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Articles 631 - 660 of 698
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Extra Pulmonary Tuberculosis In Saudi Arabia, Nirmala Agarwal, Subhash C. Arya, Abdulrahman A. Alrajhi, Ali M. Al-Barrak
Extra Pulmonary Tuberculosis In Saudi Arabia, Nirmala Agarwal, Subhash C. Arya, Abdulrahman A. Alrajhi, Ali M. Al-Barrak
Saudi Medical Journal
No abstract provided.
Prevalence Of Hepatitis C Virus Antibodies Among Different Populations Of Relative And Attributable Risk, Mohamed A. Daw, Mohamed A. Elkaber, Aisha M. Drah, Mansour M. Werfalli, Abdulgadir A. Mihat, Ismail M. Siala
Prevalence Of Hepatitis C Virus Antibodies Among Different Populations Of Relative And Attributable Risk, Mohamed A. Daw, Mohamed A. Elkaber, Aisha M. Drah, Mansour M. Werfalli, Abdulgadir A. Mihat, Ismail M. Siala
Saudi Medical Journal
OBJECTIVE: To determine the prevalence of hepatitis C virus (HCV) antibodies among 5 different population groups including; healthy individuals, blood donors, hospital health care workers, renal dialysis patients and multiple blood transfusion group. To compare the ratios, relative and attributable risk among these groups. To outline a specific policy to reduce the potential risk of HCV among the different groups studied. METHODS: A prospective study was carried out in the Department of Microbiology, Faculty of Medicine, Tripoli, Libya, over a 2 year period for 1999 to 2001, to determine the prevalence of HCV-antibodies in sera collected from 5 distinct groups …
Hematological Changes In Cement Mill Workers, Sultan A. Meo, Muhammad A. Azeem, Shoukat A. Arian, Merza M. Subhan
Hematological Changes In Cement Mill Workers, Sultan A. Meo, Muhammad A. Azeem, Shoukat A. Arian, Merza M. Subhan
Saudi Medical Journal
OBJECTIVE: Considering the hazards of exposure to cement dust, this study incorporated basic hematological parameters, erythrocyte sedimentation rate and the total leukocyte count. The idea was to identify a simple, readily available and cost effective screening test that could help in identifying the presence of disease, its severity, or both in cement mill workers potentially related to their work place. METHODS: This study was carried out in the Department of Physiology, Faculty of Health and Medical Sciences, Hamdard University, Karachi and the University of Karachi, Pakistan, during the time frame 1999-2000. In this study a group of 50, apparently healthy …
Mycobacterium Tuberculosis Susceptibility In Saudi Arabia, Abdulrahman A. Alrajhi, Ali M. Al-Barrak
Mycobacterium Tuberculosis Susceptibility In Saudi Arabia, Abdulrahman A. Alrajhi, Ali M. Al-Barrak
Saudi Medical Journal
OBJECTIVE: To present the available susceptibility data of Mycobacterium tuberculosis (M. tuberculosis) isolates from the Kingdom of Saudi Arabia (KSA) published in peer-reviewed journals. METHODS: In a meta-analysis, studies published between 1966 and 2001 were included. Publication sites include Medline-indexed and non-indexed. Numbers of grown and resistant isolates were tabulated for first-line anti-tuberculosis agents. RESULTS: Twelve studies met the pre-set criteria. Data on 6,316 isolates between 1979 and 2000 were available. Resistance to at least one agent of the first-line anti-tuberculosis agents was 18.4%. Monoresistance to a single first-line agent was found in 10.9%, while polyresistance was noted in 7.6%. …
Mother-Infant Colonization And Neonatal Sepsis In Prelabor Rupture Of Membranes, Asindi A. Asindi, Eric I. Archibong, Nivedita B. Mannan
Mother-Infant Colonization And Neonatal Sepsis In Prelabor Rupture Of Membranes, Asindi A. Asindi, Eric I. Archibong, Nivedita B. Mannan
Saudi Medical Journal
