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Trend of Antibiotics Usage in the Intensive Care Unit in the Medical City in Baghdad

High frequencies of multidrug resistant organisms were observed worldwide in intensive care units which is a warning as to use the only few effective antimicrobials wisely to reduce selective pressure on sensitive strains.

The aim of the current study is to asses the compliance of the currently followed antibiotic prescribing pattern in the intensive care unit in an Iraqi hospital with the international guidelines.A cross-sectional study was done in the intensive care unit (ICU) of the Surgical Specialties Hospital, Medical City in Bagdad from the 30th of November 2011 to the 5th of May 2012.Patients were followed until they were discharged or died to see any change in condition, response to drugs, devices used, and medications.

During the period of the study, there were 46 patients admitted to the ICU of whom 23 (50%) were males and 23 (50%) were females. The age range of patients was between 16 and 85 years. The mean of age of patients was 44.52 (SD±18.45) years. All patients underwent culture and sensitivity test as soon as they were admitted to the ICU, but out of 46 patients only 16 (34.78%) of them have culture and sensitivity tests results retrieved.The number of patients, in whom the antibiotics were prescribed or changed according to culture and sensitivity tests, was six patients only (13.04%). Ceftriaxone was the most commonly used antibiotic as an empiric treatment followed by ampicillin-cloxacillin combination and meropenem, while clarithromycin and ciprofloxacin were among the least used. The bacterial culture and sensitivity tests of different samples obtained from the patients showed that the most effective antibiotic was tobramycin (90%) followed by ciprofloxacin and levofloxacin (69.2%) for each and the least effective (bacterial resistance) was ceftriaxone (33.3%) and cefotaxime (28.5) among others.

In conclusion, there is a critical need for reviewing the trend of antibiotic use in the ICUs depending more on lab. tests to identify the most effective drugs and to minimize the emergence of resistant infection.

Keywords: ICU, Antibiotic resistance, Culture and sensitivity tests.

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Publication Date
Mon Mar 15 2021
Journal Name
Iraqi National Journal Of Nursing Specialties
Evaluation of Staff Nurses’ performance at Primary Health Care Centers in Baghdad City

Objectives: This study aimed to evaluate the performance of staff nurses at primary health care centers in Baghdad city and to compare them with their demographic characteristics of age, gender and education.
Methodology: A descriptive design was carried out at Baghdad City’s primary health care centers from January 2nd 2019 to May 1st 2020. An instrument was developed for the purpose of the study. A non-probability, multi-stage purposive sample of (52) staff nurses was recruited from nurses working at primary health care centers in Baghdad City. The instrument is used to evaluate staff nurses’ performance which includes (62) items. These items are divided to (13) main domains related to evaluation of work quantity, work quality,

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Publication Date
Sun Feb 10 2019
Journal Name
Iraqi National Journal Of Nursing Specialties
Impact of Work Environment upon Housekeeping Services Staff's Health Status at Medical City in Baghdad City

Abstract
Objective(s): To evaluate housekeeping services staff work environment and their health status, as well as to determine the impact of the work environment upon their health status.
Methodology: A descriptive design is employed throughout the present study to evaluate housekeeping services staff work environment and their health status, as well as to determine the impact of the work environment upon their health status from November 3rd 2017 to June 30th 2018. A purposive “nonprobability” sample of (101) housekeeping staff is selected for the present study. An instrument is constructed for the purpose of the study and it is consists of (2) parts: (I) Evaluation of work environment, and (II) Evaluation of housekeeping st

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Publication Date
Fri Dec 14 2018
Journal Name
Iraqi National Journal Of Nursing Specialties
Evaluation of Quality of Primary Health Care Services at Primary Health Care Centers in Baghdad City: A Comparative Study

Objective(s): To evaluate primary health care services at primary health care centers in Baghdad City and to compare between these primary health care centers relative to such quality. Methodology: A descriptive design, using the evaluation approach, is study to Evaluation of quality of primary care services at primary health care centers in Baghdad City. A multistage probability sample of (36) health care centers was selected. The sample consists of (12) model centers, (12) urban centers, and (12) rural centers.A constructedquestionnaire is composed of (23) items. It consisted of (5) parts that include inta

