scholarly journals ANTIBIOTIC PROPHYLACTICS ON CURETTAGE FOR PREVENTING PELVIC INFLAMMATORY DISEASE EVENTS: IS IT NECESSARY?

2018 ◽  
Vol 11 (11) ◽  
pp. 267
Author(s):  
Fauna Herawati ◽  
Abdul Rahem ◽  
Dwi Handayani ◽  
Rika Yulia
Keyword(s):  
Antibiotic Prophylaxis ◽  
Pelvic Inflammatory Disease ◽  
Sedimentation Rate ◽  
Inflammatory Disease ◽  
Vaginal Discharge ◽  
Pain Scale ◽  
Prophylactic Antibiotics ◽  
Erythrocyte Sedimentation ◽  
Group A ◽  
Group B

Objective: This study aimed to compare pelvic inflammatory disease (PID) symptoms in curettage procedure with three antibiotic prophylaxis strategies.Methods: The patients were allocated to three Groups (A, B, and C). Group A was patients receiving prophylactic antibiotics and post-curettage antibiotics, Group B received prophylactic antibiotics without post-curettage antibiotics, and Group C did not receive prophylactic antibiotics but received post-curettage antibiotics. The outcomes measured to identify the occurrence of PID symptoms included leukocytes, erythrocyte sedimentation rate, temperature, pain, vaginal discharge, and bleeding.Results: This study shows that there were no significant differences in any PID symptoms between antibiotic strategies except for pain scale (p=0.03).Conclusion: The PID symptoms between the three strategies of antibiotic prophylaxis were similar.

scholarly journals Role of Prophylactic Antibiotics in the Management of Postoperative Endodontic Pain

2015 ◽  
Vol 16 (12) ◽  
pp. 939-943 ◽  
Author(s):  
Leena Alsomadi ◽  
Riyad Al Habahbeh
Keyword(s):  
Pain Scale ◽  
Prophylactic Antibiotics ◽  
Post Treatment ◽  
Endodontic Treatment ◽  
Significant Difference ◽  
Group A ◽  
Inflammatory Drugs ◽  
Anti Inflammatory ◽  
Group B

ABSTRACT Aim To investigate the efficacy of using antibiotics in post endodontic treatment as a method to alleviate post-treatment pain. Materials and methods After completion of endodontic treatment 129 patients were randomly divided into two groups: Group A (65 patients) received Ibuprofen 400 mg one tablet before procedure and one tablet every 8 hours for the first day, then one tablet once indicated by pain. Group B (64 patients) received the same regimen as group A in addition to amoxicillin, clavulanic acid tablets (one tablet before the procedure, and then one tablet twice daily for a total of 3 days). Intensity of pain at 8 hours interval using visual analog scale (VAS) and total number of Ibuprofen tablets used was recorded by patients. Results Peak postoperative pain occurred at 16 hours posttreatment in both groups, there was a significant difference in the pain scale between the two groups in favor for group B over group A (3.8 vs 2.1 respectively). Pain scale was significantly lower in group B at 24, 32, 40, and 48 hours post-treatment with a p-value of < 0.05. The pain scale at 56, 64 and 72 hours were also less in group B, although could not show up as statistical difference. Patients in group A used statistically significant more Ibuprofen than patients in group B (486 vs 402). Conclusion Antibiotic prescription to manage post endodontic treatment pain results in less pain with less consumption of Ibuprofens. Clinical significance Pain management in endodontics is a real challenge, nonsteroidal anti-inflammatory drugs (NSAIDS) are used effectively in many patients to alleviate post endodontic pain. Nonsteroidal anti-inflammatory drugs may have adverse reactions or may be contraindicated. Short-term use of antibiotics to alleviate pain can be of clinical benefits in these patients. How to cite this article Alsomadi L, Al Habahbeh R. Role of Prophylactic Antibiotics in the Management of Postoperative Endodontic Pain. J Contemp Dent Pract 2015;16(12):939-943.