OBJECTIVE: This study aims to determine the incidence of prelabor rupture of membranes (PROM) in a tertiary care institution, the bacterial pathogens involved in maternal and neonatal colonization, and the major bacterial pathogens of neonatal sepsis in PROM. METHODS: This prospective study was conducted over 2 years from March 1999 to February 2001 in Abha Maternity Hospital, Abha, Kingdom of Saudi Arabia. Consecutive admissions of infant-and-mother pairs with PROM constitute the subjects of this survey. Every mother had endocervical swab taken before delivery, and their infants had surface swabs and sepsis screening before starting antibiotic therapy. RESULTS: The incidence of …
Lipid Profile In Patients With Coronary Artery Disease, Fares H. Haddad, Ahmed A. Omari, Qasem M. Shamailah, Omar M. Malkawi, Alia I. Shehab, Hana K. Mudabber, Mohammed K. Shubaki
Lipid Profile In Patients With Coronary Artery Disease, Fares H. Haddad, Ahmed A. Omari, Qasem M. Shamailah, Omar M. Malkawi, Alia I. Shehab, Hana K. Mudabber, Mohammed K. Shubaki
Saudi Medical Journal
OBJECTIVE: To determine the lipid profile and to identify and stratify risk factors in diabetic and non-diabetic patients with proven coronary artery disease at King Hussein Medical Center, Amman, Jordan. METHODS: One hundred and ninety-two patients who were admitted to Queen Alia Heart Institute, Amman, Jordan, proving to have coronary artery disease (CAD) by angiogram, with a mean age of 54 ± 22 years were studied. Seventy-seven patients were diabetics and 115 non-diabetics. Their lipid profiles (T-Cholesterol, high density lipoprotein level (HDL-C), low density lipoprotein level (LDL-C), triglyceride, glucose, glycosylated hemoglobin) and thyroid function test were compared to a control …
Causative Pathogens Of Severe Diarrhea In Children, Abdulrahman Y. Ismaeel, Afaf E. Jamsheer, Ahmed Q. Yousif, Mohammad A. Al-Otaibi, Giuseppe A. Botta
Causative Pathogens Of Severe Diarrhea In Children, Abdulrahman Y. Ismaeel, Afaf E. Jamsheer, Ahmed Q. Yousif, Mohammad A. Al-Otaibi, Giuseppe A. Botta
Saudi Medical Journal
OBJECTIVE: To investigate the enteropathogens in children with diarrhea attending Salmaniya Medical Complex, Bahrain. METHODS: Fecal samples from 805 children up to 15 years were examined for parasites, ova and cysts by direct wet preparation, formol-ether concentration and modified Ziehl-Neelsen stain, during the period November 1998 through to June 2000. Samples were cultured for Salmonella, Shigella, Campylobacter and Enteropathogenic Escherichia coli. Antibiotic sensitivity tests were performed on the relevant clinical isolates by agar disk diffusion method. All stools from children below 3 years of age (653 samples) were processed for adenovirus and rotavirus using a commercially available latex agglutination test …
Delays In Primary Vaccination Of Infants Living In Western Saudi Arabia, Fawzia H. Hasanain, Mohammed M. Jan
Delays In Primary Vaccination Of Infants Living In Western Saudi Arabia, Fawzia H. Hasanain, Mohammed M. Jan
Saudi Medical Journal
OBJECTIVE: Vaccination is one of the most cost-effective means of preventing serious infectious diseases. Several studies from developing and developed countries documented considerable delays in the administration of primary vaccinations. Our objectives were to study the circumstances and contributing factors to such delays in order to design preventative measures. METHODS: Parents of consecutive infants seen during a routine vaccination visit at King Abdul-Aziz University Hospital, Jeddah, Kingdom of Saudi Arabia were included prospectively between September 2000 and February 2001. Structured interviews were performed using a 20-item questionnaire. Vaccinations were considered delayed if they took place 4 or more weeks after …
Enterococcus Faecalis Endocarditis, Mona A. Kholeif, Abdulhalim J. Kinsara, Boniface O. George, Abdulfattah W. Mowallad, Fakri A. Bugis, Abimbola O. Osoba
Enterococcus Faecalis Endocarditis, Mona A. Kholeif, Abdulhalim J. Kinsara, Boniface O. George, Abdulfattah W. Mowallad, Fakri A. Bugis, Abimbola O. Osoba
Saudi Medical Journal
