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Showing 37 results for Ardabil

Ali Nemati , Ali Majidpoor , Mohsen Sagha ,
Volume 3, Issue 2 (6-2003)
Abstract

 Background & Objective: Nutritional status of individuals and community are influenced by different factors. Investigating nutrition and food problems as well as determining dietary pattern play a crucial role in determining nutrition programs and policies, preventing food deficiency, improving nutrition level and preventing malnutrition diseases. The aim of this study was to determine calorie and nutrients intake, food habit and dietary pattern in rural areas of Ardabil.

 Methods: In this cross-sectional study 250 families from 15 rural areas of Ardabil were selected using simple random method. Nutrition status of all the individuals was studied using 24 hour recall and food frequency. Data were analyzed using SPSS and Food processor.

 Results: This study showed that intake of some nutrients (Zinc, Selenium, Folic acid and Vitamin B2) in the subjects were significantly less than Recommended Dietary Allowance (RDA) of WHO (P<0.001), but intake of protein, iron and calcium was more than the RDA of WHO (P<0.001). Calorie intake of 20% of rural people was less than 75% of RDA(mostly seen among men). The findings of food frequency showed that main foods of rural individuals in Ardabil were local bread (Lavash), potato, egg, milk, biscuit, yogurt, garlic, onion, vegetable fat, butter and tomato.

 Conclusions: This study showed unsuitable intake of some nutrients. In order to improve the nutritional status of these people, regular intake of different groups of foods should be instructed.


Ahmad Daryani , Behzad Abyar , Gholamhosein Ettehad,
Volume 3, Issue 4 (12-2003)
Abstract

  Backgrand & Objective: Enterobius vermicularis is a common helminthic infection and its prevalence in Iran is 25 to 92 percent.The aim of this study was to determine the prevalence of E. vermicularis infection among children going to daycare centers in Ardabil.

  Methods : This cross-sectional study was carried out in 2003 on 400 children who were selected from 10 daycare centers using Graham's scotch adhesive tape technique. A questionnaire was filled for every subject and the results were analyzed by Chi-square test.

  Results : The prevalence of enterobiosis in the children under study was 18.3%. The highest rate (21.62%) was observed among 3-4 year-old children and the lowest rate (16.19%) was seen among 5-6 year-old ones. The infection rate of males and females were 16.4% and 21.2%, respectively. Prevalence of enterobiosis in children of illiterate mothers (54.5%) was higher compared to literate mothers (12.4%) (p< 0.05).

  Conclusions : In order to prevent this infection, health education especially for illiterate parents or those who have lower level of education is necessary.


Ali Majidpour , Shahnam Arshi , Homayoun Sadeghi , Seyedmorteza Shamshirgaran , Shahin Habibzadeh ,
Volume 3, Issue 4 (12-2003)
Abstract

 Background& Objective: Animal bites are considered to be an important threat to human health. Ardabil province in north-western Iran has the highest incidence rate of animal bites in Iran. This study was an attempt to investigate the epidemiological features of animal bites in Ardabil province during a one-year period from April 1999 to April 2000.

 Methods: In this descriptive study a special questionnaire was filled for all cases of animal bites reported during a one year period in Ardabil province. The questionnaire included questions regarding rabies, age, sex, job, etc. The data were analyzed using SPSS software (release 9). Descriptive statistics was used in the form of frequency tables and graph in order to summarize the data.

 Results: The total number of exposed persons to animal bites were 4331. Males comprised 75% of cases (3259) and 1072 persons (25%) were females. The highest incidence rate was seen among 30-50 year-olds. Animal bites were more common in summer. In 3078 cases (17%), legs were the main site of bite. Dog bite was the most common type (95%).

 Conclusions: This study confirms that animal bite such as dog bite is an important public health problem in Ardabil province. Regarding the importance of this issue it is necessary to take serious measures in order to control and prevent this health thereat.


