ﾊｿZf { ½Z¯{ﾂｯ { A ﾃﾁｳｮﾌfﾌｷﾂｼﾅZf] ﾂｯﾂｯﾂfa fⅥ ﾊｬｸu 敖ﾌ µZ { ½Y

by user

on 28 марта 2017

Category: Documents

>> Downloads: 0

views

Report

Comments

Description

Download ﾊｿZf { ½Z¯{ﾂｯ { A ﾃﾁｳｮﾌfﾌｷﾂｼﾅZf] ﾂｯﾂｯﾂfa fⅥ ﾊｬｸu 敖ﾌ µZ { ½Y

Transcript

ﾊｿZf { ½Z¯{ﾂｯ { A ﾃﾁｳｮﾌfﾌｷﾂｼﾅZf] ﾂｯﾂｯﾂfa fⅥ ﾊｬｸu 敖ﾌ µZ { ½Y

49
½Z//n¿Ê°a¹Â/¸ÃZ/´¿Y{ÊÅÁaÊ¼¸Ä¸n»
ZecZv¨,½Zf]Ze,ÃZ¼,ÃÁ{
Ê¿Zf]{½Z¯{Â¯{AÃÁ³®ÌfÌ·Â¼ÅZf]Â¯Â¯ÂfafYÊ¬¸uÂÌ
Downloaded from zums.ac.ir at 2:28 IRDT on Saturday April 1st 2017
µZ{½Y|ÅYÆ
*ÂË§ÂaZ¿Ê¬ef¯{,*Ê¿Y|ÅYÊ¯Æ¹YÆf¯{,*Êm]d¸Z]Yf¯{
*½ZÌWZ°]|¼v»f¯{,*{§Ê¬¬v»¾ÌuÌ»Yf¯{,**Ê¸ËZ§¤Yf¯{
[email protected]ÊZÀ]Á°Ì»ÃÁ³,Ê°aÃ|°¿Y{,½Y|ÅYµÂX»ÉÃ|ÀËÂ¿
Ë~ad§ZË{
Ã|Ì°q
ÉÃ|/¼cÔ°/»YÊ/°Ë,AÃÁ/³®ÌfÌ·Â¼ÅZ/f]®/¯Âfaf/YZ/]d//¿Â¨YÊZ¿Ê^¸«ºÌeZ»ºÆ»ÉÄZÁdË¿Z§¥|ÅÁÄÀÌ»
Ä/]Ä/mÂeZ/]Á|//¿Y{Ä|»ÁÃ{YÂ¿Zy{d¿Â¨Zf¿Y{ÉiÂ»¬¿Éf¯Z]¾ËY¾Ì¸»ZuÄ¯ÊËZn¿MY|Z]Ê»½Z¯{Â¯Ê¿Z»{/ÊfY|Æ]
½Z/¯{Â¯{AÃÁ/³®/¯Âfaf/YÊ//¬¸u½ÂÌYÌ¿Â¸¯Ê^¿ÂÌ¾ÌÌ edÆmÄ ·Z»¾ËY,dYÃ|Ã|ÅZ»ÊËÁY{d»ÁZ¬»YÄ¯É{YÂ»
|¹Zn¿YµZ{½MÊËÁY{d»ÁZ¬»¾ÌÌ eÁ½Y|ÅYÆÊ¿Zf]{
ÁÄ/]Ä/¯Æ/t/Ê/ËY|f]YÉZÅ½Zf/]{dË¿Z/§d/»ÁÔ½Á|/]º·Z//aÁf/y{Â/»M/¿Y{ÉÂ//¸³YÊ]Á
{d///¯Y/aÁ|/ÉY{/]Ä/¿Â¼¿¶Ëf/Y_YÂ/Z/]½Zf/»¶/§Ê/,|/¿{Â]Ã|/[Z/zf¿YÉYÄ/¬^ÁÉYÄ/ÂyÉÌ/³Ä/¿Â¼¿
Ê/¸Ì¸veÁÊ/¨ÌÂeZ/»MYÃ{Z¨f/YZ/]lËZ/f¿|/¹Z/n¿YÊ/]Á°Ì»|/dÌ/ZuËZ/»M,Éf¯Z/]ÉZ/Y|/mÁZ/³M/{Ô//]Ìv»
d§³Y«¶Ì¸veÁÄËne{Â»Á{ÉZ¯½Â»M
YfÌ]Ê¼¯|{½Yfy{{½ÂÌYÌ¿Â¸¯½YÌ»|¾ÌÌ e¨¿|{A®ÌfÌ·Â¼ÅZf]Â¯ÂfafYÊ¬¸uÂÌZÅÄf§ZË
¹Á{ÉÄ//ËZa,|{µÁYÉÄËZadYÄfY{cÁZ¨eºÅZ]ÊÂ»MÉZÅÄËZa{Éf¯Z]¾ËYÂÌ½YÌ»Äq³Y{Â]|{½Ya
{Y|/¿½Z//¿ÉY{ÊÀ »ÉZ»M¥ÔfyYÁ{ÉZ¯½Â»MÊ·Á,|{ºnÀaÉÄËZaÁ|{¹ZÆqÉÄËZa,|{¹ÂÉÄËZa,|{
|¿{Â]ZuºÌ°Ì¨Á¾ÌËZ»ÁfËY,¾Ì¸ÌÊÀa®ÌeÂÌ]Êf¿MÄÄ]d^¿Ã|»Md{Ä]ÉZÅÂÊ»Z¼e
