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Gardenerlla Vaginalis is a tiny pleomorphic gram negative mostly isolated from secretions of females with bacteria vaginosis. The organism cause infections such as endometritis, salpingitis, urethritis and in pregnant women cause the delivery of low-birth weight babies with less than 2500 grams. This study was done as a descriptive study on 200 pregnant and non-pregnant women in 2 groups, referred to gynecology and obstetric ward of Babol University of Medical Sciences. We gathered information by questionnaires then clinical examination and sampling from posterior fornix was obtained. PH values of the samples were determined, wiff test, wet mount examination and gram staining were practiced and finally the isolated bacteria from media such as HBT, PSDA, etc were examined by proper microbiologic tests to confirm the diagnosis. In this study 24% of non-pregnant and 14% of pregnant women found to be infected with GV. In 30.7% of infected women the rate of colonization of GV was high. However detection of bacterial vaginosis by clinical diagnosis has shown an incidence of 41% in non-pregnant women and 27% in pregnant women. Meanwhile 60% of non-pregnant females had positive pop-smears for GV. It should also be noted that the rate of GV infections has found to be higher during the first trimester than the second or third. Samples from patients with bacterial vaginosis show an associated increase in the number of gram negative of variable gram reaction bacilli with a decrease in the number of lactobacilli. Thus, diagnosis of bacterial vaginosis is preferably recommended to be made using simple methods such as wet mount examination and gram-staining of vaginal discharges.

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Background&Objective: Probiotics have been defined as live microorganisms that confer a health effect on the host when consumed in adequate amounts.Lactic bacteria play an important role in production and maintenance of the fermented and probiotic products.The aim of this study was to determine the efficacy of lactic bacteria, which isolated from yoghurt against Gastrointestinal pathogenic microorganisms in the Golestan province in North of Iran. Materials&Methods: In this descriptive study we used 96 strains which belong to 12 species of Lactobacillus and 5 species of Lactococcus ,that isolated from home made yoghurt, and their antimicrobial effect on 7 species of important intestinal pathogenic microorganisms were examined.After growing the Lactic bacteria in broth media centrifuged and filtred the suspension and used the supernatant for study.The effect of supernatant against intestinal pathogenic microorganisms were assessed by Disc diffusion and pour in well method and each test were repeated 3 times and mean inhibition zone were recorded. Results: Lactobacillus casei and Lactococcus lactis showed better effect than other strains.The maximum light zone diameter was 18 milimeter. Maximum and minimum inhibitiry effect has seen in Yersinia enterocolitica and Bacillus cereus. Conclusion: Both Lactobacillus and Lactococcus strains had a proper inhibitory effect on the intestinal pathogenic bacteria but Lactobacillus strains that present in yoghurt showed better effect. This inhibitory effect was more obvious on the Yersinia enterocolitica.

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Background&Objective: Genital mycoplasmas can cause infection of the genitourinary tract. Thses organisms are associated with bacterial vaginosis, pelvic inflammatory disease, endometritis, cervicitis, Nongonococcal urethritis. Spontaneous abortion, premature birth, neonatal pneumonia and meningitis, and infertility. The aim of this study was to determine the ability of PCR method for diagnosis and identification of genital mycoplasma in culture negative samples taken from women suffering from bacterial vaginosis. Materials&Methods: 174 genital samples were taken from women suffering from bacterial vaginosis during January until December 2005. Two genital swabs were taken from each patient. One of them was cultured on the mycoplasma specific media for isolation of mycoplasma. The other swab was immersed in PBS buffer and frozen until DNA extraction. To detect the presence of mycoplasma and ureaplasma in genital DNA Samples: a 520-bp fragment of the 16S rRNA was amplified. The specific primers used for this purpose were: MGSO, UGSO, MY- ins. Results: From 174 samples, 71 samples (40.8%) were positive by culture for mycoplasma & ureaplasma. From 103 culture negative samples. According to PCR results, 14 samples (13.6%) were positive and 89 Samples (86.4%) were negative for mycoplasma and ureaplasma. Conclusion: This study showed that PCR method is more sensitive than culture for detection genital mycoplasma, Therefore PCR is a rapid, sensitive and easy method to detect genital mycoplasmas in urogenital swabs.