Shahnam Arshi, Seid Reza Majdzadeh, Homauoon Sadegi, Seid Hadi Sezavar, Zahra Tahmacian, Looeiz Amanati , Ali Ruhi,
Volume 6, Issue 1 (4-2006)
Abstract

  Background & Objectives: Regarding the recent implementation of new information system in medical universities, it seems quite necessary to perform an evaluation study on its effectiveness as well as on the functioning of health care systems regarding the different parts of this system. The aim of this study was to investigate skills of family health personnel in health centers of Ardabil province on correctly completing two common data forms called family planning form and maternity care data form. This can be a reasonable criterion for how well the new system is working in the field of family health.

  Methods: This is a descriptive-analytical study. All family health care personnel from Ardabil province heal care centers were entered into the study. They were asked to enter data related to 10 case presentations into blank forms. After filling out the forms they were checked and evaluated for correctness and final scores were analyzed by SPSS.

  Results : From all the data collected from 9 cities of the province, 38.5% lacked an academic education and 52% were graduated in midwifery. Mean personnel skill was 4.38 out of 10 and only 11.7% had acceptable skills in filling out the forms. Those with academic education outperformed the non-academic ones. Discrepancies regarding the correct ways of filling the forms, were observed among different cities’ health care centers.

  Conclusion: The findings indicated family health personnel were not skillful enough in completing the data forms. This led to their weak and non-dependable statistic which in turn would waste budget and energy. Moreover, the validity of the collected data would be under question. So the form 108 is very complicated and needs revision.


Hadi Sadeghi , Saleh Rohollahi ,
Volume 7, Issue 1 (4-2007)
Abstract

  Background & Objectives: Ardabil city with population of about 340386 is still supplied with groundwater resource for drinking. That should have optimum quality standards in different aspects. If a drinking water physicochemical parameters levels is higher than the permitted recommended levels, they may create irreversible damages. This study intended to determine the physicochemical parameters of drinking water in Ardabil in the year 2004.

  Methods: This is a descriptive cross-sectional study that has been done on 35 samples of Ardabil city drinking water resources in 2004. Most of the physicochemical parameters due to their importance and present limitations or even through technical restriction in water and wastewater laboratory of Ardabil health care centers were chemically analyzed and the results were statistically analyzed and compared by 1053 country standard methods.

  Results: According to the results of analyzed samples and their comparison with their related standard, it is estimated that So4, Po4 and total hardness of samples were %9, %71 & %41 respectively more than maximum acceptable level. Fluorine of samples was %57 less than the minimum recommended fluorine.

  Conclusion: Due to the lack of consistency in the values of So4, Po4, fluorine and total hardness of testing samples with the related standards, programming for obviation of the problems seems essential.


Sadegh Hazrati , Mansoor Rezazadeh Azari , Hadi Sadeghi , Soheila Rahimzadeh, Naser Mostaed,
Volume 9, Issue 4 (12-2009)
Abstract

 Background and objectives: Long term exposure to high levels of cement dust is one of the most important environmental risk factors in cement industries that adversely affect employee's respiratory system. Provided that achieving sustainable development mainly relies on healthy workers, this study aimed at assessing cement dust concentration and its free SiO2 content in an Iranian Portland Cement Industry.

 Methods: In a cross - sectional study, airborne dust levels was investigated by collecting 64 personal and 35 environmental samples at both inhalable and respirable dust sizes. Dust concentrations were determined by deploying personal samplers in the breathing zone of workers. SiO2 fractions were also measured in 4 samples collected from different part of the factory.

 Results: Arithmetic average concentrations of inhalable and respirable dust in personal sampling campaign were 58 and 13 mg m-3, respectively. Respective values for inhalable and respirable dust in environmental sampling campaign were 154 and 27 mg m-3. Dust concentrations in 90% of environmental samples and 80% of personal samples exceeded those occupational exposure limit values set for inert dusts i.e. Portland Cement. The average free SiO2 fraction in analyzed samples was 2.86% varying from 2.33% in "packing and loading" area to 3.67 % in "raw mill" section.

  Conclusion: Free SiO2 fraction as well as the concentrations of cement dust in this study is much higher than those of occupational exposure limit proposed by Iranian Technical Committee of Occupational Health.


