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R Golsha, Hr Bazrafshan, V Kazemi Nejad, Mr Rabie,
Volume 3, Issue 1 (Spring - Summer 2009[PERSIAN] 2009)
Abstract

Abstract Background and objectives: In diabetic patients, infectious disease is one of the most important cause of admission, and sometimes a life threatening condition. The aim of this study was to determine the clinical features of infection in the hospitalized diabetic patients. Material and Methods: In This retrospective study, we evaluated the files of 122 diabetic patients aged over 20 years in 2004-2005. According to medical document coding, the data was collected by a checklist and then descriptive statistical analysis performed. Results: The subjects’ age is 57+11.76 years (23-83). The Mean time of diabetes diagnosis is 12.62+9.27 years. Sixty-six of them are male (54.5%).and the rest female. most of them (62.2%) were used oral hypoglycemic drugs on admission. Their median fasting blood sugar was 224mg/dl and 164mg/dl for the first and second measuring, respectively. The etiologies are soft tissue infection and diabetic foot ( 49.3%), sepsis(36%),pneumonia(5.7%),urinary infection(3.2%) and unknown(5.7%). None of diabetic foot patients was given specific education for taking care of their feet. Conclusion: in sixty -five percent of the subjects, fasting blood sugar was not in normal limit. Soft tissue infection and diabetic foot was the most infectious cause of admission. It seems that frequent control of blood sugar and foot- care related education can prevent from the most common cause of hospital admission in these patients. Key words: Diabetes, Clinical manifestations, Infection
R Golsha, V Kazeminejad, A Barzegari, S Besharat, F Ghasemi Kebria,
Volume 7, Issue 5 (supplement Issue( Bacteriology)[PERSIAN] 2014)
Abstract

Abstract Background and Objective: The excessive use of broad-spectrum antibiotics will lead to drug resistance of microorganism and specially nosocomial organisms. Because of high incidence of antibiotic resistance in hospitals, we aimed to study antibiotic resistance to gram negative bacteria. Material and Methods: This cross-sectional study was conducted on the data of biological samples (2006-2008), with positive culture result. Using antibiogram, microbial resistance to isolated microorganism was determined, and after culturing the samples, bacteria were identified by using differential media and antiserum. Then, antibiotic resistance was performed by disk diffusion. Results: The most common gram-negative microorganism obtained from all cultures was Ecoli with the lowest drug resistance to Nitrofurantoin. Conclusion: Based on the results, antimicrobial resistance pattern is not the same in different places and furthermore it is ever changing. Therefore, further research is needed to be done to have an accurate pattern of antibiotic resistance to provide effective treatment regimens. Key words: Antibiotic Resistance Disk Diffusion Gram Negative Bacteria Gorgan

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