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Information Journal Paper

Title

INTENSIVE CARE UNIT NOSOCOMIAL SINUSITIS AT THE RASOUL AKRAM HOSPITAL: TEHRAN, IRAN, 2007-2008, SHORT COMMUNICATION

Pages

  146-149

Keywords

INTENSIVE CARE UNITS (ICUS) 

Abstract

 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 forS. pneumonia (n=5), Hemophilusinfluenza (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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    APA: Copy

    NOORBAKHSH, SAMILEH, BARATI, M., FARHADI, M., MOUSAVI, J., ZARABI, V., & TABATABAEI, A.. (2012). INTENSIVE CARE UNIT NOSOCOMIAL SINUSITIS AT THE RASOUL AKRAM HOSPITAL: TEHRAN, IRAN, 2007-2008, SHORT COMMUNICATION. IRANIAN JOURNAL OF MICROBIOLOGY, 4(3), 146-149. SID. https://sid.ir/paper/315327/en

    Vancouver: Copy

    NOORBAKHSH SAMILEH, BARATI M., FARHADI M., MOUSAVI J., ZARABI V., TABATABAEI A.. INTENSIVE CARE UNIT NOSOCOMIAL SINUSITIS AT THE RASOUL AKRAM HOSPITAL: TEHRAN, IRAN, 2007-2008, SHORT COMMUNICATION. IRANIAN JOURNAL OF MICROBIOLOGY[Internet]. 2012;4(3):146-149. Available from: https://sid.ir/paper/315327/en

    IEEE: Copy

    SAMILEH NOORBAKHSH, M. BARATI, M. FARHADI, J. MOUSAVI, V. ZARABI, and A. TABATABAEI, “INTENSIVE CARE UNIT NOSOCOMIAL SINUSITIS AT THE RASOUL AKRAM HOSPITAL: TEHRAN, IRAN, 2007-2008, SHORT COMMUNICATION,” IRANIAN JOURNAL OF MICROBIOLOGY, vol. 4, no. 3, pp. 146–149, 2012, [Online]. Available: https://sid.ir/paper/315327/en

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