A snapshot of children with congenital anomalies of the kidneys and urinary tract at three tertiary care centers of the armed forces

Objective: To determine the frequency of congenital anomalies of the kidney and urinary tract by means of ultrasound in neonates. Study Design: Cross-sectional study. Place and Duration of Study: Department of Radiology and Diagnostic Imaging, Rehman Medical Institute, Peshawar, from May 2015 to Jan 2016. Methodology: A total of 150 neonates reporting for routine abdominal ultrasonography were included. Honda Convex Scanner model HS-2000 with probe of frequency of 5-7 MHz was used for the ultrasonography. Results: Mean age of the neonates was 13.8 ± 7.5 days. Seventy-six (50.7%) were male and 74 (49.3%) were female. Congenital anomalies of the kidney and urinary tract were observed in 10 (6.7%) neonates. Most neonates had more than one anomaly. The left side was involved in 6 (4%) neonates while right side was involved in 4 (2.7%). Hydronephrosis was the most common abnormality found in 8 (5.3%) cases. The location of kidneys was abnormal (ectopic) in 2 (1.3%) neonates. Abnormal dimension was seen in seven cases and abnormal corticomedullary differentiation was found in 5 (3.3%) cases. Non-symmetrical cases were 5 (3.3%). Hydroureter was observed in 3 (2%) neonates and urinary bladder was abnormal in 2 (1.3%) neonates. Conclusion: The frequency of congenital anomalies of the kidney and urinary tract in neonates by means of postnatal ultrasonographic scan in our study population was 6.7%. Hydronephrosis was the most common anomaly.

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P285 The association of congenital anomalies in patients with congenital hypothyroidism in government tertiary care centers under dubai health authority, UAE: 2000–2015, a retrospective cross – sectional study

10.1136/archdischild-2019-epa.635 ◽

2019 ◽

Author(s):

Fatima Ali Mazahir ◽

Manal Mustafa Khadora

Keyword(s):

Congenital Hypothyroidism ◽

Health Authority ◽

Congenital Anomalies ◽

Tertiary Care ◽

Cross Sectional Study ◽

Sectional Study ◽

Cross Sectional ◽

Tertiary Care Centers

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Study of Congenital Anomalies of the Kidneys and Urinary Tract in Neonates

Journal of Nepal Paediatric Society ◽

10.3126/jnps.v38i3.23477 ◽

2018 ◽

Vol 38 (3) ◽

pp. 176-181

Author(s):

Akshaya Chougule ◽

Jayashree Purkayastha ◽

Leslie Lewis ◽

Gourav Aiyappa ◽

Apurv Barche

Keyword(s):

Urinary Tract ◽

Congenital Anomalies ◽

Tertiary Care ◽

Abdominal Ultrasound ◽

Renal Parenchyma ◽

Care Hospital ◽

Older Children ◽

Mortality And Morbidity ◽

Collecting System

Introduction: Congenital anomalies of the kidneys and urinary tract (CAKUT) comprise various structural malformations that result from defects in morphogenesis of the kidney and/or urinary tract. In most cases, CAKUT are associated with infant mortality and morbidity in older children and adults. Hence this study was undertaken to follow up antenatally diagnosed cases of CAKUT and see their outcome in the first six months of life. Material and Methods: An observational follow up study was conducted in the department of Paediatrics in a tertiary care hospital. All inborn neonates, whose antenatal anomaly scans showed the presence of CAKUT were included in the study. Abdominal ultrasound (USG) were done on day three of life for all these neonates and those whose day three USGs showed presence of CAKUT were followed up over a period of six months and outcome was assessed. Results: CAKUT was more common among males. Hydronephrosis was the most common CAKUT in antenatal scans. Anomalies of the renal collecting system formed 93.9% of all CAKUT detected on antenatal anomaly scan and 57.4% of these resolved by six months of age. Abnormalities of the renal collecting system together formed 93.9% of all antenatally diagnosed CAKUT and were more common than abnormalities of the renal parenchyma which formed 6.1%. Postnatal resolution on day three USG was seen in seven out of 22 (31.8%) cases of antenatally diagnosed mild hydronephrosis irrespective of their site. Out of the 28 antenatally diagnosed hydronephrosis, 11 (39.3%) resolved at some point during the follow up period of six months. Conclusions: Antenatally diagnosed CAKUT were more common among male foetuses. On day three scan, 29.2% of CAKUT showed resolution. Hydronephrosis remained the most common antenatally as well as postnatally detected CAKUT. Anomalies of renal collecting system were better detected by antenatal scans than anomalies of renal parenchyma

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CORONARY ARTERY ANOMALIES;

The Professional Medical Journal ◽

10.29309/tpmj/2008.15.02.2762 ◽

2008 ◽

Vol 15 (02) ◽

pp. 247-254

Author(s):

MUHAMMAD QAISER KHAN ◽

MASUD UL HASSAN NURI ◽

MUHAMMAD IRFAN ◽

Afsar Raza ◽

Shahid Abbas

Keyword(s):