The increasing usage of cephalosporins, to which the enterococci are resistant, has resulted in the rising number of enterococcal infections worldwide. Enterococci are a normal part of the flora of the human gastrointestinal tract, buccal cavity, perineal skin, vagina, urethra and gallbladder, but may occur as pathogens in a number of sites causing urinary tract infections, intra-abdominal infections, fatal bacteremia, meningitis and endocarditis. A Saudi male who developed enterococcal endocarditis with vegetations on both aortic and mitral valves required mitral and aortic valve replacement. The attention of physicians is drawn to the increasing frequency of enterococcus as a cause of …
Group B Streptococcal Endocarditis, Dayel A. Al-Shahrani, Ibrahim Z. Al-Mohsen, Suliman A. Al-Jumaah, Saud H. Al-Oufi
Group B Streptococcal Endocarditis, Dayel A. Al-Shahrani, Ibrahim Z. Al-Mohsen, Suliman A. Al-Jumaah, Saud H. Al-Oufi
Saudi Medical Journal
Group B Streptococcus can cause early onset neonatal disease. Beyond neonatal life, group B Streptococci are unusual pathogens. It can cause septicemia, epiglottis, fascitis, and endocarditis. A male Saudi child with group B endocarditis who has congenital heart disease is discussed.
Tuberculosis Of The Knee, Umayya M. Musharrafieh, George F. Araj, Ghazi S. Zaatari, Ramzi S. Musharrafieh
Tuberculosis Of The Knee, Umayya M. Musharrafieh, George F. Araj, Ghazi S. Zaatari, Ramzi S. Musharrafieh
Saudi Medical Journal
Tuberculosis is a worldwide problem that has persisted in developing countries and is re-emerging in developed ones. Infectious complications with Mycobacterium tuberculosis have also been reported with increasing frequency. Among these, skeletal and intra-articular infections continue to affect patients and pose a difficult diagnostic problem to physicians and orthopedic surgeons. This is so, as the non-specific clinical presentation which, overlaps with several infectious and non-infectious diseases, and the latency period of this bacteria that can persist up to several years after the initial infection, contribute to diagnosis and management delay. Thus due to the paucity of the disease, physicians should …
Efficacy Of Rifampicin Plus Doxycycline Versus Rifampicin Plus Quinolone In The Treatment Of Brucellosis, Nese Saltoglu, Yesim Tasova, Ayse S. Inal, Tugba Seki, Hasan S. Aksu
Efficacy Of Rifampicin Plus Doxycycline Versus Rifampicin Plus Quinolone In The Treatment Of Brucellosis, Nese Saltoglu, Yesim Tasova, Ayse S. Inal, Tugba Seki, Hasan S. Aksu
Saudi Medical Journal
OBJECTIVE: The aim of this study was to compare the efficacy, tolerability and side effects of 2 treatment regimens for brucellosis. METHODS: Fifty-seven patients with brucellosis were followed up in our clinic. The patients were given rifampicin plus doxycycline or rifampicin plus quinolone. Thirty patients (group one) received rifampicin 600mg/daily plus doxycycline 100mg twice daily and 27 patients (group 2) received quinolones (ofloxacin 200mg twice daily peroral) plus rifampicin 600mg/daily. Both regimens were administered for 45-days. During the course of treatment, patients were followed for the disappearance of physical signs and symptoms. All patients were followed up at least 6-months …
Clinical And Prognostic Values Of Anti-Hepatitis B Core Immunoglobulin M Detection In Asymptomatic Hepatitis B Surface Antigen Carriers, Hisham Y. Ali, Zina E. Faransawy, Nada A. Al-Megthab
Clinical And Prognostic Values Of Anti-Hepatitis B Core Immunoglobulin M Detection In Asymptomatic Hepatitis B Surface Antigen Carriers, Hisham Y. Ali, Zina E. Faransawy, Nada A. Al-Megthab
Saudi Medical Journal
OBJECTIVE: The aim of this study is to evaluate the clinical and prognostic values of persistence of anti-hepatitis B core immunoglobulin M antibody in asymptomatic adults chronic hepatitis B surface antigen anti-hepatitis Be carriers and its absence in others. METHODS: Fifty-two hepatitis B surface antigen/anti-hepatitis Be carriers with and 32 without anti-hepatitis B core immunoglobulin M marker were enrolled in this study. The cases were regular attendees of Public Health Laboratory, Virology Center (the main referral center for viral hepatitis) Mosul, North Iraq, for follow-up and clinical evaluation. The study was performed from June 1999 to June 2001. The studied …
