Oral Findings and Microflora in Type Ii Diabetes Mellitus in Sulaimani City

Abass, Varin T.; Omer, Sherko Ali

doi:10.17656/jsmc.10011

Cited by 4 publications

(9 citation statements)

References 52 publications

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“…In this study, type 2 diabetic patients have significantly higher periodontal disease parameters including: gingival index, probing pocket depth, and clinical attachment level than healthy controls. This finding is in line with other studies which proved and confirmed that type 2 diabetes mellitus has been unequivocally considered as a major risk factor for periodontitis and the risk of progressive periodontal destruction in subjects with diabetes has been demonstrated in many studies in comparison with controls (3)(4)(5)(6) . In contrast to above findings only few reports showed either no relation or weak significant relation between periodontal disease and type 2 diabetes (17,18) .…”

Section: Discussionsupporting

confidence: 92%

“…Many studies have suggested a link between type 2 diabetes mellitus and increased risk of progressive periodontal destruction (3)(4)(5)(6) . On the other hand, other studies reported an association between periodontal disease and cardiovascular disease and found a significant higher incidence of cardiovascular disease in subjects with periodontal disease compared to subjects without periodontal disease, or in subjects with more severe periodontitis compared to subjects with less severe periodontitis (7)(8)(9) .…”

Section: Introductionmentioning

confidence: 99%

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Periodontitis among a Group of Type Two Diabetic Patientsin Relation to Risk of Vascular Disease

Abbas¹,

El-Samarrai²

2016

JBCD

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Background: Type two diabetic patients have higher risk of cardiovascular and periodontal disease. Furthermore, patients with more severe periodontal disease have higher incidence of cardiovascular disease. This study aimed to assess the association between periodontal health status and the risk of vascular disease in type 2 diabetic patients. Materials and Methods: One hundred type 2 diabetes mellitus patients and fifty apparently healthy males were enrolled in this study. Oral examinations conducted were; plaque Index, calculus index, gingival index, probing pocket depth, and clinical attachment level. For the assessment of vascular risk, arterial stiffness index was used. Results: According to arterial stiffness index, type 2 diabetic patients were categorized into two groups: Group A: type 2 diabetic patients without vascular disease risk. Group B: type 2 diabetic patients with vascular disease risk. The periodontal disease parameters including gingival index, probing pocket depth, and clinical attachment level were higher in healthy controls in comparison to diabetics and in group B in comparison to group A. The difference between group A vs. group B for probing pocket depth is of highly significant (P<0.01) and for clinical attachment level is statistically significant (P<0.05). Conclusion: The increase in severity of periodontal disease can be used as an indicator for the increase of risk for vascular disease in type 2 diabetes patients.

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Section: Discussionsupporting

confidence: 92%

Section: Introductionmentioning

confidence: 99%

Periodontitis among a Group of Type Two Diabetic Patientsin Relation to Risk of Vascular Disease

Abbas¹,

El-Samarrai²

2016

JBCD

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“…The carriage affected by ethnic group (44) , family predisposition (45) . Carriage rates are also higher in individuals with insulin-dependent diabetes, in patients on continuous ambulatory peritoneal dialysis and haemodialysis and in intravenous drug abusers when compared with the healthy population (26) or from the oral cavity of patient with type II diabetes mellitus compared with healthy not diabetics (6) . Our figures of carriage (18%) among health worker fall in this range and also showed more carrier tendency to S. aureus and S. epidermidis as other studies showed (37) .…”

Section: Discussionmentioning

confidence: 99%

“…Testing the response of S. aureus to other agents showed multi resistant nature of S. aureus. In a local study of oral flora in type II diabetes mellitus, the antimicrobial susceptibly of 31 oral isolates of S. aureus showed multiple resistance against many antimicrobials used to treat oral infections (6) . In the current study , choosing such antibacterial agent was based on reasons, still our local practice of antimicrobial treatment goes with giving agents such Amoxicillin/Calvulinic or Oxacillin to many suspected staphylococcal infections while Fusidic acid and Vancomycin were selected due to many resistance reports to these powerful antimicrobial agent which was conserved to treat staphylococcal infection (3,27) .…”

