10 research outputs found

    Frequency of Candiduria in patients Hospitalized in Intensive Care Units

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    Abstract: Background & Aims: Some Candida species especially Candida albicans are known as flora of human and animals body and coexist in skin, throat and gastrointestinal and urinary tracts. They can primarily be colonized in hospitalized patients and cause diseases. Resent studies have reported increasing rate of candidauria in intensive care unit (ICU) patients. The aim of this study was to determine the frequency of candiduria in ICU patients with urinary tract catheterization. Method: In a descriptive cross- sectional study, 110 hospitalized patients in ICU over 18 years old who had more than 7 days urinary tract catheter were studied. Urine sample was taken immediately after catheter replacement and sent to the laboratory in less than 1 hour and analyzed. Data collection was done by a questionnaire and check list. Results: A total of 110 patients including 65 men (59.1%) and 45women (40.9%) were studied of whom 29 ones (26.4%) had candiduria based on urine culture. Candida albicans was the most common species (34.3%). Risk factors of candiduria were age, duration of hospitalization and urinary tract catheterization, using more than two antibiotics, corticosteroid consumption, and diabetes mellitus. Conclusion: Due to the increasing rate of candida infection in hospitalized patients especially ICU patients, more attention for prevention of candiduria especially in those with candiduria risk factors is recommended. Keywords: Candidiasis, Urinary tract infection, Urinary catheterization, Intensive care uni

    Comparison of Helicobacter pylori seroprevalance between acne rosacea and healthy group

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    Background and Objective: Acne rosacea is a chronic skin disease with unknown etiology. Some reports have suggested an increased prevalence of helicobacter (H) pylori infection in patients with acne rosacea but it is controversial. This study was designed to compare the prevalence of H pylori between the acne rosacea patients and the healthy control group. Materials and Methods: This case-control study was performed on 30 patients with acne rosacea and 60 healthy individuals as a control group. 5 mL blood was taken from each person and anti-H pylori IgG was measured by enzyme-linked immunosorbent assay. Results: Mean age was 45.8±14.05 years in acne rosacea patients and 41.4±12.3 years in control group. Seventeen (56.7) of patients and fifty two (86.2) of controls were infected by H pylori (P=0.002), but mean serum anti-H pylori IgG level was significantly higher in acne rosacea patients comparing to healthy control group (139.49±174.15 g/mL vs 38.87±23.50, P=0.005). Conclusion: Despite increased mean serum anti-H pylori IgG levels in acne rosacea patients, H pylori was more prevalent in healthy control group, in this study

    Peripheral Blood Mononuclear Cell Mycobacterium tuberculosis PCR sensitivity in diagnosis of Tuberculosis

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    Background: Tuberculosis is still one of the most important causes of mortality and morbidity in many countries and is the second only to human immunodeficiency virus as a cause of death worldwide resulting from a single infectious agent. In 1993, the World Health Organization declared tuberculosis a global public health emergency. Conven-tional methods for the diagnosis of Mycobacterium tuberculosis (MTB) infections are time consuming, as MTB culture requires 3-8 weeks for growth. To determine the sensitivity of polymerase chain reaction (PCR) in peripheral blood mononuclear cells (PBMC), we have evaluated Mycobacterium tuberculosis DNA in peripheral blood samples with PCR technique in adults with new cases of pulmonary and extra-pulmonary tuberculosis. Setting: Department of Infectious disease of Imam Khomeini Hospital, 2004- 2005, Tehran, Iran.Methods: In this cross-sectional study, we evaluated MTB DNA extracted from 3ml citrated peripheral blood samples from 95 adults with new cases of pulmonary and extra-pulmonary tuberculosis. DNA extraction was performed using a commercial PCR kit with IS1081 primers. For prevention of cross contamination and reduction of false positives, all steps were performed under laminar hood.Results: The 95 patients, 59 of whom were male, had a mean age 44.44 years (SD±20.26); 69 cases had pulmonary and 26 had extra-pulmonary tuberculosis. PCR was positive in 32 (33.7%) patients and negative in 63 (66.3%) cases. The overall sensitivity and accuracy of the PCR assay was 44.1% for pulmonary, 19.2% for extra-pulmonary and 10% for disseminated tuberculosis, respectively.Conclusion: The low sensitivity of the IS1081 primer MTB-PCR assay on PBMC may pose problems for the rapid diagnosis of tuberculosis. However, further studies are needed to confirm this technique as an alternative test for the diagnosis of tuberculosis

    Epidemiology of hepatitis B in pregnant Iranian women: a systematic review and meta-analysis

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    Perinatal transmission is one of the most common routes of hepatitis B virus (HBV) transmission. This study aims to identify the epidemiological features of HBV among pregnant Iranian women. This study followed the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) guidelines. Two authors independently searched several online databases without time limit until May 2017. The databases include Magiran, Iranmedex, SID, Medlib, IranDoc, Scopus, PubMed, Science Direct, Cochrane, Web of Science and Google Scholar. The data were analyzed based on a random-effects model using Comprehensive Meta-Analysis software version 2. Thirty-seven studies were included in the meta-analysis. The prevalence of HBV among pregnant Iranian women was 1.18 (95 CI: 0.09-1.53). The prevalence of HBV among pregnant women living in urban and rural areas was 1.60 (95 CI: 0.06-4.30) and 1.70 (95 CI: 0.09-3.2), respectively. The prevalence of HBV among housewives and working pregnant women was 4.3 (95 CI: 1.4-12.5) and 1.2 (95 CI: 0.02-5.8), respectively. The risk of developing an HBV infection was significantly associated with illiteracy (p = 0.013), abortion (p = 0.001), blood transfusion (p < 0.001) and addicted spouse (p = 0.045). However, no significant relationship was observed between HBV infection and urbanization (p = 0.65), occupation (p = 0.37), history of surgery (p = 0.32) or tattooing (p = 0.69). Vaccination coverage (receiving at least a single dose) in pregnant women was 9.8 (95 CI: 5.3-17.5). The prevalence of HBV among pregnant women is lower than in the general population of Iran. HBV vaccination coverage was low among pregnant Iranian women. Therefore, health policy-makers are recommended to enforce immunization programs for HBV vaccination among high-risk pregnant women
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