Bacterial assessment of food handlers in Sari City, Mazandaran Province, north of Iran.

Food handlers with poor personal hygiene could be potential sources of infection due to pathogenic bacteria. This study was designed to determine the prevalence of bacterial infestation among the food handlers attending the public health center laboratory in Sari, northern Iran for annual check-up. This study was performed from September 2013 to August 2014. Stool samples, fingernail specimens of both hands and nasal swabs were collected from 220 male and female food handlers of different jobs, aged between 17-65 years. The samples were cultured on bacteriological culture media and bacterial species were identified following standard procedures. A structured questionnaire was used to record sociodemographic and behavioral data analysis of the food handlers. Of the total 220 subjects examined, 62.2% showed positive culture for different bacterial species from their fingernail contents, 65.4% were found to be harboring Staphylococcus aureus in their nostrils and 0.9% tested positive for Shigella boydii from stool samples. Staphylococcus aureus was the predominant bacteria isolated from fingernail specimens (46%), followed by Escherichia coli (29.2%), Coliforms (18.2%) and Pseudomonas aeruginosa (6.6%). This study showed a statistically significant difference in the rate of bacterial infestation between different occupational categories (p=0.04). Butchers showed the highest prevalence of bacteria (86.6%) in their fingernail contents, followed by fast food workers (76.5%), bakers (73.5%), chicken store workers (73%), school cafeterias staff (53.3%), restaurant workers (46.9%) and fruit/vegetables sellers (42.5%). The highest rate of nasal carrier for Staphylococcus aureus was observed among chicken store workers 14/17(20.8%). These findings indicate the need for intensive training/retraining and health education of all food service employees and strengthening the existing screening methods to control the problem of bacterial infestation in food handlers.

Comparison of Eight Cell-Free Media for Maintenance of Toxoplasma gondii Tachyzoites.

BACKGROUND: Toxoplasmosis is considered as one of the most common infectious diseases caused by the protozoan parasite Toxoplasma gondii. Tachyzoite is the main form of Toxoplasma and continuously is maintained in cell culture or injected into the mice peritoneal cavity. This study was designed to evaluate the survival rate of RH strain of T. gondii tachyzoites in different cell free, nutrient and biological media at different temperatures. METHODS: This experimental study was performed at the Toxoplasmosis Research Center, Mazandaran University of Medical Sciences, Sari, Iran, in 2010. One ml of each solution including hypotonic saline (0.3%), normal saline (0.85%), RPMI-1640 (RPMI), RPMI with 10% fetal bovine serum (FBS), RPMI with 20% FBS, ovine hydatid cyst fluid, pasteurized milk of cow, and phosphate buffered saline (PBS) along with 4×10(4) T. gondii tachyzoites were added to plate wells and incubated in 4 °C, 22 °C, 37 °C, and 37 °C under 5% CO2. The survival rate and viability assessment of parasites were performed daily and the results were analyzed using Univariate tests. RESULT: Tachyzoites survival rate in PBS (4 °C) and normal saline (4 °C) were considerably high, compared to other solutions in different conditions (P<0.001). The best temperature for Toxoplasma maintenance was 4 °C (P<0.001). CONCLUSION: This study introduces two available and economical solutions, PBS (4 °C) and normal saline (4 °C) media, for maintenance of Toxoplasma tachyzoites as appropriate choice media for a noticeable period of time (11 days) in vitro.

Prevalence of intestinal parasites among food handlers of Sari, Northern Iran.

Parasitic infection is highly prevalent throughout the developing countries of the world. Food handlers are a potential source of infection for many intestinal parasites and other enteropathogenic infections as well. The aim of this study was to determine the prevalence of intestinal parasite carriers among food handlers attending the public health center laboratory in Sari, Northern Iran for annual check-up. The study was performed from August 2011 through February 2012. Stool samples were collected from 1041 male and female food handlers of different jobs aged between 18 to 63 years and were examined following standard procedures. Sociodemographic, environmental and behavioral data analysis of the food handlers were recorded in a separate questionnaire. Intestinal parasites were found in 161 (15.5%) of the studied samples. Seven species of protozoan or helminth infections were detected. Most of the participants were infected with Giardia lamblia (53.9%) followed by Blastocystis hominis (18%), Entamoeba coli (15.5%), Entamoeba histolytica/dispar (5.5%), Cryptosporidium sp. (3.1%), Iodamoeba butschlii (3.1%) and Hymenolepis nana (1.9%) as the only helminth infection. The findings emphasized that food handlers with different pathogenic organisms may predispose consumers to significant health risks. Routine screening and treatment of food handlers is a proper tool in preventing food-borne infections.