scholarly journals Effects of selected vitamins and minerals on growth rate and hematological parameters in broilers

2016 ◽  
Vol 1 (3) ◽  
pp. 487-494 ◽  
Author(s):  
Mohammad Harun Ar Rashid ◽  
Nazim Ahmad ◽  
Mohammad Rohul Amin ◽  
Mohammad Lalmoddin Mollah
Keyword(s):  
Body Weight ◽  
Erythrocyte Sedimentation Rate ◽  
Sedimentation Rate ◽  
Hematological Parameters ◽  
Haemoglobin Concentration ◽  
Erythrocyte Sedimentation ◽  
Group A ◽  
Group B ◽  
Group D ◽  
Standard Ration

The present study was designed with a view to study the body weight and hematological parameters; total erythrocyte count, haemoglobin concentration, packed cell volume and erythrocyte sedimentation rate of growing broilers fed with standard poultry ration. Broilers were kept under close observation for a period of 14 days and body weight was measured at each 7 days interval up to the end of the 35 days of experimental period. A total of 20 (7 days old) broiler chicks were reared throughout the entire period of study. These chicks were randomly divided into four equal groups (n=5). Group A considered as control, fed only standard ration. Group B, C and D was considered as treated group. Group B with vitamin AD3E 1 ml/5 liter drinking water. Group C treated with mineral 1 ml/5 liter dirking water and Group D treated with vitamin (AD3E) 1 ml/5liter and mineral 1 ml/5 liter dirking water with standard ration. It was observed that body weight of broiler increased significantly (p<0.01) in group D compare to group A, B, & C. Total erythrocyte count, haemoglobin concentration and erythrocyte sedimentation rate values were significant (p<0.01) in the treated groups as compared to that of control group A. So it is concluded that vitamin (AD3E) and mineral supplementation with standard ration is beneficial for broiler production and economically profitable.Asian J. Med. Biol. Res. December 2015, 1(3): 487-494

The SLAPPA (Significance of Lower Abdominal/Periumbilical Piercing as a predictor of acute Appendicitis) audit

Sexual Health ◽  
2006 ◽  
Vol 3 (3) ◽  
pp. 195 ◽  
Author(s):  
Irfan Ahmed ◽  
Matthew K. Boulter ◽  
Dileep N. Lobo
Keyword(s):  
Acute Appendicitis ◽  
Pelvic Inflammatory Disease ◽  
Inflammatory Disease ◽  
Clinical Judgment ◽  
Health Care Professionals ◽  
Iliac Fossa ◽  
Final Diagnosis ◽  
Female Patients ◽  
Group A ◽  
Group B

Background: Anecdotal observations among medical staff suggest that young women with periumbilical piercing presenting with right iliac fossa pain are more likely to have pelvic inflammatory disease than acute appendicitis because of an unconventional lifestyle. This audit was performed to test the validity of this prejudice. Methods: The clinical data of all female patients aged 16–45 years admitted to a teaching hospital with suspected acute appendicitis were collected prospectively over six months. Patients who had undergone previous appendicectomy or gynaecological surgery, those with known Crohn’s disease, or those on antibiotics at the time of admission were excluded. Results: 107 patients with a median age of 29.7 years (range 15–45 years) were studied. Thirty-two patients had periumbilical piercing (Group A) and 75 patients did not (Group B). Fifty-nine out of 107 (55.14%) were operated upon. Ten (31.2%) patients in Group A had histologically confirmed acute appendicitis compared with 25 (33.3%) in Group B. Other diagnoses in Group A included non-specific abdominal pain (n = 13, 40.6%), urinary tract infection (4, 12.5%), pelvic inflammatory disease (4, 12.5%) and ovarian cyst (1, 3.1%). Corresponding figures for patients in Group B were 30 (40.0%), 8 (10.7%), 7 (9.3%) and 4 (5.3%) respectively. None of the differences between the two groups were statistically significant. Conclusions: There was no difference in the frequency of a final diagnosis of acute appendicitis or pelvic inflammatory disease in female patients with and without periumbilical piercing. Health care professionals should not allow their clinical judgment to be prejudiced by the presence of body piercing.

