fa تعیین فراوانی حاملین استافیلوکوک طلائی در حلق و بینی پرسنل پزشکی بیماریهای داخلی Internal Medicine پژوهشي Research <p style="DIRECTION: rtl">  به منظور تعیین فراوانی افرادی که حامل استا فیلو کوک طلایی در بینی وحلق بوده و می توانند در گسترش عفونت در بیماران نقش داشته باشند،مطالعه حاضر بصورت مقطعی توصیفی در 3بیمارستان اموزشی تحت انجام (A b c پوشش دانشگاه علوم پزشکی و خدمات بهداشتی درمانی ایران (  شده است.در این بررسی از 380 پرسنل تحت تماس بابیماران بصورت اسان نمونه گیری ،از بینی و حلق منتقل شده وبا انجام Agar-salt-mannitol پرسنل بطور مجزا انجام شده است. نمونه ها به محیط موارد استا فیولوک طلا ئی مشخص شده اند. (coagulase ازمایش کو اگولاز( نتایج حاصل از کل نمونه های 380 نفری نشان می دهد که 189 نفر (50 درصد)حاملین بینی،81 نفر (21 در صد)حاملین حلق و 64 نفر(17 در صد)حاملین حلق وبینی بطور توام بودند. درمیان 3 بیمارستان بیشترین میزان حاملین a از نظر حاملین بینی و حلق با 59 و 30 درصد قرار دارد و بیمارستان b بیمارستان  b بینی در بخش جراحی(67 در صد)حاملین حلق در بخش داخلی (30 در صد)بودند.در بیمارستان (86)درصد وبیشترین حاملین حلق در بخش چشم (60 در صد) بودند. ccu بیشترین حاملین در بخش ( p در این بررسی میزان حاملین بینی بطور کلی 50 در صد می باشد که بطور معنی داری(0.0003> (43 درصد)و a با میزان حاملین بینی در امریکا (39 درصد) متفا وت است ولی اختلاف بیمارستانهای  اختلاف ندارند. (p مطالعه انجام شده در امریکا بطور معنی داری (0.15> </p><p>  </p> <div style="mso-element: frame mso-element-frame-width: 349.65pt mso-element-frame-height: 387.8pt mso-element-wrap: auto mso-element-anchor-horizontal: margin mso-element-left: .05pt mso-element-top: .05pt"><tbody><tr><td style="BORDER-BOTTOM: #f0f0f0 BORDER-LEFT: #f0f0f0 PADDING-BOTTOM: 0in BACKGROUND-COLOR: transparent PADDING-LEFT: 0in PADDING-RIGHT: 0in BORDER-TOP: #f0f0f0 BORDER-RIGHT: #f0f0f0 PADDING-TOP: 0in" height="517" valign="top" align="left"><p style="TEXT-JUSTIFY: inter-ideograph TEXT-ALIGN: justify LINE-HEIGHT: 16.8pt TEXT-INDENT: 14.6pt MARGIN: 0.7pt 2.6pt 0pt 3.1pt mso-element: frame mso-element-frame-width: 349.65pt mso-element-frame-height: 387.8pt mso-element-wrap: auto mso-element-anchor-horizontal: margin mso-element-left: .05pt mso-element-top: .05pt mso-line-height-rule: exactly" class="Style"><i><span style="FONT-FAMILY: "Arial","sans-serif" FONT-SIZE: 10pt">In order to determining the percentage </span></i><span style="FONT-FAMILY: "Arial","sans-serif" FONT-SIZE: 9.5pt mso-font-width: 110%">of </span><i><span style="FONT-FAMILY: "Arial","sans-serif" FONT-SIZE: 10pt">staph. carriers which is important in spreading to other patients and thus to the community. This descriptive and cross sectional studv was performed in </span></i><span style="FONT-FAMILY: "Times New Roman","serif" FONT-SIZE: 10pt mso-font-width: 133%">3 </span><i><span style="FONT-FAMILY: "Arial","sans-serif" FONT-SIZE: 10pt">teaching hospitals </span></i><span style="FONT-FAMILY: "Arial","sans-serif" FONT-SIZE: 9.5pt">of </span><i><span style="FONT-FAMILY: "Arial","sans-serif" FONT-SIZE: 10pt">Iran University </span></i><span style="FONT-FAMILY: "Arial","sans-serif" FONT-SIZE: 9.5pt">of </span><i><span style="FONT-FAMILY: "Arial","sans-serif" FONT-SIZE: 10pt">Medical Sciences and Health Services. <p></p></span></i></p><p style="TEXT-JUSTIFY: inter-ideograph TEXT-ALIGN: justify LINE-HEIGHT: 16.8pt TEXT-INDENT: 14.6pt MARGIN: 0.7pt 2.6pt 0pt 3.1pt mso-element: frame mso-element-frame-width: 349.65pt mso-element-frame-height: 387.8pt mso-element-wrap: auto mso-element-anchor-horizontal: margin mso-element-left: .05pt mso-element-top: .05pt mso-line-height-rule: exactly" class="Style"><i><span style="FONT-FAMILY: "Arial","sans-serif" FONT-SIZE: 10pt">380 health workers were chosen, separate nasal and pharyngeal swabs were taken from each person and transferred to mannitol </span></i><span style="FONT-FAMILY: "Arial","sans-serif" FONT-SIZE: 10pt">- <i>salt </i>- <i>agar media and coagulase test was performed in those samples who had <p></p></i></span></p><p style="LINE-HEIGHT: 9.6pt MARGIN: 0in 0in 0pt 3in mso-element: frame mso-element-frame-width: 349.65pt mso-element-frame-height: 387.8pt mso-element-wrap: auto mso-element-anchor-horizontal: margin mso-element-left: .05pt mso-element-top: .05pt mso-line-height-rule: exactly" class="Style"><i><span style="FONT-FAMILY: "Arial","sans-serif" FONT-SIZE: 4.5pt mso-font-width: 200%">I <p></p></span></i></p><p style="LINE-HEIGHT: 7.4pt MARGIN: 0in 0in 0pt 4.05pt mso-element: frame mso-element-frame-width: 349.65pt mso-element-frame-height: 387.8pt mso-element-wrap: auto mso-element-anchor-horizontal: margin mso-element-left: .05pt mso-element-top: .05pt mso-line-height-rule: exactly" class="Style"><i><span style="FONT-FAMILY: "Arial","sans-serif" FONT-SIZE: 10pt">positive culture. The results obtained from 380 samples show that 189 <p></p></span></i></p><p style="LINE-HEIGHT: 16.3pt MARGIN: 0.45pt 2.6pt 0pt 4.3pt mso-element: frame mso-element-frame-width: 349.65pt mso-element-frame-height: 387.8pt mso-element-wrap: auto mso-element-anchor-horizontal: margin mso-element-left: .05pt mso-element-top: .05pt mso-line-height-rule: exactly" class="Style"><i><span style="FONT-FAMILY: "Arial","sans-serif" FONT-SIZE: 10pt">(50%) nasal, </span></i><span style="FONT-FAMILY: "Times New Roman","serif" FONT-SIZE: 10pt">81 (21%) </span><i><span style="FONT-FAMILY: "Arial","sans-serif" FONT-SIZE: 10pt">pharyngeal and </span></i><span style="FONT-FAMILY: "Times New Roman","serif" FONT-SIZE: 10pt">64(17%) </span><i><span style="FONT-FAMILY: "Arial","sans-serif" FONT-SIZE: 10pt">nasopharyngeal samples were staph aureus carriers. <p></p></span></i></p><p style="TEXT-JUSTIFY: inter-ideograph TEXT-ALIGN: justify LINE-HEIGHT: 16.8pt TEXT-INDENT: 14.6pt MARGIN: 0.7pt 2.6pt 0pt 3.1pt mso-element: frame mso-element-frame-width: 349.65pt mso-element-frame-height: 387.8pt mso-element-wrap: auto mso-element-anchor-horizontal: margin mso-element-left: .05pt mso-element-top: .05pt mso-line-height-rule: exactly" class="Style"><i><span style="FONT-FAMILY: "Arial","sans-serif" FONT-SIZE: 10pt">Among the three hospitals, Branks first in term </span></i><span style="FONT-FAMILY: "Arial","sans-serif" FONT-SIZE: 9.5pt mso-font-width: 106%">of </span><i><span style="FONT-FAMILY: "Arial","sans-serif" FONT-SIZE: 10pt">the highest number </span></i><span style="FONT-FAMILY: "Arial","sans-serif" FONT-SIZE: 9.5pt mso-font-width: 106%">of </span><i><span style="FONT-FAMILY: "Arial","sans-serif" FONT-SIZE: 10pt">carriers with </span></i><span style="FONT-FAMILY: "Arial","sans-serif" FONT-SIZE: 9pt mso-font-width: 110%">59% </span><i><span style="FONT-FAMILY: "Arial","sans-serif" FONT-SIZE: 10pt">nasal and 30% pharyngeal, hospital A and Cranked second and third with </span></i><span style="FONT-FAMILY: "Times New Roman","serif" FONT-SIZE: 10pt">43% - 18% </span><i><span style="FONT-FAMILY: "Arial","sans-serif" FONT-SIZE: 10pt">and </span></i><span style="FONT-FAMILY: "Times New Roman","serif" FONT-SIZE: 10pt">44% - 11% </span><i><span style="FONT-FAMILY: "Arial","sans-serif" FONT-SIZE: 10pt">rates, respectively. <p></p></span></i></p><p style="TEXT-JUSTIFY: inter-ideograph TEXT-ALIGN: justify LINE-HEIGHT: 16.8pt TEXT-INDENT: 14.6pt MARGIN: 0.7pt 2.6pt 0pt 3.1pt mso-element: frame mso-element-frame-width: 349.65pt mso-element-frame-height: 387.8pt mso-element-wrap: auto mso-element-anchor-horizontal: margin mso-element-left: .05pt mso-element-top: .05pt mso-line-height-rule: exactly" class="Style"><i><span style="FONT-FAMILY: "Arial","sans-serif" FONT-SIZE: 10pt">In hospital A the highest number </span></i><span style="FONT-FAMILY: "Arial","sans-serif" FONT-SIZE: 9.5pt mso-font-width: 106%">of </span><i><span style="FONT-FAMILY: "Arial","sans-serif" FONT-SIZE: 10pt">nasal carriers were in the surgical ward </span></i><span style="FONT-FAMILY: "Times New Roman","serif" FONT-SIZE: 10pt">(67%) </span><i><span style="FONT-FAMILY: "Arial","sans-serif" FONT-SIZE: 10pt">and the highest number </span></i><span style="FONT-FAMILY: "Arial","sans-serif" FONT-SIZE: 9.5pt mso-font-width: 110%">of </span><i><span style="FONT-FAMILY: "Arial","sans-serif" FONT-SIZE: 10pt">pharyngeal carriers in internal medicine (30%). In hospital </span></i><span style="FONT-FAMILY: "Times New Roman","serif" FONT-SIZE: 10pt">B </span><i><span style="FONT-FAMILY: "Arial","sans-serif" FONT-SIZE: 10pt">the highest number of nasal carriers in CCU (86%) and pharyngeal carriers in ophthalmology department (60%). <p></p></span></i></p><p style="TEXT-JUSTIFY: inter-ideograph TEXT-ALIGN: justify LINE-HEIGHT: 16.55pt TEXT-INDENT: 16.8pt MARGIN: 0.45pt 5.5pt 0pt 0in mso-element: frame mso-element-frame-width: 349.65pt mso-element-frame-height: 387.8pt mso-element-wrap: auto mso-element-anchor-horizontal: margin mso-element-left: .05pt mso-element-top: .05pt mso-line-height-rule: exactly" class="Style"><i><span style="FONT-FAMILY: "Arial","sans-serif" FONT-SIZE: 10pt">The average nasal carrier rate seems to be approximately 50% which is different from American reports Hospital A </span></i><span style="FONT-FAMILY: "Times New Roman","serif" FONT-SIZE: 10pt">(43%) </span><i><span style="FONT-FAMILY: "Arial","sans-serif" FONT-SIZE: 10pt">and </span></i><span style="FONT-FAMILY: "Times New Roman","serif" FONT-SIZE: 10pt">C (44%) </span><i><span style="FONT-FAMILY: "Arial","sans-serif" FONT-SIZE: 10pt">shows no difference from American figures, Hospital </span></i><span style="FONT-FAMILY: "Arial","sans-serif" FONT-SIZE: 10pt mso-font-width: 115%">B </span><i><span style="FONT-FAMILY: "Arial","sans-serif" FONT-SIZE: 10pt">with the highest carrier rate requires treatment, improved health care and more restricted infection prevention measurements. <p></p></span></i></p></td></tr></tbody></table></div> 1- استافیلوکوک طلائی 2- حاملین بینی 3- حاملین حلق 1) Staphylococcus aureus 2) Nasal carriage 3) Pharyngeal carriage 17 22 http://rjms.iums.ac.ir/browse.php?a_code=A-10-1-1164&slc_lang=fa&sid=1 S.J. Sadjadi سیدجمال الدین سجادی 3900319475328460021123 3900319475328460021123 Yes S.K. Soltani Arabshahi سیدکامران سلطانی عربشاهی 3900319475328460021124 3900319475328460021124 No N.A. Mozafari نورامیر مظفری 3900319475328460021125 3900319475328460021125 No K. Asadi کاوه اسدی 3900319475328460021126 3900319475328460021126 No