جستجوی مقالات مرتبط با کلیدواژه "آنتی سپتیک" در نشریات گروه "پزشکی"

Surgical site infection (SSI) is one of the most common health-care associated infections. Using proper antiseptic solutions for preoperative surgical site skin preparation (skin prep) is one of the methods to reduce SSIs. The purpose of this study was to compare the effect of preoperative surgical site skin preparation with povidone-iodine and chlorhexidine-gluconate on the rate of SSI in laparotomy patients.

A total of 70 Laparotomy surgery patients who referred to Firoozgar hospital in Tehran from May to September of 2021 were included in this clinical trial. Patients were randomly allocated into two groups which were treated with povidone-iodine(PVI) or chlorhexidine-gluconate (CHG) for surgical site skin prep. Skin prep was done with standard rotational method in two steps by the researcher for each group by using of PVI and CHG. SSI incidence was assessed by a researcher-made check list and also over post-surgical follow up visits by the surgeon. We used Fischer’s exact test, t-test, Chi-square and Cochrane’s Q-test to analyze the collected data.

SSI was seen in five patients (14.29%) of PVI group and one patient (2.86%) of CHG group. Although the SSI incidence in PVI group was 5.54 times more than CHG group, still the difference wasn’t statistically significant (P=0.198). Comparing the incidence of SSI’s in 24 hours after surgery (0%) and 30 days after surgery (8.57%) in both groups revealed that using these antiseptics for skin prep was effective in preventing SSI (P<0.001). SSI incidence was also associated with two days of patient’s hospital admission time (P=0.001).

The result of this study revealed that the occurrence of SSI in PVI group was 5.54 times more than CHG group. However, the difference was not statistically significant. So both of these antiseptics can be used for surgical site skin prep.

Excessive use of antibiotics and biocides has led to emergence of resistant Staphylococcal strains. The aim of this study was to examine resistance of Staphylococcal strains biofilm isolated to biocidal components.
100 clinical isolates of Staphylococcus aureus were collected from hospitalized patients with infectious skins from two Shohadaye Tajrish and Valiasr hospitals for one year in Tehran City. Isolated strains were identified by standard biochemical tests and confirmed using polymerase chain reaction. The pattern of resistance of strains to antibiotics and biocides such as Savlon, Decosept and Deconex (Dermocept) were determined by disc diffusion method and their minimal inhibition and cidal concentrations were estimated using microdilution. The biofilm of MDR strains were formed on polystyrene microplates.
Most of strains were resistant to penicillin, amoxicillin, ampicillin and methicillin and the most sensitivity was seen to clarythromicin. The phenotyping findings of biofilm formation show that 6%, 23.2% and 50.4% of isolates were able to biofilm formation as strong, intermediate and weak, repectively, and only 20.4% were unable to form biofilm. Biofilm had the lower and higher resistant to Savlon and Deconex, respectively.
The prevalence of hospital resistance strains with ability of biofilm formation can be serious danger for health of society in an extended spectrum of patients.

Viruses are important causes of acute and chronic diseases in humans. Newer viruses are still being discovered. Apart from frequently causing infections in the general community, many types of viruses are significant nosocomial pathogens that with emerging viruses has become a real issue in medical field. There are specific treatments, vaccine and physical barrier to fight some of these infections. Health care-associated viral infections are an important source of patient’s morbidity and mortality. The method of sterilization or disinfection depends on the intended use of the medical devices (comprising critical, semicritical and noncritical items) and failure to perform proper sterilization or disinfection of these items may leads to introduction of viruses, resulting in infection. Disinfection is an essential way in reducing or disruption of transmission of viruses by environmental surfaces, instruments and hands which achieves by chemical disinfectants and antiseptics, respectively. This review discusses about chemical agents with virocids properties (e.g. alcohols, chlorine compounds, formaldehyde, phenolic compounds, glutaraldehyde, ortho-phthaldehyde, hydrogen peroxide, peracetic acid, iodophor, ammonium compounds quaternary, bigunides and so on.), mechanisms of action and their applications in health care-associated viral infection control. As well as, we described an overview for hierarchy of viruses in challenge with disinfantans, effective agents on viral inactivation, i.e.targect viruses, viral stability or survival duration time in enviromental surfaces and hands. We explained disinfection of surfaces, challenges in emerging viral pathogens inactivation, viral resistance to chemical disinfectants and antiseptics. Because, there are laboratory studies and clinical evidences for some viruses which viral resistance to biocide or failure to perform proper disinfection can lead to infection outbreaks. Also, we described virucidal properties of antiseptics and introduced selected antiseptics with extensive virucidal action, because hands play an important role in the spread of many viral diseases, and regular proper hands hygiene is essential to decontaminate hands and can interrupt the spread of viruses. Here, we compared the currently available laboratory methods, standard methods from many countries and kinds of viruses in these methods for evaluation of virocide activity. Finally, it’s good to know: any disinfectant is not virocide unless it confirms by laboratory methods.

Iodine and Iodophore have been longley used as antiseptic to prevent infections with good efficacy and safety. The aim of this study was to formulate new povidone iodine 7.5% antiseptic foam and evaluate its antibacterial effect. In this experimental study, in the first step, the effects of the foaming agents including Sodium Lauryl Ether Sulfate (SLES), Sodium Lauryl Sulfate (SLS) and Nonoxynol 9 were studied and then the effect of pH and different buffer formulations including citrate, phosphate citrate and phosphate buffers on the organoleptic properties and the amount of the free iodine were evaluated according to the USP 32 criteria. The effects of the emollient such as glycerin and glycerox HE were evaluated and the accelerated stability test was taken for optimum formulations. Finally, the antimicrobial effect of the proper formulation was evaluated. SLES 3% in Citrate buffer with the pH 3.5 showed the best results for the quality of the foam and glycerin 1% was selected as proper emollient agent in presence of poloxamer 407 as foam stabilizer. The stability test was done on the superior formula and it proved its antiseptic properties. The foam formulation contained povidone iodine 7.5%, SLES 3%, Poloxamer (407) 2%, citrate buffer and glycerin 1% has passed stability as well as and antimicrobial effects tests; therefore, it can be used as a new antiseptic product and an appropriate detergent to prevent spreading of infectious disease.

Given the fact that, periodontal disease is a disease with an infective agent, treatment by using antibiotics with scaling and root planing (SRP) has been considered as an adjunctive therapy. According to disadvantages of systemic antibiotic therapy such as: resistance, fluctuations in concentration, need for cooperation and side effects, local drug delivery systems in the form of irrigants or forms of drug releasing agents, seems to be a suitable substitute. Because periodontal diseases are often limited to several teeth. A local delivery device consists of a drug reservoir and a limiting element that controls the rate of medicament release. The goal is to maintain effective concentrations of chemotherapeutic agents at the site of action for long periods, despite drug loss from cervicular fluid clearance. Current data suggest that local delivery of antimicrobials into a periodontal pocket can improve periodontal health. It can be concluded that the adjunctive use of local drug delivery may provide a defined, but limited, beneficial response.