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Article
ANTIBIOTIC SUSCEPTIBILITIES OF GRAM NEGATIVE AEROBIC BACTERIA ISOLATED FROM URINARY TRACT INFECTIONS IN COMMUNITY

Authors: Iman Y Rasheed ايمان يوسف رشيد --- Iman J Kareem ايمان جبار كريم
Journal: IRAQI JOURNAL OF MEDICAL SCIENCES المجلة العراقية للعلوم الطبية ISSN: P16816579,E22244719 Year: 2011 Volume: 9 Issue: 4 Pages: 295-300
Publisher: Al-Nahrain University جامعة النهرين

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Abstract

Background: Urinary tract infection (UTI) caused by bacteria that can also live in the digestive tract, in vagina, or around the urethra most often these bacteria, enter the urethra and travel to the bladder and kidneys and prostate (in men).Objective: To determine the most common gram negative aerobic bacteria caused UTI in both sex and different ages, and to study the antibiotic susceptibility in order to determine the most effective antibiotics that can cure UTI.MethodsProspective study of 311 samples of urine has been collected from out patients complaining signs and symptoms of UTI. Isolation and Identification of causative bacteria was concluded, antibiotic susceptibility test has been done, and statistical analysis chi square had done. Results125 urine samples obtained from 25 male and 100 female show growths of Gram negative aerobic bacilli. No bacterial growth was defined in the rest of urine samples. Single bacterium was identified in 120 samples, while 5 samples identified as a mixed infection with two kinds of bacteria. In 55 (44%) of cases, Echerishia Coli was isolated; in 41 (32.8%) Klebsiella Pneumoniae; in 17 (13.6%) Proteus mirabilis plus P. Vulgaris; and 12 (9.6%) Pseudomonas aeruginosa. The percentage of resistance for E. Coli varies from 73% to 86%, to Ceftzidime, Ceftriaxone, and Trimethoprim Sulfamethaxozol; for K. pneumoniae it ranges from 71% to 100% for Amoxicillin, Pipracillin, Trimethoprim Sulfamethaxozole, and Colistin; for P. mirabilis plus P. vulgaris ranging from 66% to 100% for Cetazidime, Trimethoprim Sulfamethaxozol, and Cefotaxime; and for P. aeruginose ranges from 66% to 100% for Cefazidime, Colistin, Nafcillin, Gentamycin, Trimethoprim Sulfamethaxozol.Conclusion: E. Coli caused UTI in female higher than men in the community, and the gram negative rods had multi antibiotic resistant.KeywordUTI, Enterobacteriacae, Antibiotic susceptibility


Article
Detection of some Bacterial Uropathogens in Male Students at the Institute of Medical Technology / Al - Mansour
التحري عن بعض البكتريا المسببة لالتهاب المجاري البولية لدى الطلبة الذكور في المعهد الطبي التقني - المنصور –

Authors: Taghreed khudhur Mohammad تغريد خضر محمد --- Warkaa Zuhir ورقاء زهير --- Inam Azeez Jasim انعام عزيز جاسم
Journal: Al-Ma'mon College Journal مجلة كلية المامون ISSN: 19924453 Year: 2017 Issue: 29 Pages: 260-276
Publisher: AlMamon University College كلية المامون الجامعة

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Abstract

Infections of urinary tract are the second most common type of infection in the body. About 80-90% of urinary tract infections are caused by E.coli, these bacteria live normally in the human intestine but sometimes get into urinary tract .Some of urinary tract infections are caused by other bacteria like Proteus spp., Staphylococcus aureus, Klebsiella pneumoniae and Enterococcus faecalis .This study reports the presence of the major uropathogenic species in urine samples from students, and their resistance patterns to many antibacterial agents may help the clinician to choose the correct empirical treatment against the urinary pathogens isolated from students of Institute of medical Technology /Al-Mansour /Baghdad /Iraq, from March to April 2016. Midstream urine was collected from 400 students, all of them were males. The urine samples were processed with microbial isolates identified by using blood agar and MacConkey agar. Out of (400) urine samples from students at Medical Technology Institute /Al-Mansour,( 164) samples showed a positive culture growth ,while (236) samples have no growth. The bacteria are Escherchia coli , Staphylococcus aureus , Klebsiella pneumoniae , Enterococcus faecalis and Proteus mirabilis were (73.2 , 20.7 , 2.4 , 2.4 and 1.2) %respectively.