Epidemiology Of Neonatal Meningitis In Qatar, Mahmoud F. El-Said, Mohammed S. Bessisso, Mohammad A. Janahi, Lina H. Habob, Sittana S. El-Shafie
Epidemiology Of Neonatal Meningitis In Qatar, Mahmoud F. El-Said, Mohammed S. Bessisso, Mohammad A. Janahi, Lina H. Habob, Sittana S. El-Shafie
Saudi Medical Journal
OBJECTIVE: Neonatal meningitis is responsible for thousands of neonatal deaths annually all over the world. Our study was conducted to determine the epidemiology, management and best preventive measures for neonatal meningitis in Qatar. METHODS: A retrospective study reviewed the records of bacterial meningitis patients under the age of one month. The study was carried out at Hamad Medical Hospital, the only hospital that provides health care at Qatar and the study period was between January 1998 to December 2000. RESULTS: Thirteen patients were included. Sixty percent of patients had early onset meningitis. Causative organisms were group B Streptococcus pneumoniae, Klebsiella …
Antibiotic Resistance: The Need For Restriction Policies In Hospitals, Abimbola O. Osoba
Antibiotic Resistance: The Need For Restriction Policies In Hospitals, Abimbola O. Osoba
Saudi Medical Journal
No abstract provided.
Sero-Response To Measles-Mumps-Rubella Vaccine Campaign In Saudi Arabia, Yagob Y. Al-Mazrou, Mohamed K. Khalil, Salah Tumsah, Yasser S. Al-Ghamdi, Mohamed H. Al-Jeffri, Andore B. Tischer, Ameen A. Mishkhas, Mostafa Eissa
Sero-Response To Measles-Mumps-Rubella Vaccine Campaign In Saudi Arabia, Yagob Y. Al-Mazrou, Mohamed K. Khalil, Salah Tumsah, Yasser S. Al-Ghamdi, Mohamed H. Al-Jeffri, Andore B. Tischer, Ameen A. Mishkhas, Mostafa Eissa
Saudi Medical Journal
OBJECTIVE: To evaluate the measles-mumps-rubella vaccine campaign targeting primary school children in the Kingdom of Saudi Arabia during the months of January and February 2000. METHODS: Pre and post measles-mumps-rubella vaccine blood samples were collected from 54 children from the first grade and 96 children from the 6th grade. Antibodies against measles, mumps and rubella were assayed using enzyme immunoassay and a backup test of plaque neutralization test. This assay was carried out at the Reference Center, Koch Institute, Berlin, Germany. RESULTS: When the backup test results were added, 96%-98% of children had protection level against measles before the campaign. …
Ethical Considerations In The Prevention And Management Of Genetic Disorders With Special Emphasis On Religious Considerations, Mohammed A. Albar
Ethical Considerations In The Prevention And Management Of Genetic Disorders With Special Emphasis On Religious Considerations, Mohammed A. Albar
Saudi Medical Journal
Genetic diseases include not only single gene disoders, but multifactorial, somatic cell genetic disorders, mitochondrial and even chromosomal. One in 4 adults will suffer from a multifactorial or a somatic cell genetic disease. The common diseases in the community have a hereditary component namely diabetes mellitus, hypertension, ischemic heart diseases and many types of cancer. Even monogenic diseases which affect a small number of the newborns (2%-3%), have a greater impact on childhood diseases up to age 15 years. Therefore, it is imperative to scrutinize the available methods of prevention and management of genetic disorders, their ethical implications, and since …
Malaria Parasitemia During Delivery, Sayed M. Ahmed, Ahmed A. Mohamedani, Ali B. Habour, Ali A. Sadek
Malaria Parasitemia During Delivery, Sayed M. Ahmed, Ahmed A. Mohamedani, Ali B. Habour, Ali A. Sadek
Saudi Medical Journal