Prevalence of ittestinal parasites among food handlers of sari, northern Iran / Prevalência de parasitas intestinais entre manipuladores de alimentos de Sari, Norte do Iran

Parasitic infection is highly prevalent throughout the developing countries of the world. Food handlers are a potential source of infection for many intestinal parasites and other enteropathogenic infections as well. The aim of this study was to determine the prevalence of intestinal parasite carriers among food handlers attending the public health center laboratory in Sari, Northern Iran for annual check-up. The study was performed from August 2011 through February 2012. Stool samples were collected from 1041 male and female food handlers of different jobs aged between 18 to 63 years and were examined following standard procedures. Sociodemographic, environmental and behavioral data analysis of the food handlers were recorded in a separate questionnaire. Intestinal parasites were found in 161 (15.5%) of the studied samples. Seven species of protozoan or helminth infections were detected. Most of the participants were infected with Giardia lamblia (53.9%) followed by Blastocystis hominis (18%), Entamoeba coli (15.5%), Entamoeba histolytica/dispar (5.5%), Cryptosporidium sp. (3.1%), Iodamoeba butschlii (3.1%) and Hymenolepis nana (1.9%) as the only helminth infection. The findings emphasized that food handlers with different pathogenic organisms may predispose consumers to significant health risks. Routine screening and treatment of food handlers is a proper tool in preventing food-borne infections.

Infecção parasitária é altamente prevalente entre os países em desenvolvimento do mundo. Manipuladores de alimentos são fonte potencial de infecção de muitos parasitas intestinais assim como de outras infecções entero-patogênicas. O propósito deste estudo foi determinar a prevalência de portadores de parasitas intestinais entre pessoas que manipulam alimentos e atendem o centro de saúde pública em Sari, norte do Iran para possível check-up. O estudo foi conduzido de agosto de 2011 até fevereiro de 2012. Amostras de fezes foram coletadas de 1041 manipuladores de ambos os sexos e de diferentes funções entre a idade de 18 e 63 anos e foram examinados de acordo com procedimentos standard. Em questionário separado foram colocadas as análises sóciodemográficas, ambientais e de comportamento dos manipuladores de alimentos. Parasitas intestinais foram encontrados em 161 (15,5%) das amostras estudadas. Sete espécies de protozoários ou infecções por helmintos foram observadas. A maior parte dos participantes estava infectada com Giardia lamblia (53,9%) seguida por Blastocystis hominis (18%), Entamoeba coli (15,5%), Entamoeba histolytica/dispar (5,5%), Cryptosporidium sp. (3,1%), Iodamoeba butschlii (3,1%) e Hymenolepis nana (1,9%) como a única infecção por helminto. Os achados enfatizaram que os manipuladores de alimentos, com diferentes organismos patogênicos podem se constituir risco significante para os consumidores. Exames rotineiros e tratamento dos manipuladores de alimentos são as ferramentas apropriadas para prevenir as infecções originadas de alimentos.

Distribution of bla(OXA-23), ISAba , Aminoglycosides resistant genes among burned & ICU patients in Tehran and Sari, Iran.

BACKGROUND: Multidrug resistant strains of Acinetobacter baumannii (MDR-AB) have emerged as alarming nosocomial pathogens among patients admitted to Intensive Care Unit and burned patients. The aim of this study was to determine the susceptibility of A. baumannii isolates, the carbapenems resistance patterns bla(OXA-23) and also ISAba elements of A. baumannii isolates among burned and ICU patients in Tehran and Sari, Iran. METHODS: In this study, 100 A. baumannii isolates from burned and ICU patients in Tehran and Sari (Iran) during 2013 were tested for determination of antimicrobials susceptibility by the disc-diffusion method on Mueller Hinton agar recommended by the guidelines of Clinical and Laboratory Standards Institute (CLSI), and frequency bla(OXA-23) carbapenemase genes, and insertion elements ISAba genes were studied by PCR method. RESULTS: The highest rates of susceptibility were observed with Colistin (88.7%), Tigecycline (82.2%), Imipenem (67%) and ISAba (32.2%). The extensively drug-resistance and pan drug-resistance were observed in 37.1% and 8.1% isolates, respectively. Results indicated among isolates resistant to Aminoglycoside and Carbapenem, the highest resistance was observed to Streptomycin (90%) ' and the most sensitivity was to Imipenem (67%). CONCLUSIONS: This is the most study that attempted to detect Acinetobacter baumanii the insertion elements ISAba , bla(OXA-23) and aminoglycosides resistance in MDR-AB isolates from burned and ICU patients in Iran. In a timely manner, antimicrobial resistance surveillance and strict infection control strategies are still lacking in burn ward and ICU in Iran, despite the alarming emergence of MDR-AB strains, particularly among those isolates that are not susceptible to Colistin. The results of this study are consistent with a recent report in which a number of combinations exhibited potent activity against Multidrug resistant strains of A. baumannii (MDR-AB).

