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عضویت

جستجوی مقالات مرتبط با کلیدواژه « Disinfectants » در نشریات گروه « پزشکی »

  • Azam Tarfiei, Mohadeseh Zare Bidoki, Mohadeseh Motamed-Jahromi, Mahdieh Tarfiei, Elham Karimi, Ali Asghar Ebrahimi*
    Introduction

    It is essential to adopt preventive measures to reduce the prevalence and severity of COVID-19. Given the insufficient information about the use of disinfectants against the virus, which leads to various risks, this study aims to investigate awareness, performance, and attitudes of the residents of Yazd city regarding using disinfectants to prevent COVID-19.

    Materials and Methods

    In this descriptive study, the sample consisted of 271 people residing in Yazd using convenience sampling method. The tool used was a researcher-made questionnaire, which was reliable, valid, and was divided into two parts; after that the collected data was analyzed using descriptive and analytical statistical tests. SPSS software was used for data processing, and Amos software was used for model design.

    Results

    Most participants (51.3%) were female. The majority of participants (117 (43.2%)) aged between 30-40, and with an average age of 34.39 ± 9.6. The highest level of education attained by most participants was master's degree by 83 (30.6%) people. The mean and standard deviation for awareness (10.59 ± 2.7), attitude (40.74 ± 7.1), and performance (17.50 ± 5.1) were obtained.  Structural Equation Modeling (SEM) analysis showed that the total effect had the greatest impact on the use of disinfectants, with performance (β = 0.032) and education (β = 0.068) having the strongest effects. Increase in disinfection and having a higher level of education increased the use of disinfectants as well.

    Conclusion

    As increasing people's awareness, attitude, and performance can help prevent the spread of COVID-19, implementing educational programs and timely comprehensive information dissemination about the use of disinfectants is recommended.

    Keywords: Awareness, Attitude, Disinfectants, COVID-19}
  • حمیدرضا لطفی، تینا خلیل زاده، مریم دمچی، مریم حسن*
    زمینه و اهداف

      عفونت های اکتسابی در بیمارستان به دلیل افزایش نرخ مرگ ومیر و عوارض، یک نگرانی عمده سلامت در سراسر جهان محسوب می شوند. از این رو، انتخاب موثرترین ضد عفونی کننده ها در یک کلینیک بسیار مهم است. این مطالعه اثر ضد باکتریایی هفت ضدعفونی کننده که بیشتر مورد استفاده قرار می گیرند بر علیه اشریشیا کلی جدا شده بالینی مورد ارزیابی قرار داد.

    مواد و روش کار

      برای این منظور، حداقل غلظت مهارکننده (MIC) و حداقل غلظت باکتری کشی (MBC) آنیوزیم DD1 0.5% ،Steranios 2% ،Aniospray 29 و Surfanios 0.5% در بیمارستان حضرت ولیعصر (عج) و PROSEPT® Floor 0.75% PROSE Instru 0.05% و PROSEPT® Med مورد استفاده در بیمارستان آیت الله موسوی در حضور و عدم حضور آلبومین سرم گاوی (BSA) با استفاده از روش رقت میکروبراث تعیین شد.

    یافته ها

      نتایج نشان می دهد که PROSEPT® Med کمترین مقادیر MIC و MBC را داشته و پس از آن Aniospray 29 و PROSEPT® Instro قرار دارند و حضور BSA باعث کاهش فعالیت ضد باکتریایی ضدعفونی کننده ها می شود.

    نتیجه گیری:

      ضدعفونی کننده های مصرف شده در بیمارستان آیت الله موسوی عموما دارای فعالیت آنتی باکتریایی بالاتری بودند. با توجه به اهمیت پاتوژن های بیمارستانی در مراکز بهداشتی درمانی، انتخاب قوی ترین، سریع ترین و کارآمدترین ضدعفونی کننده ها برای جلوگیری از عفونت های بیمارستانی ضروری است.

    کلید واژگان: ضد عفونی کننده ها, اشریشیا کلی, عفونت های بیمارستانی, حداقل غلظت باکتری کش, حداقل غلظت های بازدارنده}
    Hamidreza Lotfi, Tina Khalilzadeh, Maryam Damchi, Maryam Hassan*
    Background and Aim

     Hospital-acquired infections are considered a major health concern worldwide because of the increasing morbidity and mortality rate. Hence, selecting the most efficient disinfectants in a clinic is crucial. This study evaluated the antibacterial efficacy of seven mostly used disinfectants against clinically isolated Escherichia coli.

    Materials and Methods

     For this purpose, minimum inhibitory concentrations (MIC) and minimum bactericidal concentrations (MBC) of Aniosyme DD1 0.5%, Steranios 2%, Aniospray 29 and Surfanios 0.5% at Hazrat Valiasr hospital and PROSEPT® Floor 0.75%, PROSEPT® Instru 0.05% and PROSEPT® Med used at Ayatollah Mousavi hospital were determined both in the presence and absence of bovine serum albumin (BSA) using microbroth dilution assay.

    Results

    The results indicate that PROSEPT® Med had the lowest MIC and MBC values, followed by Aniospray 29 and PROSEPT® Instro, and the presence of BSA reduced antibacterial activities of disinfectants.

    Conclusion

     The disinfectants applied at Ayatollah Mousavi hospital generally had higher antibacterial activities. Due to the importance of nosocomial pathogens at healthcare centers, selecting the most potent, fast-acting, and efficient disinfectants to prevent hospital-acquired infections is essential.

    Keywords: Disinfectants, Escherichia coli, Hospital-acquired infections, Minimum bactericidal concentrations, Minimum inhibitory concentrations}
  • امیرحسین تشکر، رضا آب نیکی، داود منصوری*
    مقدمه

    بنزالکونیوم کلراید، یک عامل بیوسیدال شایع و رایج مورد استفاده در مراکز بهداشتی- درمانی برای ضدعفونی کردن سطوح می باشد. نتایج متفاوتی از قدرت اثربخشی این ماده در مطالعات گزارش شده است. از این رو هدف از این مطالعه، یک مرور سیستماتیک بر مطالعات انجام شده در مورد حداقل غلظت مهاری بنزالکونیوم کلراید بر روی باکتری های گرم مثبت و گرم منفی ایزوله شده در مراکز بهداشتی- درمانی در ایران می باشد.