OBJECTIVE: The aim of this study is to investigate the impact of plasmodium falciparum infection in parturient women in Central Sudan where malaria transmission is mesoendemic. The purpose of this paper is to find out the prevalence of malaria parasitemia and the risk of anemia among parturient women and to suggest appropriate strategies to lower their prevalence rates. METHODS: This prospective study was conducted at Medani Teaching Hospital, Sudan, a tertiary regional referral center, during the period January 1997 through to December 1997. All cases were admitted during labor to the delivery room and were clinically suspected to have malaria. …
Extrapulmonary Tuberculosis, Epidemiology And Patterns In Saudi Arabia, Abdulrahman A. Alrajhi, Ali M. Al-Barrak
Extrapulmonary Tuberculosis, Epidemiology And Patterns In Saudi Arabia, Abdulrahman A. Alrajhi, Ali M. Al-Barrak
Saudi Medical Journal
Annual incidence rates of extrapulmonary tuberculosis have been increasing over the last few years in the Kingdom of Saudi Arabia. True rates may even be higher due to incomplete reporting. Diagnosis of this condition requires high clinical suspicion, special diagnostic procedures, special staining, and culture media for acid fast bacilli. Delayed diagnosis results in increasing morbidity, mortality, and cost to the health care system. Particularly in areas of high endemicity of Mycobacterium tuberculosis, clinicians should be aware of the various forms of extrapulmonary tuberculosis. The available epidemiology and patterns of various forms of extrapulmonary tuberculosis in the Kingdom of Saudi …
Impaired Renal Function Among Children In Alexandria, Egypt, Hebatullah O. Tawfik, Nahla K. Ragab, Zahira M. Gad, Mahmoud M. El-Kersh
Impaired Renal Function Among Children In Alexandria, Egypt, Hebatullah O. Tawfik, Nahla K. Ragab, Zahira M. Gad, Mahmoud M. El-Kersh
Saudi Medical Journal
OBJECTIVE: Impairment of renal function may occur as a result of a variety of conditions. Progression to chronic renal-disease may be prevented by early detection. This epidemiologic study aimed at revealing the predisposing factors and determinants for the development of impaired renal function among Egyptian children. METHODS: This is a case-control study conducted at Alexandria University Children9s Hospital, Alexandria, Egypt. All cases below 12 years of age diagnosed with impaired renal function over a total duration of 6 months (October 1999 through to March 2000) were investigated. The primary study tool was a structured questionnaire, which focused on variables suspected …
Streptococcus Pneumoniae Resistance To Penicillin And Ceftriaxone In A Tertiary Care Center In Saudi Arabia, Ahmed A Al-Aqeeli, Mary L. Guy, Suliman A. Al-Jumaah
Streptococcus Pneumoniae Resistance To Penicillin And Ceftriaxone In A Tertiary Care Center In Saudi Arabia, Ahmed A Al-Aqeeli, Mary L. Guy, Suliman A. Al-Jumaah
Saudi Medical Journal
OBJECTIVE: The proportion of penicillin and ceftriaxone resistant Streptococcus pneumoniae isolates and associated risk factors varies by geographic areas in the world. We conducted a retrospective study to determine the extent of penicillin and ceftriaxone non-susceptible Streptococcus pneumoniae bacteremia in a tertiary care medical center in the city of Riyadh, Kingdom of Saudi Arabia. METHODS: We reviewed 172 episodes of Streptrococcus pneumoniae bacteremic diseases involving 160 hospitalized patients at King Faisal Specialist Hospital and Research Centre, Riyadh, Kingdom of Saudi Arabia, over a 5 year period between January 1995 through to December 1999. Patients9 characteristics and underlying illnesses of those …
Causes Of Infant Mortality In Jordan, Sami A. Khoury, Diana F. Mas'ad
Causes Of Infant Mortality In Jordan, Sami A. Khoury, Diana F. Mas'ad
Saudi Medical Journal
OBJECTIVE: Jordan lacks accurate information on mortality and related indicators. Reporting of infant deaths is defective. Infant mortality rate based on registered deaths was 6/1000 live births, while estimates of this rate based on indirect methods varied between 29-70/1000 live births. Causes of death in general are grossly misrepresented in death certificates. The objective of this paper is to explore, in-depth, causes of infant mortality and related indicators. METHODS: An assessment of causes of death by verbal autopsy was carried out at the Department of Family and Community Medicine, University of Jordan, Amman, Jordan. This was applied between November 1995 …