إن ألتهاب المجاري البولية يأتي بالمرتبة الثانية بالنسبة للامراض التي تصيب الجسم. تقريبا من 80 -90 % من اصابات المجاري البولية سببها بكتريا Escherchia coli . بعض التهابات المجاري البولية سببها أنواع اخرى من البكتريا مثل Proteus spp., Staphylococcus aureus, Klebsiella pneumoniae and Enterococcus faecalis . ويهدف البحث الى التحري عن الانواع البكتيرية الممرضة التي تصيب الجهاز البولي في النماذج المأخوذة من الطلبة الذكور، ودراسة نمط مقاومتها لبعض المضادات الحيوية والتي قد تساعد المعالجين في اختيار العلاج الصحيح ضد الممرضات المعزولة من طلبة المعهد الطبي االتقني /المنصور/ بغداد قيد الدراسة ، للفترة من شهر مارس الى ابريل /2016. تم جمع عينات الادرارمن (400) طالب ، جميعهم كانوا من الذكور. وتم التحري عن البكتريا الممرضة في نماذج الادرار باستخدام اكار الدم واكار الماكونكي. وظهر ان (164) نموذجا كان موجبا للنمو البكتيري في الاوساط الزرعية ، بينما ( 236 ) نموذجا لم يظهر فيه اي نمو بكتيري .عزلت Escherchia coli , Staphylococcus aureus , Klebsiella pneumoniae , Enterococcus faecalis, Proteus mirabilis (73.2 , 20.7, 2.4 , 2.4 , 1.2) %على التوالي.


Article
Prevalence of gonorrhea among adult male with urethritis in Erbil City
انتشار السيلان بين الذكور البالغين المصابين بالتهاب الإحليل في مدينة أربيل

Author: Isam Yousif Mansoor
Journal: Zanco Journal of Medical Sciences مجلة زانكو للعلوم الطبية ISSN: 19955588/19955596 Year: 2014 Volume: 18 Issue: 2 Pages: 692 -696
Publisher: Hawler Medical Univeristy جامعة هولير الطبية

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Abstract

Background and objective: Gonorrhea is a sexually transmitted disease caused by Neisseria gonorrhoeae. The bacteria can be passed from one person to another through vaginal, oral, or anal sex. It can also be passed from mother to her baby during birth. The symptoms in adult male include a burning sensation when they urinate and a yellowish-white discharge may ooze out of the urethra. Gonorrhea can spread to epididymis causing pain and swelling in the testicular area. This can create scar tissue that can lead to infertility. The aim of this study was to determine the prevalence of gonorrhea in adult male in Erbil Governorate and the susceptibility of isolated Neisseria to antibiotics.Methods: Urethral discharge obtained from adult male aged between 19-49 years were examined for the presence of Neisseria gonorrhoeae using direct smear gram staining and cultural technique. The susceptibility of isolated bacteria to antibiotics was tested using disc diffusion method.Results: This study showed that the incidence of gonorrhea among 312 adult male with urethritis in Erbil city was (8.97%) while (91.03%) of patients examined had nongonococcal urethritis. The higher percentage of infection with Neisseria gonorrhoeae (14%) occurred among age group (19-29) years and the lower (3.48%) in the age group (39-49) years. Among the 210 unmarried patients, 26 (12.38%) had gonorrhea and 184 (87.62%) had nongonococcal urethrits. All Neisseria gonorrhoeae were sensitive to ceftriaxone, spectinomycin and azithromycin. The isolates showed low sensitivity (21.42%) to penicillin.Conclusion: It seems that gonorrhea is common among symptomatic adult male. The emergence of resistance to some antibiotics is worrying. Appropriate prevention strategies should be of highest priority of the policy makers.


