Metallo- β-lactamases among Multidrug Resistant (MDR) Gram Negative Bacteria Isolated from Clinical Specimens during 2009 in Sanandaj, Kurdistan Province

himen salimizand; Mehri Habibi; Fereshteh Shahcheraghi

Zahedan Journal of Research in Medical Sciences

The Official Journal of Zahedan University of Medical Sciences

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Metallo- β-lactamases among Multidrug Resistant (MDR) Gram Negative Bacteria Isolated from Clinical Specimens during 2009 in Sanandaj, Kurdistan Province

Author(s):

himen salimizand¹,

Mehri Habibi²,

Fereshteh Shahcheraghi^3,*

1Department of Microbiology, Besat Hospital, Medical University of Kurdistan, Kurdistan, Iran

2Department of Biotechnology, Microbiology Department, Institute Pasteur of Iran, Tehran, Iran

3Department of Microbiology, Institute Pasteur of Iran, Tehran, Iran

Zahedan Journal of Research in Medical Sciences:Vol. 14, issue 8; e93280

Published online:Mar 12, 2012

Article type:Research Article

Received:Dec 30, 2011

Accepted:Feb 01, 2012

How to Cite:himen salimizandMehri HabibiFereshteh ShahcheraghiMetallo- β-lactamases among Multidrug Resistant (MDR) Gram Negative Bacteria Isolated from Clinical Specimens during 2009 in Sanandaj, Kurdistan Province.Zahedan J Res Med Sci.14(8):e93280.

Abstract

Background : Tuberculosis is now the major cause of mortality in the world. This study has tried to identify the factors affecting the diagnosis of this disease by determining the relationship between delay in diagnosis and factors associated with patient and health system.
Materials and Methods : This research was a cross-sectional study conducted on smear positive pulmonary tuberculosis patients referred to the tuberculosis center in the first half of 2008. Required information was completed through patient records and patient interviews.
Results : A total 98 patients were studied including 42 males and 56 females. Average age of patients was 51.6±19.57. Average delay in diagnosis was 2.8±1.78 months. The average delay of patients and health system was respectively 2.6±1.76 months and 6±4.27days. Data analysis showed that there is no relationship between the delay in diagnosis and individual variables such as age, gender, occupation, etc., and examination of sputum smears at the first visit. However, there is a significant relationship between patient delay with different factors such as education (p=0.03), marital status (p=0.03), existence of hospital or medical centers in the residence (p=0.02), distance to the medical center (p=0.02) and between health system delay and residence in the city (p=0.01), distance to this medical center (p=0.03) and obtaining chest X-ray (CXR) in the first visit (p=0.003).
Conclusion : The results showed that with the increase of literacy, the establishment of new hospitals and health centers in remote areas and suburbs as well as chest X-ray in the first visit, the amount of delay in diagnosis can be reduced.

Keywords

Metallo-β-lactamase

MDR (multi drug resistant)

Hospital specimens

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