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Bacteriological study of Hospital-acquired urinary tract infections in Erbil city
دراسة بكتريولوجية لعدوى المسالك البولية المكتسبة من المستشفيات في مدينة أربيل

Author: Aza Bahadeen Taha
Journal: Zanco Journal of Medical Sciences مجلة زانكو للعلوم الطبية ISSN: 19955588/19955596 Year: 2011 Volume: 15 Issue: 2 Pages: 45-50
Publisher: Hawler Medical Univeristy جامعة هولير الطبية

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Abstract

Background and objectives: Urinary tract infections are amongst the most common infections, Hospital-acquired urinary tract infection increases not only morbidity and mortality but also hospital costs. The objectives of this study were to determine bacteria responsible for hospital-acquired urinary tract infection, their antibiotic sensitivities and to describe the risk factors of the infection.Methods: All urine samples fulfilling the criteria for significant bacteriuria were included in the study. Isolation and identification of bacteria was performed by standard method and susceptibility testing was determined by disk diffusion method.Results: Out of 290 patients, 133 (45.86%) have acquired hospital-acquired urinary tract infection. Older age, hospitalization and catheterization were risk factors of the infection. Escherichia coli (51.70%) and Klebsiella pneumoniae (16.33%) represented the most common isolates. The most bacteria isolates were sensitive to ciprofloxacin, rifampin and trimethoprim + sulphamethoxazole.Conclusions: To prevent hospital-acquired urinary tract infections, important factors must be taken into consideration, for example: avoid unnecessary urethral catheterization, choose narrow spectrum antibiotics according to antibiotic sensitivities, and investigate regularly the causative bacteria and their susceptibility patterns


Article
Community and Hospital Acquired Infection of Methicillin-Resistant Staphylococcus aureus (MRSA) in Erbil City
حصول المجتمع والمستشفى على العدوى من المكورات العنقودية الذهبية المقاومة للميثيسيلين في مدينة أربيل

Authors: Sabria M. Said Al-Salihi --- Aza Bahadeen Taha
Journal: Zanco Journal of Medical Sciences مجلة زانكو للعلوم الطبية ISSN: 19955588/19955596 Year: 2010 Volume: 14 Issue: 3 Pages: 52-60
Publisher: Hawler Medical Univeristy جامعة هولير الطبية

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Abstract

Background and Objectives: Methicillin-resistant Staphylococcus aureus (MRSA) is one of the most frequently isolated pathogens in both community and hospitals, and associated with high morbidity and mortality rates with rapid development of resistance. The ethicillin-resistance occurs due to the presence of PBP2a of the bacterial cell wall, which has low affinity for β-lactam antibiotics. MRSA are often multi-resistant to both β-lactams and non-β-lactams antibiotics. The study was documented the occurrence of community and hospital acquired MRSA infections.Method: The clinical specimens were collected from patients at three teaching hospitals in Erbil city. All Staphylococcus aureus were identified as MRSA by detection of PBP2a.Results: Out of 377 Staphylococcus aureus isolated, 30.24% were MRSA. The wound was the most common infection site for both community and hospital acquired MRSA. Statistically the patients with hospital acquired MRSA were older than the community acquired MRSA.Conclusions: MRSA is one of the most common causes of serious infection in community and hospital settings. The most common site infected by MRSA is the surgical wound infection.


Article
Nosocomial infections in a Surgical Floor of the General Ba'qubah Hospital; Iraq
عدوى المستشفيات في ردهات الجراحة في مستشفى بعقوبة العام في العراق

Authors: Samara M. Ali سماره موفق علي --- Sarmad M. Mohammed Zeiny سرمد محمد حسين --- Mohammed A. Al-Kharkhi محمد احمد الكرخي
Journal: Journal of the Faculty of Medicine مجلة كلية الطب ISSN: 00419419 Year: 2016 Volume: 58 Issue: 1 Pages: 51-57
Publisher: Baghdad University جامعة بغداد

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Abstract

Background: Prevention against nosocomial infection is an important issue of health care field and considered a challenge of patients’ since it reflects its effect on their quality of life. This due to that it will lead in most cases to prolonged hospitalization and also more cost.Objective: To determine the prevalence of different types of nosocomial infection and to demonstrate the association of different risk factors (hospital environment, workers, visitors) with nosocomial infection.Patients: this study was carried out in eleven months at Ba’quba general Hospital; Iraq. A total of 81 clinical specimens (urine, pus from abscess , burn swab, nasal swab, ear swab and wound swab) taken from surgical patients,102 specimens from hospital workers,50 specimens from patient visitors,335 specimens from hospital environment and 64 specimens from 18 newly admitted patient were studied.Methods: all microorganisms which were isolated from patients, workers, visitors control group and environment were identify using standard bacteriological and mycological methods.Results: the present findings demonstrates that the percentage of nosocomial infection (N.I) types found to be highest with urinary tract infections 21 (40%), followed by surgical site infections 19 (35.8%) and respiratory tract infection 12 (23%).Conclusion: most of the isolated microorganisms were resistant to antibiotics and most of them have ability to produce β-lactamase enzyme.Keywords: Nosocomial infection. Hospital acquired infection,

المقدمة: اصبحت الوقايه ضد عدوى المستشفيات قضية مهمة في مجال الصحة العامه وتعتبر تحديا للمرضى لانها تعكس تاثيرها على حياتهم بصوره او باخرى. لانها السبب في بقاء المريض في المستشفى لوقت اطول وبالنهايه تكاليف اكبرالاهداف: للتعرف على مدى انتشار انواع عديدة من مسببات عدوى المستشفيات ولاستعراض ارتباطها بعوامل الخطوره المساعده لها (محيط المستشفى، العمال، الزوار...الخ).المرضى: شملت هذه الدراسه 81 عينه سريريه ( بول، خراج، مسحات حروق، مسحات انفيه، مسحات اذن، مسحات جروح بعد العمليات) اخذت من المرضى، 102 عينه اخذت من عمال داخل المستشفى، 50 عينه من الزوار، 355 عينه من المستشفى نفسها و64 عينه من 18 مريض دخلو حديثا للمستشفى. العمل- جميع المسببات تم عزلها من المرضى، العمال، الزوار ومجاميع السيطره وتم التعرف عيها بواسطة الطرق القياسية الخاصة بعزل البكتيريا والطفيليات.النتائج :اظهرت النتائج ان النسبة الاكبر بين مسببات عوى المستشفيات هي عينات البول 21 (40%) تليها عينات الجروح بعد العمليات 19 (35%) والجهاز التنفسي 12 (23%).الاستنتاجات :اغلب البكتيريا المعزوله مقاومة للمضادات الحيويه واغلبها لها القابليه على فرز انزيم البيتالاكتميز.مفتاح الكلمات: عدوى المستشفيات , مستشفى بعقوبة العام.

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