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Publication Date
Thu Mar 22 2018
Journal Name
Association Of Arab Universities Journal Of Engineering Sciences
Publication Date
Sun Apr 05 2015
Journal Name
Journal Of The Faculty Of Medicine Baghdad
Cancer in infancy: Experience of Children Welfare Teaching Hospital, Medical City Complex, Baghdad

Background: It is becoming increasingly apparent that the study of infant cancer may lead to further understanding of the mechanisms of carcinogenesis, due to the unique clinical, genetic, and epidemiologic characteristics of cancer in infant.
Objectives: To study the clinical and pathological presentation of infants with cancer, their outcome and survival.
Patients & methods: A retrospective study was done over a 6 years period between (Jan.1st.2001- Dec. 31st. 2006), reviewed the records of 85 infants diagnosed and treated in oncology unit, children welfare teaching hospital, medical city-Baghdad.
Results: The majority of patients 57(67%) were from Baghdad & surrounding provinces; Leukemia was the most common type of c

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Publication Date
Thu Nov 08 2018
Journal Name
Iraqi National Journal Of Nursing Specialties
Assessment of pregnant women’s knowledge and practices concerning prenatal care who attend primary health care centers in Baghdad City

Objective: To assess knowledge of pregnant women concerning prenatal care who attend primary health care
center in Baghdad city.
Methodology: A descriptive analytic study carried on (100) pregnant women who attend primary health care
centers in Baghdad city (50) of them from Al- Sheik Omer primary health care center \Resafa sector .and 50 from
Belat Al-Shuhadaa/ Al Karch sector, during the period from April to November 2011. The data were collected
through interview and use questionnaire format. Validity and Reliability of the questionnaire were determined
through panel of experts and pilot study, data were analysed through the application of descriptive statistical
analysis and inferential statistical analysis.
R

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Publication Date
Thu Dec 13 2018
Journal Name
Iraqi National Journal Of Nursing Specialties
Assessment of the Major Anti-Tuberculosis Drugs Available to Patients at Primary Health Care Centers in Baghdad City

Objective: To assess the major anti-tuberculosis drugs available to patients at primary health care centers in Baghdad city. Methodology: A descriptive cross-sectional study design is carried out in order to achieve the objectives of the study by using the assessment technique in primary health care centers from December 29th, 2014 to July 10 th, 2015. probability sampling is select based on the study design. Eighteen primary health care centers are select according to criteria of sample to the study and for the purpose of the study, is select (6) sectors and (11) Primary Health Care Centers (PHCC) from Bagh

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Publication Date
Fri Dec 08 2023
Journal Name
Iraqi Journal Of Science
Pollutionary effect of the Medical city waste water on the Tigris river bacterial indicators on Baghdad city

Bacteriological characteristics of Tigris river water were assessed monthly to monitor the impact of pollutants of Medical City waste water for the period from January to June-2013. Four stations were selected for the study, the first station placed before the Medical City Complex (500 meters). The second station represent Medical City sewage discharge into the river, where represents the study area. The third station placed (500 meters) after the second station, and the forth station is located on (2000 meters) after the second station.
Samples collected monthly to monitor the changes of water indicators showed that: Total Bacterial Count (10000 to 2700000 cells/1 ml), Total Coliform (200-3700 cells/100 ml), Fecal Coliform (100-2400

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Publication Date
Tue Apr 01 2014
Journal Name
Journal Of The Faculty Of Medicine Baghdad
Evaluation of Nurses' Practices towards Care of the newly born Infant Immediately after Birth in Delivery Rooms in Baghdad City Hospitals

Background: Every hospital with delivery services should have skilled nurses immediately available for neonatal care, and appropriate equipments should be present at all deliveries. The first hour after birth has a major influence on the survival, future health, and well being of a newly born infant. The nurses have an important role at this time, the care they give during this period is critical in helping to prevent complication.
Objectives: The study aims to evaluate nurses’ practices toward care of the newborn infant immediately after birth in delivery rooms and finds the relationship between the nurses' practices and their demographic characteristics.
Methodology: A descriptive study was carried out in 3 teaching hospitals (

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Publication Date
Sun Feb 03 2019
Journal Name
Journal Of The College Of Education For Women
Reading Trend in the Recent School Book

Reading Trend in the Recent school book

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