    روش ها

    داده های این مطالعه ی مرور سیستماتیک، از پایگاه های اطلاعاتی بین المللی و ملی شامل Web of science، EMBASE، Science Direct، Scopus، PubMed/Medline، Google Scholar، SID و Magiran با استفاده از کلیدواژه های مناسب فارسی و انگلیسی و بدون محدودیت زمانی جستجو و پس از پالایش بر اساس معیارهای ورود و خروج، تعداد 15 مقاله وارد مطالعه گردید.

    یافته ها

    از مجموع 15 مطالعه، 7 مورد روی باکتری های گرم مثبت و 8 مورد روی باکتری های گرم منفی انجام شده بود. بیشترین مطالعه بر روی استافیلوکوکوس اوریوس با 5 مطالعه و در مرتبه ی بعدی بر روی سودوموناس آیروژینوزا با 3 مطالعه انجام گرفته بود. همچنین بیشترین غلظت مهاری 1024 µg/ml مربوط به سودوموناس آیروژینوزا و کم ترین آن 25/0 µg/ml برای استافیلوکوکوس اوریوس گزارش شده است.

    نتیجه گیری

    با توجه به گزارشات مختلف در مورد حداقل غلظت مهاری بنزالکونیوم کلراید، به ویژه برای باکتری های گرم منفی توصیه می گردد مطالعات در همه ی مراکز استان ها و بسته به عوامل بیوسید رایجی که استفاده می شود به صورت دوره ای بر روی باکتری های شایع مقاوم به آنتی بیوتیک و ایجاد کننده ی عفونت های بیمارستانی انجام گیرد.

    کلید واژگان: کلرید بنزالکونیوم, باکتری ها, ضدعفونی کننده ها, ایران}
    Amirhosein Tashakor, Reza Abniki, Davood Mansury *
    Background

    Today, biocides have become an integral part of the industrialized world and are invaluable compounds in the control of human and animal pathogens. Benzalkonium chloride (BCC), a biocidal agent, is widely used in hospitals and healthcare facilities, as well as household settings, farms, and food industries. BCC is a quaternary ammonium compound that can denature cytoplasmic membrane proteins. This paper aims to review evaluated studies on the minimum inhibitory concentration of benzalkonium chloride on Gram-positive and Gram-negative bacteria isolated in healthcare centers in Iran.

    Methods

    The data of this systematic review study was collected from national and international databases, including Web of Science, Science Direct, EMBASE, Scopus, PubMed/Medline, Google Scholar, SID, and Magiran, using appropriate Persian and English keywords without time limitation for searching. After filtration based on the Inclusion and exclusion criteria, 15 articles were entered into our study.

    Findings

    Overall, 15 studies were identified. 7 studies were included in Gram-positive bacteria and the other 8 were included in Gram-negative bacteria. Most studies were related to Staphylococcus aureus (5) and Pseudomonas aeruginosa (3). Also, the highest and the lowest reported inhibitory concentration was 1024 µg/ml for Pseudomonas aeruginosa and 0.25 µg/ml for Staphylococcus aureus.

    Conclusion

    Different results of the minimum inhibitory concentration of benzalkonium chloride have been reported in Iran, particularly for Gram-negative bacteria. As a result, it is suggested that more studies be conducted in all provinces based on the common biocide agents used on resistant bacteria causing hospital infections regularly.

    Keywords: Benzalkonium chloride, Bacteria, Disinfectants, Iran}
  • Pola Samir, Ahmed Mohamed El-Baz, Hany Ibrahim Kenawy
    Background and Objectives

    Klebsiella pneumoniae causes challenging nosocomial fatal infections including neonatal sepsis. Our study aims at clarifying the contribution of integrons in the observed reduced susceptibility of multidrug-resistant (MDR) K. pneumoniae isolated from septicemic neonates to the clinically used antimicrobial agents and biocides.

    Materials and Methods

    Eighty-six K. pneumoniae isolates were collected from Mansoura University Children’s Hospital from septicemic neonates. Isolates were subjected to antibiotic and biocide susceptibility using disk diffusion and the agar dilution method, respectively. The distribution of different classes of integrons was screened in the isolates by PCR. Detected inegron I was sequenced in selected isolates.

    Results

    Fifty-seven isolates (66.27%) were MDR. In the MDR isolates, class I integron was detected in 23 (40.3%), integron III was detected in 20 (35%), whereas integron II could not be detected. Sequencing results of integron I from MDR K. pneumoniae isolates revealed that only aminoglycoside and folate synthesis inhibitors gene cassettes were detected, while the rest of the resistance genes were not associated with integron I.

    Conclusion

    The presence of integron I in MDR K. pneumoniae tested isolates may contribute only to some biocide resistance, however, it does not seem to be the only contributor in multiple drug resistance.

    Keywords: Klebsiella pneumoniae, Integrons, Disinfectants, Drug resistance, Newborn}
  • مریم نوری گوشکی، مجید نوذری*
    زمینه و هدف

    عفونت های ویروسی باعث ایجاد بیماری های مختلف و مرگ و میر در سرتاسر جهان شدند. در سالیان اخیر، ظهور ویروس کرونا باعث عفونت های شدید دستگاه تنفسی و منجر به یک نگرانی جهانی شده است. هدف از مطالعه حاضر، بررسی اثربخشی گندزداهای مختلفی است که جهت کنترل ویروس کرونا مورد استفاده قرار گرفته اند.

    مواد و روش ها

    مطالعه حاضر یک مطالعه مروری نظامند است. جمع آوری داده ها از طریق جستجوی مقالات در پایگاه های اطلاعاتی شاملSpringer ،Google Scholar ، Prospero، Cochrane، ISI،Scopus ،Embase ،PubMed  وDOAJ  بود. پس از جستجو و جمع آوری مقالات مرتبط با هدف، مقالات دسته بندی گردید. داده های مورد نیاز استخراج شد و در نهایت مورد تجزیه و تحلیل قرار گرفت.

