تستخدم مطهرات الارضيات ومطهرات الايدي على نطاق واسع في المستشفيات ومرافق الرعاية الصحية الأخرى لمجموعة متنوعة من التطبيقات. ومع ذلك، لا يتم دائما ذكر فعاليتها المضادة للبكتيريا بشكل جيد من قبل المنتجين والمستهلكين حيت يجدون صعوبة في اختيار المنتج المناسب وفقا لاحتياجاتهم. لذلك، كان الهدف من هذه الدراسة تقييم فعالية التضاد البكتيري لمطهرات الارضيات ومطهرات الايدي المختارة من مركز طرابلس الطبي باعتباره أحد اهم المستشفيات الليبية.  أربعة عشر (14) نوعا من مطهرات الارضيات ومطهرات الايدي.(Dex36, Dex50, Dex53, Mzid-S, Mzid-AF, Deson-AF, Dettol, Seem, Chlor and Wipol, HiBi, Esept, Emed and Desman) . تم تقييمها باستخدام أربعة أنواع من التجارب المعملية العيارية وهي: (capacity test, diffusion test, in-use test and suspension test) ضد ستة من السلالات البكتيرية ، ثلاثة من البكتيريا إيجابية الجرام وثلاثة من البكتيريا سالبة الجرام.(Bacillus cereus, Staphylococcus haemolyticus, Staphylococcus aureus, Klebscilla pneumonia, Acinetobacter baumannii, and Pseudomonas aeruginosa). هذه السلالات تم عزلها من بيئات مختلفة من اقسام مركز طرابلس الطبي ، وقد تم دراسة حساسيتها لمطهرات الارضيات ومطهرات الايدي بتراكيز مختلفة و فترات تحضين مختلفة ، وأظهرت النتائج أن استخدام التراكيز الموصى بها من مركبات (Dex 50 & 53 and Deson-AF) كان لها تأثير كبير على تثبيط الأنواع البكتيرية التالية:Bacillus cereus, Staphylococcus haemolyticus, staphylococcus aureus, Klebsiella pneumonia, Acinetobacter baumannii, and Pseudomonas aeruginosa..تشير النتائج الإجمالية ان مركبات (Dex50 & 53, Mzid-S, Mzid-AF, HiBi) عد استخدامها وفق التخفيفات الموصى بها ، كانت الأفضل كمطهرات ضد البكتيريا التالية:Bacillus cereus, Staphylococcus aemolyticus, staphylococcus aureus, Klebsiella pneumonia, Acinetobacter baumannii, and Pseudomonas aeruginosa إن الاستخدام الجيد والصحيح للمطهرات ضروري لتجنب الإصابة بالأمراض التي قد تنشأ من جراء انتشار مثل هده الميكروبات الممرضة. Abstract Biocides (disinfectants and antiseptics) are used extensively in hospitals and other health care settings for a variety of applications. However, their .ntibacterial effectiveness is not always well stated by the manufacturers and consumers find it difficult to choose the right product according to their .eeds. Therefore, the aim of this study was to evaluate practically achieves disinfection efficacy of locally available disinfectants and antiseptics on surfaces and infectious microbiological utilities of Tripoli Medical Center (TMC). Fourteen biocides; Ten disinfectants (Dex36, Dex50, Dex53, Mzid-S, Mzid-AF, Deson, Dettol, Seem, Chlor and Wipol) and four antiseptics (HiBi, Esept, Emed and Desman) were tested at concentrations .commended by manufacturers on surfaces, walls and different utilities that were ontaminated by locally circulating six isolates of .cilluscereus,Staphylococcus haemolyticus, staphylococcus aureus, Klebscilla pneumonia, Acinetobacter baumannii, and Pseudomonas aeruginosa using four standard evaluation test procedures (capacity test, diffusion test, in-use test and suspension test). Results showed the highest average log reduction (7.4) of test bacteria was given by quaternary ammonium based disinfectants; Dex50, Dex53, Deson-AF and Mzid-S. A comparable average log reduction of test bacteria was noted (7.0, 7.2 and 7.3) for Deson-AF, Dex.50 and Dex.53 respectively. In contrast HiBi as an alcoholic based antiseptic gave the highest average log reduction (7.2) gainst tested bacteria. Desman, Emed and Wipol antiseptics had poor antibacterial activity on tested bacteria causing almost undetectable log reduction in cell viability. From contamination point of view, five critical departments in Tripoli Medical Centre (TMC) namely; Neonatal Intensive Care Unit (ICU), Surgical ICU, Dermatology, Oncology, and Urology departments were found contaminated with six types of bacteria. Bacillus cereuses followed by lebscilla pneumonia were the most bacteria spread in whole five mentioned departments, particularly in dermatology department. Staphylococcus haemolyticus was next most widespread bacterium and almost isolated qually from the five medical departments. Acinetobacter baumannii had been isolated from Neonatal ICU; whereas Staphylococcus aureus and seudomonas aeruginosa had been isolated from Oncology Department and Surgical ICU respectively. In addition, Dex36, Chlor, Chlor, Wipol, Desman and E-med exhibited bacterial contaminationin both capacity and in-use ests.