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Background&Objective: Staphylococcus aurues is on important cause of community and hospital- aquired infections. Caused by methicillin or oxacillin- resistant s.aureus (MRSA) are mainly nosocomial and are increasingly from many countries word wide. Many attempt have been made by the reasearchers to find new compounds as a subsitute for this antibiotics. The aim of this study was to investigate the antimicrobial activity of alcoholic extracts of 20 medical plants species of Golestan provience on clinical and standard strains of MRSA and MSSA and comprative and detect the best medical plant. Materials&Methods: In this study the compunds of the plant were extracted by percolation method and the effect of ethanolic extract of 20 Iranian medical plants against methicillin resistant and methicillin sensitve strains were assessed by disc diffusion method and each test were repeated 3 times and mean inhibition zone were recorded and then, the minimum inhibitory concentration (MIC) of the extracts, that show good inhibition zone in disc diffusion method, was determined by the micro broth dilution method. Results: The results of antibacterial activity of the ethanolic extracts of 20 plants revealed that, the ethamlic extracts of 8 plants have the best effect on strains and the maximum mean inhibition zone was 22.4 mm and the lowest MIC of plants was 0.01 mg/ml. Conclusion: The result of this study indicate that, ethanolic extract of Eucalyptus. Global, Peganum.hermla, Punica.granatum, Berberis.vulgaris, Ttamarixaphylla, Nnigella.sativa, Hypericum.perforatum AND, Artemisia. Herbaalba have the best antibacterial effect against MRSA andMSSA. The result obtained from these plants might be considered sufficent for further study.

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Background & Objective: There is an increasing interests in substitution of natural products for synthetic chemicals in drugs and foodstuff. Reports of antibiotic resistant bacteria and side effects of chemical food preservatives suspected to be carcinogenic have drawn attention towards application of herbal and natural substances. Towards this end, edible plants are more safe and therefor have priority for investigation. In this study, antibacterial activities of six medicinal plants including Thymus (T.) eriocalyx and T. persicus, Allium (A.) haementhaides, Fumaria (F.) parviflora Lam, Buxus (B.) hyrecana pojark, and Tragopon (Tr.) carcifolus Lorestan province in Iran were examined. Materials & Methods: In this study, flowers and leaves from T.persicus, T. eriocalyx, and leaves from other plants were collected from Zagros highlands, dried and soaked in hexan for 48. The solvent was separated then evaporated under reduced pressure. The concentrated extracts were shaken and foze at -10°C. Then it was centrifuged and the solvent was evaporated. The extracts were finally resuspended in sterile PBS containing DMSO. Antibacterial activities were examined by disk diffusion and broth microdillution technique , using standard (ATCC) gram positive and negative bacteria and standard (Muller Hinton agar and broth or Isosensitest agar) media in order to determine Minimum Inhibitory (MIC) or Bactericidal (MBC) concentration. Results: Strong antibacterial activities were observed against both gram positive and negative bacteria including E.coli, S. aureous and P. aeroginosa by T.eriocalyx and F. parviflora. Also B. hyrecana pojark showed antibacterial activity against S. aureus at a concentration of MIC=320 µg/ml and MBC=80 µg/ml. Conclusion: This study showed that T.eriocalyx, F. parviflora and B. hyrecana pojark have antibacterial effects in vitro. Therefore it is suggested the application of these extract in medicine and food industings could be helpful.

