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Article
Prevalence of urinary tract infections in diabetic patients

Author: Mohammed Challoob Murad
Journal: Muthanna Medical Journal مجلة المثنى الطبية ISSN: 2226146x Year: 2018 Volume: 5 Issue: 1 Pages: 35-39
Publisher: Al-Muthanna University جامعة المثنى

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Abstract

There is evidence that patients with diabetes have an increased risk of urinary tract infections (UTIs). UTI is the most common bacterial infection in diabetic patients. The study included 500 diabetic patients attended at a private urology clinic in Wasit south east of Iraq between January and December 2017. From the total number of patients, 60 had positive urine cultures(12%). The most frequent bacteria involved in UTI was Escherichia coli (70%). We concluded that UTIs are frequent in diabetic patients and urine culture should be performed to give proper antibiotics and to prevent recurrence.


Article
Antibiotic Susceptibility of Bacteria Isolated from Patients with Diabetes Mellitus and Recurrent Urinary Tract Infections in Babylon Province, Iraq

Author: Mohammed Hassan Ali Alhamdany
Journal: Medical Journal of Babylon مجلة بابل الطبية ISSN: 1812156X 23126760 Year: 2018 Volume: 15 Issue: 1 Pages: 63-68
Publisher: Babylon University جامعة بابل

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Abstract

Background: The emergence of the antibiotic resistance in the treatment of UTIs is a serious health problem, especially in the developingcountries where there is high level of ignorance, poverty, and bad hygienic practices, Objective: The aim of this study was to detect the typesof bacteria and their antibiotic sensitivity in patients with diabetes mellitus with recurrent urinary tract infections and compare between typesof bacteria in patients with the previous admission to hospital from those who are not. Materials and Methods: This cross-sectional studywas conducted on eighty patients with diabetes mellitus and recurrent urinary tract infection, those patients who visited the Outpatient Unit inDiabetic and Endocrine Center in Merjan Medical City in Babylon Province. This study was carried out from March 1, 2016 to September 30,2016. General urine examination was done to the patient with urinary tract infection. Urine samples were sent for culture and sensitivity againstdifferent types of antibiotics. Results: Results found that the mean age of the patients was (58.23 ± 14.38) and majority of them (63.7%) werefemale and (52.5%) of them came from rural area. The main bacteria causing urinary tract infection was Escherichia coli in more than 55% ofcases, while the amikacin antibiotic regard as the best antibiotic in the treatment of urinary tract infection in this study with lowest resistancepercentage (3.8%). Based on the history of previous admission to the hospital, there was 57.5% with a history of previous admission, andthere was statistically significant difference in the types of bacteria between the two groups. Conclusion: There was significant difference inbacterial type between patients who previously had hospital admission and those who had not. E. coli was the main bacteria causing UTI inthis study. Amikacin showed the best sensitive drug for bacteria that cause urinary tract infection.


Article
Detection of Antibiotics Sensitivity at different pH levels for Proteus mirabilis Isolated from patients with Urinary Tract Infections

Author: Ehsan F. Hussein
Journal: Journal of University of Babylon مجلة جامعة بابل ISSN: 19920652 23128135 Year: 2018 Volume: 26 Issue: 5 Pages: 132-144
Publisher: Babylon University جامعة بابل

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Abstract

One hundred and sixty-nine samples of urine have been collected through the period from December/2016 to May/2017. Were for isolation and identification of Proteus mirabilis. Isolated from urine in patients with UTI. Identification was done by growing on different media and biochemical tests as well as the antibiotics susceptibility were studied by using twenty types of antibiotics at acidic pH, neutral pH and alkaline or basic pH by disc diffusion method. These antibiotics were involved Ciprofloxacin, Amikcin, Meromenem, Imipenem, Ampicillin, Rifampin, Gentamicin, Trimethoprim, Tetracycline, Amoxicillin, Sulfamethoxazole, Carbnicillin, Rifaximin, Penicillin-G, Oxolinic acid, Bacitracin, Clindamycin, Erthromycin, Novamicin and Aztreomycin. The Ciprofloxacin and Aztreomycin have high activity at both acidic and neutral pH, while the Amikcin, Meromenem, Imipenem and Ciprofloxacin have high activity at basicity pH against these bacteria.

جمعت مائة وتسعة وستون عينة من الادرار خلال الفترة الممتدة من شهر كانون الأول من العام 2016 الى شهر أيار من العام 2017. ان الغرض من جمع هذه العينات هو عزل وتشخيص بكتريا المتقلبة الرائعة. جمعت عينات الادرار من مرضى اصابات المسالك البولية ثم نميت هذه العينات على اوساط زرعية مختلفة وشخصت بواسطة عدة فحوصات كيموحيوية كذلك درست الحساسية الدوائية لها باستخدام عشرون نوع من المضادات الحيوية. درست الحساسية الدوائية لهذه العينات عند الأس الهيدروجيني الحامضي، المتعادل والقاعدي بأستخدام طريقة انتشار القرص. كانت انواع المضادات الحيوية المستخدمة في هذه الدراسة هي السيبروفلوكساسين، أميكاسين، ميروبينم، إيميبينيم، امبيسيللين، ريفامبين، جنتاميسين، تريميثوبريم، تتراسايكلين، اموكسيسللين، سولفاميثوكسازول، كاربينيسيلين، ريفاكسيمين، بنزيل بنسيالين، حمض الأوكسولينيك، باسيتراسين، كليندامايسين، إريثرومايسين، نوفاميسين والأزيثروميسين. امتلك كل من السيبروفلوكساسين والأزيثروميسين فعالية عالية عند كل من الاس الهيدروجيني الحامضي والمتعادل، بينما امتلك كل من الأميكاسين، الميروبينم، الإيميبينيم والسيبروفلوكساسين فعالية عالية في الاس الهيدروجيني القاعدي ضد هذه البكتريا.

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