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Palwankar D, Garg A, Tandan M, Bhasin P, Sachdeva A, Palwankar P. Antimicrobial efficacy of two commercially available herbal products with and without ultrasonic activation in primary endodontic infections: A randomized clinical trial. J Conserv Dent Endod 2024; 27:305-309. [PMID: 38634027 PMCID: PMC11019806 DOI: 10.4103/jcde.jcde_308_23] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 12/02/2023] [Revised: 01/10/2024] [Accepted: 01/26/2024] [Indexed: 04/19/2024]
Abstract
Background Effective irrigation is crucial for successful endodontic treatment. Traditional irrigants like sodium hypochlorite (NaOCl) have been widely used, but there is a growing interest in exploring natural alternatives for their potential antimicrobial properties. Objective The study aims to compare the antimicrobial efficacy of Neem, Bitter Gourd, and NaOCl, with and without ultrasonic activation in managing primary endodontic infections. Materials and Methods Ninety patients were randomly assigned six groups (n = 15) Group 1: NaOCl, Group 2: NaOCl with passive ultrasonic irrigation (PUI), Group 3: Neem juice, Group 4: Neem juice with PUI, Group 5: Bitter gourd juice, and Group 6: Bitter gourd juice with PUI. Bacteriological samples were collected before (S1) and after (S2) shaping, plated on brain heart infusion agar, and colony counting was done after 24 h. Statistical Analysis Used Shapiro-Wilk test, one-way ANOVA, post hoc Tukey analysis, and paired t-test. Results All the groups demonstrated a significant reduction in bacterial count. Groups with PUI (2, 4, 6) demonstrated higher mean bacterial reduction than their counterparts without PUI (1, 3, 5). Conclusion Neem and Bitter gourd juices, particularly when used with PUI, demonstrated antimicrobial efficacy comparable to NaOCl with PUI.
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Affiliation(s)
- Drishti Palwankar
- Department of Conservative Dentistry and Endodontics, Faculty of Dental Sciences, SGT University, Gurugram, Haryana, India
| | - Ashima Garg
- Department of Conservative Dentistry and Endodontics, Sudha Rustagi College of Dental Sciences and Research, SDS, MRIIRS, Faridabad, Haryana, India
| | - Monika Tandan
- Department of Conservative Dentistry and Endodontics, Manav Rachna Dental College, SDS, MRIIRS, Faridabad, Haryana, India
| | - Prashant Bhasin
- Department of Conservative Dentistry and Endodontics, Sudha Rustagi College of Dental Sciences and Research, Faridabad, Haryana, India
| | - Akshat Sachdeva
- Department of Conservative Dentistry and Endodontics, CDER, AIIMS, New Delhi, India
| | - Pooja Palwankar
- Department of Periodontology, Manav Rachna Dental College, SDS, MRIIRS, India
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Kaushik G, Mittal R, Tandan M. Antimicrobial efficacy of commercially available ozonated olive oil and sodium hypochlorite with and without ultrasonic activation in primary endodontic infections: A randomized clinical trial. Endodontology 2022. [DOI: 10.4103/endo.endo_57_21] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
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Dhall S, Mittal R, Tandan M. Single-visit apexification with biodentine and platelet-rich fibrin. J Dent Res Rev 2020. [DOI: 10.4103/jdrr.jdrr_69_20] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
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Tandan M, Burns K, Murphy H, Hennessy S, Cormican M, Vellinga A. Antimicrobial prescribing and infections in long-term care facilities (LTCF): a multilevel analysis of the HALT 2016 study, Ireland, 2017. ACTA ACUST UNITED AC 2019; 23. [PMID: 30458910 PMCID: PMC6247462 DOI: 10.2807/1560-7917.es.2018.23.46.1800278] [Citation(s) in RCA: 12] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/31/2022]
Abstract
Background The 2016 point prevalence survey (PPS) of healthcare-associated infections (HAI) and antimicrobial use (AMU) in Irish long-term care facilities (LTCF) (HALT) showed a 9.8% AMU and 4.4% HAI prevalence, based on aggregated data analysis. Aim Our aim was to identify institutional and resident risk factors of AMU and HAI. Methods HALT 2016 gathered information using institutional and resident questionnaires, for residents who met the surveillance definition of active HAI and/or AMU, limiting analysis to the aggregated institutional level. In January 2017, we requested additional data on age, sex, urinary catheter use and disorientation of current residents from HALT 2016 LTCF and matched to 2016 HALT data. Results Of 224 HALT 2016 LTCF, 80 provided additional information on 3,816 residents; prevalence of AMU was 10.6% and HAI was 4.7%. Presence of a coordinating physician (Odds ratio (OR): 0.3; 95% confidence interval (CI): 0.2–0.6), antimicrobial stewardship committee (OR: 0.2; 95%; CI: 0.1–0.6), healthcare assistants (OR: 0.9; 95% CI: 0.9–1.0), antimicrobial consumption feedback (OR: 0.3; 95% CI: 0.1–0.6) and medical care by personal general practitioner (OR: 0.6; 95% CI: 0.7–1.0) were associated with less AMU and feedback on surveillance of infection prevention and control (IPC) practices (OR: 0.6; 95% CI: 0.3–1.0) with less HAI. AMU and HAI varied significantly between LTCF. Conclusions Multilevel modelling identified significant inter-facility variation, as well as institutional factors associated with AMU and HAI. An antimicrobial stewardship committee linked with feedback on IPC and prescribing was associated with reduced AMU and HAI.
