ABSTRACT
The objective of the present study was to determine the antimicrobial prescription pattern in patients with acute tonsillitis. A cross sectional study was carried out among all the patients attending the ENT outpatient department with acute tonsillitis from January 2011 to December 2011. The data were retrieved from the medical records using a questionnaire. Statistical analysis was carried out using SPSS. 19. A total of 238 patients were included in the study [Males 138; females 100]. The majority of the patients were Indians [49 [20.6%]], Emiratis [35 [14.7%]], and Pakistanis [31 [13%]]. The common types of tonsillitis noted were acute parenchymatous tonsillitis, acute follicular tonsillitis and acute pharyngotonsillitis. Of the total, seven [2.9%] patients had self medicated themselves prior to the hospital visit. About 96% of the total drugs were prescribed by brand name. The median number of drugs prescribed was four [range 1-7]. Eighty eight percent of the prescriptions contained antimicrobial agents, which was the most commonly prescribed group of drugs, followed by analgesics and antipyretics. Amoxicillin/Clavulanic acid [24.8%] and Ceftriaxone [12.2%] were the most commonly prescribed antimicrobials. About 23.7% of the patients on Amoxicillin/Clavulanic acid had received the drug as intravenous injection. Culture and sensitivity tests were carried out in 106 [44.5%] of the cases. Antimicrobials were changed/ added on after the culture and sensitivity test in 25 patients. No pattern was noticed with regard to the change in AMA; however Cefuroxime was the most frequently added AMA based on the sensitivity report. Therapeutic guidelines based on the current sensitivity pattern can be developed to optimize the use of antimicrobial agents and provide cost effective treatment
Subject(s)
Humans , Male , Female , Practice Patterns, Physicians'/trends , Drug Utilization/trends , Surveys and Questionnaires , Respiratory Tract Infections/drug therapy , Cross-Sectional Studies , Sensitivity and Specificity , Hospitals, Teaching , Anti-Infective Agents , Hospitals/statistics & numerical dataABSTRACT
A case of ectopic salivary gland tissue in a routine tonsillectomy specimen is reported and the literature is reviewed. Tonsillectomy specimens are routinely sent for histopathologic evaluation to assess the nature of inflammatory process as well as to exclude occult malignancy. A tonsillectomy specimen from a young woman who underwent surgery for recurrent attacks of tonsillitis in the previous six months was received at the histopathology laboratory of Gulf Medical College Hospital, Ajman. Routine microscopic examination revealed tonsilar tissue with chronic inflammation and lobules of mucous secreting salivary acini with ducts adjacent to the surface squamous epithelium of the tonsilar tissue
Subject(s)
Humans , Female , Palatine Tonsil/pathology , Pharyngeal Diseases/diagnosis , Choristoma/pathology , Choristoma/surgery , Review Literature as Topic , Deglutition DisordersABSTRACT
A case of ectopic salivary gland tissue in a routine tonsillectomy specimen is reported and the literature is reviewed. Tonsillectomy specimens are routinely sent for histopathologic evaluation to assess the nature of inflammatory process as well as to exclude occult malignancy
A tonsillectomy specimen from a young woman who underwent surgery for recurrent attacks of tonsillitis in the previous six months was received at the histopathology laboratory of Gulf Medical College Hospital, Ajman
Routine microscopic examination revealed tonsilar tissue with chronic inflammation and lobules of mucous secreting salivary acini with ducts adjacent to the surface squamous epithelium of the tonsilar tissue
ABSTRACT
An uncommon case of allergic fungal rhinosinusitis presented to the Ophthalmology OPD of our hospital with complaints of blurred vision in the right eye of a few duration and vague complaints of pain around the eys. The visual acuity on examination was grossly reduced in the right eye and normal in the left eye. Color vision was normal. Anterior segment examination including pupils was normal. Dilated fundus examination was normal except for temporal pallor in the right optic disc. Automated perimetry and MRI scan of brain and orbit were done. The imaging report showed a bilateral pansinusitis with pressure on the right optic nerve. Perimetry showed a superior field defect on the right side. ENT consultation and CT with contrast helped to diagnose this as a case of allergic fungal rhinosinusitis. The patient was started on systemic steroids under care of the ENT surgeon. After a few days, pre-operative assessment showed a gross improvement of visual acuity. Endoscopic sinus surgery was done to remove the polyps and thick mucous material. Days after surgery, the visual acuity improved further and repeat perimetry showed gross improvement in the visual field. Good history taking and a detailed ophthalmic check up, keeping in mind the probable causes of loss of vision of few days duration with no other findings other than a dropped visual acuity and a suspicious disc were key to the early diagnosis and investigation in this case. This helped in early referral and management of the case before permanent damage and irreversible visual loss occurred, because the optic nerve is a cranial nerve which once damaged permanently will not regenerate. Also involvement of the left optic nerve was prevented because the amount of sinus involvement was extensive on both sides and invariably the left would have been involved in a few days if intervention was delayed