    یافته ها

    بررسی مطالعات مختلف نشان داد که ویروس کرونا میتواند تا 9 روز بر روی سطوح بی جان، عفونت زا باقی بماند. همچنین چند مطالعه وجود ویروس کرونا را در مدفوع گزارش نموده بودند. یافته های مستخرج از مقالات آشکار نمود که عفونت زایی ویروس کرونا روی سطوح توسط اتانول71-62 درصد، پراکسید هیدروژن 5/0 درصد و هیپوکلریت سدیم 1/0 درصد در عرض 1 دقیقه کاهش می یابد. همچنین، ویروس کرونا در فاضلاب سپتیک تانک توسط800 تا 6700 گرم بر مترمکعب هیپوکلریت سدیم در زمان تماس 5/1 ساعت غیرفعال می شود. علاوه بر این، ویروس کرونا در آیروسل های هوا تحت اشعه UVC در عرض 4 تا 9 ثانیه به میزان  log5 کاهش می یابد.

    نتیجه گیری

    داروها و واکسن های موثری برای بیماری کووید-19 تا به امروز ساخته شدند. با این وجود، به دلیل جهش های غیرمنتظره ویروس کرونا، شناسایی گندزداهای موثر برحذف سویه های مختلف ویروس کرونا از سطوح و محیط های مختلف می تواند اقدام مناسبی برای پیشگیری و جلوگیری از انتشار بیماری کووید-19 باشد.

    کلید واژگان: گندزداها, گندزدایی, ویروس کرونا, کووید-19, فاضلاب, نانوذرات فلزی}
    Maryam Nouri Goushki, Majid Nozari*

    Viral infections have caused various diseases and deaths worldwide. In recent years, the emergence of the coronavirus has caused severe respiratory tract infections and led to a global concern. This study aims to investigate the effectiveness of various disinfectants that have been used to control the coronavirus.

    Methods

    The present study is a systematic review. Data was collected through searching articles in databases, including Springer, Google Scholar, Prospero, Cochrane, ISI, Scopus, Embase, PubMed, and DOAJ. After searching and collecting articles related to the goal, the articles were categorized. The required data were extracted and finally analyzed.

    Results

    The review of various studies showed that the coronavirus could remain infectious on inanimate surfaces for 9 days. Also, some studies have reported the presence of the coronavirus in feces. The articles' findings revealed that the coronavirus infectivity on surfaces is reduced by 62-71% ethanol, 0.5% hydrogen peroxide, and 0.1% sodium hypochlorite at 1 min. Also, the coronavirus in septic tank wastewater is inactivated by 800 to 6700 g/m3 of sodium hypochlorite at a contact time of 1.5 hours. In addition, the coronavirus in air aerosols is reduced under UVC radiation by 5 logs at 4 to 9 seconds.

    Conclusion

    Effective drugs and vaccines have been made for the covid-19 disease to date. However, due to the unexpected mutations of the coronavirus, identifying disinfectants effective in removing different strains of the coronavirus from different surfaces and environments can be a suitable measure to prevent the spread of the covid-19 disease.

    Keywords: Disinfectants, Disinfection, Coronavirus, Covid-19, Wastewater, Metals nanoparticle}
  • Neematollah Jaafarzadeh Haghighi Fard, Sahand Jorfi, Masoud Panahi Fard*, Maneli Ardashir Zadeh
    Background

    The emergence and spread of SARS-CoV-2 has increased environmental disinfectant usage to reduce the transmission of this virus. Ethanol 70-90% and 5% sodium hypochlorite have the highest consumption for disinfection of various environmental surfaces during the COVID-19 pandemic. Dental unit waterlines (DUWLs) are more susceptible to microbial contamination due to their particular structure. This study aimed to investigate the effect of increasing the use of disinfectants during the COVID-19 pandemic on the bacterial contamination of DUWLs.

    Methods

    During November (before the COVID-19 pandemic) and December (during the COVID-19 pandemic), a questionnaire was used to assess the frequency of disinfection of unit surfaces and other environmental surfaces and the type of disinfectants used. The water samples were collected from different parts of DUWLs. The gram staining method followed by the biochemical method was used to identify the desired bacteria.

    Results

    The results showed that the frequency of disinfection of dental units increased 8 times in December compared to November. There is a significant inverse relationship between the frequency of disinfection of dental units surfaces and the bacterial contamination of dental unit waterlines.

    Conclusion

    The microbial load in different parts of the DUWLs was less than 200 CFU/mL. The American Dental Association (ADA) recommended and indicated the allowable microbial concentration and the appropriate quality and water used in these units.

    Keywords: Dental clinics, Disinfectants, Biofilms, Bacteria, SARS-CoV-2}
  • Yetrie Ludang, Herry Palangka Jaya, Sarwoko Mangkoedihardjo*
    Introduction

    The use of antiseptics and disinfectants in daily health protocols has a consequence of changing the quality of wastewater to be toxic to microbes. As a result, microbiological wastewater treatment has the potential to not be processed properly. To solve the problem of disinfectant-rich wastewater, a plant-based treatment method can be useful, the implementation of which is a land treatment system for wastewater.

    Materials and Methods

    The data collection method was carried out through the Mendeley Reference Manager, searching for articles online, and placing the terms “land treatment system”, and “disinfectant-rich wastewater”. The selected articles were up-to-date and had a significant relationship between the two terms.

    Results

    This sanitation system can be a stretch of land and/or a pond of water, on which plants can grow and process. Normal concentrations of disinfectants for microbial elimination had no negative effects on the growth of various types of plants. Plants continue to live in the stress of water rich in disinfectants, as a condition of their ability to treat wastewater. The involvement of various wastewater treatment media makes evapotranspiration dry bed and evapotranspiration wet bed or wetland ponds capable of processing various pollutants. This approach can be implemented for on-site and off-site sanitation system.

    Conclusion

    In this context, under conditions of enrichment of disinfectants in wastewater during the COVID-19 era, the land treatment system becomes feasible to solve the problem of changing the quality of wastewater.

    Keywords: Disinfectants, Wastewater Treatment, Sanitation, Plants}
  • عرفان ایرانی، محمد غنی پور، سمیه پلوی، مرضیه نوروزیان*
    مقدمه

    با شیوع بیماری کووید19، افزایش رعایت بهداشت دست و استفاده از ماسک و دستکش باعث بروز مشکلات پوستی از جمله اگزما گردید. این مطالعه با هدف بررسی شیوع اگزما و عوامل خطر مرتبط با آن در بین اقشار مختلف جامعه در دوران همه گیری کووید 19 و همچنین ارایه راهکارهای مناسب جهت جلوگیری و درمان اگزما انجام گردید.

