the empiric antibiotic therapy can result in antibiotic overuse, development of bacterial resistance and increasing costs in critically ill patients. the aim of the present study was to evaluate the effect of procalcitonin (pct) guide treatment on antibiotic use and clinical outcomes of patients admitted to intensive care unit (icu) with systemic inflammatory response syndrome (sirs).  a total ...

receiving information related to patients hospitalized in the intensive care unit is among the most important needs of the family members of such patients. when health care professionals should decide whether to be honest or to give hope, giving information becomes an ethical challenge we conducted a research to study the ethical approaches of iranian nurses to giving information to the family ...

background & aim: high levels of anxiety in mothers after the birth of a premature infant and its negative effects and consequences on the infant and the family indicate the necessity of performing an intervention for them. this study was conducted to evaluate the effect of neonatal intensive care unit orientation program on the anxiety of premature infants’ mothers in shahrekord . methods & ma...

conclusion the calculated ni rate in our study (14.7%) is higher than usual rates reported from picu in other societies. meanwhile, long stay in picu and age less than 2 years are the main risk factor for ni and subjects with ni are 5.13 times more likely to die. patients and methods this cross sectional study was carried out on all patients hospitalized for more than 48 hours in pediatric inte...

background: this study aimed to determine the impact of an empowerment program on maternal stress. materials and methods: during may 2009–may 2010, this quasi‑experimental study was performed in the neonatal intensive care unit (nicu) of shahid akbarabadi, rasoul‑e‑akram, and aliasghar hospitals affiliated to tehran university of medical sciences (iran). the program consists of an educational c...

abstract background: preterm infants constitute a large proportion of the newborn population in the neonatal intensive care units (nicus). parents, as the main members of the care team, are not adequately supported as the focus is chiefly on infant care. the present study aimed to evaluate the effect of a family support intervention on the stress levels among the parents of preterm infants in n...

abstract background: clearing the endotracheal tube through suctioning should be done to promote oxygenation. depth of suctioning is one of the variables in this regard. in shallow suctioning method, the catheter passes to the tip of the endotracheal tube, and in deep suctioning method, it passes beyond the tip into the trachea or brunches. this study aimed to evaluate the effect of shallow and...

background: methicillin resistant staphylococus aureus (mrsa) is a cause of ‎nosocomial infections at intensive care unit (icu), which imposes a high mortality and ‎morbidity on the health care systems.‎ the objective of this study was to evaluate the role of mrsa in patients with clinically ‎suspected ventilator associated pneumonia (vap) in toxicological icu admitted ‎patients.methods: this c...

conclusions the results illustrated the diversity of antibacterial resistance and virulence gene profiles among different sccmec types of s. aureus. the increased prevalence of methicillin-resistant s. aureus isolates containing different toxin and antibiotic resistance genes is a serious threat for the hospitalized patients in the intensive care units. methods in this cross-sectional study tha...

background in recent decades, multidrug-resistant non-fermenting gram-negative pathogens, particularly acinetobacter baumannii and pseudomonas aeruginosa, have been recognized as a major cause of healthcare-associated and nosocomial infections and outbreaks. conclusions the majority of a. baumannii and p. aeruginosa isolates were found to be resistant to commonly recommended antibiotics. theref...