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Background and Objective: Pollution due to the heavy metals is a problem that may have negative consequences on the hydrosphere. Identification of microorganisms resistant to heavy metals plays an important role in relation to environmental pollution bioremediation. This study was done to assess the antibiotic resistance in isolated bacteria from urban sewage and copper smeltery industrial wastewater. Materials and Methods: This laboratory study was done on the wastewater samples from urban sewage and copper smeltery in Isfahan-Iran, during 2011-12. Heavy metal resistant microorganisms were isolated and enumerated after serial dilution and culturing on PHG agar plates supplemented with 0.5 mM of each heavy metal. The pattern of resistance was assigned by Minimum Inhibitory Concentration (MIC). Antibiotic resistance toward following medicines Ofloxacine, Penicilline, Sulfometoxasole, Lincomycin, Kanamycin, Streptomycin, Clindamycin, Vancomycin, Cefradin and Neomycin were subsequently investigated. Results: The greatest resistance in isolated bacteria has been related to the Ni (MIC: 24 mM) that’s related to the genus of Klebsiella and its minimum MIC is 2mM that’s of Acinetobacter lwoffi, Providencia stuartii, Branhamella. The minimum degree of resistance is related to Cu. Its Maximum MIC related to this metal in swage is 2 mM that’s of Klebsiella pneumoniae and its minimum degree of resistance in copper smeltery effluent is arranged as 1mM related to genus of Pseudomonas alkaligenes. In examining multi metal resistance pattern, the greatest resistance with 8 mM MIC has been related to the Cd, that’s of Ni resistant Moraxella osloensis in Copper smeltery effluent. The highest portion of isolated bacteria were resistant to Pb (P<0.05). The highest resistance of refirary wastewater was to Ni (MIC: 2 mM), which belong to Klebsiella (P<0.05). The lowest belong to Acine to bacter Lwoffi providencia Stuartii, Branhamella (MIC: 2mM) (P<0.05). In urban sewage: the highest resistance belong to copper, which was seen in Klebsiella Pneumoniae (MIC: 2mM). In Antibiogram tests of Klebsiella, Moraxella and Escherichia, it was demonstrated that the metal resistant bacteria were also resistant toward Lincomycin, Kanamycin, Streptomycin, Clindamycin, Vancomycin, Cefradin and Neomycin, as well. Conclusion: Increasing heavy metal resistance in the environment leads to increased antibiotic resistance toward microorganisms.

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Background and Objective: Ruta graveolens is a plant used in traditional medicine with variety of therapeutic effects. This study was done to evaluate the antimicrobial effect of hydro and alcoholic extracts of Ruta graveolens on 8 species of pathogenic bacteria. Methods: In this descriptive study, standard strains of Enterococcus faecalis, Staphilococcus aureus, Staphilococcus epidermis, Strptococcus pneumonia, Escherichia Coli, Klebsiella pneumonia, Salmonella typhi and Enterobacter Cloace were obtained from Iranian institute of scientific and industerial research center. The effect of hydro and hydroalcholic extracts of Ruta graveolens on the growth of bacteria was determined by disc diffusion and serial macro dilution methods. Minimum inhibitory concentration (MIC) for each extract was determined and the findings were compared with 8 common antibiotics including Co-trimoxazole, Oxycycline, Vancomycin, Erythromycin, Furazolidon, Tetracycline, amoxicillin / clavulanic acid and Ampicillin/sulbactam. Results: Hydro and hydroalcoholic extracts of Ruta graveolens did not show any inhibitory effect on growth of the pathogenic bacteria even in the presence of high concentration (3mg/ml). Conclusion: The extracts of arial organs of Ruta graveolens had no inhibitory effect on growth of the common human pathogenic bacteria.

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Background and Objective: Probiotics are beneficial organisms therapeutic within microbial flora. Shigella, Escherichia coli and Salmonella are the most common cause of intestinal infectious diseases that lead to morbidity and mortality in infant and children worldwide. The aim of this study was to evaluate anti-microbial activity of Lactobacillus acidophillus and Lactobacillus ruteri against entero-pathoges by in vitro and in vivo methods. Methods: In this experimental study, the therapeutic effect of the lactobacillus acidophilus ATCC 4356 and ruteri ATCC 23272 against Shigella sonnei ATCC 9290, Escherichia coli ATCC 25922 and Salmonella enterica BAA-708 were evaluated by in vitro (spot agar) and in vivo (BALB/c mice) methods. Weight improvment and survival rate in mice were recorded. Results: Lactobacillus acidophillus and ruteri had protective and therapeutic effect against diarrhea caused by pathogenic bacteria. Probiotics reduced the weight, colonization of pathogens and increased the survival rate of animals (P<0.05). Conclusion: Lactobacillus acidophillus and ruteri has anti-microbial activity and their consumption can be effective in the prevention and also the treatment of intestinal disease.