Eiraj Sayadrezai, Esmaeil Farzaneh , Ahad Azamy , Afsaneh Enteshari Mogaddam, Samira Shahbazzadegan, Reza Mehrgany,
Volume 9, Issue 4 (12-2009)
Abstract

 Background and objectives: Suicide is an important problem for social safety and health. This phenomenon is costly for remedy and also is against Islamic values and ethics. Recognizing some risk factors of forecasting after epidemiologic studies on people whom attempted to suicide could prepare and present outlines and proper guides for preventing by health and social planners. This research is purposed on suicide epidemiologic study to obtain full and enough data about deceased people by suicide in Ardebil province.

 Methods: The subjects of this descriptive, analytic and sectional research were 64 deceased people by suicide from 2003-2008, who were registered in Bualy, Fatemu, Alavi Hospital and Forensic Medicine of Ardabil Province. The Data was gathered by a researcher designed questionnaire and analyzed using SPSS software.

 Results: The highest rate of suicide belonged to age rank of 15-24 years (43.8 %), which occurred in female (62.5 %), married people (57.8 %) urban society (65.6 %) and patient without past chronic physical illness or psychiatric history and without pre-attempt suicide. Self poisoning by drugs and toxins were the most common used method in this case (90.6 %). Orderly the most common used drugs were Organo-Phosphorate Toxins, Tricyclic Antidepressants and Aluminum Phosphid.

 Conclusion:This research is indicating various risk factors such as sex, age, marriage status, residing place of society and easy access to drugs and toxins. According to obtained results, it is better or proper to accomplished related education and training of preventation and interference of mental health in second and third decades of life with allocation of much time for females (especially married). We suggest paying more attention to education, preventation, diagnosis and treatment of poisoning especially poisoning by most common drugs and toxins.


Shahram Habibzadeh , Mohsen Arzanlou , Elham Jannati , Mahdi Asmar, Mahnaz Azari , Zahra Fardiazar,
Volume 10, Issue 1 (4-2010)
Abstract

  Background & Objectives : The early-onset form of GBS (Group B Streptococci) disease typically occurs in the first 24 hours of life, with fulminant sepsis or pneumonia and has associated to high mortality (5-20 %) and morbidity. In prenatal infections GBS is transmitted vertically to the newborn during labor and delivery from the vagina of a typically asymptomatic colonized woman. Preventive strategies can be done with screening program and this study has been done for determination of carriage prevalence and antimicrobial resistance of GBS in pregnant women of Ardabil.

  Methods :For determination of carriageprevalence 420 pregnant women selected stratified proportionally from 11 clusters of obstetric clinics of Ardabil. Sampling was done in pregnant women at 35-37 weeks' gestation with a vaginal and rectal swab for culture. Swabs were inoculated into a selective broth medium (Todd-Hewitt broth with colistin, 10mg/L and nalidixic acid 15 mg/L = LIM broth), incubated overnight at 35-37°C, and subcultured onto sheep blood agar. Isolated bacteria identified by standard microbiological tests.

 Results: Out of 420 subjects 62 positive cultures were established (14.8%), 19 of them (4.5%) from anus, 19 of them (4.5%) from vagina and 24 of them (5.8%) from both.

 All of isolates were sensitive to Ampicillin and Vancomycin. There were 1 case of resistance 15 case of semi sensitivity and 46 cases of sensitive versus Erythromycin, these pattern also checked for Clindamycin, and results were respectively 11, 5, 46. All isolated GBS were sensitive to penicillin among them 3 (4.83%) isolates showed reduced susceptibility.

  Conclusion: Because of high prevalence rate we recommend screening of all pregnant women for Group B Streptococcus at 35-37 weeks' gestation with a vaginal and rectal swab. Based on antibiogram drug of choice for treatment is Ampicillin, and in cases of drug hypersensitivity Vancomycin may be choice.


Akbar Pirzadeh , Amrollah Hoseini , Mohammad Bagher Sotudeh ,
Volume 10, Issue 1 (4-2010)
Abstract

  Sudden sensorineural hearing loss (SSNHL) is regarded as an otologic emergency of which bilateral involvement is rare and simultaneous bilateral involvement is very rare. In most cases the cause is idiopathic and in 30 to 65% of cases recovery happens spontaneously during two weeks period.

