Archives of Clinical Infectious Diseases

30/4/2017

Editorial

Immediate Smoking Cessation Among People Living with HIV

Davood Yadegarynia, Sara Rahmati Roodsari

DOI: 10.5812/archcid.62765

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13/11/2016

Research Article

Epidemiology of Needlestick Injuries Among Healthcare Workers in Tehran, Iran: A Cross-Sectional Study

Hossein Masoumi-Asl, Mohammad Rahbar, Anoushirvan Soltani, Zahra Pezeshki, Khadijeh Khanaliha, Goodarz Kolifarhood

DOI: 10.5812/archcid.37605

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Methods: This retrospective cross-sectional study was performed among healthcare workers including nursing staff, physicians, gynecologist, laboratory staff, cleaners and garbage collectors in Milad hospital in Tehran, Iran, over a five-year period from 2007 to 2011. All of the NSIs data was obtained from infection control committee in Milad hospital. Questionnaire sheets were filled up and all of the information was rechecked one more time by experts. The information included demographic questions and NSI related questions. Vaccination for HBV and titer of hepatitis B surface antibody (anti-HBs) were recorded. The association between demographic and needlestick characteristics was tested through working shifts.

Results: In the current study, 608 out of 3806 hospital staff including 209 (34.3%) male and 399 (65.7%) female had NSIs over a five-year period in Milad hospital. Most of the NSIs was observed in enrolled nurse, nursing sister and midwife groups 308 (50.7%) followed by servants 122 (20.1%) and the lowest was found in laboratory staff 14 (2.3%). Staff who worked in the internal medicine ward 95 (15.6%), emergency ward 72 (11.8%) and intensive care unit (ICU) 58 (9.5%) had experienced NSIs. There were uniform time patterns of NSIs by working shifts; therefore, the lowest number of the injuries occurred in the start of working shift (7:00 am, 01:00 pm and 07:00 pm) and increased along the time. Most of the NSIs occurred through taking blood and injection 182 (29.9%). Compared to NSI data by working shift, the greater number of the injuries occurred in the evening and night, but it was not statistically significant through needlestick characteristics (P value > 0.05).

8/1/2017

Research Article

Molecular Characterization of Staphylococcus epidermidis Isolates Recovered from Patients Admitted to a Referral Hospital in Iran

Amirmorteza Ebrahimzadeh Namvar, Seyed Asghar Havaei, Masoumeh Douraghi

DOI: 10.5812/archcid.38675

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30/4/2017

Research Article

Identification of Fasciola spp. in the East of Iran, Based on the Spermatogenesis and Nuclear Ribosomal DNA (ITS1) and Mitochondrial (ND1) Genes

Soheila Rouhani, Saber Raeghi, Hadi Mirahmadi, Majid Fasihi Harandi, Ali Haghighi, Adel Spotin

DOI: 10.5812/archcid.57283

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Methods: One hundred and fifty adults with fascioliasis were selected from the Eastern provinces of Iran, based on spermatogenetic ability, measurement criteria, and ITS (nuclear ribosomal DNA internal transcribed spacers) 1 gene restriction fragment length polymorphism (RFLP) pattern. Then, their genetic diversity indices and phylogenetic relationships were analyzed using mitochondrial DNA marker of Fasciola population spread in the East of Iran.

30/4/2017

Research Article

Otomycosis in Western Iran: Clinical and Mycological Aspects

Sajad Cheraghsahar, Siros Kazemi, Mehdi Birjandi, Mohammad Yarahmadi, Shahram Mahmoudi, Rasoul Mohammadi, Asghar Sepahvand

DOI: 10.5812/archcid.57287

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Methods: In this cross-sectional descriptive study, a total of 79 patients clinically suspected to otomycosis were recruited from April 2014 to April 2015. Specimens were collected using sterile swabs. All the specimens were subjected to direct examination using 10% KOH, and culture in Sabouraud dextrose agar containing chloramphenicol, malt-extract agar, and Czapek Dox agar. CHROMagar candida and carbohydrate assimilation profile in API 32 C were used for the identification of yeasts.

30/4/2017

Research Article

Relative Abundance of Streptococcus spp. and its Association with Disease Activity in Inflammatory Bowel Disease Patients Compared with Controls

Farnaz Heidarian, Zahra Noormohammadi, Hamid Asadzadeh Aghdaei, Masoud Alebouyeh

DOI: 10.5812/archcid.57291

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Results: Results showed a relative increase in abundance of Streptococcus spp. (0.0006 to 34.2 fold increase) and greater population diversity among IBD patients compared with the control group (mean ± standard deviation 2.94 ± 0.37 versus 1.07 ± 0.31). Patients with increased Streptococcus spp. levels represent a higher rate of neutrophil and lymphocyte infiltration than those with the lower levels; however, this increase was not statistically significant. Analysis of body mass index indicated a significant difference between IBD patients and healthy people (P value 0.02).

