STUDY ON SOME CLINICAL, BIOCHEMICAL CHARACTERISTICS AND OUTCOME OF BACTERIAL MENINGITIS DUE TO STREPTOCOCCUS SUIS AT HUE CENTRAL HOSPITAL 2011-2012

2012 ◽  
pp. 46-51
Author(s):  
Xuan Chuong Tran ◽  
Quoc Dat Doan ◽  
Trung Tien Phan

Objectives: Bacterial meningitis is a very severe infectious disease in Vietnam. Studies about bacterial meningitis in our country in the last 10 years show that the most isolated causing bacteria is Streptococcus suis. Materials and methods: Prospective study. All the patients over 15 years old with diagnosis bacterial meningitis due to S. suis treated in Hue Central Hospital from May, 2011 to April, 2012 were recruited in this study. Results: 40 patients were enrolled in this study (male: 82.5%, female: 17.5%). Mean age 46.5 ± 17.72. 45% of patients had contact to pig or used pigs products. Related diseases: ENT diseases (25%), cranial trauma (5%), diabetes (7.5%), ect. The majority of patients have headache (97.5%), vomiting (85%), Kernig’s sign (72.5%), Brudzinsky’s sign (52.5%). 45% of patients have CRP 100 - 200 mg/L. 55% of patients have over 1000 cells/mm3 CSF, 47.5% of patients have CSF protein 3.0 ­– 5.0 g/L. In the result: 100% patients recovered, 40% had complications. Deefness was the most founded complication (37.5%). Conclusions: 45% of patients had contact to pig or used pigs products. The majority of patients have headache (97.5%), vomiting (85%), Kernig’s sign (72.5%), Brudzinsky’s sign (52.5%). Deefness was the most founded complication (37.5%). Key words: Meningitis, Streptococcus suis

2016 ◽  
pp. 57-64
Author(s):  
Thi Linh Giang Truong ◽  
Vu Quoc Huy Nguyen ◽  
Quang Vinh Truong ◽  
Van Duc Vo

Background: Study on the correlation between the values of the Uterine Doppler with the type of preeclamsia and using uterine Doppler and predict fetal distress. Methods: Study on 116 patients with pre-eclampsia at Obs. & Gyn. Department - Hue Central Hospital were taken by an prospective cohort study. Results: There was correlation between morphology of uterine Doppler waves with the type of preeclamsia and fetal distress. Among 46 patients with server preeclamsia, the rate of abnormal of waves uterine Doppler is 78,2 %, and the rate of abnormal of waves uterine Doppler is 22% and fetal. This research also evaluate the relation between uterine Doppler with the fetal distress. The group patients with fetal distress also have the rate of abnormal uterine Doppler is 86,6% and the rate of nomal uterine dopple is 13,4 %. Conclusion: There was the correlation between the values of the Uterine Doppler with the type of preeclamsia and predict fetal distress. The value of uterine Doppler ultrasound can be predict the ricks happening for mother and fetal distress with preeclampsia. Key words: Doppler ultrosound, uterine Doppler, fetal distress, preeclampsia, IUGR.


2011 ◽  
pp. 53-57
Author(s):  
Thi Phuong Thao Nguyen ◽  
Xuan Chuong Tran

Objective: Sepsis is a very important infection. Studying the antibiotic resistance helps doctors to make the right choice for treatment of infections and reduce mortality. Materials and methods: 60 patients diagnosed as sepsis treated at Hue Central hospital, since Jan 2009 to June 2010. Retrospective study. Results: The most isolated agents are E. coli (40% patients), K. pneumoniae (16.7%) and Streptococcus suis (18.3%). Most of agents sensitive to ceftriaxon, ciprofloxacin và gentamicin. 100% sensitive to imipenem. All agents, except S. suis, are resistant to ampicillin. Agents resistant to ceftriaxon, ciprofloxacin and gentamicin have very high mortality (E. coli: 87.5% vs. 43.7%. S. suis : 66.7% vs. 25%). Conclusions: The most isolated agents are E. coli, K. pneumoniae and S. suis. Most of agents sensitive to ceftriaxon, ciprofloxacin và gentamicin. All agents, except S. suis, are resistant to ampicillin. Agents resistant to ceftriaxon, ciprofloxacin and gentamicin have very high mortality.


2019 ◽  
pp. 7-11
Author(s):  
Thien An Tran ◽  
Van Minh Doan ◽  
Thi Tu Anh Nguyen

Background: Chronic urticaria (CU) is characterized by repeated occurrence of wheals and itching for more than 6 weeks. Treatment of chronic urticaria with traditional medicine has been shown to relieve symptoms and prevent recurrence. In recent years, more and more evidence-based studies of CU treatment by Traditional medicine were report, including acupuncture, herbs, and food. Objective: To evaluate the efficacy of Duong-Quy-Luc-Hoang (DQLH) decoction in treatment of Chronic Urticaria. Material and Method: Including 30 patients with chronic urticaria had been treated by DQLH decoction in Faculty of Traditional Medicine, Hue Central Hospital. Prospective study, clinical intervention, comparison before and after treatment. Results: The decoction of DQLH has efficacy in 100% patient, include 56.7% of patient who became symtom-free. There is no side effects observed during the progress of this study. Key words: Chronic urticarial, Duong-quy-luc-hoang decoction, Traditional medicine