    مواد و روش کار

    این مطالعه مرور نظامند با استفاده از کلید واژه های مرتبط با Eczema، Covid-19 و Disinfectant در پایگاه های معتبر علمی ، مطالعات مرتبط بین سالهای 2019-2021را مورد بررسی قرار داد. ارزیابی مقالات با چک لیست STROBE صورت گرفت.

    یافته ها

    درنهایت 10 مقاله شامل6 مطالعه در کادر درمان،3مطالعه درکودکان  و 1مطالعه در عموم مردم بدست آمد. این مطالعات شیوع اگزما در قبل و بعد از پاندمی، علایم اگزما و  عوامل خطر مرتبط با آن و همچنین راهکارهای برای جلوگیری و درمان اگزما را مورد برسی قرار داده بودند.

    نتیجه گیری

    اکثر یافته ها حاکی از آن بود که شیوع اگزما در دوران کرونا دراقشار مختلف جامعه افزایش تقریبا دوبرابری داشته است و مهمترین عوامل خطر مرتبط با آن عبارت بودند از دفعات شستشوی دست ها، استفاده از دستکش و قرار گرفتن در معرض مواد شیمیایی. آموزش صحیح بهداشت دست و استفاده از مواد حاوی نرم کننده از جمله مهم ترین راهکارهای پیشگیری از ابتلا به اگزما هستند.

    کلید واژگان: کووید- 19, اگزما, درماتیت آتوپیک, ضدعفونی کننده ها, تجهیزات حفاظت شخصی}
    Erfan Irani, Mohammad Ghanipoor, Somayeh Polavi, Marzieh Norouzian*
    Objective(s)

    The outbreak of COVID-19 disease has led to a dramatic increase in hand hygiene and use of masks and gloves which cause skin problems, including eczema. The aim of this study was to investigate the prevalence of eczema and its associated risk factors among different members of society during the Covid 19 epidemic and also to provide appropriate strategies to prevent and treat eczema.

    Methods

    In this systematic review, relevant studies were searched in scientific databases fusing keywords associated with eczema, Covid-19 and disinfectant from 2019 to 2021.  Articles were evaluated with the STROBE checklist. 

    Results

    Finally, 10 articles including 6 articles on medical staff, 3 studies on children and 1 study on the general public were reviewed. These studies investigated the prevalence of eczema before and after the pandemic, the symptoms of eczema and its associated risk factors, as well as strategies to prevent and treat eczema.

    Conclusion

    The findings indicate a nearly two-fold increase in the prevalence of eczema in society during this pandemic. Most important risk factors associated with this finding were the frequency of hand washing, the use of gloves, and exposure to chemicals. Proper hand hygiene education and the use of emollients are the most important ways to prevent eczema.

    Keywords: Covid-19, Eczema, Atopic dermatitis, Disinfectants, Personal protective equipment}
  • فریبا بلوچ، مهدی محمدی*، شهرام بهبودی
    سابقه و هدف

    با توجه به شایع بودن تغییررنگ در اثر استفاده محلول های ضد عفونی کننده، این تحقیق در خصوص تاثیر دو محلول ضد عفونی کننده Desomed و دکونکس + 53 بر میزان تغییر رنگ راهنمای دندان Vitapan انجام شد.

    روش مطالعه

    این تحقیق تجربی-آزمایشگاهی روی 30 نمونه راهنمای رنگ دندان A2  انجام شد. در گروه مورد، 10 نمونه در هریک از محلو لها غوطه ور شدند و 10 نمونه به عنوان شاهد در آب مقطر نگه داری شد. فرایند انتخاب رنگ سه بار در روز و پنج روز در هفته توسط پزشک انجام شد. نمون ه ها برای اندازه گیری رنگ آماده شد. سپس شاخص با دستگاه اسپکتوفتومتر vident اندازه گیری و با آزمون کرسکال وایلس و من- یو- ویتنی شاخص های l,a,b اندازه گیری و ΔE آ نها تعیین شدند.

    یافته ها

    میزان تغییر شاخص های رنگ نشان داد که میزان ΔE ضدعفونی با دکونکس 53 + برابر با 55 / 0 ± 23/ 1 و ضدعفونی با دزومد برابر با 3/ 1± 69 / 3 بود که میزان ΔE دزومد 2 برابر دکونکس 53 + بود و آزمون نشان داد تغییر رنگ ناشی از دزومد نسبت به دکونکس بیشتر بوده که به لحاظ آماری معنادار بود (0/001 >p).

    نتیجه گیری

    به نظر می رسد که محلول ضدعفونی کننده دزومد تغییر رنگ بیشتری نسبت به دکونکس 53 + ایجاد میکند.

    کلید واژگان: مواد ضدعفونی کننده, تغییر رنگ, شید گاید}
    Fariba Balouch, Mehdi Mohammadi*, Shahram Behboudi
    Background

    Considering the prevalence of color changing of shade guides resulting from the use of disinfectants, the aim of the present study was to evaluate the effect of two disinfectants Desomed and Deconnex +53 on Vitapan shade guide.

    Methods and materials:

    The present experimental–in vitro study was conducted on a total of 30 A2 shade tabs. In the case group, 10 samples were merged in each of disinfectants and 10 sample were placed into distilled water as control group. Color selecting process was performed for 5 days, 3 times a day, by dentist. After 480 repeated cycles of this procedure, according to CIELab system, primary color of 10 samples were measured using Konica Minolta spectrophotometer as the control group. Also, color indices were measured making using of Vident spectrophotometer in the CIELAB system.  Statistical analyses were performed running Two-way ANOVA.

    Results

    The rate of color change indices showed that the color changing (ΔE) indices for Deconex+53 and Desomed were 1.23∓0.55 and 3.69∓1.3, respectively. Thus, the ΔE of Desomed was twice more than that of Deconex +53. Our results revealed that the discoloration of Desomed was statically significant and higher than that of Deconex (p<0.001).

    Conclusions

    It can be concluded that Desomed has more color changes compared with Deconex in similar conditions.