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Affiliation(s)
- M Tandan
- Discipline of General Practice, School of Medicine, National University of Ireland Galway (NUIG), Galway, Ireland
| | - K Burns
- Department of Clinical Microbiology, Royal College of Surgeons in Ireland (RCSI), Dublin, Ireland.,Health Protection Surveillance Centre (HPSC), Dublin, Ireland
| | - H Murphy
- Health Protection Surveillance Centre (HPSC), Dublin, Ireland
| | - S Hennessy
- Health Protection Surveillance Centre (HPSC), Dublin, Ireland
| | - M Cormican
- Discipline of Bacteriology, School of Medicine, National University of Ireland Galway (NUIG), Galway, Ireland
| | - A Vellinga
- Discipline of Bacteriology, School of Medicine, National University of Ireland Galway (NUIG), Galway, Ireland.,Discipline of General Practice, School of Medicine, National University of Ireland Galway (NUIG), Galway, Ireland
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Rao GV, Pradeep R, Sasikala M, Pavan Kumar P, Krishna VV, Mahesh Shetty G, Talukdar R, Tandan M, Jagadeesh R, Nageshwar Reddy D. Distal pancreatectomy with autologous islet transplantation in chronic pancreatitis patients: First case series from India. Indian J Gastroenterol 2018; 37:452-456. [PMID: 30276765 DOI: 10.1007/s12664-018-0881-6] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/11/2018] [Accepted: 08/03/2018] [Indexed: 02/04/2023]
Abstract
Pancreatectomy and autologous islet transplantation (AIT) are performed in highly specialized centers to alleviate abdominal pain and preserve endocrine function in patients with chronic pancreatitis. We aimed at initiating AIT studies in India for the first time in patients undergoing distal pancreatectomy (DP) to prevent development of diabetes. Four out of 14 chronic pancreatitis patients screened underwent DP with AIT. Pancreatectomy specimen preserved in Wisconsin solution was subjected to islet isolation employing standard protocol using collagenase V. Isolated islets were infused into the liver through portal vein after quality assessment and the four patients were followed for 1 year. During the study period, blood glucose, fasting insulin, and C-peptide were analyzed and glucose tolerance was assessed. Three patients could be infused with islets (4363 Islet equivalents, IEQ/kg, 3860 IEQ/kg, 3600 IEQ/kg) into liver without any infusion-related complications. Two of these patients maintained glucose tolerance and glycemic control (HbA1c: 6.0%) and one became diabetic at the end of 1 year (HbA1c: 7.5%). Circulating fasting insulin increased (2.7-24.4 μU/mL and 4.0-21.2 μU/mL) and C-peptide levels increased (2.2 to 3.6, 3.4-5.6 ng/mL) in these two patients. Circulating insulin was 2.7 μU/mL and C-peptide was 2.4 ng/mL in the patient who became diabetic at the end of 1 year, while insulin was 2.3 μU/mL and C-peptide was 1.2 ng/mL in the patient who could not be infused with islets after DP. Safety and feasibility of autologous islet transplantation is established in India for the first time.