scholarly journals EFFECTS OF SHOTI (CURCUMA ZEDOARIA) ON GROWTH PERFORMANCES AND HEMATO-BIOCHEMICAL PARAMETERS OF BROILER CHICKS

2016 ◽  
Vol 14 (1) ◽  
pp. 15-19
Author(s):  
M. J. Alam ◽  
M. S. Islam ◽  
M. M. Rahman ◽  
S. Mazumder ◽  
N. Ahmad
Keyword(s):  
Uric Acid ◽  
Erythrocyte Sedimentation Rate ◽  
Sedimentation Rate ◽  
Biochemical Parameters ◽  
Erythrocyte Count ◽  
Control Group ◽  
Erythrocyte Sedimentation ◽  
Group A ◽  
Group B ◽  
Group D

The research was conducted to observe the effect of shoti meal on weight gain and some selected hematological values such as total erythrocyte count (TEC), hemoglobin (Hb) and erythrocyte sedimentation rate (ESR) and biochemical parameters such as aspartate transaminase (AST), alanine transaminase (ALT), uric acid and creatinine in broilers. Fresh rhizomes were washed, minced and dried and pulverized in a flour meal. A total of 20 broilers (16 day old) were randomly divided into four equal groups.  Group A was treated as control and groups B, C and D were fed with 5%, 10% and 15% shoti respectively for 22 days. The result showed that body weight of broilers fed 10% shoti meal (group C) was higher than that of other treated groups. After having completed the feeding trial, birds were sacrificed to collect blood samples for hematological and serum biochemical analysis. Total erythrocyte count (TEC) in group D varied significantly (p<0.05) from all other groups. The highest hemoglobin content was recorded in group B and lowest in group A (Control). Significant (p<0.05) differences were observed among the groups compared to control group. The highest erythrocyte sedimentation rate (ESR) was in group B and lowest was in group A (control) and group C (shoti 10%). Serum AST within the treated groups 15% shoti, (Group D) was significantly (p<0.05) higher to that of 5% shoti (Group B), and 10% shoti (group C). The ALT value in group A was significantly higher (p<0.05) than the other groups. Uric acid concentration within the treated groups, group C (10% shoti) showed significantly higher (p< 0.05) than the group B (5% shoti) and group D (15% shoti). Creatinine concentration decreased significantly (P<0.05) in control (group A) to that of others group. Biochemical parameters analyzed in present research is the first report in broilers.

scholarly journals A comparative study of moxifloxacin versus combination of doxycycline and metronidazole for treatment of uncomplicated pelvic inflammatory disease

2019 ◽  
Vol 8 (5) ◽  
pp. 956
Author(s):  
Priyadharshini M. ◽  
Sarmila Nath ◽  
Gourisankar Kamilya ◽  
Raja Roy
Keyword(s):  
Pelvic Inflammatory Disease ◽  
Inflammatory Disease ◽  
Vaginal Discharge ◽  
Visual Analogue Score ◽  
Treated Group ◽  
Vaginal Swab ◽  
Reproductive Age ◽  
Number Of Patients ◽  
Group B ◽  
Organism Identification

