تمثل بتجريف واستئصال الأنسجة النخرية المنتنة، مع زرع نظام إرواء مستمر بالصادات وتمت متابعة الحالات لمدة سنة،وتم الحصول على نتائج إيجابية في 86% من الحالات، وكانت النتائج سلبية في 14% من الحالات. استطاعت طريقة الإرواء المستمر بالصادات الحيوية أن تؤمن وصولاً أكيداً للصادات الحيوية المختارة إلى بؤرة الإنتان بالتراكيز الكافية لقتل الجراثيم المسببة، مما سمح بالحصول على أفضل النتائج
Our study included (84) patients: 86 cases suffering from chronic osteomyelitis: various causes, location and degrees. All patients operated: after curettage of necrotic and infected tissues; system of continuous irrigation with antibiotics was inserted to the infected zone; all cases were followed up for 1 year. 86% of positive results were obtained and results were bad in 14% of cases> The high positive results (86%) confirm high effect of continuous irrigation with antibiotics as a good method for chronic osteomyelitis treatment, because this method allows delivery of suitable antibiotics in high concentration into the infected area, which is enough to kill microbes and allows to obtain best results.
References used
Abril JC, Castillo F, Loewinsonh AF, Rivas C, Bernacer M. Chronic recurrent multifocal osteomyelitis after cute lymphoblastic leukaemia. Int Orthop 1994;18:126—8
Abril JC, Ramirez A. Successful treatment of chronic recurrent multifocal osteomyelitis with indomethacin: a preliminary report of five cases. J Pediatr Orthop 2007;27:587—91
Anderson SE, Heini P, Sauvain MJ, Geiger L, Johnston JO, Roggo A, et al. Imaging of chronic recurrent multifocal osteomyelitis of childhood first presenting with isolated primary spinal involvement. Skeletal Radiol 2003;32:328—36
Azouz EM, Jurik AG, Bernard C. Sternoclavicular hyperostosis in children: a report of eight cases. AJR 1998;171:461—6
Backmeyer C, Lionnet F, Gibeault M, Damsin JP. Chronic multifocal osteomyelitis due to Clostridium difficile in an adolescent with sickle cell anemia. Pediatr Infect Dis J 2008;27:951—2
rate research
Read More
the sample consisted of 36 patients who were admitted in alassad and tishreen
hospital between 2013-2016 with bacterial arthritis proved by clinical,radiological and
laboratory methods. They went uder surgical intervention ,during it,a continuous i
rrigation
system was accomplished according to designed plan. The irrigation period was 12 days
(mean) with mean hospitalization period 12 days. Irrigation fluid was considered regarding
to culture and susceptibility results in addition to antibiotic qualities .Results were
collected depending on joint functional activitiy return regarding to capacity,bearing and
stability(after a month-3 months- year),as well as natural laboratory and vlinical features
return .we used the criteria healing (irrigation handout). The joint functional activity
returned after a month in (70% mean) ,after 3 months in (77% mean), after a year in (89%
mean).while the clinical infection signs fell back after a week in (85% mean) ,after a
month in (92% mean), after 3 months in ( 97%). The laboratory signs fell back after a
month in (91% mean), after 3 months in (97% mean). A comparing was achieved between
these results and irrigation period ,hospitalization period by using CHI² test . The use of
continuous irrigation system in treatment of bacterial arthritis once it is diagnosed (in
regard to designed plan, irrigation fluid qualities and the host condition) improves the joint
functional activity and reduces hospitalization period so that ,it lessens economic load and
accelerates the return professional activity.
Self-medication with antibiotics is a worldwide problem and led to several problems such as antimicrobial resistance. A descriptive cross-sectional questionnaire-based study was conducted in Latakia city. Among 259 participants, 204(78.8%) reported a
ntibiotics self-medication within past one year. Respiratory problems such as common cold were the main indication for self-medication with antibiotics (62.9%) and amoxicillin+ clavulanic acid was the most antibiotic commonly used (35.37%). The results of this study confirm that self-medication with antibiotics is a frequent problem in Latakia city.
The work demonstrates the importance of calculation of zenith angel of the primer magnetic field of the transmitter-station through knowledge of the coordinates of both transmitter-station and measure- area due to the use of special equations. They h
ave great importance for electromagnetically field measurements. The direction angels have been calculated for most famous transmitter-stations in some different areas of SYRIA (DRAA and SUWEDA). According to the results, these angels differed with the variation of coordinates of the transmitter in the same location, and some field measurements have confirmed this method.
Background:Microscopic colitis (MC) encompasses collagenous and lymphocytic
colitis and is diagnosed by histopathological changes of random biopsies which tacken
from each segment of normal macroscopically colonic mucosae from patients who have
ch
ronic watery diarrhea of unknown etiology.
Aims:Prevalence of microscopic colitis in patients with chronic watery diarrhea and
have endoscopically normal colon .
Materials and Methods:We prospectively enrolled 84 patients reviewed in
ALASSAD and TISHREEN HOSPITALS between March 2015 until June 2016 .These
patients were having watery diarrhea more than 3 times a day for more 4 weeks. Atotal 84
patients were enrolled for a total colonoscopy until terminal ileum . Two biopsies were
obtained from all colonic segments and terminal ileum for diagnosed of microscopic
colitis. On histopathologic examination, criteria for lymphocytic colitis (intraepithelial
lymphocyte ≥ 20 per 100 surface epithelial cells, change in surface epithelium,
mononuclear infiltration of the lamina propria) and collagenous colitis (subepithelial
collagen band thickness ≥ 10 μm) were explored.
Results:Microscopic colitis was diagnosed in 33 (39%)patients {22lymphocytic
colitis,11collagenous colitis} . Female/Male: 15/18, mean age at diagnosis of microscopic
colitis : 37 year, range: 20-69, the median duration of diarrhea: 9.5 monthes , the median
number of bowel movements per day:5 times .And the common symptoms are:
abdominal pain and flatulence.
Conclusion :Biopsy of Syrian patients with the diagnosis of chronic watery diarrhea
of unknown etiology and normal colonoscopic findings will reveal microscopic colitis in
approximately 39% of the patients. Lymphocytic colitis is two times more frequent than
collagenous colitis in these patients.
Aim of Study: The antimicrobial intracanal medication was used widely, and the most common was calcium hydroxide dressing, which must be removed from the root canal before obturation, hence this study aimed to comparative efficacy of EndoVac and Navi
Tip 30 G irrigation Needles with Naocl and CHX 2% in removing calcium hydroxide dressing from the apical third of root canal. Materials &Methods: Forty single root and canal teeth were decoronated to the length of 16 mm. Each root was prepared to the apical foramen using ProTaper Universal Hand System to size 40. Each tooth was embedded in silicone putty to create a set matrix, which allowed reassembly of the tooth for irrigation tests after splitting longitudinally. Then each tooth was split into two halves and an artificial groove (L:4, W:0,2 , D:0,5 ) was cut in one half of the root canal wall 1 mm from the apex ,which was then filled with a Ca(OH)2 paste. Digital images were taken before reassembling under stereomicroscope X40. Subsequently the two halves of roots were reassemble with wax , and remounted in their silicone matrixes, then divided into 2 groups.
suggested questions
Log in to be able to interact and post comments
comments
Fetching comments
Sign in to be able to follow your search criteria
