ﺍﻫﻤﻴﺖ ﻋﻔﻮﻧﺖ ﺑﻴﻤﺎﺭﺳﺘﺎﻧﻲ
ﺍﻫﻤﻴﺖ ﻋﻔﻮﻧﺖ ﺑﻴﻤﺎﺭﺳﺘﺎﻧﻲ
ﺍﻫﻤﻴﺖ ﻋﻔﻮﻧﺖ ﺑﻴﻤﺎﺭﺳﺘﺎﻧﻲ
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ﻂﻴﺤﻣ ﺖﺷﺍﺪﻬﺑ / ٤ ﻞﺼﻓ<br />
ﻲﻣﻮﻤﻋ ﺖﺷﺍﺪﻬﺑ ﻊﻣﺎﺟ ﺏﺎﺘﻛ / ٣٧٧<br />
ﺭﻮﻃ ﻪﺑ ،ﻩﺪﺷ ﺮﺠﻨﻣ ﺎﻜﻳﺮﻣﺁ ﺭﺩ ﺭﻻﺩ ﻥﻮﻴﻠﻴﺑ ٥ ﻝﺩﺎﻌﻣ ﻱﺍ ﻪﻨﻳﺰﻫ ﻑﻼﺗﺍ ﻪﺑ ﻲﻧﺎﺘﺳﺭﺎﻤﻴﺑ ﺖﻧﻮﻔﻋ ﻪﻧﺎﻴﻟﺎﺳ . ﺖﺳﺍ ﻪﺘﺷﺍﺩ<br />
ﺯﻭﺭ ٣٠ ﺎﺗ ١ ﺚﻋﺎﺑ ﻭ ﺖﺳﺍ ﻩﺪﻳﺩﺮﮔ ﺐﺴﺘﻨﻣ ،ﺮﻴﻣ ﻭ ﮒﺮﻣ % ٣ ﻪﺑ ﻭ ﺪﻣﺎﺠﻧﺍ ﻲﻣ ﻼﺘﺒﻣ ﻥﺍﺭﺎﻤﻴﺑ % ١ ﮒﺮﻣ ﻪﺑ ﻢﻴﻘﺘﺴﻣ<br />
ﻱﺭﺍﺭﺩﺍ ﻩﺎﮕﺘﺳﺩ ﺖﻧﻮﻔﻋ ،ﻲﻧﺎﺘﺳﺭﺎﻤﻴﺑ ﺖﻧﻮﻔﻋ ﻦﻳﺮﺗ ﻊﻳﺎﺷ . ﺩﻮﺷ ﻲﻣ ﻥﺎﺘﺳﺭﺎﻤﻴﺑ ﺭﺩ ﻥﺍﺭﺎﻤﻴﺑ ﻱﺮــﺘﺴﺑ ﺕﺪﻣ ﻝﻮﻃ ﺶﻳﺍﺰﻓﺍ<br />
ﻥﻮﺧ ﺵﺩﺮﮔ ﻩﺎﮕﺘﺳﺩ ﺖﻧﻮﻔﻋ ﻭ (% ٢٤)<br />
ﻲﺣﺍﺮﺟ ﻢﺧﺯ ﺖﻧﻮﻔﻋ ﻭ (% ٢٠ ﺎﺗ ١٥)<br />
ﻲﻧﻮﻣﻮﻨﭘ ﻥﺁ ﺯﺍ ﺲﭘ ﻭ ﻩﺩﻮﺑ ( % ٤٠ ﺎﺗ ٣٠)<br />
ﻭ ﻩﺩﻮﺑ ﻲﻧﺎﺘﺳﺭﺎﻤﻴﺑ ﺖﻧﻮﻔﻋ ﺐﺒﺴﻣ ﻞﻣﺍﻮﻋ ﺎﻫ ﻱﺮﺘﻛﺎﺑ ،ﺩﺭﺍﻮﻣﺮﺜﻛﺍ ﺭﺩ ﺎﻫ ﻲﺳﺭﺮﺑ ﻲﻃ . ﺪﻨﺷﺎﺑ ﻲﻣ ﺖﻧﻮﻔﻋ ﻊﻳﺎﺷ ﻉﺍﻮﻧﺍ (% ١٠)<br />
ﻩﻭﺮﮔ ﺭﺩ ﺏﻭﺮﻜﻴﻣ ﻦﻳﺮﺗ ﻊﻳﺎﺷ)<br />
ﺱﻮﺋﺭﺁ ﻙﻮﻛﻮﻠﻴﻓﺎﺘﺳﺍ ،(<br />
ﻦﻴﻐﻟﺎﺑ ﺭﺩ ﻱﺮﺘﻛﺎﺑ ﻦﻳﺮﺘﻌﻳﺎﺷ)<br />
ﻲﻟﻮﻛﺎﻴﺸﻳﺮﺷﺍ ،ﺎﻫ ﻱﺮﺘﻛﺎﺑ ﻦﻴﺑ ﺭﺩ<br />
ﻩﺍﺭ ﻦﻳﺮﺘﻤﻬﻣ ﺪﻨﺘﺴﻫ ﺎﻫ ﻢﺴﻴﻧﺎﮔﺭﺍﻭﺮﻜﻴﻣ ﻦﻳﺮﺗ ﻊﻳﺎﺷ ،ﻼﻴﺴﺒﻠﻛ ﻭ ﻙﻮﻛﻭﺮﺘﻧﺍ ،ﺍﺯﻮﻨﻳﮊﻭﺮﺋﺁ ﺎﻧﻮﻣﻭﺩﻮﺴﭘ ،(<br />
