H. Mashali, Mohamad Kheibar, L. Dehghani, Nasrin Kheibar
Background: Considering the fundamental role of nursing staff and students in patient care and nosocomial infection control. Objectives: This study aimed to evaluate and compare the performance of students and nursing staff in nosocomial infection control in Behbahan city in 2019. Methods: This is a descriptive-analytical study. The participants were 217 nursing staff and students of three hospitals in Behbahan who were selected by random sampling. The data gathering tool was a questionnaire that consisted of demographic information and five common nursing procedures. The performance measurement criterion was based on fulfilling or not fulfilling standards. After gathering the data, they were analyzed by statistical tests, including ANOVA and Pearson correlation in SPSS 16 software. Results: The participants were 157 nursing staff and 60 nursing students. In line with the main objective of the study, the results showed that the average performance scores of students (152.9 ± 12.5) and nursing staff (15.5 ± 13.2) were at a good level, and there was no statistically significant difference between the performance of students and nursing staff (P = 0.08). Also, there was no statistically significant difference between the nursing staff of three hospitals (P = 0.76). However, there was a statistically significant difference between the performance scores of staff in different wards (P < 0.001). The CCU and NICU personnel outperformed other wards’ personnel. Conclusions: Based on these findings, it can be concluded that nurses at different levels of education, with different demographic characteristics, and different work environments have a good performance in controlling infections. This is a strong point in the nursing profession.
{"title":"Performance of Students and Nursing Staff in Nosocomial Infection Control in Behbahan City","authors":"H. Mashali, Mohamad Kheibar, L. Dehghani, Nasrin Kheibar","doi":"10.5812/iji.107100","DOIUrl":"https://doi.org/10.5812/iji.107100","url":null,"abstract":"Background: Considering the fundamental role of nursing staff and students in patient care and nosocomial infection control. Objectives: This study aimed to evaluate and compare the performance of students and nursing staff in nosocomial infection control in Behbahan city in 2019. Methods: This is a descriptive-analytical study. The participants were 217 nursing staff and students of three hospitals in Behbahan who were selected by random sampling. The data gathering tool was a questionnaire that consisted of demographic information and five common nursing procedures. The performance measurement criterion was based on fulfilling or not fulfilling standards. After gathering the data, they were analyzed by statistical tests, including ANOVA and Pearson correlation in SPSS 16 software. Results: The participants were 157 nursing staff and 60 nursing students. In line with the main objective of the study, the results showed that the average performance scores of students (152.9 ± 12.5) and nursing staff (15.5 ± 13.2) were at a good level, and there was no statistically significant difference between the performance of students and nursing staff (P = 0.08). Also, there was no statistically significant difference between the nursing staff of three hospitals (P = 0.76). However, there was a statistically significant difference between the performance scores of staff in different wards (P < 0.001). The CCU and NICU personnel outperformed other wards’ personnel. Conclusions: Based on these findings, it can be concluded that nurses at different levels of education, with different demographic characteristics, and different work environments have a good performance in controlling infections. This is a strong point in the nursing profession.","PeriodicalId":13989,"journal":{"name":"International Journal of Infection","volume":"34 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-11-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84591510","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Fariba Shirvani, N. Hooman, A. Karimi, S. Armin, A. Fahimzad, Roxana Mansour Ghanaei, Sedigheh RafieeTabatabaei, F. Fallah