Intestinal parasitic infections among intellectual disability children in rehabilitation centers of northern Iran.

Parasitic infection is highly prevalent throughout the developing countries of the world. These infections are the major problem in rehabilitation centers for the mentally retarded. There have been many reports about the prevalence of parasitic infection among different groups of people in Iran; however, the epidemiological data in intellectual disability (ID) individuals are rare and there are no such data from northern Iran. The aim of the present study was to determine the incidence of intestinal parasitic infections among the inhabitants of rehabilitation centers of Mazandaran province, northern Iran. A triple fecal specimens was collected from each of the 362 participants (183 males, 179 females) residing in six rehabilitation centers of Behshahr, Sari, Amol, Nowshahr and Ramsar. Each specimen was examined by direct wet mounting, formol-ether concentration, Ziehl-Neelsen and trichrome permanent staining. The overall infection rate of intestinal parasite was 26.2% (95 out of 362 subjects; 22.4% in males and 30.2% in females). Giardia lamblia was the most commonly found protozoan parasite (8.0%) followed by Entamoeba coli (5.5%), Blastocystis hominis (3.3%), Endolimax nana (2.8%) and Entamoeba histolytica (1.7%). Double infections were E. coli and B. hominis (1.1%), G. lamblia and Chilomastix mesnili (1.1%), G. lamblia and B. hominis (0.5%), G. lamblia and E. coli (0.5%), E. histolytica and E. coli (0.5%), E. nana and E. coli (0.5%) and E. nana and B. hominis (0.5%). No egg-positive case was found. These helminthic parasites were found to be not common among the participants, 75% of whom had been treated with mebendazole by guardians as a tradition, every 6 months. Nevertheless, our data in rehabilitation centers in northern Iran suggest that infection is not higher than that in community population in recent years in this geographical area.

Prevalence of Toxoplasma gondii antibodies in stray cats in Sari, northern Iran.

Cats are important in the epidemiology of Toxoplasma gondii because they are the only hosts that can excrete environmentally resistant oocysts. T.gondii is a major zoonotic agent which infects up to one-third of the world population. Toxoplasmosis in neonates and immunocompromised patients can lead to severe disease and death. A cross- sectional parasitological and serological survey with latex agglutination test (LAT) to detect anti-T. gondii antibodies was conducted on 100 serum samples collected from stray cats in five urban areas of Sari, Northern Iran, from April to November 2004. Classification by age, sex, weight, season and region was made. Results analyzed according to specific variables. The overall prevalence of T. gondii IgG antibodies (LAT titre > or = 1:1) were found in 40 of 100(40%) of stray cats, with regional variations. Overall 16 of 100(16%) of stray cats had diagnostically significant antibody titres (LAT > or = 1:64). Prevalence was significantly higher in adult cats (1.5-3.0 kg, 54.5% of 66) than in juvenile cats and kittens (< or = 1.4 kg, 11.8% of 34) and higher in female stray cats (44.4% of 72) than in male stray cats (28.6% of 28). Toxoplasma seroprevalence was highest in the season of spring (22.4%). There was a significant difference in the prevalence of infection relative to host age and weight (P < 0.05). No significant difference was found between the prevalence of infection relative to host gender, urban sites and season (P > 0.05). Prevalence of T. gondii oocyst was also analyzed by a routine coprological method in 100 cats. T. gondii oocysts were not found in any faecal samples analyzed. Only 2 out of 100 smear preparations of intestinal mucosa showed trophozoites of T. gondii.