Article
COMPARATIVE STUDY OF CURRENT ANTIMICROBIAL RESISTANCE PATTERNS OF UROPATHOGENS: EVALUATION OF EMPIRICAL TREATMENT
الخلاصة دراسة مقارنة لنمط المقاومة للمضادات الحيوية في جراثيم المجاري البولية : تقييم استخدام العلاج الاولي

Authors: AHMED M. SALIH احمد محمد صالح --- NADIA A. AL-DERZI نادية الدرزي
Journal: Duhok Medical Journal مجلة دهوك الطبية ISSN: ISSN: 20717334 (online)/ ISSN: 20717326 (Print) Year: 2009 Volume: 3 Issue: 2 Pages: 79-91
Publisher: University of Dohuk جامعة دهوك

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Abstract

Background Urinary tract infection is a common disease in the community. There is a huge problem in management of these cases in general practice, which mainly attributed to misdiagnosis and misuse of empirical therapy. Objective The aim of this study is to determine the distribution of uropathogens in Northern Iraq together with their in vitro susceptibility profiles to antimicrobial agents Methods The study included urine samples submitted for culture and antibiotic susceptibility examination for inpatient and outpatient cases. Mosul samples were from inpatient admitted to Al-Salam teaching hospital for a one year period of 2005. Duhok samples were from outpatients sent to the Laboratory of one of the two main private hospital in the city for a one year period of 2006. All samples were tested microbiologically by standard procedures and cultured quantitatively. Colony count was estimated after overnight incubation at 35°C. Results A total of 1692 and 842 samples were sent for urine culture for inpatient and out patient cases of which 31% and 60.6% of them showed a significant bacteruria respectively. Escherichia coli was the commonest bacteria isolated represented above 40% of total isolates in both groups. The other main bacterial isolates from inpatients were Klebsiella spp. 18.9%, Staphylococcus. aureus 8.6%, Psendomonas aeruginosa 7.0% and Proteus spp 6.5%, while in out patients were; according to frequency, Proteus spp. 30.7%, Enterococcus. fecalis 7.8% and Staphylococcus saprophyticus 7.4%. The study showed a high emerging resistance for most commonly used antibiotics in general practice; with overall increase in antibiotic resistance profile mainly among inpatients. Empirical treatment was chosen as a general guideline for treating urinary tract infections in the North of Iraq. Conclusions The data provide much needed information on the prevalence of antimicrobial resistance amongst pathogens currently causing UTI in hospitals and community in the North of Iraq

الخلفية: يعتبر خمج الجهاز البولي من الامراض الشائعة في المجتمع. هنالك مشكلة كبيرة في علاج هذه الحالات في الممارسة الطبية العامة والتي تعزى اساسا الى عدم دقة التشخيص وسوء استخدام العلاج الاولي للحالات المسببه للاتهابالهدف : هدفت الدراسة الى قياس نسبة انتشار الجراثيم المجاري البولية في شمال العراق مع قياس نسية مقاومتها للمضادات الحيوية المستخدمة.طريقة البحث: شملت الدراسة نماذج الادرار المرسلة لغرض الزرع وقياس الحساسية الدوائية للمرضى الراقدين في مستشفى السلام في مدينة الموصل خلال سنة 2005 والمرضى المراجعين للعيادة الخارجية في واحدة من المستشفيين الخاصين في مدينة دهوك لعام 2006. تم فحص جميع النماذج باستخدام الطرق القياسيه للزرع و التشخيص و لحساسية الدوائية. تم قياس عدد المستعمرات بعد الحضن بدرجة 35 درجة مئوية. النتائج: تم ارسال 1692 و 842 نموذج ادرار لغرض الزرع من المرضى الداخلين في المستشفى ومرضى العيادة الخارجية وقد اظهرت النتائج ان 31% و 60.6% منهم نمو قياسي لخمج المجاري البويلة علي التوالي. شكلت نسبة جرثومة ال E.coli اكثر من 40% من العزلات في كلا المجموعتين. كانت اهم العزلات الراقدين في المستشفى هي: Klebsiella spp 18.6%، Staph. Aureus 8.6%، Pseudomonas spp. 7.0%، Proteus 6.5%. بينما كانت عزلات مرضى العيادة الخارجية: 30.7% Proteus spp.،7.8% Enterococcus spp.،Staph. Saprophticus 7.4%. اظهرت الدراسة ظهور نسية مقاومة عالية للمضادات المستخدمة بصورة واسعة في الممارسة الطبية العامة مع زيادة كبيرة خاصة للمرضى الراقدين في المستشفى. تم اقترح العلاج الذي يحبذ استخدامه كخط اول لعلاج خمج المجاري البولية للمارسة العامة في شمال العراق.الاستنتاجات: اظهرت الدراسة معلومات مهمة حول الانتشار الفقطي للمقاومة الدوائية لجراثيم المسببة للخمج البولي في المجتمع شمال العراق.