    Keywords: Disinfectants, Discoloration, Shade Guide}
  • احمد دهقان، فاطمه صادقی، فاطمه افضلی*
    مقدمه

    همزمان با افزایش تعداد مبتلایان به کووید-19 ، موارد مسمومیت با الکل و ترکیبات ضدعفونی کننده نیز فزونی یافت که یکی از دلایل آن شایعه هایی بود که در ابتدای شیوع ویروس کرونا در کشور اتفاق افتاد. هدف این مطالعه بررسی موارد مسمومیت با الکل و ترکیبات ضدعفونی کننده در بیماران مراجعه کننده به بیمارستان های استان یزد بود.

    روش بررسی

    مطالعه حاضر توصیفی- تحلیلی و به روش مقطعی بود که از ابتدای اسفند 98 لغایت 15 اردیبهشت 99 بر روی 101 نفر از بیماران مسمومیت با الکل که به بیمارستان های تحت پوشش دانشگاه علوم پزشکی استان یزد مراجعه کرده بودند، انجام گرفت. نمونه گیری به صورت سرشماری و اطلاعات با استفاده از پرسش نامه استاندارد اداره پدافند غیرعامل وزارت بهداشت تکمیل گردید. آنالیز داده ها با استفاده از آزمون های تی مستقل و کای اسکویر و هم چنین با نرم افزار SPSS 16 انجام گرفت. سطح معناداری 0/05 بود.

    نتایج

    میانگین سنی 101 بیمار مورد بررسی برابر 7/33± 26/07 سال بود. 88/1% از بیماران مرد، 58/4% مجرد و 42/6% دارای مدرک تحصیلی دیپلم بودند. 88/51% از بیماران الکل مصرفی خود را از طریق دست فروشان تهیه کرده و 47/5% از بیماران الکل را به منظور کسب شادی و سرخوشی استعمال کردند. 59/4% بیماران بهبودی بدون عارضه، 12/9% بهبودی با مشکل بینایی و 22/8% سایر موارد را داشتند.

    نتیجه گیری

    با توجه به اینکه پاندمی کووید-19 کماکان ادامه خواهد داشت، مهم ترین اقدام، آموزش و آگاه سازی خانواده ها در خصوص رفع باور غلط مبنی بر موثر بودن الکل خوراکی در پیشگیری و درمان کووید-19 و توجه بیشتر مسیولین به سلامت مردم و برنامه ریزی استراتژیک برای جلوگیری از شیوع متانول می باشد.

    کلید واژگان: مسمومیت, الکل, ترکیبات ضدعفونی کننده, کووید-19}
    Ahmad Dehghan, Fatemeh Sadeghi, Fatemeh Afzali*
    Introduction

    Alcohol and beverages are one of the challenges in the field of hygiene and health today. By increasing the number of people suffering from covid-19 cases of alcohol and disinfectant poisoning increase and the reason was rumors spreading all over the country at the beginning of covid-19 prevalence. The aim of this study was to survey of alcohol poisoning and disinfectants cases in the patients referred to hospitals in Yazd Province during the Covid-19 epidemic.

    Methods

    This descriptive-analytical cross-sectional study was performed on 101 patients with alcohol poisoning who were admitted to hospitals affiliated to Yazd University of Medical Sciences during the prevalence of covid-19. Sampling was completed by census and information using the standard questionnaire of the Passive Defense Department of the Ministry of Health. Data analysis was performed using independent t-test and Chi-square and also with SPSS 16 software. The significance level was 0.05.

    Results

    The mean age of 101 patients was 26.07± 7.33 years. 88.1% of patients were male, 58.4% were single and 42.6% had a diploma. 88.51% of the patients obtained their alcohol through peddlers and 47.5% of patients used alcohol to achieve happiness. 59.4% of the patients had no complication-free recovery, 12.9% had improvement with vision problems and 22.8% had other cases.

    Conclusion

    Given that the covid-19 pandemic will continue, the most important action is to educate families and society about the dangers of alcohol poisoning its long-term effects and mortality, as well as the wrong misconception about effectiveness of alcohol in prevention and the last word in to authorities to pay more attention to public health and strategic planning to prevent It is from the prevalence of methanol.

    Keywords: Poisoning, Alcohol, Disinfectants, COVID-19}
  • H.H. Makumbe, F.T. Tabit*, B.C. Dlamini
    Background

    Food contamination with Listeria spp. can occur at all stages of the food chain. The aim of this research was to investigate the prevalence, molecular identification, antimicrobial resistance, and disinfectant susceptibility of Listeria innocua isolated from Ready-To-Eat (RTE) foods sold in Johannesburg, South Africa.

    Methods

    Eighty RTE foods were collected from Johannesburg, South Africa. The 16S rRNA region of L. innocua isolates was amplified, sequenced, and identified using Basic Alignment Search Tool (BLAST). The antimicrobial resistance and disinfectant susceptibility (against four commercial disinfectants) of the isolates were evaluated using disk diffusion and microdilution assays. Data were statistically analyzed using SPSS v. 23.0.

    Results

    Listeria strains revealed a high 16S rRNA gene sequence analogy to L. innocua of between 98-99%. The overall prevalence of L. innocua was 21.3% (17 out of 80) in the RTE food samples. Most isolates were susceptible to the studied commercial disinfectants. All the L. innocua isolates from food sources were found to be resistant to ampicillin and cephalothin, while 83 and 74% of isolates were resistant to colistin sulphate and sulphatriad.

    Conclusion

    Prevalence of L. innocua was considerable in the RTE food samples sold in Johannesburg, South Africa. The L. innocua isolates showed high antibiotic resistance against ampicillin, cephalothin, colistin sulphate, and sulphatriad.


