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Iranian Journal of Microbiology، جلد ۴، شماره ۳، صفحات ۱۴۶-۱۴۹
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عنوان انگلیسی Intensive Care Unit nosocomial sinusitis at the Rasoul Akram Hospital: Tehran, Iran, 2007-2008.
چکیده انگلیسی مقاله Background: Nosocomial rhino sinusitis causes major problems in all Intensive Care Units (ICUs). Objective: To describe incidence, epidemiologic, clinical manifestations, and microbiologic findings in ICUs admitted cases with nosocomial sinusitis. Materials and Methods: A prospective, cross sectional study done in Pediatric & Adult ICUs in Rasoul Akram Hospital; Tehran Iran (2007-2008). Para-nasal sinus computed tomography (CT) was performed in all adults with fever of unknown origin (FUO) within 48h of admission and repeated thereafter (4-7 days). Infectious sinusitis was diagnosed by microbiological analysis of sinus fluid aspirates. Results: Acute bacterial nosocomial sinusitis proved in 82% (51/ 63) of all cases. Head trauma was the most common cause (n = 22, 45%) of cases. The results of culture were positive for 45 cases (82%). Of 45 culture positives, 19 yielded Gram negative organisms (41%) and 9 (22%) gave Gram positives ( S. aureous, Streptococus spp). The remainders (n = 17, 37%) consisted of mixed aerobic/anaerobic bacteria . Seven cases, were positive in gram staining of sinus drainage and these were positive in culture for S. pneumonia (n = 5) , Hemophilus influenza (n = 2). The type of organisms were not related to Glasgow Coma Scale in cases (P = 0.3). Conclusion: Nosocomial organisms isolated were quite different from community acquired rhino sinusitis cases. Investigation of CT scan and drainage of Para-nasal sinuses would be helpful in undiagnosed FUO cases, especially in traumatic patients. Optimal treatment usually consists of removal of the tubes, mobilizing the patient, and administration the broad-spectrum antibiotics.
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نویسندگان مقاله s نوربخش | s noorbakhsh
research center of pediatric infectious diseases, rasoul akram hospital, tehran university of medical sciences.

سازمان اصلی تایید شده: دانشگاه علوم پزشکی تهران (Tehran university of medical sciences)

براتی | m barati
research center of pediatric infectious diseases, rasoul akram hospital, tehran university of medical sciences.

سازمان اصلی تایید شده: دانشگاه علوم پزشکی تهران (Tehran university of medical sciences)

m فرهادی | m farhadi
research center for diseases of ear, nose and throat, rasoul akram hospital, tehran university of medical sciences.

سازمان اصلی تایید شده: دانشگاه علوم پزشکی تهران (Tehran university of medical sciences)

j موسوی | j mousavi
research center of pediatric infectious diseases, rasoul akram hospital, tehran university of medical sciences.

سازمان اصلی تایید شده: دانشگاه علوم پزشکی تهران (Tehran university of medical sciences)

v ضرابی | v zarabi
research center of pediatric infectious diseases, rasoul akram hospital, tehran university of medical sciences.

سازمان اصلی تایید شده: دانشگاه علوم پزشکی تهران (Tehran university of medical sciences)

طباطبایی | a tabatabaei
research center of pediatric infectious diseases, rasoul akram hospital, tehran university of medical sciences.

سازمان اصلی تایید شده: دانشگاه علوم پزشکی تهران (Tehran university of medical sciences)

نشانی اینترنتی http://ijm.tums.ac.ir/index.php/ijm/article/view/692
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