Background: Peritonitis remains a significant complication of peritoneal dialysis (PD) in children. Objectives: The current study aimed to evaluate the causative agents of PD-related peritonitis in pediatric patients treated by continuous ambulatory peritoneal dialysis (CAPD) in order to provide evidence for improving the empirical treatment of PD-related peritonitis and avoid antimicrobial resistance. Methods: The medical records of children diagnosed with PD-related peritonitis hospitalized at Mofid and Ali-Asghar Children’s Hospitals from January 2018 to December 2019 were retrospectively reviewed. Cases of relapsing peritonitis and fungal peritonitis were excluded. Data on demographics, clinical manifestations, para-clinical evaluations, peritoneal fluid culture and antibiogram, and antibiotic regimen were analyzed. Results: A total of 23 CAPD children aged 1 - 17 years were hospitalized with a confirmed diagnosis of PD-related peritonitis, accounting for a total of 27 peritonitis cases. The most frequent manifestation of peritonitis was cloudy dialysate (85.2%), followed by abdominal pain (59.3%). Gram-negative organisms were isolated in 48.1% of cases, and 4 cases had negative cultures. The frequency of antibiotic prescription within 14 days of admission was significantly higher in culture-negative cases (P = 0.002), and abdominal pain was more prevalent in Gram-negative peritonitis (P = 0.004). All Gram-negative organisms were sensitive to ceftazidime and imipenem; while 61.6% of them were sensitive to gentamycin. All Gram-positive organisms were sensitive to cefazolin, and vancomycin was effective against all Staphylococcus strains. Oxacillin resistance was reported in 50% of Staphylococcus strains. Conclusions: PD-related peritonitis should be suspected even in cases with clear dialysis effluent who present with other manifestations of peritonitis such as fever or abdominal pain. Moreover, intraperitoneal administration of a first-generation cephalosporin (cefazolin) combined with ceftazidime was an appropriate therapeutic option for empiric therapy.
{"title":"Frequency and Antimicrobial Susceptibility of Bacterial Agents Causing Peritoneal Dialysis-Related Peritonitis: A Two-Center Experience","authors":"Fariba Shirvani, N. Hooman, A. Karimi, S. Armin, A. Fahimzad, Roxana Mansour Ghanaei, Sedigheh RafieeTabatabaei, F. Fallah","doi":"10.5812/iji.104037","DOIUrl":"https://doi.org/10.5812/iji.104037","url":null,"abstract":"Background: Peritonitis remains a significant complication of peritoneal dialysis (PD) in children. Objectives: The current study aimed to evaluate the causative agents of PD-related peritonitis in pediatric patients treated by continuous ambulatory peritoneal dialysis (CAPD) in order to provide evidence for improving the empirical treatment of PD-related peritonitis and avoid antimicrobial resistance. Methods: The medical records of children diagnosed with PD-related peritonitis hospitalized at Mofid and Ali-Asghar Children’s Hospitals from January 2018 to December 2019 were retrospectively reviewed. Cases of relapsing peritonitis and fungal peritonitis were excluded. Data on demographics, clinical manifestations, para-clinical evaluations, peritoneal fluid culture and antibiogram, and antibiotic regimen were analyzed. Results: A total of 23 CAPD children aged 1 - 17 years were hospitalized with a confirmed diagnosis of PD-related peritonitis, accounting for a total of 27 peritonitis cases. The most frequent manifestation of peritonitis was cloudy dialysate (85.2%), followed by abdominal pain (59.3%). Gram-negative organisms were isolated in 48.1% of cases, and 4 cases had negative cultures. The frequency of antibiotic prescription within 14 days of admission was significantly higher in culture-negative cases (P = 0.002), and abdominal pain was more prevalent in Gram-negative peritonitis (P = 0.004). All Gram-negative organisms were sensitive to ceftazidime and imipenem; while 61.6% of them were sensitive to gentamycin. All Gram-positive organisms were sensitive to cefazolin, and vancomycin was effective against all Staphylococcus strains. Oxacillin resistance was reported in 50% of Staphylococcus strains. Conclusions: PD-related peritonitis should be suspected even in cases with clear dialysis effluent who present with other manifestations of peritonitis such as fever or abdominal pain. Moreover, intraperitoneal administration of a first-generation cephalosporin (cefazolin) combined with ceftazidime was an appropriate therapeutic option for empiric therapy.","PeriodicalId":13989,"journal":{"name":"International Journal of Infection","volume":"334 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75934157","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
A. Mahmoodpoor, S. Sanaie, Mohammad-Salar Hosseini
