[Prevalence of Staphylococcus aureus strains isolated from wound infection and drug sensitivity pattern, Tehran-Iran [2006-07]]

Considering the significant incidence of nosocomial infections in hospitalized patients, this study was done to determine the prevalence of Staphylococcus aureus strains isolated from wound infection and drug sensitivity pattern, Tehran-Iran. In this descriptive study, Staphylococcus aureus isolated and identified according to standard procedures from the wound infections of 614 patients referred to Baqiyatallah hospital, Tehran-Iran during 2006-07. The samples were examined and antibiogram was performed by disc diffusion method on Mueller Hinton agar with 12 antibiotics. 100 [16.28%] of wound infection of Staphylococcus aureus was isolated from 614 patients. The infection rate in men was twice compared to women. The highest rate 29 [29%] was observed in people aged 40 to 60 group. Also specimen's patients with immunosuppressive diseases [28 cases], surgical site infection [16 cases] and normal wounds [13 cases] were considered to be most prevalent isolates. Antibiotic sensitivity testing revealed that 96 [96%] of isolates were sensitive to vancomycin, 95 [95%] and 92 [92%] were resistant to penicillin and cotrimoxazole, respectively. Our result showed that 43% of strains were resistant at 11 antibiotics. This study showed that the prevalence of Staphylococcus aureus was 16.28% of samples, with 43% antibiotic resistance. The highest sensitivity was toward to vancomycin

[Comparing performance indicators of obstetric and gynecology ward with expected limits of indicators]

The existed difference statistical indicators is necessary to measure the efficiency of the health organization and as an exact strategy, could be removed the developed problems in heath services sectors. This is a descriptive research as a cross sectional study throughout obstetric and gynecology wards in the general hospital of RASOOL. The questionnaires and statistical Forms applied for data gathering. The methods were completed questionnaires, statistical Forms, face to face interviews and observation. The Delphi technique, standardized questionnaires and references' text books used to determining the reliability and validity. Data analysis was done by using likret ranking. The showed that some indicators, such as inpatient bed occupied rate [63%], bed turnover interval[5] and mean length of stay[4], patient per nurse[19], meanwhile service education[10], staff per active bed[1for 12], midwife per delivery bed[0], staff[50.9%] and patient satisfaction[89%] were lower than expected. Some indicators such as rooming in technique[100%], breast feeding[100%], patient information access from HIS system[100%], emergency and hostelling medicine access[100%], round and morning reports[100%], the mean admitted time in the ward[30 minutes], Infant and maternal mortality rate per total deliveries[0], and the percentage of trained patient[100%] were as expected. Some indicators such as expert physician per active bed [1 for 7] and C/S per total delivery ratio [69%] which was higher than expected, and the necessary data for calculating book and papers per assistant professor and non colonial infection rate were not found. Hospital indicators showed the performance of hospitals in the various bases. Therefore, the broad attentions to these indicators are necessary. Meanwhile, it should be compared them and to distinct time periods

Designing indicators hierarchy tree by using analytical hierarchy process in obstetrics and gynecology wards - Rasool Hospital, 2008

Each organization urgently needs a system evaluation for perception of desirability of the activities especially in complex and dynamic environments. In the other hand, Absence of an evaluation and controlling system in an organization is equal to lack of having communication with internal and external organizational environment which its outcome is organizational death. This is a descriptive study in the obstetric and genecology wards. Library studies, questionnaire, field studies and expert opinions used for data gathering. Indicators' tree was designed by using analytical hierarchy process. The Delphi technique used for nominating the reliability of research. Several stages in process of designing a hierarchy are necessary which composed; determining performance indicators, regimentation of indicators and designing the tree, weighting and determining inconsistency rate. Performance evaluations of all wards in hospitals should been done by a systematic model in specific period of time. To identify this aim the specific performance indicators were necessary. Analytical hierarchy process could be an appropriate model for hospital wards performance in the evaluation