®//¯ÂfafYYÊZ¿ÉZÅÉZ¼Ì]µfÀ¯ÁÉÌ´ÌaÉZÅÄ»Z¿]¾ËÁ|eÁ½Z¯{Â¯ÊfY|Æ]¶WZ»Ä]ÄmÂe¹Á·³½ZÌ]¶ZulËZf¿ÉÌ³ÄnÌf¿
|Z]Ê»½MYÊZ¿ºÆ»YÂÁAÃÁ³®ÌfÌ·Â¼ÅZf]
¿ÂÌaÂ¯Â¯ÂfafY,Ê°¯ÂfafY{{Â¸³,A®ÌfÌ·Â¼ÅZf]®¯ÂfafYÉ|Ì¸¯½Z³YÁ
¾/ËY{/§Ä/]/vÀ»d/Ì¼ÅY{Y{{Â//mÁZÌ¿{Z¬¿ÉÄ¼Å
Ä»|¬»
\/eÊ/À Ë½MÊ/¯qÌ/£ºÆ/»ÉÄZÁ{¶Ì·{Ä]Éf¯Z]
AÃÁ///////³®ÌfÌ·Â¼ÅZ//////f]®//////¯Âfaf//////Y
Ä/]Ä/¯|/Z]Ê/»{Z/ud/Ë¨¿Â·Á»Â¸³Á{Z//uÊ¼ÌeZ»Á
(Group A Betahaemolytic Streptococcus [GABHS])
{Z/nËYÊ//°¯ÂfafYdË¿Z§µZ^¿{Ä]µÁYÉÄZÂy
{Ä/¯d//Y½Z¿YÉYÉZ¼Ì]ÉZÅÉf¯Z]¾ËeËZYÊ°Ë
½Y|ÅYÊ°a¹Â¸ÃZ´¿Y{ZË{ZfY,ÊZÀ]Á°Ì»zf»*
½Y|ÅYÊ°a¹Â¸ÃZ´¿Y{ZË{ZfY,Ê°aÊZÀ¶´¿Yzf»**
Downloaded from zums.ac.ir at 2:28 IRDT on Saturday April 1st 2017
Ê¿Zf]{½Z¯{Â¯{AÃÁ³®ÌfÌ·Â¼ÅZf]Â¯Â¯ÂfafYÊ¬¸uÂÌ
Á|/{,µZ/{Ä/¸u»Á{{Æ/¾//ËYY|»
ÉZ//ÅdË¿Z§|{Ze¶»ZºÌ¿Z³Y¾ËY{ÂÊ»
µZ//{½Z³³{Ä¯É´Ë{ÉÄ ·Z»{Á|{
Ä//Ì·ÁYÂÄ]Ê°¯ÂfafYdË¿Z§dY½Z¯{Â¯Ê¯q
Ê¿Zf//]{½Z¯{Â¯{¾Ì¸»ZuÂÌ,Ã|¹Zn¿YZe
ÊÀ//ÂÌj¯Y|udYËZÄ·ZZeÉZÅÄr]¾Ì]{
Ê//]®Ë{dYÃ|Ë{³Y³|{Æ¾ËY
¾Ëf//Ì]Ê¸§¿YÁdY½Zf]{ÉÄÌ·ÁYÉZÅµZ{½M
|Y³|{½YÌ»¾ËY½YÆe©{
¾/ËY{Â/Ê//»Ã|Ë{ZÆ]¶ËYÁYÁ½Zf»yYÁY{½MÂÌ
ÉZ///Åd¿Â¨Ê]Z///zf¿Y½Z////»{½YÂ//ÀÄ//]¾Ì¸Ì//ÊÀa
ÃÌ/¿Â¸¯d/»Ô½Á|/]{Y/§YÊ//ÀÌ]ÁÂ¸³{\¸£YºÌ¿Z³Y
\¸«¾¼n¿YÂe, AÃÁ³®ÌfÌ·Â¼ÅZf]®¯ÂfafYYÊZ¿
Â//¸³{YºÌ¿Z³YÄ¯É{Y§Y¾Ì¸»Zu½YÌ»/{ÂÊ»
{YÂ/»{d//YÃ|¹ÔY,Z°Ë»M½Z¯{Â¯Ê»{Z¯MÁZ°Ë»M
Z//Y]|¿Y|¿Y{Zud¿Â¨ºËÔZ»Y,|¿Y{{ÂyÊÀÌ]ZË
d//YÊ]Z/zf¿YÉÁY{¾Ì/ËZ»ÁfËY,¾Ì¸Ì/ÊÀaÄ/]É/·M
ÁÊ/ËYÂÅÁ[MËY//,µZ¶§,ÊËZÌ§Y¤mdÌ «Â»,¾
½Z////»{{Ê///¯YÂyÉZÅ¾ËÂb///Â·Z¨¾///ÌÀqº///Å
Z/e{Á|/u,d//YcÁZ¨f»Ôf^»{Y§YZ]Z¼ec|»
ZÅ|Ì»Z¿Â¨·Â//YÊ·Á|ÀfÅiR»ZÌ]Ê°¯ÂfafYdË¿Z§
¾/ËYÁ|À/Z]Ê»Éf¯Z//]¾ËYÊ¬¸u¶»Zu,½Z¯{Â¯|{
{/¯Ã{Z¨f/Y|ËZ//^¿{ZËd»ÁZ¬»ZyÄ]¾Ì¸°ÌYfeÁ
¶»Z/µZ/¬f¿YÊ//¸YÁdYf¼¯ZÌ]¾Ì¤·Z]{½YÌ»