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Background and Objective: Wound infection treatment, particularly in chronic and bacterial poly cases, is difficult and entails heavy costs. This study was done to determine the prevalence of poly bacterial infection and antimicrobial susceptibility of wound samples from different wards. Methods: In this descriptive study, wound sampling was prepared from 336 patients admitted to different wards of Baqiatallah Hospital in Tehran, Iran. Identification was performed based on biochemical tests including oxidase test, TSI, IMVIC, lysine decarboxylase, phenylalanine deaminase, urea, motility, catalase, coagulase, mannitol fermentation, optochin sensitivity, susceptibility to bacitracin and sulfamethoxazole, growth in Bile esculin and DNase production. Antibiotic resistance pattern of isolates was determined using disk diffusion method for 14 important antibiotics. Results: 294 samples were positive for bacterial culture, from which 364 isolates including 11 different isolates were obtained. Out of 294 positive samples, 245 samples were mono bacterial and 54 were poly bacterial including two-bacterial (45 samples), three-bacterial (7 samples), and four-bacteral (2 samples). S. aureus (29.7%), Enterococci (15.6%), and E. coli (15.6%) were the most prevalent isolates. S. aureus-Enterococci pattern was the most common two-bacterial pattern (33%), and majority of polybacterial patterns belonging to gram negative bacteria was in surgery ward (32.5%). Antibiogram results showed high levels of antibiotic resistance in the isolates. Imipenem and amikacin were the most effective antibiotics against Gram negative isolates, and vancomycin for Gram positive isolates. Also, 71% of S. aureus isolates were resistant to oxacillin. Conclusion: Variation of bacterial isolates was similar to other studies. Most of poly-bacterial wound infections were due to common nosocomial pathogens and their high rates of antibiotic resistance are extremely alarming.

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Background and Objective: Extended-Spectrum Beta Lactamase enzymes (ESBLs) are the most important factor for antimicrobial resistance in Enterobacteriaceae The resistance to beta-lactam antibiotics is the main problem in the bacterial infections therapy. This study was done to determine the prevalence of Extended-Spectrum Beta Lactamase enzymes in clinical isolates of Enterobacteriaceae family.

Methods: In this descriptive study, 240 isolates of Enterobacteriaceae family were collected from clinical specimens obtained in Shohada, Rahimi and Madani hospitals in Khorramabad city, Iran. Antibiotic susceptibility of isolates was performed by disk diffusion method. ESBLs production in all isolates was determined using the combination disk method.

Results: Bacteria strains isolated in this study were Escherichia coli (76%), Klebsiella pneumonia (16.2%), Citrobacter (5.4%), Enterobacter spp. (0.83%) and Proteus (1.6%). The results of antimicrobial susceptibility of isolates showed that the highest rate of antibiotic resistance was toward Ampicillin (88%) and Cefotaxime (43%) and the lowest rate was observed to Amikacin (2.5%). According to the results of the phenotypic tests, 141(59%) isolates out of 240 Enterobacteriaceae were beta-lactamase producers.

Conclusion: ESBL producer isolates and antibiotic resistant due to of Enterobacteriaceae isolated from clinical samples from hospitals are high prevalence in Khorramabad city, Iran.

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Background and Objective: Nowadays, microorganisms have high resistance to antibiotics due to indiscriminate and unnecessary consumption. Treatment of infections caused by resistant bacteria has become difficult and expensive. Galls wild rose created by wasp's species Diplolepis mayri. This study was done to evaluate antibacterial activity of methanol, acetone and aqueous extracts of Wild Rose gall against Staphylococcus aureus and Enterococcus faecalis.
Methods: In this experimental laboratory study, the methanol, acetone and aqueous extracts of wild rose galls in 15.6, 31.3, 62.5, 125, 250 and 500 mg/dl were prepared by Soxhlet apparatus. Antibacterial activity of extracts was determined using well diffusion. MIC and MBC were determined by microdilution method. The active compounds of gall were evaluated by GC-MS.
Results: The inhibition zone of 500 mg/ml methanol, acetone and aqueous extracts of wild rose gall were 27.3, 26.7 and 20.0, respectively. The inhibition zone of wild rose gall was similar to imipenem (antibiotics). The extract concentration was related with antibacterial activity. The gall rose methanol extract showed the highest antibacterial effect. The MIC and MBC of methanol extract against Staphylococcus aureus and Enterococcus faecalis was 62.5, 31.3 mg/ml, respectively.
Conclusion: This study showed that aqueous, methanol and acetone extracts of wild rose galls have strong antibacterial activity.