Article
Antimicrobial Susceptibility Patterns of Enterococcal Isolates And its Relevance With Biofilms Formation And &#914; -Lactamase Production

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Abstract

Background: Enteroccci are part of the normal intestinal flora of human and animal, but with increasing antimicrobial resistance, enterococci are recognized as serious nosocomial as well as community pathogens. Objectives: To investigate the antimicrobial susceptibility patterns of 44 isolates of enterococci recovered from different pathological specimens from in-and out-patients from Diyala province.Materials and methods: The present study was conducted in Baquba General Hospital and Al-Batool Hospital for Maternity and children during the period from 1st. September/2005 to 30th. September /2006. A total of 343 specimens were collected from 213 inpatients and 130 outpatients. 200 (58.3%) were females and 143 (41.7%) were males. The mean age of patients was (32.8 ± 17.2) years. Specimens include, urine, stool, vaginal swabs, throat swabs, burn swabs, blood for culture, middle ear swabs, wound swabs, sputum and cerebrospinal fluid. Specimens were streaked on blood agar, and other differential and selective media. 44 isolates of enterococci (30 E. faecalis, 10 E. faecium, 3 E. gallinarium, and 1 E. avium) were recovered and identified according to standard bacteriological and biochemical criteria. The susceptibility patterns toward 13 antimicrobial agents were done by disc diffusion method. Data were statistically analysed. Results: The results revealed that the highest susceptibility of enterococcal isolates was toward the Nalidixic acid (79.5%), Ciprofloxacin (61.4%), Amoxacillin+clavilanic acid (61.4%), Rifampicillin (36.4%),Trimethoprim (22.7%), Vancomycin (11.4%). However, all isolates were resistant to Cloxacillin, Cefotaxim, Amoxicillin, Tetracycline, and Erythromycin. The susceptibility of non- β -lactamase producing isolates to penicillin were significantly higher than β - lactamase producing isolates (p<0.001). Furthermore, the sensitivity of non-biofilms former isolates were significantly higher than that of biofilms former isolates (p= 0.002).Conclusion: The overall susceptibility rates of enterococcal isolates recovered from nosocomial as well as community acquired infections to available antimicrobials are low.


Article
ANTIMICROBIAL INFLUNCES OF ESSENTIAL OIL EXTRACTED FROM SOME PLANTS FORMULATIONS ON PATHOGENIC BACTERIA
التأثيرات ضد الميكروبية للزيوت المستخلصة من بعض النبات وتأثيرها على بعض البكتريا المرضية

Author: Rana, A. Faaz* Hazim, S. Jabar رنا عدنان فائز* حازم سعد جبار**
Journal: Basrah Journal of Veterinary Research. مجلة البصرة للابحاث البيطرية ISSN: Print:18138497 E; 24108456 Year: 2007 Volume: 6 Issue: 2 Pages: 94-110
Publisher: Basrah University جامعة البصرة

