Antibiotic susceptibility patterns of legionella pneumophila isolated from water lines of dental settings

Aims: the goal of the present study was to determine the in vitro antibiotics susceptibility of the L. pneumophila isolated from water of dental units

Methods and Results: Ninety dental units were screened at five teaching dental clinics in Najaf city during February to April 2016. Ninety four water samples were collected from air/water syringe, high-speed hand piece and water bottles of dental units, Totally 9 [9.5%] isolates of Legionella pneumophila were obtained using based charcoal yeast extract [BCYE] culture media and more confirmed by polymerase chain reaction [PCR] assay, The antibiotic susceptibility patterns of 16 antibiotics were studied by disk diffusion test. Present study revealed that all L. pneumophila isolates [100%] recorded fully resistant for ten tested antibiotics. At the same time over 75% isolates were resistant to amoxicillin and tetracycline. Except [55-66%] of isolates exhibited a partial susceptibility to ciprofloxacin, doxycycline and chloramphenicol. Eight [88.8%] of them were extensive resistant [XDR] isolates as well as, Amikacin was highly effective drug

Conclusions: We conclude that, high occurrence of XDR L. pneumophila isolates in contaminated water of dental units in Najaf hospital settings, which has been reported as an etiological agents for hospital-acquired respiratory tract infection

Significance and impact of study: Statistical analysis showed that may considered significant result [P < 0.05] of extensive drug resistance [XDR] isolates

Non Hodgkin's lymphoma in oral-cavity-report of two cases

Non hodgkin's lymphomas are tumours of the immune system that uncommonly evolves as primary lesion of the oral cavity. Two cases of primary lymphoma in the oral cavity are presented. One case was treated by radiotherapy and the second one died because of the neoplastic infiltration to the orbit and brain. In the first case the patient survived with no recurrence of the tumour

Treatment of bell's palsy - a study done on 123 patients

This manuscript is a retrospective study on 123 patients [106 males, 7 females] with idiopathic facial paralysis [Bell's palsy] who were treated in three countries [Iraq 14 patients], Kuwait 25 patients], and Iran 84 patients]. The peak of frequency was in the second decade [20-29] years, i.e., 40.63%. the treatment was conservative. The success rate ranged from 40-100, depending on the time of the start of the treatment. Early treatment lead to best results

Septicaemia caused by oro-facial infection. A retrospective study

This is a six-year retrospective study of 35 patients with septicaemia caused by oral and maxillofacial in two University Hospitals in Tehran. The major causative factors were the firearm injuries. The incidence was 5.9/1000 admitted patients in the field of the oral and maxillofacial surgery. The males commoner than the female patients. The most common micro-organisms isolated were streptococcus pyogenes and bacteroides. The result of treatment was very good. 34 patients [97.14%] recovered, while one patient died because of cavernous sinus thrombosis after sever infection in the middle third region of the face