Sousan Marefati, Marzieh Ghazisaeidi,
Volume 3, Issue 3 (Autumn 2000)
Abstract
Urinary tract infection(UTI) is the most genitourinary disease of childhood. UTI include a wide range of clinical signs. That all of them have a common finding: positive urine culture. We study the results of urine cultures and antibiograms of 101 child aged 0 to 10 years who were referred to laboratory of Amir Kabir hospital. The presence of more than 100.000 colonies /ml of a single organism is considered as positive culture. 25 patients were boys and 76 were girls. The most microganism that grows is Ecoli in 87 ones and then 86.1% klebsiella in 4 cases, stophylocococi in 4 cases enterobacter in 3 cases, proteus in 1 case streptococos in 1 and mixed growth in 1 case, In girls the most pathogen is Ecoli (69n.09%) then staphylococci. In boys, Ecoli is the most common pathogen, then klebsiella and enterobacter. Antibiotic resistance in Ecoli were 72% resistance to cotrimazol, 76% resistance to Ampicilin. Sensitivity to coentamy Nalidikic acid and Nitrofurantom were 90,95.96%. The study show that in treatment of out patient cause that urine culture is not available, use of Nitrofortion. Nalid and preferred to use of cotrimazol.
Gholam Ali Fatahi Bayat, Sousan Marefati,
Volume 4, Issue 2 (Summer 2001)
Abstract
Nocturnal enuresis (NE) is a psychosocial problem for children and parents. The incidence of Ne is 20% in 5 years old children. Since no single etiology is found for disorder, various therapeutic modalities have been used. None of which could cure enuresis entirely. Two types of treatment are considered: Pharamacologic & nonpharmacologic. A prospective experimental study in the level of clinical trial in 98 children aged 5-15 years who have NE underwent for 1 month of therapy with imiperamine in 49 and desmopressin in 49 no. of patient treated with imiperamine 36 children have complete response (73%) (all dry bed), at the 3 months follow up 20 children have recurrence. Ammong patients treated with dessmopressin, 31 children have complete response (63%). Recueernce rate after 3 months is 17 cases. Our results didn’t indicate any statistical difference between imipramine & desmopressin in the treatment of N.E. Imipramine is more complicated than desmopressin so that desmppressin is preferred.
Manijheh Kahbazi , Susan Marefati ,
Volume 5, Issue 2 (Summer 2002)
Abstract
Introduction: Asthma is one of the most chronic long disease of childhood that caused repeated admitting in hospital & school day lost. Asthma identifies with recurrent attack of cough, dyspnea & wheezing. The goals of treatment are relief of Acute symptoms, prevention or diminish the frequency of recurrent symptoms maintain normal pulmonary functions & maintain normal activity level.
Materials and Methods: In our study, all patients with final diagnosis of asthma that hospitalized in Amir-Kabir hospital from 79.1.1 to 80.1.30 evaluated.
Results: first line drugs that used Aminophylline (62%), antibiotics 56%, corcosteriod 42%, inhaled salbutamol 14% and oral salbutamol 0.6%. others that used in the period of treatment according to prevalence are antibiotics 85% , aminophylline 74%, corticosteroid 5%, oral salbutamol 40%, adrenaline 31%, inhaled salbutamol 24% & theophylline_G 14%. Most of clinicians use aminophylline instead of beta agonist, Only 14%. patients receive inhaled salbutamol in the first line.
Conclusion: There findings reflect inappropriate therapy of asthma. It seems that little knowledge of clinicians about new medical methods, absence of new drugs and little knowledge of patients & their family of patients and their norriment about use of inhaled drug, are basic problems. That’s logical, that education of clinicians & patient their parents, explanation the mandatory of preparation of new drugs & proper device to manages can resolve their problems.
