Radiological Evaluation Standards in the Radiology Department of Shahid Beheshti Hospital (RAH) YASUJ Based on Radiology standards in 92

Background & aim: Radiology personnel’s working in terms of performance and safety is one of the most important functions in order to increase the quality and quantity. This study aimed to evaluate the radiological standards in Shahid Beheshti Hospital of Yasuj, Iran, in 2013. Methods: The present cross-sectional study was based on a 118 randomly selected graphs and the ranking list, with full knowledge of the standards in radiology was performed two times. Data were analyzed using descriptive statistics. Results: 87.3% of the students chose the cassette, 76.3%, patients chose the position, 87.3%, member state, the central ray 83.9%, and the distance between the tube and the patient 68.6% had been operated in accordance with the standards practice. Among all the factors and variables, between view with cassette, view with SID, sex with position patients, grid with central ray, grid with SID, Request with positioning the patient and between density with patient position and member position significant relationship were observed) p<0.05) . Conclusions: Staff and students in terms of performance were at high levels, but in the levels of protection were in poor condition. Therefore, in order to promote their conservation, education and periodical monitoring should be carried out continuously

Molecular Analysis of Gene Frequencies of TEM, CTX-M and SHV in Beta-Lactam Antibiotic-Resistant Strains of E. Coli Isolated from Urinary Tract Infections in Yasuj Hospitals

Background & aim: Urinary tract infections is one of the most common infectious diseases which many factors are involved, but bacteria such as E.coli is the most important agent of urinary tract infections. Antibiotic resistance as a major problem in the treatment and control of these infections is considered. The aim of this study was to determine the genes that cause resistance to beta-lactam family of antibiotics on E.coli isolated from urinary tract infections in Yasuj city. Methods: In the present Cross-sectional study which was conducted over a period of seven months in 2013, 123 samples of E.coli were collected from Yasuj hospitals for molecular analysis of TEM, SHV CTX-M genes, causing antibiotic resistance by (PCR) method.Data were analyzed using SPSS statistical test. Results: PCR showed that the gene frequency of TEM (50.94%), SHV (47.16%), CTX-M-9 (35.84%), and CTX-M-10, (32.07%) and the highest and lowest prevalent of genes were related to TEM and CTX-M10 in E.coli isolated from urinary tract infections respectively. Conclusion: According to the high prevalence of resistance to beta-lactam antibiotics, the current study showed that the noted genes play an important role in facilitating the spread of antimicrobial resistance in this region

A Study on Antimicrobial Effects of Plantago Psyllium

Introduction & Objective: Due to emergence of resistance of antibiotics to microorganisms, investigations for novel antimicrobial agents have always been one of the major preoccupations of the medical societies. The present investigation aimed to study the antimicrobial properties of Plantago psyllium on some of pathogen microorganisms. Materials & Methods: This experimental study was carried out at Yasouj University of Medical Sciences in 2010. After collection and preparation of hydroalcoholic extract of Plantago psyllium, its effects against human pathogen microorganism (overall 10 microorganisms) were evaluated. Minimal Inhibitory Concentration (MIC) and minimum lethal concentration were determined for this extract. The antimicrobial effect of Plantago psyllium extract with commercial antimicrobial agents were compared. Collected data were analyzed by SPSS software using one-way ANOVA and chi-square test. Results: Findings of the present study revealed that in l0 mg/ml and 20 mg/ml concentrations of the extract, all bacteria were resistant to Plantago psyllium. In 40 mg/ml concentration, only Staphylococcus areus and staphylococcus epidemidis showed zone of inhibition (ZOI) of 10 mm and 13 mm respectively while in 80 mg/ml concentration, the maximum ZOI was 20 mm in Staphylococcus areus and 18 mm in staphylococcus epidemidis. The acceptable MIC and MLC were 40 mg/ml and 80 mg/ml in Staphylococcus areus and staphylococcus epidemidis respectively. Conclusion: Our data clearly indicated that the extract displayed equivalent compatibility with standard antibiotics on Staphylococcus areus and staphylococcus epidemidis bacteria

Antibiotic Resistance of Urinary Tract Infection of Children Under 14 Years Admitted To The Pediatric Clinic of Imam Sajjad Hospital, 2012

Background & aim: Urinary tract infection is the most common childhood infections after upper respiratory tract infection. Early diagnosis, proper treatment and appropriate patient follow-up can lead to a significant reduction in symptoms. The purpose of this study was to determine the antimicrobial resistance of urinary tract infection in children under 14 years admitted to the pediatric clinic of Imam Sajjad (AS) Yasooj. Methods: Methods: In this cross-sectional study antibiotic sensitivity of 145 positive urine cultures were evaluated by disc diffusion method. Urine specimens were collected by suprapubic aspiration and catheterization urethral in children without urinary incontinence and Mid Stream Clean-Catch method. Data were analyzed by chi square test. Results: Among the patients were studied, 60.68% female and 39.31% were male. The most common cause of urinary tract infections in children, Escherichia coli (72.41%), followed by Klebsiella (34/10.34%). Antibiotic resistance patterns including ampicillin (85.51%), amoxicillin (/83.44%), cephalexin (69.65%), cephalothin (62.06%), cotrimoxazole (37.61%), nalidixic acid (44.82%), cefixime (24.37%), nitrofurantoin (36.55%), gentamicin (35.17%), ceftriaxone (28.27%), ciprofloxacin (26.89%), amikacin (25.51%), and cefotaxime (24.82%) were respectively. Conclusion: Conclusion: Antibiotic resistance in urinary tract infections of children in Yasuj in 2012 was higher than previous years except for amikacin, But it was a remarkable increase in ciprofloxacin and co-trimoxazole. The use of nitrofurantoin, cefotaxime, third generation cephalosporins and aminoglycosides is recommended for empirical treatment

Radiographic Findings and Serological Tests for Diagnosis of Helicobacter Pylori Infection in Dyspeptic Patients

Abstract Background & aim: With different methods for diagnosing H. pylori infections the aim of this study was to compare barium swallows radiographic findings and serological tests for diagnosis of Helicobacter pylori infection in dyspeptic patients. Methods: In this analytic cross-sectional study, 60 patients with documented gastric or duodenal ulcer, referring to Yasuj Shahid Mofateh Clinic No.2 were randomly selected. For all patients, Serologic testing determining the Helicobacter pylori infection was performed using specific IgG antibody titer. Afterward, barium swallow radiograph was performed on all patients. The results of the diagnostic procedure was evaluated by the indices of sensitivity, specificity, positive predictive value, negative predictive value, the percentage of false positives, the percentage of false negative and true accuracy with 95% confidence interval were analyzed. Results: From a total of 60 serological testing, 37 patients (61.6 %) had positive and 23 (39.4 percent) had negative results. Barium swallows radiography of 7 out of 60 patients (11.7 percent) was positive. Among patients with positive serology, 5 patients had positive and 2 patients had negative results. Barium swallows sensitivity and specificity of serological tests was estimated 13.5 and 91 percent respectively. Conclusion: According to the high specificity percent, barium swallow radiography method can be considered as a confirmatory method in the diagnosis of H. pylori infection. Key words: Helicobacter pylori, serology, barium swallow, specificity, sensitivit