Author name:
رواق حيدر عبد النبي المحنة
Supervisor name:
ماجد كاظم عبود الشبلي
Abstract:
جمعت ((97 مسحة انفية من المرضى المصابين باخماج الجيوب الانفية, ولكلا الجنسين وباعمار مختلفة والذين راجعوا العيادات الخاصة بالانف والاذن والحنجرة Ear Nasal Throat في مدينة الديوانية للفترة من تشرين الثاني 2012 الى نيسان 2013, لغرض عزل وتشخيص الفطريات المسب | A total of 97 nasal swab were collected from patients with sinusitis, for both sexes with different ages who attended private clinics of Ear Nasal Throat in the city of AL - Diwaniya, for the period from November 2012to April 2013, for the purpose of isolating and diagnosing fungi that cause inflammation of the sinuses and test their sensitivity toward some antifungal as well as the study of the effect of some factors on the infictions rats, which include age, gender, housing, and professions and relationship of chronic diseases. Specimen were cultivated on culture media SDA to determine the types of fungi responsible the infection, it is found that the samples gave positive growth were about 36 at a rate of 37.11 %, while the samples which gave a negative growth were about 61 at a rate of 62.88 % Note that some samples give more than one fungal type so amounted to 44 the number of fungal infections and 45.36 %.The isolated fungi included and their rates Aspergillus flavus13.63%, Aspergillus niger 13.63 % , Aspergillus terreus 4.54 % , Pencillium sp 18.18 % , Blastomyces dermatitidis and Cladosporium sp 11.36 % of each one , Alternaria sp and Trichophyton sp 4.54 % of eachone , Troulopis sp , Mucor sp , Rhizopus sp, Paecilomyces sp, Rhodotorula sp, Ulocladium sp, Geotrichium sp and Bipolaris sp 2.27% of each one. The presnt study showed that females cases are more than males cases, where the percentage of female infection about 63.63% but male infection rate of about 36.36%, patients ranged in age between 11 - 76 years and found that the infection was more frequent among age groups 20 - 29 years 29.54% and less frequent among age groups 19 - 11 years 9.09 %. About the injury season shows that increase in the cold months of the year and less in the warm months, as it recorded the highest rate of infection during November at a rate of 43.18 %, while there have been no injury during April, as for Relationship of injury with housing areas of patients has been shown that the highest proportion of the injury people registered from urban areas 52.27 % compared to residents of rural areas 47. 72 %. The role of the professions in the incidence of injury has been shown that the highest recorded injury among housewives40.9%and the least among the unemployed 2.27%, while the relationship of chronic diseases has revealed the presence of 15 people suffering from chronic diseases and fungal infections arate of 15.45 %, the more chronic injuries were pressure disease, where they formed an injury rate of 40%.Results showed the inhibitory effect for antifungal Itraconazole, Ketoconazole, Econazole, Clotrimazole, Nystatin, Amphotericin B against 12 type of fungus Pencillium, Blastomyces dermatitidis, Aspergillus flavus, Aspergillus niger, Aspergillus terreus, Cladosporium sp, Alternaria sp, Troulopsis sp, Mucor sp, Ulocladium sp, Geotrichum sp , Bipolaris sp , the antifungal Econazole was the most antifungal effective against isolated fungi and diameters of inhibition rate 30, 38, 20, 33, 30, 40, 35, 39, 27, 31, 19, 44? m of fungal species respectively, while the antifungal Amphotericin B show less effect against isolated fungi at arate of inhibition diameters 14, 19, 10, 10, 8, 12, 26, 18, 17, 22, 18, 21? m, respectively.As for the values of the MIC and MFC for Ketoconazole and Itraconazole for the fungi Aspergillus niger, Aspergillus flavus , Geotrichum sp found that antifungal Ketoconazole owned less MIC against all fungi, as it amounted to 0.24 Mg /ml of each one, while the MF Cagainst Aspergillus niger and Geotrichum sp was 7.8Mg /ml against Aspergillus flavus was 0.48 Mg /ml, while the antifungal - Itraconazole owned less MIC was 31.25 Mg /ml against all fungi, while the MFC was 62.5 Mg /ml against all isolates.The presnt study showed That fungal infections is one of the important causes of sinusitis infections and fungus Aspergillus spp is the most common.
