سال 14، شماره 2 - ( فروردین - اردیبهشت 1399 )                   جلد 14 شماره 2 صفحات 181-162 | برگشت به فهرست نسخه ها


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Darvishi M, Forootan M, Nazer M R, Karimi E, Noori M. Nosocomial Infections, Challenges and Threats: A Review Article. Iran J Med Microbiol 2020; 14 (2) :162-181
URL: http://ijmm.ir/article-1-939-fa.html
درویشی محمد، فروتن مژگان، ناظر محمد رضا، کریمی ابراهیم، نوری مجید. عفونت‌های بیمارستانی، چالش‌ها و تهدیدها: مقاله مروری. مجله میکروب شناسی پزشکی ایران. 1399; 14 (2) :162-181

URL: http://ijmm.ir/article-1-939-fa.html


1- مرکز تحقیقات بیماری های عفونی و پزشکی گرمسیری (IDTMRC)، دانشکده پزشکی هوافضا، دانشگاه علوم پزشکی آجا، تهران، ایران
2- گروه گوارش، مرکز تحقیقات بیماری های دستگاه گوارش و کبد (RCGLD)، دانشگاه علوم پزشکی شهید بهشتی، تهران، ایران
3- گروه بیماری های عفونی، مرکز تحقیقات هپاتیت، دانشگاه علوم پزشکی لرستان، خرم آباد، ایران
4- گروه طب اورژانس، بیمارستان بعثت، دانشگاه علوم پزشکی آجا، تهران، ایران
5- مرکز تحقیقات بیماری های عفونی و پزشکی گرمسیری (IDTMRC)، دانشگاه علوم پزشکی آجا، تهران، ایران ، dr.majid.nouri@gmail.com
چکیده:   (5766 مشاهده)
عفونت‌های بیمارستانی یا عفونت‌های مرتبط با مراقبت‌های بهداشتی در بیمارانی که تحت مراقبت‌های پزشکی هستند، اتفاق می‌افتد. این عفونت‌ها از زمان تاسیس اولین بیمارستان‌ها وجود داشته و حتی در دورۀ مدرن آنتی‌بیوتیک‌ها نیز یک مشکل مهم بهداشتی به حساب می‌آید. عفونت‌های بیمارستانی منجر به مرگ و میر بالا، افزایش دوره بستری، اتلاف هزینه و استفادۀ بیش از حد از آنتی‌بیوتیک‌ها شده است. استفادۀ نامناسب و بیش از اندازه از آنتی‌بیوتیک‌ها باعث ظهور سریع پاتوژن‌های مقاوم به چند دارو شده (MDR) است. مقابله با MDRهای مسئول عفونت‌های بیمارستانی که از لحاظ بیولوژیکی سازگار و قادر به ایجاد عفونت‌های خطرناک و کشنده هستند، به دلیل محدود بودن گزینه‌های درمانی مشکل است. ظهور جهانی MDRها در میان باکتری‌های گرم مثبت و گرم منفی منجر به تهدید جدی مقابله با پاتوژن‌های باکتریایی شده است و واضح است که اگر پاسخ موثر و به موقع وجود نداشته باشد، چالش مقاومت در برابر آنتی‌بیوتیک‌ها، خطرناک و در سال‌های پیش رو تهدید بزرگی خواهد بود. در این مطالعۀ مروری دربارۀ مهم‌ترین MDRهای عامل عفونت‌های بیمارستانی از جمله Staphylococcus Aureus، Enterococcus faecium، Klebsiella pneumoniae، Acinetobacter baumannii و Pseudomonas aeruginosa به‌عنوان یک تهدید بزرگ در سراسر جهان، بحث خواهیم کرد.
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نوع مطالعه: مقاله مروری | موضوع مقاله: عفونت های بیمارستانی
دریافت: 1398/3/5 | پذیرش: 1399/1/26 | انتشار الکترونیک: 1399/3/10

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