Prevalence of urinary tract infections in febrile infants and children

Urinary tract infection [UTI] is relatively a common cause of fever in infants and young children. False negative diagnosis will leave UTI patients at risk for serious complications, while false positive one may lead to unnecessary invasive testing and expensive treatment. In order to find UTI prevalence in febrile Egyptian infants and children and to evaluate the role of urine analysis and culture and renal sonography in UTI diagnosis, we studied 200 cases with fever for <48hs after excluding those with clinically detectable cause, other than UTI, for the fever. The overall UTI prevalence in febrile infants and children was 7.5%. It was higher in females than in males and in uncircumcised than in circumcised males. UTI symptoms in neonates and infants were not specific and older children had urinary symptoms highly associated with UTI. E.coli was the commonest causative organism for UTI. Our work showed that UTI is an important cause in febrile Egyptian infants and children so that we strongly recommend further studies on best cost - effective management of these patients

Listeria monocytogenes, yersenia enterocolitica and campylobacter species in table ready foods and dressed poultry marketed

The present study was conducted on 100 diarrheal patients, out of them 50 bilharzial patients and the remaining were 50 nonbilharizal ones. Another 50 apparently healthy subjects were considered as control group. Also, the study was conducted in 25 random samples, of chicken and 25 random samples were taken from table ready foods in supermarket. All collected specimens were subjected to the bacteriological investigations for isolation and identification of campylobacter species, Y. entrocolitica and Listeria monocytogen. Campylobacter J. biotype I was the single biotype of campylobacter species which was isolated from both diarrheal cases [4%] and chicken [20%] listeria monocytogen was more frequent among diarrheal bilharzial cases [10%] than nonbilharzial ones [4%], while Yersenia enterocolitica was detected at higher percentage among diarrheal nonbilharzial [8%] than bilharzial one [4%]. Listeria monocytogen and Y. enterocolitica were detected in chicken in percentage of [4% and 8% respetively]. Y. enterocolitic was isolated from [8% and 4%] of Lancho and cheese respectively

Meningococcal meningitis in children admitted to Zagazig fever hospital

Bacterial meningitis remains relatively a common disease worldwide, N. meningitides is a leading cause of meningitis. The present work is done to identify N. meningitides with evaluation of the rapid diagnostic tests for detection of this pathogen. N. meningitides was isolated from [50.5%] of meningitis cases. It is more common during cold months. The sensitivity and specificity of: Acridine orange are [98.3% and 100%], latex agglutination test, 92.2% and 100% coagulatination test are [87.9% and 75.0%]. From this work, it can be concluded that: combination of classical cultural methods with acridine orange stain, latex agglutination or coaggultination test is of high diagnostic value