µZ///{¾Ì//ËZ»ÁfËYÄ//]d»ÁZ//¬»Z//]¾//Ì·ÁY
Ã|/kZ//yÉZÅÃ«ËÁ®Ë{¿Z¼eªËYYÉZ¼Ì]
,¾//aY{ËZÂÄ]0YÌyYÁ|Ã|ÅZ»¹Y|´ÀÌ¯d·ZËY{
d/Ì ¼m//aÊuYÂ¿{Á|Z]Ê»¾Ì¸»ZuÁ½YZ¼Ì]½ZÅ{Y
Ã|/Y/³Z//Ì·ZfËYÁZÌ¿ZbY,Z°Ë»M,ZÌ·YfY,½YÂËZe,|¿ÔÀ§
d///Yf/Ì]Z/f¿Y½YÌ/»Y|/»ÁZ/ÅÄ¿ZyZ]/¶/j»
Ä//¯{Y{½Z///¿Ä/¿Y§{Ä/ ·Z»®/ËlËZ/f¿d/Y
{{Z/uÊ¼/ÌeZ»Á\/eÁ//]yÄ¿Zfz^Ây,,
|/¿YÃ{Â/]¹ÁZ/¬»¾Ì//ËZ»ÁfËYÄ]{YÂ»Y|{{Á|u
ZÆ/Àe,d/YdË¿Z/§Ä//]Ôf^»{Y§YYf¼¯ZÌ]¶»Zu{Y§Y
Z/Å¹Z/f¯ÓZf]Ä//]d»ÁZ¬»ZÌ¿ZbY{É´Ë{ÉÄ ·Z»{
Z/f¿YÃÂ¬·Z/]/^À»½YÂ/ÀÄ/]¶»Z//u{§Ä¯dY¾ËYy
d»ÁZ/¬»|/{Z/Å|Ì·Á¯Z»{Â/»{Z/»Y|//¿Ã|Ë{
Ä/]Y½Y/´Ë{d»Ô/,Ä//|»Ìv»ZËÃ{YÂ¿Zy{d¿Â¨
ÂÌ/½YÌ/»,ZÌ¿Zb/Y{É//´Ë{ÅÁa{|Ã|Ë{
{Y|¿YÊ»y
ÉZÅµZ//Ê//{¾Ì//ËZ»ÁfËYÄ//]¹ÁZ///¬»ÉZ/ÅÄ/¿Â³
½Z/¯{Â¯{¾Ì¸»Z/uÊ/¿YÁY§f/qÁÃZ´//¿Y{ÉÄ ·Z»{
d»ÁZ¬»½YÌ»¾Ì]cÁZ¨eÄ¯{Â]|{ËZe
¹Z¼e{|{½YÌ»¾ËY,[³Y{Á|{º·Z
/¿Y|//{Á|{µZ{
Ã|Ë{³Y³Ä·ZZe½Z¯{Â¯{|{Á¾ÌÀ
{Â]ÄmÂe¶]Z«ÉZ»M
,d/§³cÂ/½|//À·{Ä¯ÉYÄ ·Z»{dY
|//{dYÄf§³cÂ¾ËÁ«{Ä¯Ê]®Ë{
YeÓZ/],É{ÂÆ/Ëd/Ì ¼m{AÃÁ/³®/¯Âfaf//YÂÌ
|/¿{Â]Z//u¾ÌËZ»ÁfËYÁ¾Ì¸ÌÊÀaÄ]ZÅÂ
É{ÂÆË½Z¯{Â¯{½MÂÌÄ¯ÉÂÄ]{Â]Ê»Â¼dÌ ¼m
^/f¯YY±^/fÌaY|//»½YÂ»M¿Y{{Ä¯ÉYÄ ·Z»{
Á\/ÌeeÄ/]¾Ì¸»Z/uº·Z/ÁdË¿Z//§Ä]Ôf^»
{Â/»Y,d/§³cÂ//Ê»ÃZ»ZeµZ
Ä/]½YÌ/»¾/ËYÊ/»Â¼d//Ì ¼m{Ä¯Ê·Zu{,{Â]|{
Y|/m½Â/Ìa®//¯ÂfafY|{{Â»
Â¸³d¯
Ê//¸^«cZ ·Z»YÊy]{{Â]¨Á|{\Ìee
Ê/·Á|//¿{Â]¹ÁZ¬»¾ÌËZ»ÁfËYÄ]ZÅÄËÂ|{Ä¯|
{Ã|/¹Z/n¿YÉÄ// ·Z»{Ä¸¼mY½Z»Â¯{Ã|¹Zn¿Y
|¿Ã|ÅZ»¾ÌËZ»Y|ÀÌ¸¯Ä]Êf»ÁZ¬»{Â»pÌÅ
YÉ{Y|// e{Éf¯Z//]¾//ËY¾Ì¸»Z//uÊ///¿YÁY§,½ZÆ/¨Y
½Zf]Ze,ÃZ¼,ÃÁ{,½Zn¿Ê¿Z»{ÊfY|Æ]cZ»|yÁÊ°a¹Â¸ÃZ´¿Y{ÊÅÁaÊ¼¸Ä¸n»
Downloaded from zums.ac.ir at 2:28 IRDT on Saturday April 1st 2017
½YZ°¼ÅÁÊm]d¸Z]Yf¯{
¾/ËY½{Â/]Ê/¨À»cÂ/{|/Ê»¹Z//n¿YÓZeZ¯ËZ»M
Éf¯Z/]¾//ËY¾Ì¸»Zu½YÌ»Y¹ÓcZÔY½Y|¬§Ä]ÄmÂeZ]