Diabetes And Infarcted Papillary Thyroid Cancer, Fares H. Haddad, Omar M. Malkawi, Ahmad A. Omari, Alia S. Izzat, Hana M. Khassrof, Luma M. Faiad, Abed-Latif Okla, Abdallah N. Jamil
Diabetes And Infarcted Papillary Thyroid Cancer, Fares H. Haddad, Omar M. Malkawi, Ahmad A. Omari, Alia S. Izzat, Hana M. Khassrof, Luma M. Faiad, Abed-Latif Okla, Abdallah N. Jamil
Saudi Medical Journal
A young black Jordanian lady who has type one diabetes, chronic diabetic complication and ischemic heart disease, presented with a picture of diabetic keto-acidosis, precipitated by an acute neck swelling. This was suggestive of acute suppurative thyroiditis with abscess formation causing compressive symptoms. This unfortunate patient had an eventful course despite aggressive treatment by antibiotics and surgery and then succumbed of an acute cardiac event. The operative tissue biopsy revealed an abscess in an infarcted papillary thyroid cancer. We believe this is a rare presentation of such an association with a fatal outcome.
Meningococcal Disease, Ziad A. Memish, Abdulrahman A. Alrajhi
Meningococcal Disease, Ziad A. Memish, Abdulrahman A. Alrajhi
Saudi Medical Journal
Meningococcal disease occurs as both endemic and epidemic disease in most parts of the world with significant morbidity and mortality. Among the different serogroups of Neisseria meningitidis, serogroups A, B, C account for 90% of the disease. In the last few years there has been a change in the epidemiology of the disease with an increase in the prevalence of serogroup C in Europe and North America, serogroup Y in the United States of America and Sweden, and W135 in the Kingdom of Saudi Arabia. The emergence of Neisseria meningitidis serogroup W135 in the Kingdom of Saudi Arabia has lead …
Risk Factors For Drug-Resistant Mycobacterium Tuberculosis In Saudi Arabia, Abdulrahman A. Alrajhi, Shahab Abdulwahab, Edna Almodovar, Hail M. Al-Abdely
Risk Factors For Drug-Resistant Mycobacterium Tuberculosis In Saudi Arabia, Abdulrahman A. Alrajhi, Shahab Abdulwahab, Edna Almodovar, Hail M. Al-Abdely
Saudi Medical Journal
OBJECTIVE: To identify rates of primary and secondary drug-resistant Mycobacterium tuberculosis and their risk factors from a tertiary-care center in the Kingdom of Saudi Arabia. METHODS: Review of microbiological and clinical data of all patients with positive isolates of Mycobacterium tuberculosis between 1995 and 2000 at King Faisal Specialist Hospital and Research Centre, Riyadh, Kingdom of Saudi Arabia. RESULTS: Susceptibility to antituberculosis agents was tested in 320 isolates from 320 patients. The median age was 50 years. Pulmonary tuberculosis was diagnosed in 106 (33%) patients, extrapulmonary in 183 (57%), and both in 31 (10%) patients. Two hundred forty-six isolates were …
Staphylococcal Toxic Shock Syndrome In A Small Infant, Sameeh S. Ghazal, Mansour N. Al-Hawasi, Sulaiman A. Al-Mosallam, Yousef K. Ghazal, Aysha M. Al-Shammary
Staphylococcal Toxic Shock Syndrome In A Small Infant, Sameeh S. Ghazal, Mansour N. Al-Hawasi, Sulaiman A. Al-Mosallam, Yousef K. Ghazal, Aysha M. Al-Shammary
Saudi Medical Journal
Non menstrual staphylococcal toxic shock syndrome is rare in small infants. This is a 4-month-old infant presented to us with a picture of bronchiolitis and few postuler skin lesions, treated with antistapylococcal antibiotics in addition to other supportive medications. On the 4th day of therapy the patient developed sunburn like erythroderma, hypotension, and high grade fever. The dose of antibiotics was increased to the maximum possible dose, in addition to other supportive medications. The patient improved and developed extensive desquamation in both hands and feet on the 14th day of hospitalization, which confirms the diagnosis.