  In this paper we present, a patient with simultaneous bilateral sudden deafness. After complete diagnostic assessment and standard treatment, she was candidated for cochlear implantation as the only remedy, after one year. But, after 15 month she suddenly noticed normal hearing in left ear. This was documented by paraclinical assessment.

  This case is idiopathic with unfavourable prognosis and we couldn't find any similar report.


Rahim Masumi, Habib Ojaghi , Navid Masumi , Sara Jafarzadeh,
Volume 11, Issue 1 (4-2011)
Abstract

 Background & objectives:Amblyopia as one of the most important social and visual problems is common in the world including Iran. It plays a major role in visual dimness. The aim of this study was to determine prevalence and causes of amblyopia in middle school students in Ardabil city, Iran in 2004.

 Methods: In this descriptive cross-sectional study 4548 middle school students were included. The subjects primarily were screened by optometrists and an ophthalmologist by using of Snelen chart. The doubtful cases were referred to eye clinic for further checking and re-examined by ophthalmologist. The data were collected by questionnaire and the results were analyzed by descriptive and analytical statistics using SPSS software.

  Results: The results cleared that 11.4% of subjects (520) had refractive errors, 2.63% (120) showed the amblyopia and 0.9% (43) experienced strabismus. The most common cause of amblyopia was anisometropia (59% of all cases) and for strabismus was isotropia (69.5% of all cases). These findings showed that there is a significant correlation between type and rate of refractive defects with amblyopia. The highest rate for refractive amblyopia was over 3 Diopter hyperopia (29.5% of refractive amblyopia). Hyperopia revealed to occur in males more than females and vice versa for astigmatism

  Conclusion : It seems that the prevalence of amplyopia in Ardabil is similar to other cities in Iran and other countries. But the refractive amblyopia in Ardabil shows more prevalent than other areas. Its reason may be due to less knowledge to use glass and low socio-economic conditions as well as low quality of treatment.


Sadegh Hazrati , Seiyedhosein Sabery , Hadi Peeridogaheh , Roghaiyeh Alizadeh , Hadi Sadeghi,
Volume 12, Issue 1 (4-2012)
Abstract

  Background & Objectives: Different factors increase risk of disease transmission in women's barbershop and disinfection of instruments, as a major preventive measure, plays an important role in the control of disease transmission . Therefore, present study was conducted to investigate the quality of barber tools disinfection in women salons in Ardabil in 2009.

  Methods : In a cross-sectional study , 96 women salons were randomly selected. Data were compiled using a questionnaire, observation, and recording results of microbial cultures from barbering tools and analyzed using χ 2 and descriptive statistics.

  Results : Personal shaving kits were being used only in 5.2% of barbershops and 56 % of barbers applied Micro 10 as a disinfectant of barbershop tools. 64.6 % of samples were microbiologically positive and Staphylococcus aureus was detected in 53 % of positive samples. Positive results were significantly higher in barbershops that did not follow standard procedure of tools disinfection ( p<0.0001).

  Conclusion: As a result of our study we suggest the following points to improve population health in the barbershops : training on proper disinfection techniques, promotion of Micro10 application and avoid of unhealthy behaviors in barbershops.


Nasrin Fouladi, Hosein Alimohamadi , Ali Hosenkhani, Firouz Amani , Roghaiyeh Ghoshadehroo,
Volume 12, Issue 1 (4-2012)
Abstract

  Background & Objectives: Urinary stone disease is one of the common urinary tract complications that can lead to renal failure. It occurs usually in middle-aged and older men The aim of this study was to determine the association between types of urinary stones and risk factors for urinary stone formation in patients referred to Ardabil therapeutic centers.

  Methods : In this descriptive cross-sectional study, 150 patients with urinary stone were followed from March 2008 to July 2009 in therapeutic centers of Ardabil.

  Data were collected by a questionnaire include demographic factors such as age, gender, body mass index (BMI), Job and Habitation place. Data were analyzed by chi-square test and ANOVA in SPSS 16 software. The level of significance was p<0.05.

