scholarly journals Nasopharyngeal Isolates from a Cohort of Medical Students with or without Pharyngitis

2020 ◽  
Vol 20 (3) ◽  
pp. 287
Author(s):  
Hassib Narchi ◽  
Junu V. George ◽  
Sania M. Al-Hamad ◽  
Fawaghi Robari ◽  
Mariam Al-Teniji ◽  
...  

Objectives: Few studies have investigated pharyngeal colonisation in the United Arab Emirates (UAE). This study aims to identify the pharyngeal organisms present in a cohort of medical students with and without symptomatic pharyngitis. Methods: This study was conducted between September 2016 and June 2018 at the College of Medicine and Health Sciences, UAE University, Al-Ain. Nasopharyngeal swabs were collected from preclinical and clinical medical students attending the college during the study period. The specimens were tested for 16 viral and nine bacterial pathogens using a real-time polymerase chain reaction assay. Results: A total of 352 nasopharyngeal swabs were collected from 287 students; of these, 22 (7.7%) had pharyngitis symptoms. Overall, the most common isolates were human rhinovirus, Streptococcus pneumoniae and Haemophilus influenzae, with no significant differences in terms of gender, year of study or stage of study. The prevalence of S. pyogenes in asymptomatic and symptomatic students was 1.1% and 0%, respectively. A Centor score of ≥2 was not associated with S. pyogenes-positive samples. Six pathogens were isolated from symptomatic students including H. influenzae. Fusobacterium necrophorum was not detected in any of the samples. Conclusion: The diagnosis and management of pharyngitis should be tailored to common pathogens in the region. This study found that S. pyogenes and F. necrophorum were not detected among students with symptoms of pharyngitis; moreover, Centor scores of ≥2 were not associated with the presence of S. pyogenes. This cut-off score therefore should not be employed as an empirical measure to initiate penicillin therapy in this population.Keywords: Pharyngitis; Pharynx; Asymptomatic Infections; Carrier State; Fusobacterium necrophorum; Streptococcus pyogenes; Penicillins; United Arab Emirates.

2017 ◽  
Vol 2 (1) ◽  
pp. 29 ◽  
Author(s):  
Zaini Mohd Zain ◽  
Muhammad Fikri Johari ◽  
Nurul Shahirah Mohd Husin ◽  
Nurul Syamimi Rozman ◽  
Athirah Ab Rashid ◽  
...  

Introduction: To determine the prevalence of methicillin-resistant Staphylococcus aureus (MRSA) nasal carriage and detection of S. aureus leukotoxins among medical students of Universiti Teknologi MARA. Methods: Both sides of the anterior nares of 136 volunteers, comprising 68 preclinical and 68 clinical medical students, were swabbed and immediately cultured onto mannitol salt agar for growth of S. aureus. Standard microbiological techniques were conducted to identify and confirm the S. aureus colonies and susceptibility test against oxacillin were conducted by using Kirby-Bauer method to determine their resistance to methicillin. Polymerase chain reaction was performed for detection of leukotoxins, i.e., Panton-Valentine Leukocidin (PVL) and -haemolysin genes. Results: Nineteen students (14%) consisting of 10 preclinical (14.7%) and 9 clinical (13.2%) were nasal carriers of S. aureus. However, none of the S. aureus isolates were MRSA. No PVL gene was detected but eight of them were positive for -haemolysin gene. Conclusion: There were no MRSA nasal carriers among the medical students, but a low prevalence of S. aureus nasal carriers was detected. These carriers do not pose as high risk because none of the strains of S. aureus possess both the -haemolysin toxin and the PVL toxin that are associated with tissue necrosis.


Author(s):  
Adekunle Dawodu ◽  
Yousef M. Abdulrazzaq ◽  
Abdulbari Bener ◽  
Inge Kappel ◽  
Larry Liddle ◽  
...  

BMJ Open ◽  
2017 ◽  
Vol 7 (10) ◽  
pp. e016969 ◽  
Author(s):  
Iffat Elbarazi ◽  
Nancy J Devlin ◽  
Marina-Selini Katsaiti ◽  
Emmanuel A Papadimitropoulos ◽  
Koonal K Shah ◽  
...  

ObjectivesInvestigate how religion may affect the perception of health states among adults in the United Arab Emirates and the implications for research on self-reported health and quality of life and the use of values in cost-effectiveness analysis.DesignQualitative analysis of short-structured interviews with adult Emiratis carried out by a market research agency.The COREQ criteria have been used where appropriate to guide the reporting of our findings.SettingParticipants were recruited from shopping malls and other public places in the cities of Al Ain and Abu Dhabi.ParticipantsTwo hundred adult Emiratis broadly representative of the Emirati population in terms of age and gender.ResultsEighty one per cent of participants said that their perception of health states was influenced by their spiritual or religious beliefs. The two overarching themes that seemed to explain or classify these influences were ‘fatalism’ and ‘preservation of life’. Subthemes included powerlessness to change what is preordained by God, fear of disability (particularly diminished mobility) and appreciation of health and life and the requirement to look after one’s health. A final theme was that of acceptance, with respondents expressing a willingness to endure suffering and disability with patience in the expectation of rewards in the hereafter.ConclusionsOur results emphasise the need for further work to establish locally relevant value sets for Muslim majority countries in the Middle East and elsewhere for use in health technology assessment decision-making, rather than relying on value sets from other regions.