Combined Brucella Melitensis And Streptococcal Viridans Endocarditis, Tarig S. Al-Khuwaitir, Bashir A. Wani, Suphia M. Sherbeeni
Combined Brucella Melitensis And Streptococcal Viridans Endocarditis, Tarig S. Al-Khuwaitir, Bashir A. Wani, Suphia M. Sherbeeni
Saudi Medical Journal
Infectious endocarditis is a potentially lethal inflammation of the hearts9 inner lining invaded by microorganisms. The mortality from this illness increases as the number of infective organisms rises to 2, due to involvement of the left side of the heart. These microorganisms usually arise from the patient9s own flora but can be acquired from the environment. Fever and heart murmurs are the principal clinical manifestations followed by a plethora of peripheral signs due to dissemination of microorganisms via the bloodstream. Echocardiographic imaging and sensitive culture techniques form the cornerstone of diagnosis. We report a patient with rheumatic heart disease who …
Detection Of Genital Colonization Of Group B Streptococci During Late Pregnancy, Talat A. El-Kersh, Lulu A. Al-Nuaim, Turky A. Kharfy, Fahd J. Al-Shammary, Saad S. Al-Saleh, Faten A. Al-Zamel
Detection Of Genital Colonization Of Group B Streptococci During Late Pregnancy, Talat A. El-Kersh, Lulu A. Al-Nuaim, Turky A. Kharfy, Fahd J. Al-Shammary, Saad S. Al-Saleh, Faten A. Al-Zamel
Saudi Medical Journal
OBJECTIVE: To detect group B streptococcal carrier state of Saudi females during 3rd trimester of pregnancy and to assess type of specimens and the techniques used for the organism detection. METHODS: A total of 867 consecutive vaginal and rectal swabs were obtained from 217 pregnant women at >28 weeks of gestation and their follow up testing from King Khalid University Hospital, Riyadh, Kingdom of Saudi Arabia. Swab-specimens were cultured comparatively on Islam and Edwards blood agar plates, and into selective Lim broth. Enrichment Lim broth cultures (>12 hours) with and without positive modified coagglutination test were then subcultured on …
Empirical Treatment Of Uncomplicated Urinary Tract Infection By Community Pharmacist In The Eastern Province Of Saudi Arabia, Mastour S. Al-Ghamdi
Empirical Treatment Of Uncomplicated Urinary Tract Infection By Community Pharmacist In The Eastern Province Of Saudi Arabia, Mastour S. Al-Ghamdi
Saudi Medical Journal
OBJECTIVE: It is a well known phenomenon in the Kingdom of Saudi Arabia that prescription drugs are dispensed over the counter in the community pharmacies. The aim of this study is to document the attitude of community pharmacists to fulfill the concept of pharmaceutical care and to evaluate how they manage a case of acute uncomplicated lower urinary tract infection. METHODS: Eighty-eight community pharmacists in the Eastern province of Saudi Arabia were presented with a patient claiming urinary tract infection and seeking medical treatment. RESULTS: Only one attendant pharmacist refused to dispense medications without prescription. Fifteen others (17%) dispensed urinary …
Medical Surfing, Latif A. Khan, Sarosh A. Khan
Medical Surfing, Latif A. Khan, Sarosh A. Khan
Saudi Medical Journal
The Internet has revolutionized information technology. Vast amounts of latest information are available on the Internet to medical professionals. Medical surfing is fast becoming part of a doctor9s profession. But the way to approach the Internet and retrieve useful information from myriads of medical websites seems a daunting task to many. This review aims to help the newcomer, the medical students and doctors in obtaining fruitful medical information while surfing. It will prevent them from the feeling of getting drowned in the ocean of medical information. As medical information is not restricted to books and journals, providing Internet addresses of …