{"title":"Fever Management of Critically Ill Patients with COVID-19 Infection: Less is More?","authors":"A. Mahmoodpoor, S. Sanaie, Mohammad-Salar Hosseini","doi":"10.5812/iji.107422","DOIUrl":"https://doi.org/10.5812/iji.107422","url":null,"abstract":"<jats:p />","PeriodicalId":13989,"journal":{"name":"International Journal of Infection","volume":"30 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78126231","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Background: The emergence and spread of drug resistance among Klebsiella pneumoniae clinical isolates have limited the treatment options for these bacteria. Efflux pumps are considered as one of the key mechanisms of antibiotic resistance in K. pneumoniae isolates. Objectives: The present study aimed to detect oqxA, oqxB, and qepA efflux genes in K. pneumoniae isolated from urinary tract infection (UTI) and survey their association with antibiotic resistance. Methods: In total, 100 K. pneumoniae isolates were obtained from urine samples, and an antimicrobial susceptibility test was conducted using the disk diffusion method according to the Clinical and Laboratory Standards Institute (CLSI) instructions. Polymerase chain reaction (PCR) was done for the detection of efflux pump genes including, oqxA, oqxB, and qepA, and their association was statistically analyzed with resistance to antibiotics. Results: The highest rate of resistance was obtained against trimethoprim-sulfamethoxazole (72%), amikacin (70%), levofloxacin (68%), gentamicin (56%), ceftazidime (56%), and ceftriaxone (51%), and the lowest resistance was against imipenem (10%). Thirty one percent of isolates were multidrug resistant (MDR). Molecular distribution test showed that 57% and 56% of isolates carried the oqxA and oqxB genes, respectively. Also, the frequency of qepA genes was 21%. The presence of oqxA/oqxB and qepA efflux genes were significantly associated with fluoroquinolone and beta-lactam resistance phenotypes (P < 0.05). Conclusions: The high frequency of efflux genes showed that this resistance mechanism is the main way, along with other resistance mechanisms in K. pneumoniae isolates. It is necessary to adopt appropriate treatment to reduce the incidence of resistance.
{"title":"Detection of OqxAB and QepA Efflux Pumps and Their Association with Antibiotic Resistance in Klebsiella pneumoniae Isolated From Urinary Tract Infection","authors":"Manijeh Dehnamaki, M. Ghane, L. Babaeekhou","doi":"10.5812/iji.107397","DOIUrl":"https://doi.org/10.5812/iji.107397","url":null,"abstract":"Background: The emergence and spread of drug resistance among Klebsiella pneumoniae clinical isolates have limited the treatment options for these bacteria. Efflux pumps are considered as one of the key mechanisms of antibiotic resistance in K. pneumoniae isolates. Objectives: The present study aimed to detect oqxA, oqxB, and qepA efflux genes in K. pneumoniae isolated from urinary tract infection (UTI) and survey their association with antibiotic resistance. Methods: In total, 100 K. pneumoniae isolates were obtained from urine samples, and an antimicrobial susceptibility test was conducted using the disk diffusion method according to the Clinical and Laboratory Standards Institute (CLSI) instructions. Polymerase chain reaction (PCR) was done for the detection of efflux pump genes including, oqxA, oqxB, and qepA, and their association was statistically analyzed with resistance to antibiotics. Results: The highest rate of resistance was obtained against trimethoprim-sulfamethoxazole (72%), amikacin (70%), levofloxacin (68%), gentamicin (56%), ceftazidime (56%), and ceftriaxone (51%), and the lowest resistance was against imipenem (10%). Thirty one percent of isolates were multidrug resistant (MDR). Molecular distribution test showed that 57% and 56% of isolates carried the oqxA and oqxB genes, respectively. Also, the frequency of qepA genes was 21%. The presence of oqxA/oqxB and qepA efflux genes were significantly associated with fluoroquinolone and beta-lactam resistance phenotypes (P < 0.05). Conclusions: The high frequency of efflux genes showed that this resistance mechanism is the main way, along with other resistance mechanisms in K. pneumoniae isolates. It is necessary to adopt appropriate treatment to reduce the incidence of resistance.","PeriodicalId":13989,"journal":{"name":"International Journal of Infection","volume":"142 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-10-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86952387","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Xinyi Wei, Xiao-dong Sun, Zhi Chen, Xiao-Yu Du, Jing Li, Omar Mechali, Chun Jiang, Wei Zhang