30/4/2017

Research Article

Toxoplasma gondii Infection and Related Risk Factors among Blood Donors in Northwest Iran

Reza Bahhaj, Ehsan Ahmadpour, Mahmoud Mahami-Oskouei, Esmaeil Fallah, Karim Shamsasenjan, Abdolrasoul Safaiyan

DOI: 10.5812/archcid.62005

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Results: From 194 donors, 75 (38.66%) and 2 (1.03%) individuals were seropositive for anti-T. gondii IgG and IgM antibodies, respectively. In the present study, anti-T. gondii antibodies in first-time donors was significantly higher than those in regular blood donors (P < 0.05). A significant correlation was observed between T. gondii infection and age (P < 0.05); however, there were no relationship between Toxoplasma infection and other factors.

30/4/2017

Research Article

Distribution of SCCmec Types in Methicillin-Resistant Staphylococcus aureus Isolated from Burn Patients

Samira Ghaderi Afshari, Abbas Akhavan Sepahi, Hossein Goudarzi, Mahboobeh Satarzadeh Tabrizi, Mehdi Goudarzi, Bahareh Hajikhani, Mohsen Heidary, Hadi Azimi

DOI: 10.5812/archcid.62760

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Results: All the MRSA isolates were observed to be resistant to amoxicillin and penicillin and sensitive to linezolid, teicoplanin, and vancomycin. The rates of resistance to other antibiotics varied from 86.2% for amikacin to 17.5% for quinupristin-dalfopristin. MDR was observed in all the isolates. Six different antimicrobial resistance patterns were observed among our isolates. Based on the multiplex PCR assay, the two different SCCmec types were detected as 71.4% type III and 28.6% type IV. In total, 8.5% of isolates harbored pvl toxin encoding gene all of which belonging to SCCmec type IV. Furthermore, 33 isolates (17.5%) harbored tst encoding gene.

30/4/2017

Research Article

Clinical and Mycological Study of Vulvovaginal Candidiasis (VVC); Identification of Clinical Isolates by Polymerase Chain Reaction-Fragment Size Polymorphyim (PCR-FSP) Technique

Shekufeh Pouladian, Minoo Movahedi, Rasoul Mohammadi

DOI: 10.5812/archcid.62761

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Background: Vulvovaginal candidiasis is a widespread and frequent infection affecting up to 70% of healthy women, and some of them affected by recurring resistant forms of the disease. The main risk factors are hormone replacement therapy, diabetes mellitus, antibiotic usage, pregnancy, oral-contraceptives, and insufficient therapy. Candida albicans is the most etiologic agent of Candida vaginitis capable of colonizing on the mucous membrane of genitourinary tracts of healthy humans. The aim of the present study is to identify Candida species obtained from patients with vulvovaginitis by molecular techniques.

30/4/2017

Brief Report

Characterization of 5 Episodes of Vancomycin Nonsusceptible Streptococcus pneumoniae From Clinical Isolates in Tehran, Iran

Ali Nazari Alam, Sedighe Rafiei Tabatabaii, Ali Hashemi, Masoud Yousefi, Seyedeh Mahsan Hoseini Alfatemi

DOI: 10.5812/archcid.57285

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8/1/2017

Case Report

Splenic Abscess Caused by Brucellosis and Its Management: A Case Report of a Rare Clinical Entity with a Brief Review of the Literature

Shahram Habibzadeh, Moharram Aghabalaii, Jafar Mohammad Shahi, Nasrollah Maleki

DOI: 10.5812/archcid.39387

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Case Presentation: In June 2014, a 17-year-old woman was admitted to the division of infectious diseases at the Imam Khomeini hospital, Ardabil University of Medical Science, Ardabil, Iran, with complaints of fever, nausea, sweating, headache, anorexia, and abdominal pain during the previous 2 months. Abdominal computed tomography (CT) revealed hypodense lesion within the spleen. Serum antibody tested positive at a dilution of 1:1280 by the Standard Tube Agglutination test (SAT), while blood culture yielded negative results. A diagnosis of splenic abscess due to brucellosis was made and started on streptomycin plus doxycycline and rifampin for 6 weeks. Two days after the initiation of the treatment, hemophagocytic syndrome occurred, which was controlled by oral prednisone. She was followed up in the outpatient department and was given further oral antibiotic treatment. After 2 months of treatment, CT results showed complete resolution of splenic abscess.

30/4/2017

Case Report

A Simple Approach for Diagnosis of Chronic Tuberculous Osteomyelitis: A Case Report

Mohammadreza Salehi, Seyed Ali Dehghan Manshadi, Zeynab Yassin, Malihe Hassannejad

DOI: 10.5812/archcid.57281

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Case Presentation: We present the case of a 50-year-old man, admitted to Imam Khomeini hospital, Tehran, Iran in March 2014. According to his self-report, he had a chronic ulcer on his left foot since September 2012. In physical examinations, there was a painful sinus tract orifice (2 × 2 cm) on the left medial malleolus. Magnetic resonance imaging (MRI) of the foot revealed osteomyelitis in the left ankle. Two biopsies were taken from the wound edge, and Mycobacterium tuberculosis was detected via polymerase chain reaction (PCR) assay.

Archives of Clinical Infectious Diseases

Published by: Kowsar

Archives of Clinical Infectious Diseases: Apr 2017, 12 (2), 12 articles.