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Affiliation(s)
- G V Rao
- Asian Institute of Gastroenterology, Somajiguda, Hyderabad, 500 082, India.,Asian Healthcare Foundation, Somajiguda, Hyderabad, 500 082, India
| | - R Pradeep
- Asian Institute of Gastroenterology, Somajiguda, Hyderabad, 500 082, India
| | - M Sasikala
- Asian Healthcare Foundation, Somajiguda, Hyderabad, 500 082, India.
| | - P Pavan Kumar
- Asian Healthcare Foundation, Somajiguda, Hyderabad, 500 082, India
| | - V V Krishna
- Asian Healthcare Foundation, Somajiguda, Hyderabad, 500 082, India
| | - G Mahesh Shetty
- Asian Institute of Gastroenterology, Somajiguda, Hyderabad, 500 082, India
| | - R Talukdar
- Asian Institute of Gastroenterology, Somajiguda, Hyderabad, 500 082, India.,Asian Healthcare Foundation, Somajiguda, Hyderabad, 500 082, India
| | - M Tandan
- Asian Institute of Gastroenterology, Somajiguda, Hyderabad, 500 082, India
| | - R Jagadeesh
- Asian Institute of Gastroenterology, Somajiguda, Hyderabad, 500 082, India
| | - D Nageshwar Reddy
- Asian Institute of Gastroenterology, Somajiguda, Hyderabad, 500 082, India.,Asian Healthcare Foundation, Somajiguda, Hyderabad, 500 082, India
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Tandan M, Cormican M, Vellinga A. Adverse events of fluoroquinolones vs. other antimicrobials prescribed in primary care: A systematic review and meta-analysis of randomized controlled trials. Int J Antimicrob Agents 2018; 52:529-540. [PMID: 29702230 DOI: 10.1016/j.ijantimicag.2018.04.014] [Citation(s) in RCA: 31] [Impact Index Per Article: 5.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/29/2017] [Revised: 04/11/2018] [Accepted: 04/14/2018] [Indexed: 02/07/2023]
Abstract
BACKGROUND Fluoroquinolones (FQs) are second-line antimicrobial agents. Once the decision to prescribe an antimicrobial is made, the choice of antimicrobial should be based on both the benefits and adverse effects. This systematic review quantifies the occurrence of common adverse events (AEs) related to FQs in relation to any other antimicrobial for any indication in primary care. METHODS We searched randomized controlled trials from Embase, PubMed, Cochrane Central Register of Controlled Trials and CINHAL. FQs had to be administered orally, for any indication, to adults and in primary care. Data were extracted independently in standard forms in "Covidence". Pooled estimates of the intervention effects for AEs were determined by the Peto odds ratios (ORs) and 95% confidence intervals (CIs) in Revman. RESULTS In the 39 studies selected, the most commonly reported AEs were nausea, vomiting, diarrhoea, headache, dizziness, and rash. A meta-analysis of 28 studies reporting AEs showed central nervous system (CNS)-related AEs (OR 1.40 (1.12-1.75) P = 0.003, heterogeneity (I2) = 0%) and gastrointestinal (GI)-related AEs (OR 1.20 (1.06-1.36) P = 0.005, I2 = 80%) were significantly associated with FQs compared with other antimicrobials. Compared with FQs, co-amoxiclav showed significantly more total AEs (OR 0.70 (0.54-0.90) P = 0.006, I2 = 78%) and GI-related AEs (OR 0.69 (0.52-0.91) P = 0.008, I2 = 94%). Withdrawal or discontinuation due to drug-related AEs was higher for FQs (OR 1.19 (1.00-1.42) P = 0.05, I2 = 5%). Sensitivity analyses did not change these results. CONCLUSION FQs are associated with more CNS- and GI-related AEs compared with other types of antimicrobial. This information is relevant to support decision making in relation to antimicrobial prescribing.