®/ÌfÌ·Â¼ÅZ/f]Â/¯Â¯Âfaf//YÄ¯|Ê»z»ËZ»M
Á[MÁÊËZ/Ì§Y¤mÉZ/ÅÊ³/ËÁÁÊ//¯{Â¯¾ÌÀ{ÃËÁÄ]
Ä//]dÌZuY½MdËÂÅ¾ÌÌ eÉY]| ]ÉÄ¸u»{dY
s/¥Y|/ÅYYÊ//°ËÄ¯¾ËYÄ]ÄmÂeZ]Ì¿Á,Ä¬À»ÊËYÂÅ
dÌ/ZucÂ//{Ä¯É|uYÁ¾ÌYfÌZ]®Ë{
¾/ÌÌ e½Y//ËYY|»{Ê¼ÌeZ»Á\eLÄÌ·ÁYÉÌ´ÌaÊ¸»
d»ÁZ//¬»Áf/»Ê¸Ì»Y/Ì]/«Z/]|/¹|/Ä/·ZÅ
/ËY§YÄ//]dËZÀZ]Á|Z]Ê»Éf¯Z]¾ËY¾Ì¸»Zu½YÌ»
Â////À»Ä//]|//Ã{Z¨f//YµÁZ//¯Â¼ËeÂ¯//]Y]{
¾/ÌÌ e¥|//ÅZ]ÅÁa¾ËY,¾ÌËZ»ÁfËYÄ]d»ÁZ¬»ÂÌ
½Â/ËÂ¨Ë{®//Ë{{Y|¿ZfYÁÄ]ÊËÁY{d»ÁZ¬»¾ÌÌ e
½Z/¯{Â¯{AÃÁ/³®//ÌfÌ·Â¼ÅZf]Â¯ÂfafYÊ¬¸uÂÌ
{ÁÃ{Â/¼¿d/Y{]Éf¯Z/]¾//ËYÉZÅÊÀ¸¯YWZ]/Ê]¯
|¹Zn¿YµZ{½Y|ÅYÊ¿Zf]{
¹Y/³Â/Ì]Ê/f¿MÉZÅ®/Ë{YÁÃ{Y{d/¯Z//³M{Ô]Ìv»
//Ìv»ÉÁ//]ºÌ///°Ì¨Á¾Ì/ËZ»ÁfËY,¾Ì¸Ì/Ê/Àa
Ä/]Ä/m{{Ä/¿Zz»³{YZ//ÅdÌ¸aÁÃ{Y{Y«d¯
|/¹|/ÉÄ//·ZÅ«½MYaÁÄfY~³dZc|»
Ád»ÁZ///¬»,Ä/ËZ¬»{Y|¿Zf/YÉÃY|/¿YZ/]ÁÉÌ/³ÃY|/¿Y
|Ë{³z»½MdÌZu
lËZf¿
YÄ/¿Â¼¿Ä/¯|//Ã{Y{d¯Ä¿Â¼¿Â¼n»{
®///¯Âfaf////Y{Â//]½Yf//y{YÄ//¿Â¼¿Á½Y//a
ËZ///»M{Â////»ÉÄ//¿Â¼¿YAÃÁ//³®ÌfÌ·Â¼ÅZ//f]
µÁ|m|Y|m|{
|Å{Ê»½Z¿¦¸fz»ÊÂ»MÉZÅÄËZa{Éf¯Z]¾ËYÊ]
{,|/{/¨¿µÁYÉÄ/ËZa{¾Ì¸»Z//u{Y| eÄ¯
//¨¿¹Â///ÉÄ/ËZa{,|/{/¨¿¹Á{ÉÄ/ËZa
//Àm\///u/]AÃÁ/³®/¯Âfaf/Y¾Ì¸»Z/uÊ/¿YÁY§µÁ|/m
½Y|ÅY,Ê¿Zf]{½YÂ»M¿Y{
Ìy
Ê¸]
¶»Zu
Àm
*
a
fy{
¼m
|ÀZ]Ê»|{³½ZÌ]f¿Ya¶yY{{Y|Y*
Ê]Á
Æ/Ê¿Zf/]{½Z/¯{Â¯ÉÁ/]Ê/¨ÌÂeÉÄ// ·Z»¾ËY
ºÌ¬eÄ¬À»Ä]ÆÉÌ³Ä¿Â¼¿ÂÀ»Ä]|¹Zn¿Y½Y|ÅY
Ä¿Y/aÊ/°ËÁÄ//¿Yfy{Ê°Ë½Zf]{Ä¬À»ÅYÁ|
Ê§{Z/eÁÄ/]¹ÓÉÄ/¿Â¼¿{Y|// ebÁ|[Zzf¿Y
ÉÄ/ÀËZ »{Ä/¯É{Y/§Y|¿|/[Z//zf¿YÉYÄ¬^ÁÉYÄÂy
,Ê·Z/uÊ],//·,\edË¿Z§ºËÔÄ¿Â³Å|«Z§¶»Z¯ÊÀÌ·Z]
{YÁ|/¿{Â]ª//¸uÉ»«Á[ZÆf·YÁÊÀÌ]Ë]M,{{Â¸³
|¿|Ä ·Z»
Á°¿Z/§ÉÄ/ÌuZ¿Y¶Ëf/Y_YÂ//ÂeÉY{]Ä¿Â¼¿
ÉÄ/·Â·®/Ë{ZÅÄ/¿Â¼¿b//|¹Zn¿YÃÂ·Á{Åt
{ZÅÄ/¿Â¼¿|/¿|Ë{³¶/¬fÀ»ÃZ´/ËZ»MÄ//]¶ËfYËZ»M
ÁÃ{Y{d//¯(Streak)ÊycÂÄ]Y{½ÂyÂ·Ìv»
Ê/¬¼Â/Ä/]//Ìv»ÉÄ¬¿|Àq{Ä¿Â¼¿Ä]Äf£M_Â·
