Background: Dysentery is an important cause of morbidity and mortality associated with diarrhea. About 10% of all diarrheal episodes in children less than 5 years are dysenteric, but these cause about 15% of all deaths attributed to diarrhea.
Objective : To demonstrate the most common pathogens causing bloody diarrhea in children between 2 months and 5 years old, to describe some of the associated factors accompanying bloody diarrhea and to highlight the most important clinical features.
Patients and methods: A descriptive study of 82 children, between the age of 2 months to 5 years with bloody diarrhea, who were admitted to the Children Welfare Teaching Hospital/ Medical City/Baghdad during the period between 1st of March 2009 to 28th of February 2010. Information regarding demographic data was taken from their parents. All the patients were examined carefully mainly for the signs and degree of dehydration. General stool examination and stool culture done for patients with bloody diarrhea. Other 100 patients with acute watery diarrhea were also taken as a comparison group.
Results: Entamoeba histolytica trophozoite was the most common isolated pathogen in the study group specimens. It was identified in 38 (46.3%) of patients followed by Shigella species in 10 (12.2%) cases and the least was non typhoidal salmonella in 5 (6.1%) cases. The most vulnerable age was 2-24 months 51(62.2%) cases. Fifty eight and half percent of patients were from urban areas. Half of the patients (50%) were bottle fed. The majority had chlorinated tap water supply (82.9%). This study showed a higher frequency of the following symptoms: Fever (73.2%), Tenesmus (46.3%), Rectal prolapse (1.2%) and convulsion (4.9%) in patients with bloody diarrhea; while in patients with watery diarrhea, the frequencies of these symptoms were: (62%, 28%, 0% and 1% respectively), Severe dehydration was observed in only (15.9%) of cases and the majority of them were seen in patients with bacterial bloody diarrhea.
Conclusions: Entamoeba histolytica was the most frequent offending pathogen in patients with bloody diarrhea in this study. Infants 2-24 months old were the main affected group. Bottle feeding preference, and non-boiling of drinking water made children more prone to have bloody diarrhea. High fever and tenesmus were the most frequent clinical symptoms associated with bloody diarrhea. More frequent bowel motions, high fever, and convulsion were all more commonly seen with bacterial bloody diarrhea than in amebic bloody diarrhea.
Background: Bone marrow aspiration (BMA) and biopsy is a procedure that is used to evaluate the cause of abnormal blood test results, to confirm a diagnosis or check the status of severe anemia of unknown cause, to evaluate abnormalities in the blood's ability to store iron and also to diagnose infection.
Objectives: To identify the main indications of bone marrow aspiration and the most common diagnoses encountered in children welfare teaching hospital.
Patients and methods: This was a prospective and retrospective descriptive study over 6- month period from 8th of February 2010 to 8th of August 2010 in children younger than 14 years. All bone marrow aspirate results wer
... Show MoreBackgrounds: Growth is an important objective parameter of general health of the child. Normal growth requires adequate nutrition along with various hormonal stimuli. Short stature is a common cause of referral to pediatric endocrinologists.
Objectives: To find the causes of short stature in patients referred to pediatric endocrinology clinic of children welfare teaching hospital, the significance of bone age assessment and the variation of growth hormone level in these patients.
Patients and methods: This prospective study was carried out in the endocrine clinic of Children Welfare Teaching Hospital/Medical City over ten months period, included 150 patients. A proper detailed medi
500 samples of diarrhea stool were collected from different ages(less than 1year –upto30years) and for both genders from some patients in (Alwiya hospital for children, Al-kendi, central health public laboratory and some gavernarated labs) period(1/11/2009—1/10/2010). Kinds of bacteria and parasites agents were isolated and identified from patients with diarrhea. Nine species of gram negative bacteria from enterobacteriaceae were isolated, E. coli isolated are the higher ratio 4.8% of all, then Salmonella typhi4.6% while the lowest ratios is Citrobacterfreundii 0.4%, while the other identified species were be among the previous rotios. also Plesomonasshigelloides was isolated which concedride one of the bacterial local studies.many met
... Show MoreSummary:
Background: Respiratory distress remains a major problem post adaptation and one of the most common reasons for admission of neonates to Intensive Care.
Objectives: To study the causes and short term outcomes of respiratory distress in full term neonates and its correlation to mode of delivery.
Patients and Methods: A cross sectional study was carried out on 100 full termoutborn neonates with respiratory distress admitted to Neonatal care unit of Children Welfare Teaching Hospital, Medical City, Baghdad from 1st of April to 31st of August 2011.
Results: Hundred full term neonateswerestudied, 66% were boys and 81% born by cesarean section (elective cesarean sectionin 62%). In both sexes, Transient TachypneaofNewbornan
Summary:
Background: Pneumonia is a common form of lower respiratory tract infection (LRTI) in children under five years of age and it is the leading cause of morbidity and mortality in this age group. Early management is important in decreasing its complications and mortality.
Methods: A cross sectional study of 100 patients, their ages ranged from 2 months to 5 years. They were admitted to Children Welfare Teaching Hospital Medical City–Baghdad in a period from 7th of November 2010 to 5th of May 2011, suffering from Lower Respiratory Tract Infections (fever, cough and tachypnea) and classified into two groups according to chest radiograph (CXR) findings, those with a patch (pneumonia) and others with normal or hyper inflated CX
Background: Acute idiopathic thrombocytopenic purpura (ITP) is a self – limiting illness, usually occurring after an infectious disease, and it is due to decrease number of circulating platelets manifests as a bleeding tendency, easy bruising (purpura), or extravasations of blood from capillaries into skin and mucous membranes. &n
... Show MoreThis paper offers a monthly prediction method for planning production, inventory, workforce, sales and prices until N years. Each monthly decision will depend on last month, decisions and take in consideration the future forecasted demand. The manager can run the program in any month within a year. This method is executed by computer programming technique to maximize profits.
Background: Cholestatic Jaundice is a dilemma facing not only the primary care provider but also the specialist pediatricians in our country.
Subjects & methods: Analysis of 50 cases of cholestatic jaundice aged 3 weeks- 18 months were carried out over 18 months in the Gastroenterology & Hepatology unit in the Children Welfare Teaching Hospital, Medical City, and Baghdad. Clinical, biochemical, radiological and histopathological results were recorded.
Results: Fifty patients with Cholestatic Jaundice, 28 males &22 females, were evaluated. The main causes of Cholestatic Jaundice were Biliary Atresia in 22 cases (44%)(the mean age of presentation was 4.1 months ), and Neonatal Hepatitis Syndr