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Affiliation(s)
- M Tandan
- Discipline of General Practice, School of Medicine, National University of Ireland Galway (NUIG), Ireland.
| | - M Cormican
- Discipline of Bacteriology, School of Medicine, National University of Ireland Galway (NUIG), Ireland
| | - A Vellinga
- Discipline of General Practice, School of Medicine, National University of Ireland Galway (NUIG), Ireland; Discipline of Bacteriology, School of Medicine, National University of Ireland Galway (NUIG), Ireland
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Tandan M, Hegde MN, Hegde P. Effect of four different intracanal medicaments on the apical seal of the root canal system: a dye extraction study. Indian J Dent Res 2016; 25:607-12. [PMID: 25511060 DOI: 10.4103/0970-9290.147104] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
Abstract
AIM The aim was to determine the effect of four different intracanal medicaments on the apical seal of the root canal system in vitro. METHODOLOGY Fifty freshly extracted intact human permanent maxillary central incisors were collected, stored and disinfected. The root canals were prepared to a master apical size of number 50 using step back technique. Depending upon the intracanal medicament used, the teeth were divided randomly into five groups of 10 teeth each including one control group and four experimental groups. Group A: No intracanal medicament. Group B: Calcium hydroxide powder mixed with distilled water. Group C: Calcium hydroxide gutta percha points (calcium hydroxide points). Group D: 1% chlorhexidine gel (hexigel). Group E: Chlorhexidine gutta percha points (Roeko Activ Points). The medication was left in canals for 14 days. Following removal of the intracanal medicament, all the groups were obturated with lateral compaction technique. The apical leakage was then evaluated using dye extraction method with the help of a spectrophotometer. RESULTS RESULTS were statistically analyzed using Kruskal-Wallis and Mann-Whitney U-test, which showed statistically significant difference among the five groups tested. CONCLUSION It can be concluded from this study that the control group showed least amount of leakage, whereas the 1% chlorhexidine gel group showed maximum amount of leakage. Apical leakage was observed with all the experimental groups with little variations in between them. Under the parameters of this study, it can be concluded that use of intracanal medicaments during endodontic treatment has a definite impact on the apical seal of the root canal system.
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Affiliation(s)
- Monika Tandan
- Department of Conservative Dentistry and Endodontics Sudha Rustagi College of Dental Sciences and Research Centre, Kheri More, Faridabad, Haryana, India
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Santosh D, Lakhtakia S, Gupta R, Reddy DN, Rao GV, Tandan M, Ramchandani M, Guda NM. Clinical trial: a randomized trial comparing fluoroscopy guided percutaneous technique vs. endoscopic ultrasound guided technique of coeliac plexus block for treatment of pain in chronic pancreatitis. Aliment Pharmacol Ther 2009; 29:979-84. [PMID: 19222416 DOI: 10.1111/j.1365-2036.2009.03963.x] [Citation(s) in RCA: 73] [Impact Index Per Article: 4.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/12/2022]
Abstract
BACKGROUND Coeliac plexus block (CPB) is a management option for pain control in chronic pancreatitis. CPB is conventionally performed by percutaneous technique with fluoroscopic guidance (PCFG). Endoscopic ultrasound (EUS) is increasingly used for CPB as it offers a better visualization of the plexus. There are limited data comparing the two modalities. AIM To compare the pain relief in chronic pancreatitis among patients undergoing CPB either by PCFG technique or by EUS guided technique. METHODS Chronic pancreatitis patients with abdominal pain requiring daily analgesics for more than 4 weeks were included. Fifty six consecutive patients (41 males, 15 females) participated in the study. EUSG-CPB was performed in 27 and PCFG-CPB in 29 patients. In both the groups, 10 mL of Bupivacaine (0.25%) and 3 mL of Triamcinolone (40 mg) were given on both sides of the coeliac artery through separate punctures. RESULTS Pre and post procedure pain scores were obtained using a 0-10 visual analogue scale. Improvement in pain scores was seen in 70% of subjects undergoing EUS-CPB and 30% in Percutaneous- block group (P = 0.044). CONCLUSIONS EUS-guided coeliac block appears to be better than PCFG-CPB for controlling abdominal pain in patients with chronic pancreatitis.
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Affiliation(s)
- D Santosh
- Department of Anesthesiology, Asian Institute of Gastroenterology, Asian Institute of Gastroenterology, Hyderabad, India.
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Affiliation(s)
- M Ramchandani
- Department of Gastroenterology, Asian Institute of Gastroenterology, Hyderabad, India
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Affiliation(s)
- S Lingareddy
- Asian Institute of Gastroenterology and Radiology, Hyderabad, Andhra Pradesh. India
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Tandan M. Inflammatory bowel disease: current therapy and future options. Trop Gastroenterol 1998; 19:130-5. [PMID: 10228434] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 04/13/2023]
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