dÌ·Z/ §ÉY/]ÉYÂ/ÅÊ]ËY/{Z//nËYÉY]|Ë{³tÌ¬¸e
{ÉYÂÅËY{Yd¯Ìv»bÁO¾ËÌ·ÂfafY
Y| ]ÁÄfY~³Ä¿Zz»³{{Y³Êf¿ZÉÄm{Ze
Â//¯Â¯Âfaf/YÉZ/ÅÊÀ¸¯{Â/mÁ/¿YZ/ÅdÌ¸adZ/
,Ê/À¸¯ÉÃ|ÅZ//»¹|cÂ{|¿|Ê]®ÌfÌ·Â¼ÅZf]
{Â»ÃZ]Á{ÁÄfY~³Ä¿Zz»³{´Ë{dZYZÅdÌ¸a
¹ÓÄ/¿Â¼¿Y,½{Â/]d//^j»cÂ{Ä¯d§³Y«Ê]
{Â/]d/^j»¹//³Ê¯Â¯³YÁ¹Zn¿Y¹³ÉÌ»M²¿ÁÄÌÆe
½Zf]Ze,ÃZ¼,ÃÁ{,½Zn¿Ê¿Z»{ÊfY|Æ]cZ»|yÁÊ°a¹Â¸ÃZ´¿Y{ÊÅÁaÊ¼¸Ä¸n»
Ê¿Zf]{½Z¯{Â¯{AÃÁ³®ÌfÌ·Â¼ÅZf]Â¯Â¯ÂfafYÊ¬¸uÂÌ
{Ã|¹Zn¿YcZ ·Z»Z]Ê·Á{Y{dÆ]Z»Ì¿Ê¸^«cZ ·Z»
Ê/Â»MÉÄ//ËZa\u]AÃÁ³®¯ÂfafY¾Ì¸»ZuÊ¿YÁY§µÁ|m
dYcÁZ¨f»½ZÆ¨YÁ½YÆe
½Y|ÅY,Ê¿Zf]{½YÂ»M¿Y{
¹Z//n¿YÉÄ ·Z»¾ÌÀqºÅÁÄ ·Z»¾ËY{Ã|»Md{Ä]lËZf¿
d¬]Z//»½Z»Â¯Ê¸^«ÉÄ ·Z»Á{Ä]d^¿½Z³³{Ã|
Ìy
Ê¸]
¶»Zu
ÊÂ»MÉÄËZa
*
µÁY
¹Á{
¹Â
YÊ ]Z/e¾Ì¸»Z/uÂÌ/½YÌ//»Ä¯¾ËYÄ]ÄmÂeZ]dY
¹ZÆq
ÁÊËZ/Ì§Y¤mªZ/À»Ád/Ì ¼mº//¯Ye,ÊËYÂÅÁ[MËY
ºnÀa
¦/¸fz»Z/¬¿{lËZ/f¿¥Ô/fyY¾/ËY,|//Z]Ê»µZ¶§
¼m
ÉÄ/ ·Z»{0Ô/j»,{Y{Ê¿ZÆ/mlËZ/f¿Z//]ÉfÌ]ÊÅY¼ÅÁ
Downloaded from zums.ac.ir at 2:28 IRDT on Saturday April 1st 2017
Ã{Â/]|/{¾Ì¸«Z//¿ÂÌ½YÌ»,[³Y{Ã|¹Zn¿Y
¹Z/n¿Y¶//§Ä¯¾ËYÄ]ÄmÂeZ]ÁdYÄÌmÂe¶]Z«½Z»Â¯
|ÀZ]Ê»|{³½ZÌ]f¿Ya¶yY{{Y|Y*
É|À¿Z/¼Å,d//YÃ{Â]½Z°Ë½Z³³ÁZ»ÉÄ ·Z»{Ê]
Ä//¯¾//ËYÄ///]Ä/mÂeZ/]Ê/§Y{Â/Ê»Ã|/Ë{Éf/Ì]
ÉÄËZa{Á,|{¨¿¹ZÆqÉÄËZa{,|{
Z/f¿Y,d/Y®//yÁ¹³ÉYÂÅÁ[MZ]ªZÀ»Y½Y|ÅY
Ê//f¿M¹Zn¿YlËZf¿µÁ|m{Â]|{¨¿ºnÀa
Ä/]d^//¿AÃÁ³®¯ÂfafYÊ¬¸u¾Ì¸«Z¿½YÌ»Ä¯{ÁÊ»
®/¯Âfaf/YÉZÅÂ/|/{Ä/¯{Y{½Z//¿¹Y³ÂÌ]
|//¿Y{µ|//f »ÉYÂ///ÅÁ[MÄ/¯ªZ/À»ËZ/Á½Z/³/³
ºÌ°Ì¨Á¾ÌËZ»ÁfËY,¾Ì¸ÌÊÀaÄ]AÃÁ³®ÌfÌ·Â¼ÅZf]
ÉZÅÂ//¹Z//¼e,Ê//]¾///ËYZ/Y/]|/Z]f/¼¯
|ÀfÅZu
®/ÌeÂÌ]Ê//f¿MÄÄ]d^¿AÃÁ³®ÌfÌ·Â¼ÅZf]®¯ÂfafY
|//¿{Â]Z//uºÌ//°Ì¨Á¾Ì///ËZ»ÁfËY,¾Ì¸Ì/ÊÀa
hv]
d»ÁZ/¬»Ì/¿Ã|//¹Zn¿Y½ZÆm´Ë{Z¬¿{Ä¯ÊeZ ·Z»{
ÉZÅÄ/¿Â¼¿Y|/{Ä/¯{Y{½Z/¿//ÅÁalËZf¿
d//YÃ|//¿Ã|//Ë{ºÌ//°Ì¨Á¾Ì¸Ì//ÊÀaÄ///]d^/¿