Background: Pelvic inflammatory disease (PID), a common condition among women of reproductive age caused by various aerobic and anaerobic organisms, may sometimes lead to complications like infertility, ectopic pregnancy and chronic pelvic pain. Moxifloxacin is a broad spectrum bactericidal antibiotic acting against many gram positive, gram negative aerobic organisms and anaerobes. Rapid absorption and high bioavailability allow single daily dosing and improves compliance. The present study was done to compare the clinical and microbiological outcomes in  PID patients treated with conventional doxycycline- metronidazole  and moxifloxacin therapy.Methods: Women with uncomplicated PID, randomized into two groups either received 400 mg single dose of moxifloxacin daily for 14 days (group A) or doxycycline 100 mg + metronidazole 500 mg twice daily for 14 days (group B). Temperature, TLC count, ESR, CRP, microbiological assessment, Visual analogue score for pain, vaginal discharge, dyspareunia and backache were noted. The bacteriological cure was assessed by high vaginal swab for organism identification by gram stain, 10% KOH and blood sample by ELISA.Results: Total 60 women were enrolled and randomized into two groups. There was significant reduction of CRP and improved TLC in the moxifloxacin treated group. Visual analogue scores for pain, vaginal discharge and malaise were significantly reduced in the group treated with moxifloxacin.  Nausea, vomiting, metallic taste, dyspepsia and diarrhoea were complained by a significant number of patients of doxycycline + metronidazole group, in contrast to the patients receiving moxifloxacin.Conclusions: Moxifloxacin 400 mg once daily, is effective and safe for treatment of PID.

scholarly journals Incidence of Bacteriuria after Urodynamic Study with or without Antibiotic Prophylaxis in Women with Urinary Incontinence

2017 ◽  
Vol 39 (10) ◽  
pp. 534-540 ◽  
Author(s):  
Elizabeth Hirakauva ◽  
Ana Bianchi-Ferraro ◽  
Eliana Zucchi ◽  
Marcio Kajikawa ◽  
Manoel Girão ◽  
...  
Keyword(s):  
Urinary Incontinence ◽  
Placebo Group ◽  
Urinary Tract ◽  
Antibiotic Prophylaxis ◽  
Urine Culture ◽  
Placebo Control ◽  
Urodynamic Study ◽  
Group A ◽  
Group B ◽  
Group D

Introduction The presence of bacteria in urine is called bacteriuria, which may be symptomatic or asymptomatic. The manipulation of the urinary tract during urodynamic study (UDS), which is an invasive procedure, can result in urinary tract infection (UTI). Studies on the use of prophylactic antibiotics for UDSs are contradictory. Some investigators concluded that they were valuable and others did not. The objective of this study is to evaluate the efficacy of antibiotic prophylaxis before UDS. This is a placebo-control randomized double-blind study. Methods Two-hundred and seventeen women affected by urinary incontinence were eligible for this study. All patients had presented negative urine culture previous to the UDS. They were randomized in four groups: group A received placebo, group B received 500 mg of levofloxacin, group C received 80 mg trimethoprim and 400 mg sulfamethoxazole and group D received 100 mg of nitrofurantoin. A urine culture was performed 14 days after the UDS. Results We observed asymptomatic bacteriuria after the UDS in five patients in group A, one in group B, one in group C and one in group D. Only one patient on group A had symptomatic bacteriuria. We didn't observe statistical difference between the groups. When we recategorized the patients in two groups, the incidence of bacteriuria was significantly higher in the placebo group compared with the antibiotic group. Conclusion The conclusion is that antibiotic prophylaxis before the UDS did not reduce the incidence of UTI in women within the target population.

scholarly journals Comparison between intravenous injectable diclofenac and per rectal diclofenac suppository as analgesics in operated per anal and perianal benign pathologies

2019 ◽  
Vol 7 (1) ◽  
pp. 263
Author(s):  
Juthikaa Abhijit Deherkar
Keyword(s):  
Pain Relief ◽  
Hospital Stay ◽  
Pain Score ◽  
Pain Scale ◽  
Group A ◽  
Group B ◽  
At Home