  Results: 116 of patients (77.3%) had calcium oxalate stone, 15 of patients (10%) had phosphate calcium stone, 10 of patients (6.7%) had acid uric and 9 of patients (6%) had phosphate ammonium stone. The mean age of patients was 41.90 + 14.41 years (48% of patients were 30-50 years old) and the mean body mass index (BMI) was 25.81+3.66. 91 of patients (60.66%) were male and 59 (39.4%) of them were female. There was no significant difference between types of urinary stones and factors including BMI the job of patient, (p=0.252), habitation place (p=0.173), history of previous illness (p=0.207) and history of drug use (p=0.247).

  Conclusion: The most common type of urinary stones was calcium oxalate (77.3%) in both men and women however ammonium phosphate (6%) is much less common.


Rahim Masumi, Amin Masumiganjgah , Habib Ojaghi, Eisa Banazadeh,
Volume 12, Issue 2 (6-2012)
Abstract

  Background & Objectives: Visual impairment included mild visual loss to total blindness that depends on the definitions different results achieved in various studies in all over the world. These kinds of studies will be helpful for social and health problems because some of the causes of blindness are preventable and curable at early stages.

  Methods: This study is a cross-sectional study. In this study, 300 patients older than 40 years with CF visual acuity or less had been surveyed, and information related to the patients recorded in questionnaires. The patients diagnosed by expert physician and recorded data were analyzedby descriptive statistical methods.

  Results: 57% of patients were male and 43% were female, and 41% were urban and 59% rural. The most common cause of visual impairment regarding to the definitions in this study was cataract (57%) and primary glaucoma (16%), uveitis (61%), corneal disease (6%), ARMD (4.33%), diabetic retinopathy (4%) and refraction disorder (myopia) were respectively after cataract and central retinal artery obstruction with 0.66% had the less prevalence. At all, retinal disease with 15% of prevalence was in third place of the major causes of visual impairment. Cataract was the cause of 43.9% of visual impairment in men and 74.4% in women. Glaucoma (24.6%) was the second cause in men and third common cause of visual impairment in women with 4.7% and comparing with men has lower prevalence.

  Conclussion: In this study cataract and glaucoma were the main causes of visual impairment, same as global studies, respectively. In this study prevalence of glaucoma in men was more than the prevalence in women and appears to be related to the fact that women are more sensitive to their health status comparing with men and they go to ophthalmologists sooner than men. With knowing that glaucoma will be controllable with appropriate treatments at the early stage and irreversible visual loss will be prevented.


Hadi Sadeghi, Pari Bagheri Ardebilian, Mehdi Fazlzadeh Davil, Roohollah Rostami, Yousef Poureshgh,
Volume 12, Issue 4 (12-2012)
Abstract

  Background & Objectives: Considering the effect of Pseudomonas aeroginosa on public health as one of the most important microorganisms in swimming pools, this study was conducted to assess the possibility of contamination of hot spring pools with this organism in Ardabil province.

  Methods: In this study, 195 specimens were investigated from all public hot spring pools of Ardabil province during April to September 2011 when the number of swimmers reaches its peak. Standard method was used to investigate the presence or absence of P. aeroginosa in the valume of 100 ml collected samples.

  Results: The rates of contamination with P. aeruginosa at different months were as follows: April 17.5%, May 22.5%, June 22.5%, July 25% and August 20%. There was no statistically significant difference for P. aeroginosa contamination within the months. However, a statistically significant difference was considered for P. aeroginosa among all locations (p<0.05).

  Conclusion: Totally, 22.9% of specimens revealed P. aeroginosa which is alarming. So, it is suggested that monitoring and disinfection the public hot spring pools should be considered more seriously. It is also necessary to limit the number swimmers in public hot spring pools to reduce burden of contamination.


Manoochehr Barak , Farhad Pourfarzi , Shima Jirodi , Gity Rahimi , Yasamin Pahlavan ,
Volume 12, Issue 5 (11-2012)
Abstract

  Background & Objectives: Nosocomial infections occur following admission of patients in the hospitals and usually are accompanied by significant mortalities. This study was conducted to determine the frequency of nosocomial infections and the causatives in Ardabil Bu Ali hospital during 2010.

  Methods: This study was a cross-sectional study which has been done on collection of information through practical examinations, laboratory tests and files of nosocomillay infected patients in Ardabil Bu Ali hospital during 2010. Data were analyzed by SPSS.