Background: Since December 2019, many patients with novel coronavirus pneumonia (NCP) have appeared in Wuhan, Hubei Province, China. The pneumonia was caused by a novel coronavirus named “coronavirus disease 2019, COVID-19” by the WHO on February 11, 2020. The COVID-19 outbreak has created a global public health crisis, and the challenge of combatting this pandemic and its impact is daunting. At present, vaccines and prophylactic therapies for COVID-19 are not available. What we can do now is to aggressively implement infection control measures to prevent the spread of COVID-19 via human-to-human transmission. Objectives: The study aimed to summarize the effect of classification and division management methods on the prevention and control of COVID-19 in the Pediatric Immunology and Rheumatology Department. Methods: Corresponding and targeted medical countermeasures for the prevention and control of COVID-19 from the aspects of personnel, ward, and process management were retrospectively analyzed. Results: From January 16, 2020, to July 31, 2020, there were 11,000 outpatients with rheumatic disease visiting our hospital and 565 children with rheumatic diseases hospitalized in our department. All the patients received timely and reasonable treatment. None of the patients, their caregivers, or medical staff acquired COVID-19 infection in our department, and no suspected COVID-19 case was confirmed in our ward. Conclusions: The model of classification and division management ensured the orderly and safe treatment of children with rheumatic disease during the epidemic prevention and control period, and protected the medical staff from occupational injuries at work, and brought the pandemic under control.
{"title":"Emergency Management Strategies for Children with Rheumatic Disease During COVID-19 Epidemic Outside Hubei in China","authors":"Xinyi Wei, Xiao-dong Sun, Zhi Chen, Xiao-Yu Du, Jing Li, Omar Mechali, Chun Jiang, Wei Zhang","doi":"10.5812/iji.106455","DOIUrl":"https://doi.org/10.5812/iji.106455","url":null,"abstract":"Background: Since December 2019, many patients with novel coronavirus pneumonia (NCP) have appeared in Wuhan, Hubei Province, China. The pneumonia was caused by a novel coronavirus named “coronavirus disease 2019, COVID-19” by the WHO on February 11, 2020. The COVID-19 outbreak has created a global public health crisis, and the challenge of combatting this pandemic and its impact is daunting. At present, vaccines and prophylactic therapies for COVID-19 are not available. What we can do now is to aggressively implement infection control measures to prevent the spread of COVID-19 via human-to-human transmission. Objectives: The study aimed to summarize the effect of classification and division management methods on the prevention and control of COVID-19 in the Pediatric Immunology and Rheumatology Department. Methods: Corresponding and targeted medical countermeasures for the prevention and control of COVID-19 from the aspects of personnel, ward, and process management were retrospectively analyzed. Results: From January 16, 2020, to July 31, 2020, there were 11,000 outpatients with rheumatic disease visiting our hospital and 565 children with rheumatic diseases hospitalized in our department. All the patients received timely and reasonable treatment. None of the patients, their caregivers, or medical staff acquired COVID-19 infection in our department, and no suspected COVID-19 case was confirmed in our ward. Conclusions: The model of classification and division management ensured the orderly and safe treatment of children with rheumatic disease during the epidemic prevention and control period, and protected the medical staff from occupational injuries at work, and brought the pandemic under control.","PeriodicalId":13989,"journal":{"name":"International Journal of Infection","volume":"39 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-10-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79404422","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Infliximab is the Conventional Trick for Ulcerative Colitis as a Novel Therapeutic Option Against SARS-CoV-2 Infection","authors":"M. Keikha","doi":"10.5812/IJI.108502","DOIUrl":"https://doi.org/10.5812/IJI.108502","url":null,"abstract":"<jats:p />","PeriodicalId":13989,"journal":{"name":"International Journal of Infection","volume":"31 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-10-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77783843","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Mehrdad Mohammadi, Tim Sandle, Sajad Rajabi, A. Khorshidi, A. Piroozmand