    Keywords: Listeria innocua, Drug Resistance, Microbial, Disinfectants, Polymerase Chain Reaction, Fast Foods, South Africa}
  • فاطمه محقق، نرگس سادات مصطفوی، فاتح رحیمی*

    مهار بیماری کوید-19 و همه گیری آن در دنیا به یک بحران سالمتی تبدیل شده است. به علت دوره نهفتگی زیاد این ویروس و همچنین نحوه انتقال آن، با شیوع بی رویه و شگفت آور این بیماری مواجه هستیم. در هر صورت، با اجرای راهکارهای کنترلی و اقدامات بهداشتی موثر، می توان از انتشار ویروس جلوگیری کرد. پوست وسیعترین اندام بدن انسان است و اولین خط دفاعی در مقابل میکروبها می باشد؛ از طرف دیگر، پوست زیستگاه مناسبی برای مجموعه پیچیده و متنوعی از باکتریها محسوب می شود. دستها به عنوان یک عامل مهم در انتقال عفونت محسوب می شوند و استفاده مداوم از ضدعفونی کننده ها، باعث کاهش نرمال بیوتا پوست شده که منجر به واکنشهای پوستی مختلف و مقاومت باکتریها در برابر ترکیبات ضدمیکروبی مختلف می شود. همچنین، این ترکیبات باعث افزایش خطر ابتال به سرطان پوست می شوند. این مقاله مروری بر روی تاثیر ضدعفونی دست بر تنوع میکروبیوتا پوست و همچنین اهمیت ترکیبات ضدعفونی کننده سطوح جهت کاهش یا قطع انتقال عفونت در پاندمی کووید-19 معطوف شده است. عالوه بر این، ساز و کار ضدباکتریایی ترکیبات ضدمیکروبی مختلف و تاثیر آنها بر انتقال بیماری کووید-19 نیز مورد بحث قرار خواهد گرفت.

    کلید واژگان: کوید-19, میکروبیوتا دست, ضدعفونی کننده ها}
    Fatemeh Mohaghegh, Narges Sadat Mostafavi, Fateh Rahimi*

    Control of COVID-19 and its pandemic has become a health crisis in the world. Due to the high latency period of this virus and its transmission, we are facing with the overwhelming prevalence of this disease. However, it is possible to prevent the spread of the virus using the implementing control strategies and management of effective hygiene procedures. Skin is the largest organ of the human body and is known as the first defense against the microbial pathogens, on the other hand, skin is an appropriate habitat for diverse and complex collection of bacteria. Hands are important risk factors for the spread of the infection, and the use of hand sanitizers reduces the number of skin microbiota which results in many different allergic reactions and also increases the bacterial resistance against different antimicrobial agents. Also, they may increase the risk of skin cancer. This review has focused on the effectiveness of hand hygiene on the diversity of skin microbiota during the COVID-19 pandemic, and also the importance of surface disinfectants in reducing or disrupting of infection transmission. In addition, the antibacterial mechanisms of different disinfectants and their effects on the transmission of Covid-19 will be discussed.

    Keywords: COVID-19, hand microbiota, disinfectants}
  • Reza Ali Fallahzadeh, Fariborz Omidi*, Davoud Ghadirian, Azimeh Fallahzadeh, Mohammad Reza Nafisi
    Introduction

    The application of disinfectant agents is a common way to fight against microorganisms. Although there are different types of disinfectant agents to fight COVID-19, many of them do not have the required quality and efficiency. The present work was aimed to evaluate the quality of the available disinfectant agents using gram-negative E. coli bacteria.

    Materials and Methods

    In the laboratory phase of the research, the gram-negative E. coli bacteria were used to evaluate the quality of disinfectants. According to the proposed laboratory method, microbial kit was prepared and used to evaluate the performance of disinfectants.

    Results

    According to the obtained findings, 1.0 mL of the prepared microbial suspension in the test tube, as microbial kit, was used for the quality assessment of the selected disinfectants. In case of growth of microorganisms in optimum conditions, the quality of disinfectants was undesirable, and if microorganisms were not grown, the quality of disinfectants would be appropriate in terms of its effect on gram-negative bacteria.

    Conclusion

    E. coli can be used as a reliable indicator for assessing the quality of the disinfectant and antiseptic agents used against COVID-19.

    Keywords: Escherichia coli, Disinfectants, Anti-Infective Agents, Local Quality Assurance, SARS-CoV-2}
  • Sedighe Karimpour Roshan, Hatam Godini*, Saham Ansari, Arezoo Charsizadeh, Maryam Norouzi
    Introduction

    Fungal aerosols cause life-threatening infections in patients hospitalized in critical wards. Antiseptics and disinfectants have broad-spectrum antimicrobial activity against the living tissue and inert surfaces microorganisms; hence, they have an essential role in controlling and preventing nosocomial infections. This study aimed to evaluate in vitro antifungal activity of benzalkonium chloride (BAC), chlorhexidine digluconate (CHX), and sodium hypochlorite (SH) against isolated fungal aerosols from the hospital environment.

    Materials and Methods

    The susceptibility tests were performed on fungal aerosols isolated from various wards of Children’s Medical Center, based on broth microdilution antifungal susceptibility testing of filamentous fungi approved by Clinical and Laboratory Standards Institute (CLSI) M38-A2 document. The isolates included Aspergillus (Aspergillus flavus (n = 14), Aspergillus niger complex (n = 12), Penicillium spp. (n = 14), and Cladosporium spp. (n = 14).

    Results

    The geometric means (GM) of the Minimum Inhibitory Concentrations (MICs) of the biocides across all isolates were as follows: BAC, 3.56 µg/ml, CHX, 9.45 µg/ml, and SH, 810.35 µg/ml. The highest range of MICs was found for SH (50-12800 µg/ml), while the lowest range was for BAC (1-16 µg/ml) against all fungal isolates. Generally, BAC showed the highest in vitro activity among disinfectants tested. The lowest MIC50 and MIC90 values were 4 and 8 µg/ml for BAC, followed by 16 and 32 µg/ml for CHX, and 800 and 6400 µg/ml for SH, respectively.

    Conclusion

    The findings showed that BAC was an effective disinfectant, which can prevent resistant species and fungal pathogens and be used as an alternative to other disinfectants and antiseptics.

    Keywords: Fungi, Aerosol, Disinfectants, Hospital, Antifungal Agents}
  • Zahra Tajari, Leila Fozouni*
    Background and Objectives

    Foodborne illness is a common public health problem. Surfaces and equipment used in food production are involved in the spread of foodborne pathogens. The aim of this study was to evaluate and compare the antimicrobial effect of Vinoxide and Sanisept against Staphylococcus aureus strains isolated from food production lines.

    Material and Methods

    In this descriptive study, 110 samples were taken from various equipment and surfaces used in food workshops and local kitchens. After identification of S. aureus by microbiological tests, the antimicrobial effect of two disinfectants (Vinoxide and Sanisept) on the isolates was assessed using the dilution-neutralization test according to the protocols of Iranian National Standards No 2842 and 9899.