  Results: From a total of 3254 patients, 42 (1.3%) had got nosocomial infections. Of these infected patients 47.6% was males and 52.4% was females. Infection was more frequent in patients with ages between 1 month to1 year old (45.2%). Sepsis (33.3%), pneumonia and blood stream infections (23.8%) and urinary tract infection (19%) were the most frequent infections. The mean length of hospital stay was 26.86 days. Klebsiella pneumoniae was the most common pathogen reported (23.8%). Infection was more common in NICU (38.1%).

  Conclusion: In this study, the frequency of nosocomial infection was lower than other studies. Distribution of infection differed with age, ward and length of stay in the hospital.


Manoochehr Barak , Saeid Sadeghieh Ahari , Firouz Amani , Gholamreza Asadi, Gity Rahimi , Elham Khadem,
Volume 12, Issue 5 (11-2012)
Abstract

  Background & Objective: Currently, migration of rural population to cities and developing slums around them are main problems in population settlement that lead to imbalance in health standards such as difference in age groups death. The aim of this study was to examine factors associated with infant mortality in slums of the Ardabil city.

  Methods: This was a case- control study. All infants’ deaths from 2008 to 2010, which occurred in slums as a case, were included. For each case, tow controls, were chosen. Controls the ones who survived and were living in non marginalized area and years of birth and sex were matched in two groups. Information collected from health centers through questionnaires, interviews with parents and child death files.

  Results: The majority of mortalities (74.6%) were in neonatal period and 25.4% was in post- neonatal period. The most important causes of deaths in neonatal were prematurity (57%), and in post neonatal period were congenital abnormality (35.4%). Analysis of effective factors showed that birth weight, parents age and education, family income and occupation and smoking of father were highly associated with mortalities.

  Conclusion: Infant mortality of the family that their father is a smoker and they have low income, and low parental education level is significantly higher and should be taken into serious consideration to reduce the mortality.


Nasrin Fouladi , Farhad Pourfarzi , Jalal Tagizadeh, Hosein Alimohammadi , Raheleh Mohammadi,
Volume 14, Issue 4 (1-2014)
Abstract

  Background & objectives: Addiction is one of the problems in world threating the social, economic and culture factors. It is essential to have an accurate knowledge about the characteristics of drug users in order to diminish the high-risk behaviors of intravenous drug addicts. This research has been done to assess relationship between individual characteristics and high risk behavior in intravenous drug addicts.

  Method: In this descriptive-analytic research, 360 drug users were selected from different places in Ardabil city and interviewed by a prepared questionnaire. The data were analyzed using descriptive and analytical tests including t-test, Pearson correlation and ANOVA with SPSS statistical software.

  Results: The results showed that the age, gender, material status, job position, age of addiction start, age of injection start, injection frequency, injection frequency per day, syringe supply place and the partner’s gender during recent few months had no significant difference compared to drug users with needle sharing and without needle sharing. The educational level of drug users with needle sharing was lower (P=0.037) and the number of new syringe usage per month was also lesser (P=0.001). They predicted to be more likely infected with AIDS (P=0.001) and had a less argument with their partner about using condom, also mostly have not used condom at their last sexual relationship (P=0.001). The average number of their partners during last three months was high (P=0.003) and there was a meaningful relationship between true sense of peril and using condom in drug users with needle sharing group (p=0.001).

  Conclusion: There is a significant relationship between the true sense of danger and the using condom. It is necessary to have an appropriate advertising to increase using condoms among injecting drug users.


Saadat Jalili , Mousa Aghaei, Akraossadat Saeid Mahdavi ,
Volume 14, Issue 4 (1-2014)
Abstract

  Background & objectives: At the present time, health care services have been increasingly transformed to a competitive issue and many factors influence usage of hospital services and selection of a hospital by the patients. This study has been performed for surveying effective factors on selecting a public or private hospital among non-emergent patients of Ardabil hospitals in 2012.

  Method: This research was a cross-sectional descriptive-correlational study and the statistical population was non emergent patients of four public and two private hospitals of Ardabil in 2012. The samples (598 patients) were collected by stratified random sampling method. Data-gathering tool was a researcher-made questionnaire and data were analyzed by descriptive statistics, frequency [distribution] tables, and logistic regression analysis.