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Background and Objective: Curcumin is a combination of active polyphenol from the Curcuma Langa plant, which has extensive biological activities including effects anti-inflammatory, anti-bacterial and cytotoxic markers for multiple cancer cells. Berberine is an alkaloied isokinolin that is present in berberine and suppresses the growth of many tumor cells. This study was designed to determine the antibacterial effect of berberine and indium curcumin and indium diastile curcumin complexes against E-coli and Bacillus pumilus and comparison of their cytotoxicity on the cell lines of the bladder and stomach cancer cells.
Methods: In this descriptive-analytic study, antimicrobial activity and cytotoxicity effect of berberine and indium curcumin and indium diastile curcumin complexes was investigated by MTT and dilution test method respectively. E-coli [BL21 (DE 3)], Bacillus pumilus (PTCC 1529), cell lines of bladder (5637) and stomach (AGS) were evaluated.
Results: The minimum inhibitory concentration (MIC) of berberin for E-coli was determined 5 mM. At 100 micromolar concentration of berberine approximately 100% of the bladder cancer cells have disappeared. Cytotoxic effect of curcumin complexes on two bladder and stomach cancer cell lines showed that both complexes have different inhibitory effects on cell line life. Cytotoxicity of 20μM indium curcumin and indium diastile curcumin complexes for bladder cancer cells were 58% and 55%, respectively, and for stomach cancer cells were 61% and 34 %, respectively. Antibacterial activity of complexes against Bacillus pumilus and E-coli showed that none of the complexes has antimicrobial effect against Bacillus Pamilus, but both complexes inhibited the growth of E-coli bacteria. The bacteria population in the presence of indium curcumin and indium diastile curcumin complexes was reduced to 40% and 24%, respectively.
Conclusion: This study indicated that indium complexes of curcumin and diacetyl curcumin have a potential for anticancer and antibacterial therapy. Furthermore, berberine as an alkaloid has anticancer and antibacterial activity.

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Background and Objective: Nosocomial infection is a major challenge in health care system. In fact, it is regarded as one of the risk factors in hospitalized patients. The aim of this study was to determine the antibacterial effect of silver nanoparticles (AgNPs) nursing gowns on geram – positive bacterial.
Methods: This descriptive and analytical study was done on 200 nurses gowns were surveyed in two hospitals of Sirjan city in Kerman Province cenral area of Iran. At first, the antimicrobial activity of silver nano fabrics on Staphylococcus aureus bacteria was confirmed by examining the optical density OD (0.325) medium. Sampling was gathered into the two modes, before using nano gowns and after using nano gowns by using wet sterile swabs. The samples collected were cultured and the formations of colonies were examined and biochemical tests were used to identify isolated bacterial.
Results: The most commonly isolated gram- positive bacterial from normal gowns were Staphylococcus epidermidis (43%) and the lowest pathogen was Streptococcus (1%). In these hospitals, after using nano silver gowns, the amount of microbial load on the clothes were determind zero.
Conclusion: This study showed that gram- positive bacterials of nursing gowns after contact with silver nanoparticles were eliminated.

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Background and Objective: Various infections and the formation of stones could be the cause for bile duct obstruction of that sterile organ. Determination of pathogenesis factors and the bacteria involved in infections are important in the prevention of disease, and cares needed following surgery. This study was done to determine the bacteria in the gallbladder of patients with cholelithiasis and evaluation of pathogenic factors of the prevalent isolated bacteria.
Methods: In this descriptive laboratory study, 35 samples of gallbladder tissues which contained gallstones were collected under sterile conditions in “Department of General Surgery of Imam Khomeini Hospital”, Tehran, Iran during 2016. The stone types were analyzed and decomposed by chemical procedures, and the bacteria existed in the tissues were also identified using biochemical experiments. The tissues with negative results in microbiological studies were looked for any contaminating bacteria, applying the DNA extracted from gallbladder tissue as a template using F27 and R1492 as the primers for PCR (Polymerase Chain Reaction) amplification of 16SrRNA gene. Those with the positive results of microbiological tests were subjected to the DNA sequencing following gel purification and blasted against the NCBI gene database. The most frequently isolated bacteria were studied according to the intensity of biofilm formation, using the microtitre plate method. CsgF and Ag43 (Flu), the genes involved in the induction of such phenotype were also analyzed in this study. The antibiotic resistance assay of the isolates was performed using disc diffusion procedure.
Results: Thirteen out of thirty five samples of post-surgery gallbladder tissues were found to be infected by different bacteria, including: Klebsiella (3 cases), Escherichia coli (4 cases), Enterobacter (1 case), Staphylococcus aureus (2 cases), Enterococci (2 cases), and Streptococcus (1 case). In 23 out of 35 samples (65.7%), no bacteria could be isolated using microbiological methods. However, in seven out of 23 samples, the amplified 16SrRNA had an indication of Klebsiella (6 cases) and Enterococcus (1 case) isolates. Therefore, the most prevalent genus in gallbladder infections was Klebsiella (47.36%). Chemical analysis showed that the highly frequent compound of gallstones (98%) were of cholesterol and bilirubin. Escherichia coli with fourcases were the highest culture growing isolated bacteria, in all of which, the biofilm formation genes were present. In the two out of four Escherichia coli isolates the intensity of biofilm formation was high. Although, in the remaining two isolates was medium. While, they were found to be sensitive to the most of the antibiotics, they showed resistance to Tetracycline, Ciprofloxacin and Ceftazidime in different ranges.
Conclusion: The present study provided evidence that non-cultural bacteria are hihly present in gallbladder infections. The high potential of the commonly isolated bacteria in biofilm formation should be taken as a warning to follow the precise protocol of antibiotic prescription for treatment of gallbladder infections.