Background: Per anal and perianal surgeries are one of the bread and butter surgeries in a surgeons life, and satisfaction of patient matters a lot. Early miraculous recovery has always been patient’s expectations hence we decided to study standard IV method of diclofenac as analgesic with diclofenac suppository and compared their effects on patients with the help of pain scale of 0 to 10.Methods: 200 common per anal surgeries were considered in the study, and were divided in two groups group A post operatively IV diclofenac was given 12 hourly and in group B cases diclofenac suppository 100 mg was started daily twice and the pain score was noted for a week.Results: Diclofenac suppositories resulted in early pain relief and thus early discharges of these patients. The pain score had decreased to a larger extent by day 3 and was almost negligible by day 5 and a few cases to day 7. The hospital stay reduced as patient could manage suppository at home by themselves. IV site complications like thrombophlebitis leading to pain and fever could be easily avoided.Conclusions: Thus diclofenac suppositories proved to be an effective way to give a pain free satisfaction compared to intravenous painful analgesics, thus decreased their hospital stay and also it was a patient friendly.

scholarly journals Penile nerve block at the base of penis in combination with intravenous ketamin plus midazolam versus general anaesthesia(GA) in children undergoing circumcision for post operative pain management in the Eastern Nepal

2014 ◽  
Vol 4 (1) ◽  
pp. 33-36
Author(s):  
NR Sharma ◽  
P Timalsena ◽  
U Rai
Keyword(s):  
Pain Management ◽  
General Anaesthesia ◽  
Nerve Block ◽  
Randomized Study ◽  
Pain Scale ◽  
Single Shot ◽  
Post Operative Pain ◽  
Analgesia Requirement ◽  
Group A ◽  
Group B

Adequate post operative analgesia in children provides satisfactory psychological objective of this study was to compare the post operative analgesia requirement and child satisfaction between two groups, general anaesthesia(GA) alone and GA in combination with penile nerve block. This prospective randomized study was conducted in 50 children aged 6 to 14 years, who underwent circumcision. The boys were randomly allocated into two groups. Group A (n = 25) received GA with Single shot ketamin 2mg/kg IV plus midazolam 0.1 mg/kg and dorsal penile nerve block at the base of penis prior to circumcision with and Group B (n = 25) received GA with ketamine 2mg/kg IV plus midazolam 0.1 mg/kg plus halothane by laryngeal mask. Severity of pain was assessed quantitatively by children’s hospital eastern Ontario pain scale (CHEOPS). The pain intensity was assessed at one hour A1 in group A and B1 for group B and at two hour A2 for group A and B2 for group B during postoperatively period for two hours. Statistical analysis was done by SPSS method. The post operative analgesia was satisfactory with CHEOPS score 6 or <6 in group A 1. In group A 2 twenty two out of twenty five cases had CHEOPS score <6.Where as in group B1 and B2 it was > 6 .Which was statistically 100% significant. In conclu­sion, combined penile nerve block in combination with intravenous ketamine plus midazolam is the satisfactory method of Post operative pain management in children undergoing circumcision. DOI: http://dx.doi.org/10.3126/jcmc.v4i1.10846 Journal of Chitwan Medical College 2014; 4(1): 33-36

Miscellaneous topics in gynaecology

2016 ◽  
Author(s):  
Stergios K. Doumouchtsis ◽  
S. Arulkumaran ◽  
Maya Basu ◽  
Claudine Domoney ◽  
Stergios K. Doumouchtsis ◽  
...  
Keyword(s):  
Sexual Assault ◽  
Ectopic Pregnancy ◽  
Pelvic Inflammatory Disease ◽  
Urinary Retention ◽  
Genital Herpes ◽  
Inflammatory Disease ◽  
Emergency Surgery ◽  
Medical Management ◽  
Prophylactic Antibiotics

This chapter outlines miscellaneous topics in gynaecology, such as urinary retention, sexual assault (including incidence, risks, examination, and management), and pharmacotherapeutics in gynaecology (drugs used in the treatment of pelvic inflammatory disease (PID), prophylactic antibiotics for emergency surgery, genital herpes, menorrhagia and dysmenorrhoea, and medical management of ectopic pregnancy and miscarriage).

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