: The novel Coronavirus Disease 2019 (COVID-19) appeared as an emerging respiratory disease in December 2019 in Wuhan, Hubei province, China, and then spread rapidly worldwide, being declared a pandemic on March 11, 2020. Researchers are attempting to discover specifically designed antiviral treatments for COVID-19. Several therapeutic agents such as Interferon-α, Lopinavir/Ritonavir, Ribavirin, Chloroquine, Chloroquine phosphate, Hydroxychloroquine, Arbidol, Favipiravir, Remdesivir, Darunavir, Imatinib, Teicoplanin, Azithromycin, COVID-19 convalescent plasma, other potential antiviral drugs, and Chinese herbal agents are now being clinically studied to examine both pharmaceutical efficacy and safety for COVID-19 treatment in several countries. Some favorable results from these studies have been obtained to date. This review article summarizes and reiterates drugs that are potentially efficient against COVID-19.
{"title":"Potential Drugs for Treating COVID-19 Infection","authors":"Mehrdad Mohammadi, Tim Sandle, Sajad Rajabi, A. Khorshidi, A. Piroozmand","doi":"10.5812/iji.106243","DOIUrl":"https://doi.org/10.5812/iji.106243","url":null,"abstract":": The novel Coronavirus Disease 2019 (COVID-19) appeared as an emerging respiratory disease in December 2019 in Wuhan, Hubei province, China, and then spread rapidly worldwide, being declared a pandemic on March 11, 2020. Researchers are attempting to discover specifically designed antiviral treatments for COVID-19. Several therapeutic agents such as Interferon-α, Lopinavir/Ritonavir, Ribavirin, Chloroquine, Chloroquine phosphate, Hydroxychloroquine, Arbidol, Favipiravir, Remdesivir, Darunavir, Imatinib, Teicoplanin, Azithromycin, COVID-19 convalescent plasma, other potential antiviral drugs, and Chinese herbal agents are now being clinically studied to examine both pharmaceutical efficacy and safety for COVID-19 treatment in several countries. Some favorable results from these studies have been obtained to date. This review article summarizes and reiterates drugs that are potentially efficient against COVID-19.","PeriodicalId":13989,"journal":{"name":"International Journal of Infection","volume":"5 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-10-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79357753","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The Role of Self-Responsible Response Versus Lockdown Approach in Controlling COVID-19 Pandemic in Kurdistan Region of Iraq","authors":"N. Hussein","doi":"10.5812/iji.107092","DOIUrl":"https://doi.org/10.5812/iji.107092","url":null,"abstract":"<jats:p />","PeriodicalId":13989,"journal":{"name":"International Journal of Infection","volume":"93 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84341220","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"N-acetylcysteine in Severe COVID-19: The Possible Mechanism","authors":"Md. Jahidul Hasan","doi":"10.5812/iji.106361","DOIUrl":"https://doi.org/10.5812/iji.106361","url":null,"abstract":"<jats:p />","PeriodicalId":13989,"journal":{"name":"International Journal of Infection","volume":"40 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78343363","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
A. Rezaianzadeh, M. Zare, M. Aliakbarpoor, H. Faramarzi, M. Ebrahimi
Background: Malaria, a mosquito-borne infection, is caused by protozoan parasites invading the red blood cells of both humans and animals. Iran is an endemic site for malaria with 1 - 10 cases per one million dwellers, in which 90% of cases occur in southern parts of Iran. Objectives: to detect space-time clusters of Malaria in Fars province-Iran during 1/1/2011 and 31/12/2015. Methods: 357 malaria cases were recorded from 19 cities of Fars province. Permutation scan modeling was applied retrospectively to detect the outbreaks of malaria during 1/1/2011 and 31/12/2015. SPSS V. 22, ITSM V. 2002, ArcGIS10, and SaTScan9.4.4 software tools were used. The significance level was considered 0.05. Results: Based on the results of the current study, 5 space-time clusters were discovered for malaria, indicating that malaria followed a time-space trend in the area (P value < 0.05). The Most Likely Cluster (MLC) contained almost 50% (6/12) of all cases during 1/7/2015 and 31/7/2015 in Firoozabad (P < 0.05); however, non-statistically significant clusters were detected which had clinically important information on the canons of the outbreaks. Conclusions: Malaria did not occur uniformly in Fars province during 1/1/2011 and 31/12/2015. Detected space-time clusters could help Public health managers and policymakers dedicating clinical staff and facilities to more needy areas and consequently reduce the rate of disease in the area.
