Prevalence of extended spectrum β-Lactamase producing Escherichia coli among hospitalized and outpatient children in Shohada Hospital in Qaen during 2017-2018

Background: Antibiotic resistance in pathogens, especially Escherichia coli, has become a major treatment issue. One of the most common resistance mechanisms is the production of extended spectrum beta-lactamase (ESBL) enzymes. Given the importance of the ESBL-producing bacteria, it is necessary to determine their prevalence in each region. The aim of this study was to determine the prevalence of ESBL-producing E. coli in pediatric hospitalized patients and outpatients in Shohada Hospital in Qaen city. Materials and Methods: This descriptive cross-sectional study was conducted on 223 samples of E. coli obtained from two groups of hospitalized patients and outpatients in Shohada Hospital in Qaen city. To confirm the E. coli strains, selective culture media and biochemical tests were used. The antibiotic susceptibility of the strains was determined by the disk diffusion method, and detection of the ESBL phenotype strains was performed by the combined disk method. Results: The prevalence of ESBL-producing E. coli was 30. Also, the prevalence rates of ESBL-producing E. coli in hospitalized patients and outpatients were 50 and 24.4, respectively. The ESBL strains showed the highest resistance to ceftriaxone, cefexime, cefazolin and cefotaxime antibiotics, and the least resistance to nitrofurantoin and amikacin. Conclusion: The findings show a higher prevalence of ESBL-producing E. coli in hospitalized patients compared to outpatients, which indicates a wide spread of antibiotic-resistant strains in hospitals. Therefore, continuous monitoring and rapid identification of these strains can play an important role in preventing the spread of ESBL genes

The Effect of Rhythmic Movements on Mild Anxiety in Children of 7 to 12 Years Old with Cancer

 Background and Aim: Cancer is a chronic childhood disease with many unpleasant psychological consequences such as anxiety. The study conducted to assess the effect of rhythmic movement on mild anxiety of children with cancer.Material and Methods: This study was a Quasi-experimental study. The study population included all children aged 7 to 12 years old diagnosed with cancer who were hospitalized in oncology ward of a pediatrics hospital affiliated with Shahidbeheshti University of Medical Sciences in Tehran, Iran. Sampling was through convenient sampling and based on the inclusion criteria. 31 children with mild anxiety chosen according to ʺSpielberger Anxiety Inventoryʺ were recruited. Rhythmic movements with hip-hop style along with playing music performed in the playing room for 45 minutes during 6 sessions. Questionnaires were recompleted on the final day of intervention (sixth day) and 3 weeks later through reading the items for children and filling by researcher. Data analyzed using SPSS V.18 by repeated analysis of variance (ANOVA).Results: The results showed significant differences between the mean values of anxiety (P<0.05) score before intervention and at the end of day 6 and weeks 3.Conclusion: Rhythmic movements as a non pharmacologic intervention reduce mild anxiety in children with cancer. It is recommended that nurses use non pharmacological approaches such as rhythmic movements to reduce the psychological effects of cancer instead of using drugs

Prevalence of extended spectrum β-Lactamase producing Escherichia coli among hospitalized and outpatient children in Shohada Hospital in Qaen during 2017-2018

Background: Antibiotic resistance in pathogens, especially Escherichia coli, has become a major treatment issue. One of the most common resistance mechanisms is the production of extended spectrum beta-lactamase (ESBL) enzymes. Given the importance of the ESBL-producing bacteria, it is necessary to determine their prevalence in each region. The aim of this study was to determine the prevalence of ESBL-producing E. coli in pediatric hospitalized patients and outpatients in Shohada Hospital in Qaen city. Materials and Methods: This descriptive cross-sectional study was conducted on 223 samples of E. coli obtained from two groups of hospitalized patients and outpatients in Shohada Hospital in Qaen city. To confirm the E. coli strains, selective culture media and biochemical tests were used. The antibiotic susceptibility of the strains was determined by the disk diffusion method, and detection of the ESBL phenotype strains was performed by the combined disk method. Results: The prevalence of ESBL-producing E. coli was 30%. Also, the prevalence rates of ESBL-producing E. coli in hospitalized patients and outpatients were 50% and 24.4%, respectively. The ESBL strains showed the highest resistance to ceftriaxone, cefexime, cefazolin and cefotaxime antibiotics, and the least resistance to nitrofurantoin and amikacin. Conclusion: The findings show a higher prevalence of ESBL-producing E. coli in hospitalized patients compared to outpatients, which indicates a wide spread of antibiotic-resistant strains in hospitals. Therefore, continuous monitoring and rapid identification of these strains can play an important role in preventing the spread of ESBL genes

The relationship between health-promoting lifestyle and sleep quality in postmenopausal women

Background: Menopausal women are widely reported to have poor sleep quality and sleep problems. It is not clear whether increases in sleep disturbance are brought about by hormone changes associated with menopause or due to psychosocial and physical problems. Method: This cross-sectional study was conducted on 600 menopausal women aged between 40 and 60 without any known severe illnesses in the city of Qaen, Iran, from April 2015 to May 2016. Data were collected by Health-Promoting Lifestyle Profile II and Pittsburgh Sleep Quality Index. Main outcome measures: This study was conducted to investigate the relationship between health-promoting lifestyle and sleep quality in Iranian postmenopausal women. Data were analyzed using an independent t-test, Mann-Whitney, Chi-square, Spearman and univariate logistic regression. Result: The univariate logistic regression suggested that the physical activity dimension of lifestyle (OR = 1.095, 95% CI: 1.035-1.158, P < 0.006), non-smoking status (OR = 0.549, 95% CI: 0.331-0.912, P < 0.021) and occupation (women who were farmer compared with housewives) (OR = 0.239, 95% CI (0.074-0.775), P < 0.017) were associated with sleep quality. Conclusion: Postmenopausal women in this study were at high risk for poor sleep quality. Poor sleep quality was associated with low levels of physical activity, smoking and being a housewife compared to being a farmer. Therefore, there is an essential need to educate women about health-promoting behaviors including daily physical activity and avoiding smoking which are associated with quality of sleep