{|Àf///ÅA®ÌfÌ·Â¼ÅZ/f]Â/¯Âfaf/Y¶»Z/u/ÅÁa
Z/Ì¿{ÉÄ/¬¿¾//Ë|Àq{¾ÌËZ»ÁfËYÄ]d^¿d»ÁZ¬»Ê·Á
Ä/¸u»Á{Ê//½ZÆ¨YÁ½YÆe©{Ä¯Ê¸^«cZ ·Z»
{,d//Y/ËY§YµZ/u{Ê/fuÁÃ|/Ã|ÅZ/»
\/ÌeeÄ/]¾Ì¸»Z//uÂÌ½YÌ»,dYÄf§³¹Zn¿Y
Ì/¿d/YÄ/f§³cÂ//,¾ËÁ«Á½ZÆ¨Y{Ä¯ÊeZ ·Z»
ÉÃ|/ÀÅ{½Z/¿Ä//¯Ã|¯}|{Á|{,|{
d^//¿d»ÁZ¬»YÉ{Â»pÌÅÁÃ|»Md{Ä]ÊÆ]Z»lËZf¿
Z/¬¿ËZ//{Ã|¹Zn¿YcZ ·Z»Ä]d^¿Ée¾ÌËZaÂÌ
YÊ//°ËÄf^·Y,dYÃ|¿Ã|Ë{®ÌeÂÌ]Êf¿MÄ¾ËYÄ]
{µZ/½Zf/»{Ä//¯ÉYÄ ·Z»{|Z]Ê»½ZÆm
®Ë{ÁYÃ{Z¨fY,Ä ·Z»Yd¼«¾ËYÉZÅdË{Á|v»
AÃÁ//³®¯ÂfafY¾Ì¸«Z¿ÂÌ½YÌ»,|¹Zn¿Y½Z³³
dÌ/Zu¾ÌÌ edÆmÉYÄ·Â·d«ÁÉZmÄ]½ÂËÂ¨Ë{
½Yf//y{{½M½YÌ»Ä¯|Ë{³Y³|{]Y]
ÉYÄ/·Â·d/«ÁdÌ//ZuYÁ¾ËYÄ¯{Â]ÊËÁY{
½YÌ//»Ì¿Z»ÉÄ ·Z»{{Â]|{½Ya{Á|{
{Ã|/¹Z/n¿YÉÄ/ ·Z»{{Â/mÁ¾//ËYZ],dÌ¿Y{Ây]
{½YÌ/»¾/ËYÄ/¯|/»Md//{Ä]|{¾Ì¸»ZuÂÌ
Z/]lËZ/f¿,Ã|/Ã{Z¨f/YÉYÄ/·Â·d/«ÁYÄ//¯¾ËÁ«
Z//v·YÄ¯{Â]|{½Yfy{{Á|{½Ya
dYÄ]Z»Z»ÉÄ ·Z»ÉZÅÄf§ZË
Z/]Ä/¯{Y|//¿{ÂmÁÀmÁ{¾Ì]ÉY{ÊÀ »¥ÔfyYÉZ»M
½Zf]Ze,ÃZ¼,ÃÁ{,½Zn¿Ê¿Z»{ÊfY|Æ]cZ»|yÁÊ°a¹Â¸ÃZ´¿Y{ÊÅÁaÊ¼¸Ä¸n»
½YZ°¼ÅÁÊm]d¸Z]Yf¯{
Downloaded from zums.ac.ir at 2:28 IRDT on Saturday April 1st 2017
ZfY¾ËY{|Ê»¿Ä]ÉÁZÅ½MÊËÁY{d»ÁZ¬»Á
ÉÌ³ÄnÌf¿
ÂÌ/Ê//]ÁÄ ·Z»ÉÄ»Y{Y]ÃÁÔÄ¯{{³Ê»{ZÆÀÌa
ËZ/Z/]½MÄ/ËZ¬»ÁÄ/¸ZulËZ//f¿Ä]ÄmÂeZ]¾ËY]ZÀ]
Ã/ËÁÄ//]ÁÊÀÉZÅÃ{ËZ{¿ÂÌa®¯ÂfafY¾Ì¸»Zu
ÉÄ/»Y{YÄ/¯|/Ê»/¿Ä//]Â¯kZyÁ¶yY{cZ ·Z»
Ê//ËÁY{dÌZuÉYÃÁ{Ê],ÊËZ¼ÀÅYÊ¸Ìve¬»
ÉÌ´//ÌaÊ///¸»s/{Ã|/ÃZ/Y¥Y|/ÅYZ/]Ä/ ·Z»
Êf/Y|Æ]/e[Â¸»ÉZ/ÅÉËÄ/»Z¿]dÆ//mºÌ¿Z³Y¾ËY
¦¸fz»ÉZÅ`ÌeÁ¾ÌÌ eªËYÌ¿ÁÊ¼ÌeZ»Á\eY
{Â¹Zn¿YÌ¿Ê¿Z»{
ÉZÅÊ//]Â/À»Ä/]AÃÁ/³®ÌfÌ·Â¼ÅZ/f]®/¯Âfaf/Y
ÉY/]\/ZÀ»ÉZ/ÅÁÉÌ/³Z/¯Ä/]ÁÊfyZÀ//Ì³Ä¼Å
Ê¿Y{|«Á°e
½YÌ//»ÄqÅÄ¯Zn¿MY¾ÌÀqºÅ|Z]Ê»ÉÁÉÌ´Ìa
Ê°/a¹Â/¸ÃZ´//¿Y{ÅÁaÉYÂYÄ¸ÌÁ¾ËYÄ]
//°»Z//f¿Yd///¸Ä/]|/Z]f/Ì]Ä/¬À»{¾Ì¸»Z/u