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Background and Objective: The emergence of Gram-positive and Gram-negative bacteria resistant to antibiotics is a crisis worldwide. In this study, the antibacterial effect of zinc oxide nanoparticles was evaluated on standard and food isolated strains of Salmonella enteritidis and Bacillus cereus.
Methods: This descriptive laboratory study, zinc oxide nanoparticles were prepared on zeolite materials, and zinc level was determined using XRF. The minimum inhibitory concentration (MIC) and minimum bactericidal concentration (MBC) of ZnO nanoparticles were determined using disc diffusion method.
Results: MIC value for all tested bacteria was 4 mg/ml and MBC values of standard and isolated strains of Salmonella enteritidis were 16 and 8 mg/ml, respectively, and for standard and isolated strains of Bacillus cereus was calculated in the range of 16 mg/ml.
Conclusion: Zinc oxide nanoparticles can inhibit Salmonella enteritidis and Bacillus cereus strains and may have a potential for its replacement with current preservatives to prevent food spoilage in industry.

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Background and Objective: Campylobacter is one of the most important pathogens causing bacterial gastroenteritis, which is usually transmitted through the food of animal origin. This study was done to evaluate the status of Campylobacter in diarrheal food outbreaks compared to other microbial agents.
Methods: This descriptive study was performed on 305 diarrheal swab samples from 102 food outbreaks during six months from spring to the end of summer 2018. Presence of Campylobacter species were assessed according to the protocol of the General Directorate of Laboratory Affairs.
Results: Out of 305 samples, 8 (2.6%) were identified as Campylobacter species, 3 (37.5%) Campylobacter and 5 (62.5%) Campylobacter coli. The epidemiology of the outbreaks showed that female (54.5%), average age of 16-30 years (28.2%), consumption of salads and vegetables (16.1%) and living in the cities (59.7%) were the most cases.
Conclusion: This study showed that in addition to classic pathogens such as Salmonella, Shigella, Escherichia coli, attention also should be paid to Campylobacter bacteria. In addition, recognizing epidemiological factors can play an important role in preventing and controlling food outbreaks.

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Background and Objective: Molybdenum trioxide (MoO₃) is a type of nanoparticle used in the industry as an antibacterial agent. The kidney is one of the most important organs in the body, responsible for filtering waste products and regulating blood factors that are affected by various agents. Due to the widespread use of MoO₃ in disinfecting operating room equipment and the importance of renal glomeruli in blood plasma purification, this study aimed to determine the effect of molybdenum trioxide nanoparticles on rat kidneys.
Methods: In this experimental study, thirty Wistar rats weighing 250-300 g were randomly divided into five groups (n=6), including a control group, a sham group (receiving normal saline), and three experimental groups (receiving MoO₃ at doses of 50, 100, and 200 mg/kg/bw IP). Intraperitoneal injections were given for 35 days. After the treatment period, the animals were anesthetized, and blood samples were collected from the heart. The right kidney was then removed, and after tissue preparation, the samples were examined by stereology to determine changes in the volume of cortex, medulla, urinary space, renal body, and glomeruli.
Results: Significant increases in urinary space volume were observed in the groups receiving MoO₃, and a decrease in medulla volume was observed in the group receiving a dose of 200 mg/kg/bw compared to the control and sham groups (P<0.05). A significant increase in cortex volume was observed in the group receiving nanoparticles at a dose of 50 mg/kg/bw compared to the control and sham groups. MoO₃ caused weight reduction in animals, as well as an increase in urea and a decrease in renal volume (P<0.05).
Conclusion: Molybdenum trioxide nanoparticles can cause changes in the morphology of rats' kidneys.
 

