background hyponatremia is a common disorder in patients with brain injury. it can result in acute and chronic complications providing this electrolytic disorder is not diagnosed and treated in due time. objectives the aim of this study was to evaluate the prevalence of hyponatremia in 95 patients with brain injury hospitalized in the intensive care unit in shahid beheshti hospital of kashan un...

background demand for icu beds is exceeding its supply. since the sources are limited in some centers, it is necessary to design a model to identify the patients who benefit more from icu beds. objectives the present study aimed to develop a model to prioritize adult patients according to their clinical indications by a three rounded delphi method study. patients and methods in this study, 22 p...

background critically ill patients under mechanical ventilation require frequent suctioning of airway secretion. closed suction permits suctioning without disconnection from ventilator; so it might decrease hypoxemia and infection rate. objectives this study aimed to evaluate the effect of closed tracheal suction system (ctss) versus open tracheal suction system (otss). patients and methods thi...

development of antibiotic resistance in intensive care units (icus) is a worldwide problem. the purpose of this study was to evaluate the effect of an antibiotic stewardship program (asp) by carbapenems restriction on gram-negative antimicrobial resistance in icu. the study was designed in a 21 bedded general icu of a teaching hospital with two wings (one and two) in tehran, iran. carbapenem pr...

background and objective:acinetobacter spp.a gram-negative coccobacillus is increasingly reported as important cause of nosocomial infections. multi-drug resistance (mdr) ofacinetobacterspp., raises concerns over our ability to treat serious infections with these organisms. the aim of this study was to determine the frequency and associated risk factors for infections with mdr acinetobacter spp...

background and purpose: organizational commitment has been on a downward trend among medical staff in different sections of the health care system. this study aimed to investigate the level of organizational commitment among the nurses engaged in the intensive care units (icus) of mazandaran heart center in sari, iran. methods: this descriptive-analytical study was conducted at the educational ...

background: parenteral nutrition (pn) is a valuable life saving intervention, which can improve the nutritional status of hospitalized malnourished patients. pn is associated with complications including hyperglycemia. this study was conducted to compare two methods of blood glucose control in traumatic brain injury patients on pn. materials and methods: a randomized, open-label, controlled tri...

conclusions finally, in order to prevent the occurrence and reduce the consequences of identified errors the following suggestions were proposed : appropriate training courses, applying work guidelines and monitoring their implementation, increasing the number of work shifts, hiring professional workforce, equipping work space with appropriate facilities and equipment. background although healt...

background a broad variety of fungi, especially candida species, are becoming increasingly common causes of urinary tract infections in hospital settings. objectives the current cross-sectional descriptive study aimed to determine the causative agents, risk factors and incidence rate of candiduria in critically ill patients, hospitalized in intensive care units (icus) of four iranian hospitals....