جستجوی مقالات مرتبط با کلیدواژه « nursing station » در نشریات گروه « پزشکی »

Bacterial exposure in hospitals due to the presence of pathogens in hospitals is one of important health problems for medical staff. The World Health Organization (WHO) reported a global outbreak of hospital infections from 5.7% to 19.1% in the 2011 report. The aim of this study was to identify bacterial bioaerosols in nursing stations in a public hospital in Tehran to determine the occupational hazards of them.

This cross-sectional study was conducted three times at fifteen nursing station in 15 different departments of a public hospital in Tehran. 45 samples were prepared on three culture media including Mackangi Agar, nutrient agar and Manitol Salt Agar. Air samples were prepared according to NIOSH 0800 method by a bacterial sampler with a flow rate of 28.3 L/min for 5 min. Samples were analyzed by microbial screening test.

Mean of the bacterial infection was 180.03±125.27 CFU/m3. The results showed that there were gram positive staphylococcus aureus in the all air samples of nursing stations. Moreover, in 26.7% of occupational exposure nursing stations with Acinetobacter Iwoffii was observed as the most common gram negative bacteria.. Maximum bacterial number was found in orthopedic nursing station (399.99 CFU/m3) and heart transplant nursing station had the minimum bacterial infection (43.73 CFU/m3).

Eighty percent of occupational exposure in the samples had higher exposure to bacterial pathogens than the standards set by ACGIH (75 CFU/m3). Due to the presence of Staphylococcus aureus, E. coli and Acinetobacter Iwoffii in nursing stations, there was a risk of hospital infections in health care workers. It seems unsuitable surface sterilization and lake of useful engineered controlling methods has led to bio aerosol scattering in the air of studied stations

Drug interactions are considered as adverse effects of drugs that alter a patient’s response to an initial medication due to concurrent administration of different drugs or other substances. This study aimed to assess the role of medical education in reducing potential Atorvastatin drug interactions in a teaching hospital by distributing alert cards and putting up posters in a nursing station. Six hospital wards of Taleghani hospital were selected for the study (Gastroenterology-liver, Nephrology, Vascular Surgery, Orthopedics, Cardiology and Endocrinology Wards). The study was conducted in three phases. In the first phase, 100 patients receiving atorvastatin were examined for presence of drug interactions. Then in the second phase, warning leaflets and informative posters about atorvastatin drug interactions and its management were provided. Leaflets were distributed among ward practitioners and posters were put up in the nursing stations. Finally, in the third phase of the study, 100 patients that were being treated with atorvastatin were examined for presence of atorvastatin drug interactions. Analysis of data was performed using SPSS version 16 and p values ​​of less than 0.05were considered significant. Overall, results showed that in all six wards after training, reductions in atorvastatin drug interactions decreased from 43% to 24% and this was statistically significant (P = 0.004). The comparison between internal and surgical wards showed a significant reduction in presence of atorvastatin drug interactions only in the internal wards where it decreased from 50% to 22.5% (p <0.001). Distribution of alert cards and educational posters put up in nursing stations was successful, in that it effectively reduced atorvastatin drug interactions.

The aim of this study was to evaluate bacterial contamination of keyboards of computers located in various wards of Vali-e Asr Teaching Hospital, Birjand, Iran. In this study, all computer keyboards in various wards of Vali-e Asr Hospital were sampled (n=24). Then, the samples were sent to Microbiology Research Laboratory at Birjand University of Medical Sciences and were cultured on Blood ager, Manitol Salt ager and Eosin Methylene Blue media. The isolated bacteria were identified based on their colonial morphology and biochemical characteristics. A total of 26 samples from 24 different computer keyboards of 16 different wards were obtained. Two keyboards of Infectious Diseases and Neurology wards were routinely disinfected at the end of every shift. All samples(100%) showed contamination to different bacteria. The keyboard of the computer located in Internal Medicine ward(women's division) was the most contaminated one. In total, 13 different bacterial spp. were isolated from keyboards of different computers. The species belonging to Enterobacteriaceae family(61.5%) were the most common contaminating bacteria followed by Bacillus spp(30.7%). Based on the results, all the sampled keyboards were contaminated by at least one bacterial spp. Therefore, it is necessary to pay more attention to the fact that computer keyboards in hospitals should regularly be disinfected.