ﻥﺍﺩﺍﺯﻮﻧ ﻭ ﻝﺎﻔﻃﺍ<br />
. ﺖﺳﺍ ﻥﺎﺘﺳﺭﺎﻤﻴﺑﺭﺩ ﻢﻴﻘﺘﺴﻣ ﺮﻴﻏ ﺎﻳ ﻭ ﻢﻴﻘﺘﺴﻣ ﺱﺎﻤﺗ ،ﺖﻧﻮﻔﻋ ﻝﺎﻘﺘﻧﺍ<br />
،ﻲﻧﺎﺘﺳﺭﺎﻤﻴﺑ ﺖﻧﻮﻔﻋ ﻝﺮﺘﻨﻛ ﻱﺎﻫ ﻪﺘﻴﻤﻛ ﻥﺩﻮﻤﻧ ﻝﺎﻌﻓ ﺯﺍ ﺪﻨﺗﺭﺎﺒﻋ ﻲﻧﺎﺘﺳﺭﺎﻤﻴﺑ ﺖﻧﻮﻔﻋ ﻝﺮﺘﻨﻛ ﻱﺎﻫ ﻱﮋﺗﺍﺮﺘﺳﺍ<br />
ﻦﺘﺴﺷ ﺮﺑ ﺪﻴﻛﺎﺗ ،ﺖﻧﻮﻔﻋ ﻝﺮﺘﻨﻛ ﻥﺍﺭﺎﺘﺳﺮﭘ ﻩﮋﻳﻮﺑ ﻭ ﻥﺎﻨﻛﺭﺎﻛ ﺵﺯﻮﻣﺁ ،ﻲﻧﺎﺘﺳﺭﺎﻤﻴﺑ ﺖﻧﻮﻔﻋ ﺖﺒﻗﺍﺮﻣ ﻡﺎﻈﻧ ﻱﺭﺍﺮﻗﺮﺑ<br />
ﻝﻮﺻﺍ ﻭ ﺕﺎﻜﻧ ﺖﻳﺎﻋﺭ ،ﻡﺯﻻ ﺕﻼﺧﺍﺪﻣ ﻡﺎﺠﻧﺍ ﻭ ﻱﺮﻴﮔ ﻪﻤﻫ ﺩﺭﺍﻮﻣ ﻲﺑﺎﻳﺯﺭﺍ ،ﻥﺍﺭﺎﻤﻴﺑ ﺐﺳﺎﻨﻣ ﻱﺯﺎﺳﺍﺪﺟ ،ﺎﻫ ﺖﺳﺩ<br />
ﻲﺘﻧﺁ ﻑﺮﺼﻣ ﺖﻳﺩﻭﺪﺤﻣ ﻭ ﺎﻫ ﻥﺁ ﻱﺯﺎﺴﻨﻤﻳﺍ ﻭ ﻥﺎﻨﻛﺭﺎﻛ ﺯﺍ ﺖﺒﻗﺍﺮﻣ ،ﻪﻟﺎﺑﺯ ﻲﺘﺷﺍﺪﻬﺑ ﻊﻓﺩ ،ﻱﺯﺎﺳ ﻥﻭﺮﺘﺳ ﻭ ﻲﻳﺍﺩﺯﺪﻨﮔ<br />
ﺭﺩ ﺎﻬﻨﺗ ﻲﻧﺎﺘﺳﺭﺎﻤﻴﺑ ﻱﺎﻫ ﺖﻧﻮﻔﻋ ،ﺕﺍﺪﻴﻬﻤﺗ ﻡﺎﻤﺗ ﻱﺮﻴﮔﺭﺎﻜﺑ ﻢﻏﺮﻴﻠﻋ ﻪﻛ ﺖﺳﺍ ﺮﻛﺫ<br />
ﻥﺎﻳﺎﺷ . ﻒﻴﻄﻟﺍ ﻊﻴﺳﻭ ﻱﺎﻫ ﻚﻴﺗﻮﻴﺑ<br />
.( ٣١ ،٣٠<br />
،٢٩)<br />
ﺪﻨﺘﺴﻫ ﻱﺮﻴﮕﺸﻴﭘ ﻞﺑﺎﻗ ﺩﺭﺍﻮﻣ ﻡﻮﺳ ﻚﻳ<br />
ﻊﺑﺎﻨﻣ<br />
1) F. Marc, La. Force. The Control of Infections in Hospitals, In : Richard P. Wenzel. Prevention and<br />
Control of Nosocomial lnfections, 3rd edition, U.S.A. Williams & Wilkins, 1997, Pp. 3-17.<br />
2) Robert P. Gaynes. Surveillance of Nosocomial Infections. In : John V. Benneth philip S.<br />