YÌ/¿ÁÊeZ/¬Ì¬ves/¾//ËYÄm{Â]¾Ì»PeZyÄ]½Y|ÅY
Á//]ÁÉf¯Z]¾ËYÊËYÉZ¼Ì],{| f»ÉZÅZZaÁÄ »Zm{
Ã/ËÁÄ//]Ê°aÉÃ|°¿Y{ÉÂ·ÂÌ]Á°Ì»ÃZ´ËZ»M¶Àa
¾ËY]Z/À],{Â/Ê»f/Ì]½MÊ/¯qÌ/£ÁÊ//¯qYÂ
{{³Ê»ÉY³ZbÁ°e,½ZËn»ÉZ«M[ZÀm
dË¿Z///§{YÂ///»Ì///¿Á¾Ì¸»Z////u//eªÌ«{ÊËZ//ZÀ
]ZÀ»
1- Bisno AL, De Rijn EV. Classification of Streptococci. in: Mandell GL, Benetts JE, Dolin R (editors). Principle and
Practice of Infectious Disease. 5th ed. Newyork: Churchill Livingston; 2000, 2100 - 127.
2- Wessels MR. Streptococcal and Entrococcal Infection. In: Harrison S (editor). Principle of Internal Medicine. 15th
ed. New york: McGraw-Hill Medical Publishing Division; 2001, 902-92.
ZecZv¨,Z¼¿½YÆeµÁY_ZqeÁZmÊ°aÊZÀ[Á°Ì»ÉÄ¼me{ÂÀÌ»6v»/
Ê¿Zf/]{º·Z//½Z¯{Â¯{AÃÁ³®ÌfÌ·Â¼ÅZf]®¯ÂfafY¾Ì¸«Z¿ÂÌ½YÌ»½YZ°¼ÅÁZ|¼v»Ê¸Z§,½ZnÌ¸ÊËY^e,YcÊ¼WZ«/
ZecZv¨ÃZ¼-½Z³³Ê°a¹Â¸ÃZ´¿Y{Ê¼¸ÉÄ¸n»½Z³³½ZfÆ
5- Pichichero ME, Marsocci SM, Murphy ML, etal. Incidence streptococcal carriers in private pediatric practice. Arch
Pediatr Adolesce Med. 1999; 153 (6): 624-8.
6- Begouane J, Bodina E, Benie B etal. Asymptomatic phraryngeal carriage of Beta hemolytic streptococci and
streptococcal pharyngitis among patient's at an urban hospital in croatia. Eur J Epidemol. 1993; 9:45 - 50.
7- Spitzer
J, Henessy E, Neville L. High group A streptococcal carriage in the orthodox Jewish community of north
Hackney. Br J Gen Pract. 2001; 51 (463): 101-5.
Ä/ÌuZ¿Y|/»YÉ{Y|/ e/aÁf/y{½YÂ/»M//¿Y{{½ÂÌa®¯ÂfafY¾Ì¸«Z¿Ê¿YÁY§ÃÆ{Z§,Z»Ô£½ZÌmËY,^¯YÊ¸¯Âe/
ZecZv¨ÃZ¼,ºÅ{¿ZµZ-½ZÆ¨YÊ°aÃ|°¿Y{Ä¸n»½ZÆ¨YÁaÁÂ»M
ÃZ¼/,Ä/Ì¯eÁ\/Ä//¸n»/µZ{½YÆe©Y|»{®¯ÂfafYÂÌÊ]¾Ìu|¼v»Ã{Y½Z¸ /