آمال منصور إبراهيم (2016)

Toxoplasmosis is a zoonotic disease caused by Toxoplasma gondii. Risk factors include consumption of undercooked meat, raw vegetables, and unfiltered water. Aim: This study aims to screen antibodies titer in toxoplasmosis positive patients in Asabieh city in Libya and to screen risk factors associated with infection in this area. Study design: Data were collected using a cross-sectional design. Study Duration and Location: Data were collected from patients of different ages and gendersattending Ali Omar Ascar hospital, Asabieh, during the period of January 2017 to January 2018. Methodology: A single blood sample was collected from 150 patients and spun at 3000 rpm to obtain serum. The serum samples were analysedto detect anti-Toxoplasma IgG and IgM antibodies using enzyme linked immunosorbant assay (ELISA, BioChec) kit according to manufacturer’s instructions. A self-structured questionnaire was used to obtain information on farm animal’s contact, the process of vegetables washing, meatcooking, Water resource and raw water consumption. Results: The total seroprevalence of toxoplasmosis was 78.6%,out of which IgG and IgM were 68%, and 77.4% respectively. Several risk factors were identified, including daily contact with farm animals (82.6% were +ve, P = .0.01), unfiltered water (61.3% were +ve; P = 0.003). Conclusion: asabieh area showed a high prevalence of toxoplasmosis, and many environmental risk factors associated with the infection as animal hosts, human lifestyle were also identified, that could help to reduce the risk of spreading and transmission of infection among the populations in the future.
Basma Doro, Hend Shubar, Asma Ramadan, Badereddin Annajar(8-2019)

Abstract: Ciprofloxacin is a second-generation of fluoroquinolone, broad-spectrum antibiotic with bactericidal activity against Gram-positive and Gram-negative organisms. It is one of the most widely used antibiotics, because of its efficacy, safety, and relatively low cost. Ascorbic acid (vitamin C) is water-soluble monosaccharide antioxidant; it is essentially required by the body for its various biochemical and physiological processes. S. aureus is Gram-positive cocci; widely distributed in the environment, it is a member of the normal flora of the body. S. aureus is not always pathogenic; it is a common cause of skin infections including abscesses, respiratory infections such as sinusitis, and food poisoning. E. coli is Gram-negative bacteria, found in the environment, foods, and intestines. Most E. coli strains are harmless; it is part of the normal microbiota of the gut. However, some serotypes of E. coli cause serious food poisoning in their hosts; it can cause diarrhea, while others cause urinary tract infections, respiratory illness and pneumonia, and other illnesses. Method: Cup cut diffusion method was applied. Experiment I: is carried out to choose the concentration of vitamin C to be used in experiment II. The negative control is normal saline, added in cup in each plate, vitamin C (100 mg/mL, 200 mg/mL, 400 mg/mL) was added, the volume in each cup was 100 μL. Experiment II: Eight groups of treatments were applied. The first is the negative control (1% normal saline), the second group is the positive control of vitamin C (200 mg/mL). The third, fourth and fifth groups are ciprofloxacin with different concentrations (10 mg/mL, 20 mg/mL, 40 mg/mL); the sixth, seventh and eighth are the combination of vitamin C with each concentration of ciprofloxacin (10 mg/mL, 20 mg/mL, 40 mg/mL). Each group includes six petri dishes. Bacterial plates were incubated at 37 o C for 24 h and 48 h. Zone of inhibition is measured in mm. Results and conclusion: Ciprofloxacin produces dose dependent increase in zone of inhibition of S. aureus and E. coli growth, after 24 and 48 hours incubation. While vitamin C in the concentration used produced inhibitory effect on the growth of S. aureus and E. coli, after 24 hours incubation, vitamin C effect was not changed after 48 hours incubation. After 24 hours incubation, vitamin C potentiated the effect of ciprofloxacin at low concentration (10 mg/mL); while vitamin C antagonized the effect of ciprofloxacin at higher concentrations (20 and 40 mg/mL) on S. aureus growth. In the same time, ciprofloxacin antagonized the inhibitory effect of vitamin C on S. aureus growth. After 48 hours incubation, S. aureus produced resistance against ciprofloxacin alone, and that combined with vitamin C compared to zone of inhibition after 24 hours. Ciprofloxacin produced dose dependent inhibition of E. coli growth after incubation for 24 and 48 hours. Vitamin C potentiated the inhibitory effect induced by ciprofloxacin (additive effect). The inhibitory effect of ciprofloxacin, vitamin C and the combination was not changed after 48 hours compared to 24 hours.
Bassma M. Doro, Suhera M. Aburawi(7-2019)