Section: Discussionmentioning

confidence: 99%

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Nasal Carriers of Methicillin-Resistant Staphylococcus Aureus (Mrsa), Infection Safety and Hand Hygiene Among Health Workers in Sulaimani City

Fathi¹,

Omer²,

Mohammed³

2013

JSMC

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BackgroundStaphylococcus aureus, a well known constant human pathogen that also exploit human as carrier to new hosts when inhabiting area like nose and skin. Over years strains had emerged with ability to resist the effect of several antimicrobial agents. The ability to resist the methicillin caused by different genetic backgrounds was one of the problems in the fight against these organisms. ObjectivesThis study was aimed to isolate and identify Methicillin resistant Staphylococcus aureus (MRSA) inhabiting the nose of health workers in the main hospitals in Sulaimani city and to identify the susceptibility of these strains to several antimicrobial agents, also to inquire about daily infection safety and hand hygiene practice of the health workers. MethodsTo those who agreed to participate in the study, questionnaires were documented. Nasal swabs were obtained and isolation of Staphylococci was done on selective media, then S. aureus was confirmed and subjected to antimicrobial susceptibility using disk diffusion method. ResultsThe participants were grouped in to nine occupational groups. Gloves were always used by 30.5% of the participants, not used in 18.8% and the other 50.6% were selective in using gloves. Hand cleansing with antiseptic were practiced in 31.7% while face mask were used by 18.4%. Hand washing during work in health facility were not practiced in 58.6%, 1-10 times hand washing was reported in 20.4%, 11-20 times hand washing in 10.8% and more than twenty time washing in 10%. Forty five out of 249 nasal swabs yielded S. aureus making the carrier rate of 18% while methicillin-resistant S. aureus rate was 5.6% among the participants. ConclusionHand hygiene practice and infection safety were suboptimal in our health facilities. Nasal carrier of S. aureus was 18% in health workers while MRSA strains were isolated in 5.6% of the health workers. Prompt measure for hand hygiene must be implemented urgently to control transmission of S. aureus and to limit development of antimicrobial resistance.

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Bacterial Isolates From Pediatric Blood Culture and Their Response to Antimicrobial Agents

Omer¹

2015

JSMC

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Background The blood stream can be invaded by many bacteria in the course of many infections resulting in bacteremia or septicemia. Objectives The aim of this study was to identify the frequency and the types of bacteria isolated form pediatric blood cultures and identify their susceptibility to antimicrobial agents. Patients and Methods A retrospective study on the laboratory reports of blood cultures from pediatric patients attended Sulaimani Pediatric Teaching Hospital during 18 months period. Results From 6024 processed blood cultures, 512 cultures yielded positive for growth of bacteria (8.4%). Staphylococcus aureus was the commonest microorganism isolated from both Neonatal Intensive Care Unit (NICU) and other hospital units. This was followed by Enterobacter spp. and Escherichia coli in NICU, while in other hospital units Staphylococcus aureus was followed by E. coli and Enterobacter spp.. Salmonella Typhi was isolated from 5.8% of blood cultures. The isolates mostly were resistant to many antimicrobial drugs. Certain antimicrobial agents showed to be more effective such as vancomycin, amikacin and cefaclor while more than 80% of the isolates were resistant to other agents such as ampicillin, oxacillin, carbincillin and ceftriaxone. Conclusion Staphylococcus aureus was the commonest bacteria isolated from blood cultures followed by Gram negative Enterobacteriaceae. The isolated bacteria were resistant to many antimicrobial agents while vancomycin andamikacin were found to be more effective than other agents.

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Oral Findings and Microflora in Type Ii Diabetes Mellitus in Sulaimani City

Cited by 4 publications

References 52 publications

Periodontitis among a Group of Type Two Diabetic Patientsin Relation to Risk of Vascular Disease

Periodontitis among a Group of Type Two Diabetic Patientsin Relation to Risk of Vascular Disease

Nasal Carriers of Methicillin-Resistant Staphylococcus Aureus (Mrsa), Infection Safety and Hand Hygiene Among Health Workers in Sulaimani City

Bacterial Isolates From Pediatric Blood Culture and Their Response to Antimicrobial Agents

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