BMJ Open ◽  
2020 ◽  
Vol 10 (11) ◽  
pp. e039357
Author(s):  
Sara Sorrell ◽  
Halah Ibrahim

ObjectivesMedical school serves as a critical developmental period for future physicians, during which students begin to form a professional identity. Just as personal appearance, particularly clothing, is an important external expression of one’s personal identity, ‘uniforms’ in healthcare, including white coats and scrubs, symbolise status and a group identity. There are, however, limited studies on the impact of physician attire on medical students’ formation of professional identity. Accordingly, through qualitative analysis of written narratives, we sought to analyse medical students’ experiences of wearing professional physician attire, namely scrubs, and how the uniform impacted their confidence level, performance and behaviours, as well as their identity as future physicians.DesignQualitative analysis of medical student’s written narratives.SettingKhalifa University College of Medicine and Health Sciences (KU CMHS) is a new medical school in the United Arab Emirates, with an inaugural class of 30 students admitted in August 2019. It is the only medical school in the city of Abu Dhabi, and the only school in the country that follows a postgraduate medical curriculum.ParticipantsAll first year medical students at KU CMHS were purposively sampled.MethodsStudents completed a voluntary online anonymous questionnaire. We employed a social identity approach to data analysis. Thematic content analysis was conducted on their narratives to identify themes.ResultsWe identified three major themes, namely (1) emotions, (2) logistics and (3) interpersonal relationships.ConclusionsMedical students form early perceptions regarding physician attire and its impact on their professional identity. Engaging in conversations regarding professional attire with educators or mentors could provide an important opportunity for students to discuss and explore professional identity early in training.


2020 ◽  
Vol 4 (1) ◽  
pp. 10-20
Author(s):  
Haidar Salim Anan

The taxonomical consideration, probable phylogeny and stratigraphic significance of twenty-eight middle Eocene (Bartonian) planktic foraminiferal species from the eastern limb of Jabal Hafit, Al Ain area, United Arab Emirates (UAE), Northern Oman Mountains (NOM) are presented, and twenty one of them are illustrated. Identification of these twenty-eight species belonging to ten genera Globoturborotalia, Subbotina, Globigerinatheka, Inordinatosphaera, Orbulinoides, Hantkenina, Acarinina, Morozovelloides, Pseudohastigerina and Turborotalia has led to the recognition of three biostratigraphic zones, in ascending order: Morozovelloides lehneri PRZ (E11), Orbulinoides beckmanni TRZ (E12) and Morozovelloides crassata HOZ (E13). Eight out of the identified species are recorded, in this study, for the first time from Jabal Hafit: Globoturborotalia martini, Subbotina gortanii, S. jacksonensis, S. senni, Globigerinatheca barri, Acarinina praetopilensis, A. punctocarinata and Morozovelloides bandyi. The second or third record of three species from J. Hafit outside its original records are recently documented by the present author: Inordinatosphaera indica, Hantkenina australis and H. compressa. The paleontology, paleoclimatology and paleogeographic distribution of the identified taxa at Jabal Hafit and other Paleogene outcrops in the UAE and Tethys are presented and discussed. The identified fauna emphasis the wide geographic areas in the Tethys, from Atlantic to Indian-Pacific Oceans via Mediterranean.


2001 ◽  
Vol 7 (1-2) ◽  
pp. 38-45
Author(s):  
G. G. Lestringant ◽  
K. A. Saarinen ◽  
P. M. Frossard ◽  
A. Bener ◽  
A. M. Ameen

Wexamined and sampled 45 patients with toe-web intertrigo for bacteriological and mycological studies. Prominent isolated pathogens were the genus Candida [57.7%], genus Aspergillus [28.8%], Pseudomonas aeruginosa [26.7%] and coliforms [24.4%]. Dermatophytes scored 4.4% [Trichophyton rubrum]. There were 43 patents [95.5%] who presented with marked hyperkeratosis and maceration of the toe-webs involved. The tradition of the Emirati population of sitting cross-legged may, over time, induce in the toe-webs of overweight individuals a macerated pressure-reaction hyperkeratosis that is colonized by environmental germs. T. rubrum and T. mentagrophytes are uncommon in the Al-Ain environment and this may explain the rarity of dermatophytes in toe-web intertrigo in our study.


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