[Home ] [Archive]   [ فارسی ]  
:: Main :: About :: Current Issue :: Archive :: Search :: Submit :: Contact ::
Main Menu
Home::
Journal Information::
Articles archive::
For Authors::
For Reviewers::
Subscription::
Contact us::
Site Facilities::
Webmail::
::
Search in website

Advanced Search
..
Receive site information
Enter your Email in the following box to receive the site news and information.
..
Journal Citation Index

 

Citation Indices from GS

AllSince 2019
Citations93385722
h-index3827
i10-index246147

 

..
Central Library of Kurdistan University of Medical Sciences
AWT IMAGE
..
Vice-Chancellery for Research and Technology
AWT IMAGE
..
SCImago Journal & Country Rank
:: Volume 13, Issue 3 (Scientific Journal of Kurdistan University of Medical Sciences 2008) ::
SJKU 2008, 13(3): 7-14 Back to browse issues page
Comparison of the rate of enteric colonization with vancomycin-resistant enterococci in medical wards with surgical wards of Namazi Hospital in Shiraz.
Abdolrahim Afkhamzadeh 1, Mehrdad Askarian , Mohammad Barari , Behrooz Hadinia , Mehrvash Jokar
1- , afkhama@gmail.com
Abstract:   (42801 Views)
Background and Aim: Enterococci were the first organisms which developed resistance to vancomycin. In the recent years, they have shown resistance to many antibiotics and vancomycin is one of such antibiotics. Risk factors for rectal colonization with vancomycin-resistant enterococci include patient related factors such as underlying diseases and hospital related factors such as duration of hospitalization, treatment procedures and antibiotic use. In this study the prevalence and risk factors for rectal colonization with vancomycin-resistant enterococci (VRE) in the medical and surgical wards were assessed and the results of the study in the 2 above mentioned wards were compared with each other. Material and Methods: Serial rectal swabs were obtained from 370 hospitalized patients in seven medical wards and 143 patients in five surgical wards every five days. Sampling method was stratified random sampling. During the study 750 samples of rectal swab were taken under sterile conditions. Enterococci were detected by disk diffusion method and their resistance to vancomycin was verified by minimum inhibitory concentration dilution method. Chi square and T tests were used for data analysis. Results: Among 513 patients, 76 (15%) were colonized with VRE (cases) and 40 patients with vancomycin-sensitive strains (VSE). Medical wards showed a higher rate of colonization (18.1%) in comparison to surgical wards (6.3%). In surgical wards, prevalence of VRE was related to clinical outcome (p=0.04) and major surgery (p=0.000), but in medical wards, VRE colonization showed a significant relationship with duration of hospitalization (p=0.03), underlying disease (p=0.04), the number of antibiotics (p=0.02), renal failure, history of dialysis (p=0.01) and duration of antibiotic use. Conclusion: Our study demonstrates that VRE prevalence in medical wards is three times as those of surgical wards. Considering longer period of hospitalization, use of more drugs for longer periods and also presence of underlying diseases in medical ward patients, performance of infection control strategy in regard to VRE seems necessary. Key words: Enterococci, Entric colonization, Vancomycin-resistant, Medical wards, Surgical wards. Conflict of Interest: Nill Received: June 9, 2008 Accepted: August 4, 2008
Keywords: Enterococci, Entric colonization, Vancomycin-resistant, Medical wards, Surgical wards
Full-Text [PDF 125 kb]   (2035 Downloads)    
Type of Study: Original Research | Subject: General
Received: 2009/04/9 | Published: 2008/12/15
Send email to the article author

Add your comments about this article
Your username or Email:

CAPTCHA


XML   Persian Abstract   Print


Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:

Afkhamzadeh A, Askarian M, Barari M, Hadinia B, Jokar M. Comparison of the rate of enteric colonization with vancomycin-resistant enterococci in medical wards with surgical wards of Namazi Hospital in Shiraz.. SJKU 2008; 13 (3) :7-14
URL: http://sjku.muk.ac.ir/article-1-46-en.html


Rights and permissions
Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
Volume 13, Issue 3 (Scientific Journal of Kurdistan University of Medical Sciences 2008) Back to browse issues page
مجله علمی دانشگاه علوم پزشکی کردستان Scientific Journal of Kurdistan University of Medical Sciences
مجله علمی دانشگاه علوم پزشکی کردستان Scientific Journal of Kurdistan University of Medical Sciences
Persian site map - English site map - Created in 0.05 seconds with 45 queries by YEKTAWEB 4657