Diyala Journal of Medicine <p style="text-align: justify;">Diyala Journal of Medicine (DJM) was established according to agreement of Ministry of Higher Education and Scientific Research-foundation of as per authorization letter Number 12c/2433 in 19th August 2010. Fellow up, Started to receiving different manuscripts in all fields of medicine such as clinical, basic, dentist, pharmacology and scientific original articles. Diyala Journal of Medicine usually Deal with articles closely related with clinical problem more common in Iraq and Middle East. Also considered is a periodic peer-reviewed journal published biannually by the College of Medicine in Diyala University. However, review articles of high standards will be considered Writing in English languages with Arabic abstract.</p> <p><span style="font-size: 20px; font-family: Times New Roman;"><span style="font-size: 20px; color: #17365d;">&nbsp;</span></span></p> College of Medicine - University of Diyala en-US Diyala Journal of Medicine 2219-9764 <p>All Rights Reserved.</p> Antibiotic Sensitivity of High Vaginal Swabs from Asymptomatic Pregnant Women <p><strong>Background </strong></p> <p>Vaginal flora considered as a complex microbial environment which consisting of a multitude of microbial species and causes many vaginal infections including bacterial vaginosis.</p> <p><strong>Materials and methods</strong></p> <p>About 75% of women have risks of vaginal infections at least one time during their lifetime, thus, present study aimed to determine antibiotic sensitivity profile of predominant vaginal in 250 pregnant women from Erbil capital of Iraq.</p> <p><strong>Result</strong></p> <p>&nbsp;reported that 72% of samples showed positive microbial growth which and the higher distribution percentage of isolated microorganisms was 27.2%, 23.8%, 21.6 and 11.6% for<em>Candida sp.,Staphylococcus aureus, Escherichia coli</em> and <em>Streptococcus pyogenes, </em>respectively.&nbsp;&nbsp; Moreover, antibiotic sensitivity test declared that ciprofloxacin was effectively inhibited the growth of both<em>staphylococcus aureus </em>and<em> Streptococcus pyogenes</em>while Norfloxacin 95% inhibited growth <em>E. coli</em>.</p> <p><strong>Conclusion</strong></p> <p><em>Candida albicans, </em><em>Staphylococcus aureus, Escherichia coli and Streptococcus pyogenes</em> are among most predominant microorganisms in pregnant women.</p> alaa Muyasar Copyright (c) 19 1 Neonatal jaundice The Predictive Value of First Day Serum Bilirubin Measurement for Subsequent Development Significant Hyperbilirubinemia in Healthy Term Neonate in Mukalla Maternity and Child Hospital, Hadhramout, Yemen <p><strong>Background:</strong> Significant neonatal hyperbilirubinemia is the most common cause of readmission after early discharge from hospitals in healthy term neonates.</p> <p><strong>Objectives: </strong>To determine the predictive ability of first 24<sup>th</sup>hr total serum bilirubin (TSB) values for subsequent development significant hyperbilirubinemia in healthy term newborns at Mukalla Maternity and Child Hospital (MMCH) in Mukalla city, Hadhramaut Governorate, Yemen.</p> <p><strong>Patients and Method:</strong> This study was cross sectional observational study of 150 healthy term newborn were followed with daily serum total bilirubin measurements for the first 5 days of life at Mukalla Maternity and Child Hospital between March 2019 to <em>February</em> 2020.</p> <p><strong>Results:</strong>. It was observed that 10%, 10%, 13.3% and 66.7%% of newborns were corresponding to high risk, high intermediate risk, low intermediate risk, and low risk zones respectively, while7.3% of newborns had developed significant hyperbilirubinemia and needed phototherapy. The 1st day bilirubin level of 5mg/dl had a sensitivity of 100% and specificity of 72%, positive predictive value of 22% and negative predictive value of 100% in predicting the risk of development significant hyperbilirubinemia.</p> <p><strong>Conclusion: </strong>A total serum bilirubin measurement can be used as a useful screening test for every newborn at the earliest, to predict those at risk for subsequent development significant neonatal hyperbilirubinemia and allow for a safer discharge from hospital.</p> <p>&nbsp;</p> Jalil Ibrahim AlEzzi Copyright (c) 19 1 Bacteriological Study Of Chronic Suppurative Otitis Media <p><strong>Background:</strong> Chronic suppurative otitis media is a destructive disease of middle ear cleft that can progress rapidly. Medical treatment which depend on proper antibiotic selected from culture and sensitivity were prescribed, otherwise process goes to intra or extracranial complication.</p> <p><strong>Objective:</strong> Relation of certain clinical features to each isolated bacteria. The types of bacteria in chronic suppurative otitis media. Drug sensitivity for each isolated bacteria.</p> <p><strong>Patients and Methods:</strong> Forty-six patients enrolled in the current study, 41 patients have unilaterally discharged ears and 5 bilaterally discharged ears. The total ears are 51 ears were taken for examination, microorganism isolation, biochemical tests and then culture and sensitivity tests. Regarding ear examination, it involved clinical picture. Regarding laboratory tests certain types of biochemical test, 4 types of media were used for isolation of bacteria and in culture and sensitivity tests. 16 types of drugs used for culture and sensitivity test. All collected data putted in a questionnaire, tables and histograms.</p> <p><strong>Results:</strong> 55% of patients with profuse discharge while 45% scanty amount of ears discharge. Mucosal type of chronic suppurative otitis media were 53% while 47% of squamous type. Regarding types of bacteria, Pseudomonas aeruginosa of 41.2%, Staphylococcus aureus of 11.6% are the most common isolated bacteria. Regarding drug sensitivity, Imipenem, Meropenem of 100% sensitivity, Amikacin of 92% sensitivity while Cefixime of 62% resistance.</p> <p><strong>Conclusion:</strong>There was a relation between particular suppurative chronic otitis media causing microorganisms and specific discharge.Pseudomonas aeruginosa and Staphylococcus respectively are the most common pathogens. Imipenem and Meropenem are the most effective drugs</p> Ammar Adnan Hadi Ammar Hadi Khammas Wissam Mahdi Abbas Alsaeed Copyright (c) 2020 2020-10-05 2020-10-05 19 1 120 129