Prevalence of Chlamydia trachomatis among asymptomatic women

Chlamydia trachomatis is a ubiquitous pathogen worldwide and causes ocular, urogenital, and respiratory infections in humans. C. trachomatis infection of lower genital tract is one of the most prevalent sexually transmitted diseases [STDs] in different parts of the world. Their treatment, follow-up, and hopefulness for future is very important. Objectives of this study were to see the prevalence of Chlamydia trachomatis infection among women of child bearing age and to determine the incidence of Chlamydia infection in neonates of women infected with Chlamydia. This observational study was carried out in Department of Obstetrics and Gynaecology, CMH Abbottabad, and Department of Ophthalmology, Women Medical College Abbottabad from January 2012 to June 2012. Urine samples were collected from 200 women aged 20-39 years attending Obs/Gyn Department of CMH Abbottabad. After delivery, babies who were born to mothers with infection of their genital tracts were examined with a 2.5×binocular loupe within a week of birth to rule out eye infection [Chlamydia Ophthalmic neonatorum]. The overall prevalence of Chlamydia trachomatis was 4% in 200 eligible patients. The overall incidence of Chlamydia trachomatis in neonates was 1.66%. A significant proportion of women resident of Abbottabad District expressed evidence of exposure to Chlamydia trachomatis and significant number of neonate eyes were infected with the pathogen

comparison of safety and efficacy between sodium cromoglycate 2% and fluorometholone 0.1% in management of vernal keratoconjunctivitis

To compare the safety and efficacy of sodium cromoglycate 2% eye drops with fluorometholone 0.1% eye drops in patients with bilateral vernal keratoconjunctivitis [limbal and conjunctival palpebral or mixed]. Quasi Experimental Study This study was carried out in Department of Ophthalmology, Combined Military Hospital, Multan from 20[th] May 2009 to 20[th] June 2009. This was hospital based study conducted on 60 diagnosed cases of vernal keratoconjunctivitis attending the OPD of Eye Department Combined Military Hospital, Multan in year 2009. Cases were divided in to two groups of 30 patients each. Group 2 was treated with sodium Cromoglycate while Group 1 was given Fluoro metholone 0.1%. Ocular complaints were noted and graded. Slit lamp examination was done at the start of treatment and at the end of the treatment. After first week of treatment in group 2 [sodium cromoglycate 2%] 22 patients had mucoidal discharge with photophobia, redness and itching while in group 1 [Fluorometholone 0.1%] none of the patient had mucoidal discharge. At the end of study 24 patients had itching, redness and photophobia in group 2 but in group 1 only 16 patients had these symptoms. It was also revealed that 6 patients in group 2 had watering and mucoid discharge but none of the patient in group 1 had watering and mucoid discharge at the end of study. [p < 0.001]. Patients treated with fluorometholone 0.1% got better results than patients treated with sodium cromoglycate 2% in the management of vernal Keratoconjunctivitis

audit of TURP at DHQ Hospital Abbottabad

As the age advances benign prostatic hyperplasia occurs in almost all men. BPH produces symptoms mostly after 50years of age. Non surgical/ conservative management for bladder outflow obstruction mainly due to obstructive prostate includes selective alpha adrenergic blockers and alpha 1 reductase inhibitors. They have significant role but only in patients who have small prostate or who are waiting for surgery. However 30% of men eventually require surgery for BPH. Because of high risk of morbidity and mortality to elderly patients undergoing prostate surgery, the search for a procedure with minimal associated risks has continued. Therefore different procedures have been tried. Among surgical treatment for the disease, TURP has a definite edge over open procedures and has become a reference standard for prostate surgery. Retrospective study. This study was conducted at DHQ Hospital Abbottabad from 1998-2001. Total 133 patients were treated during this period. Patients of all ages were included. The patients were divided into 04 age groups. Patients were investigated with physical examination, ultrasonography, ECG, Chest X-ray, Blood CP, Urea/creatinine. Standard procedure with 24 Fr. Resectoscope was used with cutting loop. Patients were followed up post operatively and complications noted. The common age group was 61-70 years [51%]. Size of prostate gland was 60-80gms in [32%] cases. Bleeding was the most common complication [9%]. Conversion to open was in 02 cases [1.5%]. Myocardial infarction occurred in 04 cases which resulted in death of these patients postoperatively. BPH produces symptoms mostly after 50years of age. Nearly 70% of 70 years old men have BPH. However 30% of men eventually require surgery for BPH. Among surgical treatment for the disease, TURP has a definite edge over open procedure. It has very low complications in good hands. TURP has become a reference standard for prostate surgery