Brachman. Hospital infection, 4th edition , U.S.A. Lippincott - Raven, 1998 , P65-84 .<br />
3) Alicia J. Mangram et al. Guideline for Prevention of SSI, CDC Public Health Services, Infection<br />
Control & Hospital Epidemiol ، April 1999, Vol 20, No 4, 247-278.<br />
ﺕﺎﻣﺪﺧ ﻭ ﻲﻜﺷﺰﭘ ﻡﻮﻠﻋ ﻩﺎﮕﺸﻧﺍﺩ ،ﻥﺍﺮﻬﺗ ،ﻲﻧﺎﺘﺳﺭﺎﻤﻴﺑ ﻱﺎﻫ ﺖﻧﻮﻔﻋ ﻝﺮﺘﻨﻛ ﻭ ﻱﺮﻴﮕﺸﻴﭘ ﻱﺮﺳﺍﺮﺳ ﺶﻳﺎﻤﻫ ﻦﻴﻣﻭﺩ ﺕﻻﺎﻘﻣ ﻪﻋﻮﻤﺠﻣ ـ ٤<br />
٠ ١٣٧٩ ﺖﺸﻬﺒﻳﺩﺭﺍ ،ﻥﺍﺮﻬﺗ ﻲﻧﺎﻣﺭﺩ ﻲﺘﺷﺍﺪﻬﺑ<br />
5) Marc J Struelens; Hospital Infection Control, Donald Armstrong & Jonathan Cohen, Infectious<br />
Diseases, U.S.A, Mosby, 1999, P3- 10 .<br />
. ١٣٧٣ ﺕﺭﺎﺷﺍﺮﺸﻧ ﺰﻛﺮﻣ ،ﻥﺍﺮﻬﺗ ،ﻲﻧﺎﺘﺳﺭﺎﻤﻴﺑ ﻱﺎﻫ ﺖﻧﻮﻔﻋ : ﻪﻠﻴﻤﺟ ،ﻱﻭﺯﺭﻮﻧ ـ ٦<br />
،ﺐﻴﺒﻃ ﺮﺸﻧ ﻭ ﻩﺩﺍﺯﺭﻮﻤﻴﺗ ﺕﺍﺭﺎﺸﺘﻧﺍ ،ﻥﺍﺮﻬﺗ ،ﻲﻧﺎﺘﺳﺭﺎﻤﻴﺑ ﻱﺎﻫ ﺖﻧﻮﻔﻋ ﻝﺮﺘﻨﻛ ﻭ ﻱﺮﻴﮕﺸﻴﭘ : ﻦﻳﺮﻴﺷ ،ﻲﻤﻬﻓﺍ ﻭ ﻦﻴﺴﺣ ،ﻲﻧﺎﻤﻴﻠﺳ ﻞﺻﺍ ـ ٧<br />
٠ ١٢ ﺎﺗ ٣ ﻪﺤﻔﺻ ،١٣٧٩<br />
8) WHO , EMRO. Surveillance of Communicable Diseases, 1998, pp. 1-30 .
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