    Results

    Of 110 collected samples, 21 (19.1%) were contaminated with S. aureus. The results showed that 19% and 38% of S. aureus isolates were able to grow after treatment with Vinoxide and Sanisept, respectively. Although Vinoxide had better bactericidal effect than Sanisept, both disinfectants could significantly reduce the number of live S. aureus isolates (P<0.05).

    Conclusion

    Sanisept and Vinoxide have significant inhibitory effects on S. aureus isolates, but due to the unpleasant odor of Vinoxide, the use of Sanisept is recommended in food industry.

    Keywords: Disinfectants, Foodborne Diseases, Staphylococcus aureus}
  • Seyed Ali Sajjadi, Jalal Mardaneh, Alireza Mohammadzadeh*, Roghye Hojjatpanah, Hossein Nezami, Mostafa Amiri, Mehdi Ghasemi
    Objectives

    Methicillin-resistant staphylococci are important causes of nosocomial infections. Due to the presence of these bacteria in hospitals as a significant challenge in hospital infection control, the identification of effective disinfectants against methicillin-resistant staphylococci is necessary. This study was designed to evaluate the effectiveness of common hospital disinfectants against methicillin-resistant staphylococci.

    Materials and Methods

    In this cross-sectional study, the effectiveness of 4 surface disinfectant cleaners (Deconex 50 AF, Microzed GP-H, Peranacid M1 and Surfocept quick) against methicillin-resistant staphylococci (10 Staphylococcus aureus, 10 Staphylococcus saprophyticus, and 55 Staphylococcus epidermidis) was evaluated using broth dilution method, disc diffusion assay, and cell viability assay.

    Results

    The minimum inhibitory concentrations (MICs) and minimum bactericidal concentrations (MBCs) of Peranacid and Surfocept against the isolates were higher than those of Deconex and Microzed. The results of disk diffusion assay showed that staphylococcus strains exhibited greater inhibition zone diameter than other disinfectants at different concentrations of Deconex and Microzed. According to the results of cell viability assay, S. aureus, S. epidermidis, and S. saprophyticus isolates did not grow at three concentrations (0.5%, 1% and 2%) of Deconex, Microzed, and Peranacid, respectively.

    Conclusions

    Deconex and Microzed had more antimicrobial properties than the 2 other agents and methicillin-resistant staphylococcus isolates had a higher resistance to both Peranacid and Surfosept