Coronary Artery ◽

Coronary Arteries ◽

Coronary Sinus ◽

Congenital Anomalies ◽

Tertiary Care ◽

Armed Forces ◽

Adult Patients ◽

Coronary Artery Anomalies ◽

Clinical Series ◽

The Right

Introduction: Congenital anomalies of the coronary arteries occur in 0.2% to 1.2% of the generalpopulation . The incidence of various coronary anomalies and associated clinical, angiographic and hemodynamic 1findings have been cited in several internationally published clinical series . To compare our experience with 4-8previously reported studies, we have reviewed clinical and angiographic findings for 50 adult patients with coronaryartery anomalies. Patients and Methods: We surveyed the records of 5050 consecutive adult patients who hadundergone coronary angiography.Setting: Armed Forces Institute of Cardiology and National Institute of Heart Disease(AFIC/NIHD) Rawalpindi. Period: 1 Jan 2004 and 30 April 2005, and identified 50 adults with various coronary artery st thanomalies. Results: 5050 reports were reviewed and 50 (0.9%) coronary artery anomalies were identified in 50patients. Different anomalies identified are; both coronary arteries from right sinus of Valsalva (RSV)-(n = 1), bothcoronary arteries arising from the left coronary sinus (n = 4), single coronary arteries (n = 2), LCx from RSV/RCA (n=6),anterior descending artery arising from the right coronary sinus (n = 1), coronary artery fistulae (n = 4), separated originof anterior descending and left circumflex coronary arteries (n = 25), and separate origin of conus/ RV branch (n = 7).The initial course was retroaortic in all the circumflex arteries, interarterial in the right coronaries, and anterior in theanterior descending arteries. Conclusions: We conclude that adult congenital anomalies of the coronary arteries arenot uncommon finding in a tertiary care cardiac center. Separate origin of LAD and LCx from LSV and left circumflexcoronary artery arising from RSV/RCA are the most frequently diagnosed anomalies.

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Single versus double intrauterine insemination to assess the relevance of double intrauterine insemination: a prospective, randomized multicentric study

International Journal of Reproduction Contraception Obstetrics and Gynecology ◽

10.18203/2320-1770.ijrcog20212193 ◽

2021 ◽

Vol 10 (6) ◽

pp. 2459

Author(s):

Deepak Patil

Keyword(s):

Success Rate ◽

Intrauterine Insemination ◽

Randomized Study ◽

Tertiary Care ◽

Armed Forces ◽

Male Factor ◽

Assisted Reproductive Technique ◽

Multicentric Study ◽

Factors Affecting ◽

Tertiary Care Centers

Background: Intrauterine insemination (IUI) is a widely used tool as initial treatment option for infertile couples. Being a non-invasive, outpatient department (OPD) based procedure it serves as first modality of assisted reproductive technique. Overtime various modifications in stimulation protocol, sperm preparation techniques and variation in timing has been attempted to improve upon the success rates.Methods: We conducted a multicentric, prospective randomized study and assessment of data of double IUI at three tertiary care centers of armed forces. The data was evaluated to study the patient parameters and various factors affecting the success rate of IUI.Results: We found that duration of infertility, age of couple and body mass index (BMI) are inversely related to success of IUI cycles. Double IUI increases the success rate in borderline male factor infertility, ladies with normal BMI and in cases of secondary infertility with previous live issue. In donor IUI cycles there is a positive correlation with sperm parameters and benefit from double insemination.Conclusions: Double IUI can be offered to selected couples to improve upon the success rate of IUI cycle.

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Common uropathogens and their antimicrobial susceptibility patterns at a tertiary care hospital in Pakistan

Journal of Rawalpindi Medical College ◽

10.37939/jrmc.v24i4.1289 ◽

2020 ◽

Vol 24 (4) ◽

pp. 306-310

Author(s):

Faraz Basharat Khan ◽

Khubaib Shahzad ◽

Nida Basharat Khan ◽

Zaufishan Kokab ◽

Zahoor Iqbal ◽

...

Keyword(s):

Urinary Tract ◽

Urinary Tract Infections ◽

Tertiary Care ◽

Armed Forces ◽

Klebsiella Pneumonia ◽

Care Hospital ◽

Antibacterial Susceptibility ◽

The Common ◽

Overall Resistance ◽

Tract Infections

Introduction: Urinary tract infections (UTIs) are one of the most frequent infections encountered by doctors. It can be a significant source of morbidity for some patients. Microbes are growing resistant to commonly prescribed antimicrobials and UTIs are becoming more difficult to treat day by day. The study aimed to investigate the common uropathogens encountered in our geographical region and to study their antibacterial susceptibility patterns.Material and Methods: It was a retrospective descriptive study carried out in the Armed Forces Institute of Urology, in collaboration with the Armed Forces Institute of Pathology, Rawalpindi, Pakistan, during the year 2019. Positive reports for urine culture and sensitivity performed during the last two years were studied to document various isolates and their antimicrobial sensitivity.Results: A total of 3191 positive urine cultures in the last two years (2017-2019) were studied. Escherichia coli (66%), followed by Klebsiella Pneumonia (12%) were the most frequently encountered organisms. Overall resistance to Ciprofloxacin was 66%, Cotrimoxazole was 62%, Gentamycin was 40%, Fosfomycin (9.5%) followed by Meropenem (28%) and Nitrofurantoin (35%) were the most sensitive antibiotics.Conclusion: Gram-negative bacilli are the predominant organisms responsible for urinary tract infections. These uropathogens show significant resistance to routinely used antibiotics. Fosfomycin and Nitrofurantoin are suitable oral anti-bacterials for patients with UTI, whereas Meropenem is suitable if an injectable therapy is required. Our study may act as a guide for the choice of empiric antibiotics based on local resistant patterns.

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