背景:疟疾是一种蚊媒感染，由原虫寄生虫侵入人类和动物的红细胞引起。伊朗是疟疾流行地，每100万居民中有1 - 10例疟疾病例，其中90%的病例发生在伊朗南部地区。目的:检测2011年1月1日至2015年12月31日伊朗法尔斯省疟疾时空聚类。方法:对法尔斯省19个城市357例疟疾病例进行调查。应用排列扫描模型对2011年1月1日至2015年12月31日期间的疟疾疫情进行回顾性检测。采用SPSS V. 22、ITSM V. 2002、ArcGIS10、SaTScan9.4.4软件工具。认为显著性水平为0.05。结果:在本研究的基础上，发现了疟疾的5个时空聚类，表明该地区疟疾具有一定的时空趋势(P值< 0.05)。2015年1月7日至2015年7月31日期间，Firoozabad最可能聚集群(MLC)占所有病例的近50% (6/12)(P < 0.05);然而，检测到的非统计显着的聚集性具有有关暴发的临床重要信息。结论:2011年1月1日和2015年12月31日，法尔斯省的疟疾发病情况并不均匀。探测到的时空集群可以帮助公共卫生管理人员和政策制定者将临床工作人员和设施投入到更需要的地区，从而降低该地区的发病率。
{"title":"Space-Time Cluster Analysis of Malaria in Fars Province-Iran","authors":"A. Rezaianzadeh, M. Zare, M. Aliakbarpoor, H. Faramarzi, M. Ebrahimi","doi":"10.5812/IJI.107238","DOIUrl":"https://doi.org/10.5812/IJI.107238","url":null,"abstract":"Background: Malaria, a mosquito-borne infection, is caused by protozoan parasites invading the red blood cells of both humans and animals. Iran is an endemic site for malaria with 1 - 10 cases per one million dwellers, in which 90% of cases occur in southern parts of Iran. Objectives: to detect space-time clusters of Malaria in Fars province-Iran during 1/1/2011 and 31/12/2015. Methods: 357 malaria cases were recorded from 19 cities of Fars province. Permutation scan modeling was applied retrospectively to detect the outbreaks of malaria during 1/1/2011 and 31/12/2015. SPSS V. 22, ITSM V. 2002, ArcGIS10, and SaTScan9.4.4 software tools were used. The significance level was considered 0.05. Results: Based on the results of the current study, 5 space-time clusters were discovered for malaria, indicating that malaria followed a time-space trend in the area (P value < 0.05). The Most Likely Cluster (MLC) contained almost 50% (6/12) of all cases during 1/7/2015 and 31/7/2015 in Firoozabad (P < 0.05); however, non-statistically significant clusters were detected which had clinically important information on the canons of the outbreaks. Conclusions: Malaria did not occur uniformly in Fars province during 1/1/2011 and 31/12/2015. Detected space-time clusters could help Public health managers and policymakers dedicating clinical staff and facilities to more needy areas and consequently reduce the rate of disease in the area.","PeriodicalId":13989,"journal":{"name":"International Journal of Infection","volume":"5 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-08-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87312332","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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