Local antifibrinolytic treatment with tranexamic acid in hemophilic children undergoing dental extractions

The incidence of post-extraction bleeding and the amount of replacement therapy needed to control bleeding in 24 hemophilic children following the local use of tranexamic acid mouthwash have been investigated. The results of the study showed that 91.6% of patients who used tranexamic acid mouthwash as a supplement to systemic therapy, did not develop post-extraction bleeding; while in 25% of the control patients who received only systemic tranexamic acid, postoperative bleeding was not observed

five-year comparative study of calcium hydroxide-glutaraldehyde pulpotomies versus calcium hydroxide pulpotomies in young permanent molars

Twenty children with twenty cariously exposed first permanent molars treated with either calcium hydroxide-glutaraldehyde or calcium hydroxide pulpotomies, were followed up clinically and radiographically for a period of five years. Overall success rates obtained at the end of the follow up period were higher with calcium hydroxide-glutaraldehyde pulpotomies [100%] than with calcium hydroxide pulpotomies [80%]

Assessment of salivary lactobacillus and streptococcus mutans counts following sodium fluoride mouthrinsing in Egyptian children

The salivary lactobacillus and Streptococcus mutans counts were assessed in 100 Egyptian children, initially before mouthrinsing with 0.05 percent sodium fluoride solution, 24 hours and 48 hours following rinsing. A statistically significant reduction in lactobacillus and Streptococcus mutans counts of 49 percent and 44 percent respectively was obtained 24 hours following rinsing. These percentages decrease in both bacterial counts was reduced to 27 percent and 31 percent respectively, 48 hours following rinsing

relation between bacterial gastroenteritis and urinary tract infection in early childhood

200 cases of suspected bacterial gastroenteritis were the subject of this study for the various bacterial species involved in the pathogenesis of gastroenteritis, detection of cases with significant bacteriuria, correlation between the organisms found in the stools and urine and between the occurrence of U.T.I. and the state of nutrition and hydration of the same cases. Blood cultures were done in some cases as well. Pathogenic organisms were isolated from stools in 76% of gastroenteritis cases [E. Coli 26%, Shigella dysenteriae 24%, Klebsiella aeruginosae 7%, Klebsiella ozaenae 5%, Proteus mirabilis 3%, Proteus vulgaris 1%, Pseudomonas aeruginosa 2% and Staph. Aureus 2%]. Bacteriological examination of urine showed that 16% of all cases had significant bacterial count. E. coli was isolated in 75% of cases, Klebsiella aeruginosa in 18% and Proteus mirabilis in 6.2%. Serotyping of E. Coli strains isolated from both urine and stools showed that combined urinary tract infection and gastroenteritis, were caused by the same serotypes in 18 cases. Klebsiella and Proteus, isolated from the stools and urine, had the same biochemical reaction shown by APII-20E test. Dehydration and/or malnutrition significantly enhanced the occurrence of U.T.I. in the studied cases, either through the ascending route mainly or blood-borne through the intestinal mucosa. 8 cases [16%] out of 50 presented with bacteremia. E. Coli serotype O86B7 was isolated from 3 cases of blood culture. This serotype was the same as that isolated from urine and stools. Klebsiella and Proteus, isolated from the blood, had the same biochemical reaction as those isolated from urine and stools. Thus, it is advisable to perform a bacteriological culture of urine in cases of gastroenteritis, especially those complicated with dehydration and/or malnutrition