[Performance of the operating room personnel in following of the standards of infection control in the educational hospitals of Yasuj university of medical sciences in 2009]

Surgical wound infection is one of the common nosocomial infections. During operation, members of the surgical team which are in contact with the tissue incision should observe the standards of infection control in the operating room since it has a great role in prevention and control of these infections. The present study aimed to determine the performance of the operating room personnel in observing the standards of infection control in educational hospitals of Yasuj University of Medical Sciences in 2009. Forty two operating room personnel participated in this cross-sectional analytic-descriptive study. A check list was used for unnoticeably collecting the data about the performance of personnel in respect of infection control standards at three different times. Their performances were classified into four levels [very weak, weak, moderate and good] and the results were shown as absolute and relative frequency distribution. Data were analyzed using Chi-square and Fischer exact test by the SPSS software. Performance of personnel in following the standards of infection control in this study was moderate. The results indicate that the participants of the study do not follow some of the standards of infection control in the operating rooms. Therefore, further activities of the committees of infection control and using of new antiseptic for surgical scrub are recommended

Pre-induction sedation with intranasal midazolam in children

Surgical procedures are one of the most stressful experiences in life, especially in children, and different methods are used preoperatively to decreasing this stress. Intranasal midazolam is an effective method for preparing the children before operation and prevents separation irritability. Sixty patients aged 2-6 years that have elective surgery for the first time were chosen randomly. Subjects were randomly allocated into two groups. For the patients in group 1, intranasal midazolam [0.2 mg/kg] and for the patients in group 2, the equal volume of normal saline 0.04ml/kg was administered intranasally. Patients' cries, irritability, hand moving during IV canulla insertion, consciousness before anesthesia and cooperation during face mask ventilation were evaluated. In group 1, 93.3% of children did not cry or cried mildly when separated from parents, 90% of children in group 2 cried moderately or severely [P<0.05]. Ninety percent of patients in group 1 cooperated well, but resistance was moderate or severe in group 2 [76.6%] [P<0.05]. Before anesthesia 73.4% of patients in group 1 were asleep, but woke up with stimulation. In contrast, 63.3% of patients in group 2 were awake and 30% of patients were irritable [P<0.05]. Ninety percent of patients in group 1 moved their hands slightly during IV canulla insertion but hand moving was exaggerated in 83.3% of patients in group 2 [P<0.05]. All patients in group 1 cooperated well during face mask ventilation but 76.6% of patients in group 2 refused it [P<0.05]. The results of the present study suggested that intranasal midazolam was an effective drug for pre-induction sedation in children