ZecZv¨
10- Bassett M, Manno G, Collida A, etal. Erythromycin resistance in streptococcal pyogenes in Italy. Emerg Infect Dis.
2000; 6 (2): 180 -3.
½Zf]Ze,ÃZ¼,ÃÁ{,½Zn¿Ê¿Z»{ÊfY|Æ]cZ»|yÁÊ°a¹Â¸ÃZ´¿Y{ÊÅÁaÊ¼¸Ä¸n»
Ê¿Zf]{½Z¯{Â¯{AÃÁ³®ÌfÌ·Â¼ÅZf]Â¯Â¯ÂfafYÊ¬¸uÂÌ
11- Bingen E, Fitouss F, Doit C, etal. Resistance to macrolid a in streptococcal pyogens in France in ped iatric patients.
Antimicrob Agents Chemother. 2001; 44 (6): 1453-7.
12- Betriu C, Casado MG, Gomes M, Sanchez A, Palan MI, Picazo JJ, etal. Incidence of erythromycin resistance in stre
ptococcal pyogenes, a 10 Year study. Diagn Microbial Infect Dis. 1999; 33 (4): 255-6.
13- Baquero F, Garcia JA, Delomas JG, Aguilar L, etal. Antimicrobial resistance of 914 Beta hemolytic strepto cocci
Downloaded from zums.ac.ir at 2:28 IRDT on Saturday April 1st 2017
isolated from pharyngeal swabs in Spain. Antimicrob Agent chemother. 1999; 43 (1): 178-80.
Ä/¸n»¾Ì¸Ì/Ê/ÀaÄ//]AÃÁ³®Ìf·Â¼ÅZf]®¯ÂfafYdÌZu½YÌ»½YZ°¼ÅÁZ|¼v»ÃYÂyÌy,É|Æ»Ê¿Y{,ºZ¬·YÂ]YÊ·Z¼¯ /
ZecZv¨,ÃZ¼-¾ËÁ«Ê¿Z»{ÊfY|Æ]cZ»|yÁÊ°a¹Â¸ÃZ´¿Y{
15- Martin
JM, Green M, Berbadora
KA. Erythrmycin resistant
group A
streptococci in school children in
Pittsburgh. N Eng J Med. 2002; 346 (16): 1200-6.
16- Forbes BA, Sahm DF, Weissfeld AS. Baily & Scott's Diagnostic Microbiology. 10th ed. Baltimore: Mosby Co;
1998, 620-35.
½Zf]Ze,ÃZ¼,ÃÁ{,½Zn¿Ê¿Z»{ÊfY|Æ]cZ»|yÁÊ°a¹Â¸ÃZ´¿Y{ÊÅÁaÊ¼¸Ä¸n»

ﾊｿZf { ½Z¯{ﾂｯ { A ﾃﾁ ｳ ｮﾌfﾌｷﾂｼﾅZf] ﾂｯﾂｯﾂfa fⅥ ﾊｬｸu 敖ﾌ µZ { ½Y

Comments

Description

Transcript

ﾊｿZf { ½Z¯{ﾂｯ { A ﾃﾁｳｮﾌfﾌｷﾂｼﾅZf] ﾂｯﾂｯﾂfa fⅥ ﾊｬｸu 敖ﾌ µZ { ½Y