Journal title
عنوان نشریه
Technology and Research Information System
Literature & Humanities
http://newresearch.medilam.ac.ir
1
admin
doi
fa
jalali
1397
7
1
gregorian
2018
10
1
1
2
online
1
fulltext
fa
بررسی کیفیت میکروبی آب یونیتهای دندانپزشکی شهر ایلام از نقطه نظر شمارش بشقابی هتروتروفها
Studying Microbial quality of dental unit water in Ilam town with Heterotrophic plate count method
عمومي
General
مقطعی (Cross sectional)
Cross sectional
<strong><span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">زمینه و هدف</span></span></strong><span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">: آنچه به عنوان منابع آلودگی آب یونیت های دندانپزشکی مطرح شده است در پی بروز عفونت های وخیم در بین افراد دچار ضعف سیستم ایمنی اهمیت بیشتری یافته است. لذا با توجه به اهمیت موضوع ، این مطالعه با هدف اندازه گیری </span></span><span dir="LTR"><span style="font-family:Times New Roman,serif;"><span style="font-size:10.0pt;">HPC</span></span></span> <span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">به منظور حصول اطمینان از سلامت آب در یونیت های دندان پزشکی شهر ایلام انجام می گیرد. </span></span><span style="font-family:B Nazanin;"><span style="font-size:12.0pt;"></span></span><br>
<strong><span style="position:relative;top:-3.0pt;"><span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">روش بررسی:</span></span></span></strong><span style="position:relative;top:-3.0pt;"><span style="font-family:B Nazanin;"><span style="font-size:12.0pt;"> در این مطالعه توصیفی ، تعداد 20 یونیت دندانپزشکی سالم مطب های بخش دولتی و خصوصی شهرستان ایلام جهت بررسی میزان آلودگی باکتریولوژیکی(</span></span></span><span dir="LTR" style="position:relative;top:-3.0pt;"><span style="font-family:Times New Roman,serif;"><span style="font-size:10.0pt;">HPC</span></span></span><span style="position:relative;top:-3.0pt;"><span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">) سیستم های آبی انتخاب می شوند. نمونه آبی از چهار قسمت 1- پوار آب و هوا 2- توربین 3- آب آشامیدنی یونیت 4- آب شیر ورودی به واحد برداشت می شوند. سپس داده ها با نرم افزار آماری </span></span></span><span dir="LTR" style="position:relative;top:-3.0pt;"><span style="font-family:Times New Roman,serif;"><span style="font-size:10.0pt;">SPSS</span></span></span> <span style="position:relative;top:-3.0pt;"><span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">و </span></span></span><span dir="LTR" style="position:relative;top:-3.0pt;"><span style="font-family:Times New Roman,serif;"><span style="font-size:10.0pt;">EXCEL</span></span></span> <span style="position:relative;top:-3.0pt;"><span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">تجزیه و تحلیل می شوند.</span></span></span><br>
<strong><span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">یافتهها:</span></span></strong><span style="font-family:B Nazanin;"><span style="font-size:12.0pt;"> از بین 180 نمونه میانگین و انحراف معیار به ترتیب برابر با 50/265 و 50/372 ( </span></span><span dir="LTR"><span style="font-family:Times New Roman,serif;"><span style="font-size:12.0pt;"> cfu / ml</span></span></span><span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">) می باشد. 10/66% نمونه ها از لحاظ شمارش </span></span><span dir="LTR"><span style="font-family:Times New Roman,serif;"><span style="font-size:10.0pt;">HPC</span></span></span> <span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">با استاندارد </span></span><span dir="LTR"><span style="font-family:Times New Roman,serif;"><span style="font-size:10.0pt;">ADA</span></span></span> <span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">( </span></span><span dir="LTR"><span style="font-family:Times New Roman,serif;"><span style="font-size:12.0pt;">cfu/ml</span></span></span><span style="font-family:B Nazanin;"><span style="font-size:12.0pt;"> 200)</span></span> <span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">همخوانی دارند . در تحلیل آنوا بین میانگین ها اختلاف معنی داری مشاهده نمی گردد.</span></span><span style="font-family:Times New Roman,serif;"><span style="font-size:10.0pt;">(</span></span><span dir="LTR"><span style="font-family:Times New Roman,serif;"><span style="font-size:10.0pt;"> 0.058</span></span></span><span style="font-family:Times New Roman,serif;"><span style="font-size:10.0pt;">= </span></span><span dir="LTR"><span style="font-family:Times New Roman,serif;"><span style="font-size:10.0pt;"> P</span></span></span><span style="font-family:Times New Roman,serif;"><span style="font-size:10.0pt;">)</span></span><span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">.همچنین</span></span> <span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">در</span></span> <span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">سطح اطمینان 95درصد</span></span> <span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">بین نمونه</span></span> <span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">های</span></span> <span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">برداشت</span></span> <span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">شده، </span></span> <span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">آلودگی</span></span> <span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">آب</span></span> <span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">توربین</span></span> <span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">بیشتر</span></span> <span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">از</span></span> <span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">آلودگی</span></span> <span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">آب</span></span> <span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">پوار</span></span> <span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">و</span></span> <span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">آب</span></span> <span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">آشامیدنی</span></span> <span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">یونیت</span></span> <span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">بود</span></span> <span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">و</span></span> <span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">از</span></span> <span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">لحاظ</span></span> <span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">آماری</span></span> <span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">معنی</span></span> <span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">دار است</span></span> <span style="font-family:Times New Roman,serif;"><span style="font-size:10.0pt;">(</span></span><span style="position:relative;top:4.0pt;"><span style="font-family:Calibri,sans-serif;"><span style="font-size:11.0pt;"> <img alt="" chromakey="white" src="file:///C:UsersmaliAppDataLocalTempmsohtmlclip11clip_image001.png" > </span></span></span><span style="font-family:Times New Roman,serif;"><span style="font-size:10.0pt;">).</span></span><span style="font-family:B Nazanin;"><span style="font-size:12.0pt;"></span></span><br>
