Nasal carrier rates and antibiogram pattern of staphylococcus aureus strains isolated from hospital staff in teaching hospitals in Bandar Abbas

Staphylococcus aureus is one of the most important pathogens in nosocomial infections. About 30-50% of people harbor this organism in their nose. Since carrier status in hospital staff is a major source of S. aureus infections in hospitalized patients, it is of great importance to detect carriers for preventive strategies. In this cross-sectional study, nasal carriage of S. aureus was studied in 200 hospital staff, working in teaching hospitals, in Bandar Abbas. The nasal swabs of the subjects were cultured on blood agar and manitol salt agar media. Identificaion of isolates was performed by catalase, coagulase and DNase test. Antibiogram pattern and beta-lactamase activity of isolates were assessed according to Kirby-Bauer and acidimetric methods, respectively. Nasal carriage state was found in 33 individuals [16%]. The maximal carrier rate was observed in internal ward [40%]. The strains were quite resistant to penicillins and cephalosporins. All of the isolates were sensitive to imipenem. High degree of sensitivity [>95%] was also observed to netilin, rifampin and vancomycin. The isolates were completely resistant to colistin, lincomycin, neomycin and streptomycin. Penicillinase activity was observed in 27.3% of isolates. Regarding high frequency of nasal carriage states, more attention should be paid on screening and treatment of carriers

Leiomyoma of the colon [report of a case]

Leiomyoma of the colon is an extremely rare tumor. Reports are those of sessil intraluminal lesions. We report a case of extraluminal leiomyoma of the transverse colon. The diagnosis is suspected at laparotomy and confirmation of the precise nature of the neoplasm by histologic examination

Pilonidal sinus

Pilonidal sinus is a frequent benign disease, with a localization often sacrococcygeal. Its etiopathogensis is still badly clarified. Diagnosis is generally easy in typical forms: purulent flow by an opening situated at the level of inter gluteal furrow and containing some hairs. Some diagnosis traps secondary to aberrant localizations should be known. Open surgical excision and cicatrizationnn is the treatment of choice. To this effect, we report 29 cases of pilonidal sinus operated on by this method between 1990 and 1999. This pathology occupies the fourth place of proctological diseases 75% of the patients are young, aged between 20 and 40 years. Male predominance is clear with a sex ratio H/F=1,9. Chronic purulent flow is the main symptom found in 82,23 of cases. After a retreat of one to 10 years, a case of fake recurrence has been noted. A second resection without closure has been successfully done

Fistules bilio-digestives hemorrhagiques: a propos d'un nouveau cas

A new case of hemorragic bilio-digestive fustula and the review of 23 cases in the literature are discussed. The main presenting symptom was life the thrextening hemorrhage. - The ethilogy of the bilio-digestive fistula is almost exclusively lithiasis with a clear female predominance. - The fibroscope is the essential diagnostic examination test. - The surgical procedure has a double objective: * To ensure hemostasis. * To treat the bilio-digestive fistula. - The prognosis is relatively good

Les fistules biliobiliaires: a propos de 8 cas

The authors report eight cases of bilio-biliary fistulae along with the review of the surgical management in these cases is reported. In this study, the authors observed 8 cases of bilio-biliary fistulae, between 1975 and 1984. They described the various types in literature and their surgical treatment