Madineh Hossein, Yadollahi Farrokh, Yadollahi Farshad, Mofrad Ebrahim Pouria, Kabiri Majid
MD in Anesthesia, Assistant Professor, Department of Medicine, Shahrekord University of Medical Sciences, Shahrekord, Iran.
MD in Anesthesia, Fellowship of Intensive Care Medicine, Assistant Professor, Department of Medicine, Shahrekord University of Medical Sciences, Shahrekord, Iran.
Electron Physician. 2017 Apr 25;9(4):4064-4071. doi: 10.19082/4064. eCollection 2017 Apr.
Nosocomial infections are one of the main causes of mortality and morbidity in hospitals, especially in intensive care units (ICUs).
The aim of this study was to examine the impact of garlic tablets on nosocomial infections in hospitalized patients in intensive care units.
This clinical trial was carried out on 94 patients, admitted to the intensive care units in Kashani and Al-Zahra hospitals from January 21, 2014 to December 20, 2014. Firstly, the patients were randomly selected by simple sampling, then they were assigned into case and control groups. The case group administered one 400 mg garlic tablet daily for 6 days and the control group received placebo. During the study, inflammatory blood factors and infection occurrence in the two groups were compared. The Data were analyzed by SPSS software version 22 through descriptive tests such as independent t-test, Chi-square test, ANOVA and exact Fisher test for the analyses of primary and secondary outcomes.
During the study period, 78 cases of intravenous catheter tip were sent to laboratory for culture, of which, 37 cases were in the intervention group and 41 in the control group. Culture results of Catheter tips was positive in 5 cases and all five cases were in the control group. Frequency distribution of catheter tip culture was significantly higher in the control group than that of the intervention group (p=0.03).
Based on the results of our study, in people with weakened immune systems and in people with high incidence of opportunistic infections, it is necessary to strengthen their body's immune system stimulants before dealing with these infectious agents, and cause decrease in the diseases insusceptible people. It was suggested that garlic supplementation has shown to be effective in patients admitted to ICU, who are highly susceptible to nosocomial infection, and it can be used for the prevention of septicemia and urinary tract infections. However, further research with larger sample size is needed.
The trial was registered at the Iranian Registry of Clinical Trials (http://www.irct.ir) with the Irct ID: IRCT207406156480N6.
Shahrekord University of Medical Sciences financially supported this research.
医院感染是医院内死亡和发病的主要原因之一,尤其是在重症监护病房(ICU)。
本研究旨在探讨大蒜片对重症监护病房住院患者医院感染的影响。
本临床试验于2014年1月21日至2014年12月20日在卡沙尼医院和宰赫拉医院的重症监护病房对94例患者进行。首先,通过简单抽样随机选择患者,然后将他们分为病例组和对照组。病例组每天服用一片400毫克大蒜片,持续6天,对照组服用安慰剂。在研究期间,比较两组的炎症血液因子和感染发生情况。数据通过SPSS 22软件进行分析,通过独立t检验、卡方检验、方差分析和精确费舍尔检验等描述性测试对主要和次要结果进行分析。
在研究期间,78例静脉导管尖端样本被送去实验室进行培养,其中干预组37例,对照组41例。导管尖端培养结果有5例呈阳性,所有5例均在对照组。对照组导管尖端培养的频率分布显著高于干预组(p = 0.03)。
根据我们的研究结果,对于免疫系统较弱和机会性感染发生率较高的人群,在应对这些感染病原体之前,有必要加强其身体的免疫系统刺激剂,并降低易感人群的疾病发生率。建议补充大蒜对入住ICU且极易发生医院感染的患者有效,可用于预防败血症和尿路感染。然而,需要进行更大样本量的进一步研究。
该试验在伊朗临床试验注册中心(http://www.irct.ir)注册,注册号为:IRCT207406156480N6。
设拉子医科大学为该研究提供了资金支持。