<strong><span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">نتیجه گیری: </span></span></strong><span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">آگاهی</span></span> <span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">دادن</span></span> <span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">به</span></span> <span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">دندانپزشکان</span></span> <span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">در</span></span> <span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">مورد</span></span> <span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">احتمال</span></span> <span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">آلودگی آب</span></span> <span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">یونیت</span></span> <span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">و</span></span> <span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">خطرات</span></span> <span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">احتمالی</span></span> <span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">آن</span></span> <span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">و</span></span> <span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">ضرورت</span></span> <span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">به</span></span> <span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">کار</span></span> <span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">گیری توصیه</span></span> <span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">های </span></span> <span dir="LTR"><span style="font-family:Times New Roman,serif;"><span style="font-size:10.0pt;">ADA</span></span></span><span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">، نظیر</span></span> <span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">گذاشتن</span></span> <span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">فیلتر</span></span> <span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">،</span></span> <span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">استفاده</span></span> <span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">از</span></span> <span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">مواد</span></span> <span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">ضدعفونی</span></span> <span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">کننده</span></span> <span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">در</span></span> <span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">لوله</span></span> <span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">های</span></span> <span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">آب</span></span> <span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">یونیت</span></span> <span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">در</span></span> <span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">دوره</span></span> <span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">های</span></span> <span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">منظم</span></span> <span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">و متناوب،</span></span> <span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">انجام</span></span> <span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">عمل</span></span> <span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">فلاشینگ</span></span> <span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">در</span></span> <span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">ابتدای</span></span> <span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">کار</span></span> <span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">روزانه</span></span> <span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">به مدت 3-2 دقیقه و</span></span> <span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">در</span></span> <span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">فواصل</span></span> <span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">بین</span></span> <span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">بیماران</span></span> <span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">به</span></span> <span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">مدت</span></span> <span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">30-20 ثانیه جهت کاهش</span></span> <span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">میزان</span></span> <span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">آلودگی</span></span> <span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">می تواند مفید واقع گردد.</span></span>
<strong><em>Field and Purpose</em></strong><em>: what is posed as sources of contamination of dental unit water has become more important because of the incidence of serious infections among people with weakened immune systems. Therefore, regarding the importance of this matter, this study is aimed at measuring HPC in order to ensure healthy water in dental units in Ilam town. </em><br>
<strong><em>Analysis method</em></strong><em>: in this descriptive study, 20 healthy dental units of public and private offices in Ilam town were chosen in order to study amount of bacterial contamination (HPC) of water systems. The water sample is taken from four parts. 1. Climate exposed 2-Tourbin 3- Unit drinking water 4-Water inlet valve. Then data are analyzed with statistical SPSS and Excel software.</em><br>
<strong><em>Findings</em></strong><em>: among 180 samples mean and standard deviation are 26.50 and 372.50(cfu /ml) respectively. 66.1% of samples are consistent with ADA (200 Cfu /ml) in terms of counting HPC. In ANOVA analysis there is no significant difference among means (p=0.058). Also in significant level of 95% among taken samples, contamination of water in turbine was more than contamination of exposed water and unit drinking water and this contamination is statistically significant (p<0/05).</em><br>
<strong><em>Conclusion</em></strong><em>: informing dentists about probability of contamination of unit water and its probable dangers and necessity of using ADA advices like putting filter, using antiseptic materials in water pipes of units in regulate and alternative pseudo and flashing. </em>
کیفیت میکروبی, یونیت دندانپزشکی , فلاشینگ , ایلام.
Microbial Quality, Dental unit, Flashing, Ilam
0
0
http://newresearch.medilam.ac.ir/browse.php?a_code=A-10-2476-5&slc_lang=fa&sid=1
nasim
nikzad
نسیم
نیکزاد
Planfile720825@gmail.com
1920214798
100319475328460019023
Yes
Heshmatolah
Nourmoradi
حشمت اله
نورمرادی
ilam_nourmoradi@yahoo.com
4500820949
100319475328460019024
No
Department of Environmental Health, School of Health, Ilam University of Medical sciences, Ilam, Iran
گروه آموزشی بهداشت محیط، دانشکده بهداشت، دانشگاه علوم پزشکی ایلام، ایلام، ایران