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Background and Objective: Bacterial nanocellulose is known as a potential carrier for a widespread spectrum of biological compounds, including antibacterial and antifungal compounds. The present study was conducted to determine the impact of bacterial nanocellulose containing Natamycin and Amphotericin B on Aspergillus flavus and Penicillium citrinum in an in vitro environment.
Methods: In this descriptive-analytical research, Aspergillus flavus-PTCC: 5006 and Penicillium citrinum-PTCC: 5304 fungi were prepared from the Fungal Collection of the Department of Microbiology, Faculty of Veterinary Medicine, Urmia University. The minimum inhibitory concentration (MIC) and the minimum fungicidal concentration (MFC) of Natamycin and Amphotericin B against Aspergillus flavus and Penicillium citrinum were evaluated by the microdilution method. Bacterial nanocellulose was prepared using Komagata xylinum bacterium, and Natamycin and Amphotericin B were added in three concentrations of 0.01%, 0.05%, and 0.1% to wet and lyophilized nanocellulose films by the immersion method. Then, the antifungal effects of the film containing the above compounds against the investigated fungi were investigated by the agar diffusion method. Parchment paper was used as a control for comparison. Spectral properties of nanocellulose film containing antifungal compounds were evaluated by the Fourier transform infrared (FTIR) method.
Results: MIC and MFC of Natamycin for Aspergillus flavus were determined as 3.9 μg/mL and 7.81 μg/mL, and for Penicillium citrinum as 7.81 μg/mL and 15.62 μg/mL, respectively. MIC and MFC of Amphotericin B for Aspergillus flavus were determined as 7.81 μg/mL and 15.62 μg/mL, and for Penicillium citrinum as 15.62 μg/mL and 31.25 μg/mL, respectively. The increased concentration had a statistically significant impact on the antifungal properties of all films (P<0.05). The best antifungal effects of the film were related to the film containing Natamycin.
Conclusion: Bacterial nanocellulose containing Natamycin showed stronger antifungal effects in an in vitro environment compared to Amphotericin B against Aspergillus flavus and Penicillium citrinum.

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Background and Objective: Early antibiotic administration is a cornerstone of infection control and treatment. Empirical treatment based on clinical signs and available guidelines reduces mortality and accelerates recovery; however, a lack of information about bacterial species and antibiotic susceptibility may lead to unfavorable outcomes. This study aimed to assess the concordance of empirical antibiotic therapy with definitive prescriptions and antibiogram results.
Methods: This descriptive study included 152 hospitalized patients receiving antibiotics (80 men and 72 women; mean age, 54.41±20.91 years), enrolled by census sampling from the infectious diseases and surgical wards of Shahid Sayyad Shirazi Teaching Hospital in Gorgan, Iran during 2021. Demographic characteristics and data on the initial diagnosis, empirical antibiotic type, microbial culture and antibiogram results, definitive treatment, and treatment duration were extracted from patient records and evaluated.
Results: The most common clinical manifestations were fever (77%) and weakness and fatigue (39%), while the leading reasons for hospitalization were sepsis (31.58%) and urinary tract infection (25.66%). Blood (45.39%) and urine (32.24%) were the most frequently cultured clinical specimens. Escherichia coli (38.8%) and Staphylococcus epidermidis (23.7%) were the most commonly isolated bacteria. Empirical antibiotics were prescribed on 454 occasions, but antibiograms were performed in only one-quarter of cases. The commonly used antibiotics for which antibiograms were performed included ciprofloxacin (14.5%), clindamycin (42%), and ceftriaxone (66.2%). Amikacin (68.4%), ceftriaxone (64.5%), and gentamicin (56.6%) were the antibiotics most frequently included in antibiogram testing. Empirical and definitive therapy were concordant in 75% of cases. The most frequently prescribed antibiotics in definitive therapy were ciprofloxacin (14.04%), clindamycin (13.2%), and ceftriaxone (12.9%). The highest concordance rates in definitive therapy were observed for doxycycline (90%), Tavanex (89.4%), and ciprofloxacin (87.3%), whereas gentamicin (83.3%) and ceftriaxone (40.2%) showed the highest discordance rates.
Conclusion: Empirical antibiotic prescriptions were concordant with definitive prescriptions in most patients. Nevertheless, the antibiotics included in antibiogram testing were not fully aligned with those prescribed in clinical practice.