2011 ◽  
pp. 52-59
Author(s):  
Binh Bao Son Bui

Objective and methods: a prospective questionnaire based study on 71 parents (caretakers) of consecutive children treated at the Pediatric Department, Hue Central Hospital and on 47 health professionals at the department was conducted from September until December 2009 to investigate the knowledge, attitude and practices of the caretakers, nurses and postgraduated doctors toward teething in infants. Results: Most responders believed that teething causes fever, irritability, feeding problems, drooling, biting, sleep disturbance, swollen gums, crying, lose of appetite for solids; and fever over 38oC was also believed to be associated with teething. The mean eruption time of the first tooth was from 6 months. Most caretakers had normal attitude to manifestations ascribed to teething (54.9%). The most common management to symptoms attributed to teething included increased breast-feeding, oral paracetamol, increased fluid supplying and physician consulting. Conclusion: Correct knowledge to teething in infants need to be educated for parents (caretakers) and even for health professionals. Key words: knowledge, attitude, practices, teething, infants.


2019 ◽  
pp. 35-40
Author(s):  
Thi Nhung Nguyen ◽  
Trung Nam Phan ◽  
Van Huy Tran

Bacground: Variceal bleeding is a severe complication of portal hypertension due to cirrhosis with high rate of motality, hence, predicting early rebleeding and mortality in cirrhotic patients with acute variceal bleeding is vital in clinical practice. Objectives: To evaluate the prognostic value of the combination of AIMS65 and MELD scores in predicting first 5 days in-hospital rebleeding and mortality in cirrhotic patients with acute variceal bleeding. Materials and Methods: 44 cirrhotic patients with acute variceal bleeding hospitalized at Hue Central Hospital. MELD and AIMS65 scores were calculated within the first 24 hours and monitoring rebleeding and mortality in the first 5 days in these patients. Results: AIMS65, MELD scores can predict first 5 days rebleeding and mortality with AUROC are 0.81, 0.69 and 0.92, 0.95, respectively. Combination of AIMS65 and MELD scores can predict first 5 days in hospital rebleeding with AUROC is 0.84, sensitivity 83.3%, specificity 81.6% (p<0.001) and mortality with AUROC is 0.96, sensitivity 100%, specificity 92.7% (p<0.001). Conclusions: The combination of AIMS65 and MELD scores increased the sensitivity, specificity and prognostic value in predicting first 5 days in-hospital rebleeding and mortality in cirrhotic patients with acute variceal bleeding in compare to each single scores. Key words: AiMS65 score, MELd, acute variceal bleeding


2018 ◽  
Vol 29 ◽  
pp. 382-382
Author(s):  
Sasa Marin ◽  
Michael Payer ◽  
Elisabeth Amberger ◽  
Martin Koller ◽  
Kerstin Theisen ◽  
...  

2004 ◽  
Vol 72 (5) ◽  
pp. 3084-3087 ◽  
Author(s):  
Rüdiger A. Adam ◽  
Tobias Tenenbaum ◽  
Peter Valentin-Weigand ◽  
Maurice Laryea ◽  
Bernd Schwahn ◽  
...  

ABSTRACT The involvement of the choroid plexus in host defense during bacterial meningitis is unclear. Aiming to elucidate possible antibacterial mechanisms, we stimulated primary porcine choroid plexus epithelial cells (pCPEC) with proinflammatory cytokines and challenged them with various Streptococcus suis strains. In the supernatant of gamma interferon (IFN-γ)-stimulated pCPEC, streptococcal growth was markedly suppressed. Costimulation with tumor necrosis factor alpha enhanced this bacteriostatic effect, while supplementation of l-tryptophan completely eliminated it. We also demonstrate that an activation of indoleamine 2,3-dioxygenase in the pCPEC seems to be responsible for the IFN-γ-induced bacteriostasis. This supports the hypothesis of an active role of the choroid plexus in host defense against bacterial meningitis.


Author(s):  
Aditi Sharma ◽  
Rajashri Kolte ◽  
Abhay Kolte

Aim: The aim was to evaluate the knowledge, attitude and behaviour of dental students concerning infection control measures and to check the correlation, if any, among knowledge, attitude and behaviour of dental students concerning infection control measures in dental setups. Materials and Methods: A total of 1200 students from first to final year and interns from three different colleges were included in the study. Results: A total of 95.83% think isolation is important. Only 4.1% have been vaccinated with hepatitis B vaccine and 95% with tetanus vaccine. Conclusion: The level of knowledge and behaviour of infection control measures was average, for which the reasons could be inadequate training, supply of protective equipments and mainly carelessness. Key Words- Infection control, Vaccination, Isolation.


2014 ◽  
Vol 13 (6) ◽  
pp. 21-29
Author(s):  
Т. E. Borovik ◽  
N. G. Zvonkova ◽  
О. L. Lukoyanova ◽  
Т. V. Bushueva ◽  
Т. N. Stepanova ◽  
...  

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