  Results: The results depicted a direct interdependence between selecting a hospital (public or private) and the three factors of social elements, hospital services, and hospital facilities with a confidence coefficient of 92%. Based on logistic regression analysis and Exp(B) coefficient, the patients’ priorities for hospital choosing were hospital services, social elements, and hospital facilities with Exp(B) of 1.932, 1.332, and 0.338, respectively.

  Conclusion: The most important factor for choosing public hospitals was lower cost of services and for private hospitals was physician’s recommendation. The strong effects of these two factors have overshadowed other variables.


Behnam Mohammadi-Ghalehbin , Kimyia Rahimi , Ali Pezeshki , Firooz Amani , Peyman Azghani , Soltan Asghari , Elham Raeisi ,
Volume 15, Issue 1 (4-2015)
Abstract

  Background & objectives: Trichomonas vaginalis is a protozoan parasite lives and also causes symptoms in urogenital system of human. Trichomoniasis is the widest spread infection which is transmitted through sexual contact and more than 170 million people are a ffected with Trichomonas vaginalis in the world. Trichomonas vaginalis in women causes pelvic inflammatory disease, increase in the risk of fallopian tube dependent infertility, ectopic pregnancy, preterm labor, the birth of low weight infants and the increase in the possibility of HIV transmission. Considering the importance of Trichomonas vaginalis infection in pregnant women and lack of data from Ardabil city, this study was performed to identify this infection in pregnant women referred to health and medical centers of Ardabil city.

  Methods: Vaginal discharge from 500 pregnant women was collected with sterile swap and disposable speculum and examined for Trichomonas vaginalis by direct microscopic examination and cultured in Diamond specific medium. A testimonial and questionnaire were completed for each case and the results analyzed using chi-square test by SPSS statistical software version 19.

  Results: In this study, the culture of samples displayed 12 positive cases (2.4%). Furthermore, Trichomonas vaginalis trophozoites were observed in five cases (1%) with direct microscopic examination. Among 12 positive cases, five respondents (41.7%) were in age range of 16-25 years and seven (58.3%) in 26-35 years old. Among different clinical manifestations there was a significant relation between discharge and the infection.

  Conclusion: The present survey confirmed the presence of Trichomonas vaginalis infection in pregnant women of Ardabil city. Therefore, an effective healthcare program by health authorities for prevention of infection in this group seems to be needed.


N Danesh Far , H Peeri Dogaheh, M Ghiamirad ,
Volume 15, Issue 2 (7-2015)
Abstract

  Background & objectives: Resistant microbial strains are a serious threat to public health in different societies. A mong the extended-spectrum β-lactamases (ESBL) producing strains the Enterobacteriaceae family which is considered as the main factors producing urinary tract infections, have created many problems in treatment of this kind of infections. This study was conducted to determine the frequency of β-lactamase TEM-1 gene in Enterobacteriaceae isolated from urine samples in Ardabil city.

  Methods: Within 6 months, 400 urinary isolates of Enterobacteriaceae of inpatients and outpatients were collected in Ardabil hospitals and were identified by standard methods. Antimicrobial susceptibility of isolates was tested by disk diffusion method, and ESBL producer confirmatory test was conducted using combined disk. Finally, the frequency of β-lactamase TEM-1 gene in producing extended-spectrum β-lactamases strains was investigated using PCR.

  Results: From 400 isolates of Enterobacteriaceae, 150 cases (37.5%) were ESBL producing. PCR results showed presence of the TEM-1 gene in 69 cases (46%). The frequency of this gene in isolates of Enterobacter (Aerogenes, Cloacae), Klebsiella (Pneumoniae, Oxytoca) and E. coli was obtained to be 62.5%, 54.5% and 44.8%, respectively. Proteus mirabilis and Serratia marcescens strains were lacking these genotypes.

  Conclusion: As regards the presence of TEM-1 gene, there is also increasing in other members of the Enterobacteriaceae family including Klebsiella and Enterobacter in addition to E. coli, therefore sufficient identification of this strains is necessary to prescribe the right medicine.



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مجله دانشگاه علوم پزشکی اردبیل Journal of Ardabil University of Medical Sciences
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