    Keywords: MRAS, Staphylococcus epidermidis, Staphylococcus saprophyticus, Disinfectants, Nosocomial infections}
  • Mina Usefi, Hengameh Zandi, Sara Jambarsang, Mehdi Mokhtari*, Mahmood Noori Shadkam
    Introduction
    Today, disinfection of surfaces by using antimicrobial agents is critical for the prevention and control of pathogens and reduction of infection in hospital. The aim of this study was to investigate and compare the effects of two disinfectants against Staphylococcus aureus isolated from the NICU of Shahid Sadoughi Hospital of Yazd in 2017.
    Materials and Methods
    In this descriptive cross sectional study, bacterial culture of samples collected from different surfaces of the NICU and S. aureus isolates were identified using conventional biochemical tests. Peracetic acid and chlorine dioxide various concentrations were used as disinfectants. Their effects against Staphylococcus aureus were determined by Standard disc diffusion method. Data were analyzed by linear mixed models in SPSS version 23.
    Results
    39.39% of samples were found to be S. aureus infected. The mean diameter of growth inhibition zone for peracetic acid 0.1% was significantly lower than that for peracetic acid 0.2%, and peracetic acid 0.1% was significantly higher than that for chlorine dioxide (P < 0.001). The comparison of growth inhibition zone diameters for peracetic acid 0.1% and chlorine dioxide disinfectants showed that the average diameter of the inhibition zone created by peracetic acid 0.1% was significantly higher than that created by chlorine dioxide. The most effective disinfectant on S. aureus strains isolated was peracetic acid 0.2% and the least effective disinfectant was chlorine dioxide.
    Conclusion
    In health care facilities with S. aureus infection, peracetic acid 0.2% can be used effectively to reduce nosocomial infection rate.
    Keywords: Disinfectants, Nosocomial infections, Neonatal Intensive Care Units, Peracetic acid, Chlorine Dioxide, Staphylococcus aureus}
  • سمانه کشاورز، رضا شاپوری، نرگس حبیب الله، رضا بیگ وردی، امیر پیمانی*
    زمینه
     اسینتوباکتر بومانی یکی از عوامل مهم ایجادکننده عفونت های بیمارستانی است. در سال های اخیر، گزارشات فراوانی مبنی بر حضور ایزوله های اسینتوباکتر بومانی مقاوم در برابر مواد ضدعفونی کننده در مراکز درمانی داده شده است که با ژن های qacE و qacEΔ1 صورت می گیرد.
    هدف
     مطالعه حاضر ضمن بررسی الگوی حساسیت آنتی بیوتیکی، به تعیین فراوانی ژن های کد کننده مقاومت نسبت به ترکیبات ضدعفونی کننده در جدایه های بالینی اسینتوباکتر بومانی می پردازد.
    مواد و روش ها
    در این مطالعه توصیفی مقطعی، 141 جدایه اسینتوباکتر بومانی از بیمارستان های شهر قزوین جمع آوری شدند. تمام جدایه ها با استفاده از آزمون های استاندارد آزمایشگاهی و حضور ژن blaOXA-51-like تایید هویت شدند. الگوی حساسیت آنتی بیوتیکی جدایه ها با انجام آزمون استاندارد کربی بائر سنجیده شد. سپس ایزوله ها از نظر حضور ژن های qacE و qacEΔ1 با استفاده از آزمون های واکنش زنجیره ای پلیمراز و تعیین توالی بررسی شدند. 
    یافته ها
     در این مطالعه، 133 جدایه (94/32 درصد) ، الگوی مقاومت دارویی چندگانه را نشان دادند که 24 جدایه (17 درصد) ژن qacE و 84 جدایه (59 درصد) ژن qacEΔ1 داشتند. در این مطالعه، بین حضور ژن های مقاومت مطالعه شده و الگوهای مقاومت دارویی چندگانه ارتباط معنی داری مشاهده شد (P= 0/001).
    نتیجه گیری
    نتایج حاصل از این مطالعه، حاکی از حضور قابل توجه مقاومت نسبت به ترکیبات ضدعفونی کننده در جدایه های اسینتوباکتر بومانی بیمارستان های مطالعه شده است که توجه ویژه به آن در کمیته های کنترل عفونت مراکز درمانی ضروری است.
    کلید واژگان: اسینتوباکتر بومانی, مواد ضدعفونی کننده, مقاومت دارویی چندگانه, qacE qacEΔ1}
    Samaneh Keshavarz, Reza Shapouri, Narges Habibollah, Pourzereshki, Reza Bigverdi, Amir Peymani*
    Background
    Acinetobacter baumannii is an important agent of nosocomial infections. There are several reports on the presence of disinfectants-resistant Acinetobacter baumannii developed by qacE and qacEΔ1 genes in medical centers. 
    Objective
     The current study aimed to assess the relevant antimicrobial susceptibility and to determine the frequency of genes encoding resistance to disinfectants in A. baumannii isolates.
    Methods
    In the current cross-sectional study, 141 A. baumannii were collected from hospitals in Qazvin Province, Iran. All bacterial isolates were identified using standard laboratory methods and by the presence of the blaOXA-51-like gene. The antimicrobial susceptibility was determined by the standard Kirby- Bauer Test. Furthermore, the presence of qacE and qacEΔ1 genes was investigated using polymerase chain reaction and sequencing techniques.
    Findings
    In total, 133 (94.32%) isolates suggested a Multidrug Resistance (MDR) pattern; 84 (59%) and 24 (17%) isolates harbored qacEΔ1 and qacE genes, respectively. There was a significant association between the presence of resistance genes and MDR patterns (P=0.001).
    Conclusion
    The obtained results indicated a significant rate of resistance against disinfectants in Acinetobacter baumannii isolates among the studied hospitals; thus, more attention should be paid to the infection control committees of medical centers.
    Keywords: Acinetobacter baumannii, Disinfectants, Multidrug resistance, qacE, qacEΔ1}
  • Hengameh Gheidar, Azam Haddadi, Behrooz Sadeghi Kalani, Nour Amirmozafari
    Background
    Infection with resistant bacteria are still reported in hospitals despite the routine cleaning of hospital surfaces. Presence of drug-resistant microbes in the on environment of hospitals and on medical equipment is indicative of the need for control measures which could impact the emergence of such microbes. In addition, biofilms are increasingly associated with human infections and it necessitates careful considerations on usage of a diverse range of medical devices, such as catheters, implants and pacemakers in hospitals.
    Methods
    This study was designed to compare the effect of silver, ZnO nanoparticles and curcumin on drug-resistant Gram-positive and Gram-negative bacteria which were already isolated from different wards of the hospital. The MIC value were determined for silver, curcumin and ZnO nanoparticles. As the second step, the expression level of the genes involved in biofilm formation in S. aureus, including icaA, icaD, fnbA and fnbB, was studied to analyze the physiological reaction to controlled concentrations of such nanoparticles using RT-qPCR assessments.
    Results
    In this study, a total of 172 bacterial isolates were recovered from clinical and environmental samples (96 and 76 isolates, respectively). API-20 test revealed that these isolates belonged to 8 species. All antimicrobial resistant isolates were susceptible to the metal oxide nanoparticles. The results of q-PCR in this study showed that the expression of icaA and icaD genes in the presence of silver, curcumin and zinc nanoparticles were not significantly reduced compared to the control samples. But, exposure to nanoparticles reduced the expression of fnbA and fnbB genes from 0.46 to 0.06.
    Conclusion
    The results of our study showed that nanoparticles are highly effective on antibiotics- resistant isolates and these compounds can be used in the treatment of resistant bacteria. In addition, this study also demonstrates the promising potential of using nanoparticles as anti-biofilm formation agents
    Keywords: Antibiotic-resistant bacteria, Expression level, Nanoparticles, Disinfectants}
  • Parisa Asadollahi, Fereshteh Jabalameli, Reza Beigverdi, Mohammad Emaneini
    Background And Objectives
    Variable number tandem repeat (VNTR) patterns and resistance against three commonly used hospital disinfectants [0.5% (w/w) chlorhexidine digluconate (CHG) and 75% (w/w) alcohol (A), CHG-A; Quaternary ammonium compounds (QACs) and biguanides (B), QAC-B; and 70% (w/w) isopropanol (ISP) and 0.25% (w/w) QACs, ISP-QAC], as well as frequently used antibiotics, were evaluated among 115 Staphylococcus epidermidis blood isolates recovered from a children’s hospital in Tehran, Iran.
    Materials And Methods
    Multi-locus variable number tandem repeat analysis (MLVA) was performed using primers targeting 5 VNTR loci on the genome of S. epidermidis isolates. Micro-broth dilution method and detection of qacA/B and smr genes were carried out for evaluating resistance against the disinfectants.
    Results
    Out of the 115 isolates, 115 (100%) and 113 (98.3%) were susceptible to linezolid and quinupristin/dalfopristin, respectively. A total of 55.7% of the isolates were found to be multidrug resistant (MDR). All isolates had MICs of CHG-A and ISP-QAC of 8 folds lower and MIC of QAC-B 6 folds lower than that suggested by the manufacturers. The genes qacA/B and smr were found in 28 (24.3%) and 14 (12.2%) isolates, respectively. MLVA typing of the S. epidermidis isolates resulted in 106 VNTR patterns and 102 MLVA types for the 112 S. epidermidis isolates, considering that 3 were not typeable.
    Conclusion
    MLVA typing of S. epidermidis isolates show a great diversity and that the isolates are still susceptible to the concentrations of disinfectants recommended for use by the manufacturers. In addition, the relatively high percentage of the MDR S. epidermidis isolates could cause MDR infections and act as reservoirs to transfer resistance determinants to S. aureus population. Therefore, it is important that suitable infection control strategies are employed to avoid the distribution of MDR isolates between personnel and patients in this medical centre.
    Keywords: Staphylococcus epidermidis, Disinfectants, VNTR, Blood cultures, Multidrug resistant}
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