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Abstract

Antimicrobial disk susceptibility tests serve as standard assays for measuring the activity of compounds against pathogenic bacteria. In the current study, some plant-derived proprietary essential oil blends (Olea europaea , Pimpinella anisum L. , Coriandrum sativum , Matricaria chamomilla L. , Borago officinalis , Cimum basilicum L. , Cuminum cyminum , Thymus vulgaris thymol , Menta xpiperita L. , Rosmarinas officinalis comphora) were tested for their antibacterial activity against five common strains of pathogenic bacteria using disk susceptibility tests. A formulation intended for topical use (Essential Oil Formulation 1) (EOF1) inhibited the growth of Escherichia coli, Klebsiella pneumoniae, and Staphylococcus aureus as evidenced by zone inhibition diameter measurements when compared to those reported for standard antibiotics. EOF 1 exhibited no activity against Proteus vulgaris and Staphylococcus epidermidis. The second formulation (Essential Oil Formulation 2) (EOF2), intended for inhalation use, inhibited the growth of all five test bacteria strains with zone inhibition diameters two to three times greater than those reported for standard antibiotics. The growth of all five bacteria strains was inhibited when a cotton swab impregnated with EOF 2 was suspended above the bacterial lawn, indicating a true vapor or fume effect by this formulation.

ان اختبارات الاقراص ضد الجراثيم تعمل كتجارب قياسية لقياس فعالية بعض المركبات ضد البكتريا المرضية. في الدراسة الحالية تم استخلاص الزيوت من بعض النباتات (الزيتون ، اليانسون ، الكزبرة ، بابونك ، الريحان ، كمون ، زعتر البساتين ، نعناع فلفلي و زهرة اكليل الجبل) لاختبار فعاليتهما ضد البكتريا وقد استخدمت خمس انواع من البكتريا المرضية باستخدام أقراص تجارب خصصت لهذا الغرض الطريقة التي تستخدم للاستعمال الموضعي (EOF 1) وهي تستخدم لتثبيط نمو Escherichia coli ، Klebsiella pneumoniae، وStaphylococcus aureus ويستدل على منطقة التثبيط بواسطة قطر منطقة الثبيط حيث تقاس عندما تقارن مع تلك الاقراص المضادات الحيوية القياسية. (EOF 1) توضح بأنه لا يوجد فعالية ضد Staphylococcus epidermidis و Proteus vulgaris . الطريقة الثانية التي استخدمت هي (EOF 2) وهنا تم استخدام الاستنشاق حيث يتم توضيح تثبيط خمسة انواع جميعها من البكتريا بمنطقة تثبيط أقطارها اثنان إلى ثلاثة مرات وهي اكبر من تلك التي تم الاعتماد عليها في أقراص المضادات الحيوية. أن نمو الخمسة أنواع من البكتريا جميعها يتثبط عندما يتم استخدام مسحات القطن التي لحقت بطريقة (EOF 2) وهذا يوضح وجود نمو بكتيري وهذا يشير على وجود بخار أو دخان واضح عند استخدام هذه الطريقة.


Article
Nonlinear Susceptibility in Semiconductor hetrostructures

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Abstract

The linear and non-linear optical properties of three-level systems get a great importance from both theoretical and experimental points of view. This is due to the phenomena related to these systems, like electromagnetic induced transparency (EIT), coherent population trapping (CPT) and coherent adiabatic population (CAP). In contrast to CPT which is a‘‘spectroscopic’’ phenomenon that involves only modifications to the material states in an optically thin sample.


Article
Identification the Effect of Some Antibiotics on the Activities of Brucella melitensis that Isolated from Patients in Baghdad
تحدید تأثیر بعض المضادات الحیویة على فعالیة البروسیلا المالطیة المعزولة من المرضى المصابین في بغداد

Author: Sumayah Abdul-Hussein Ibraheem سمیة عبدالحسین إبراھیم
Journal: Al-Mustansiriyah Journal for Pharmaceutical Sciences مجلة المستنصرية للعلوم الصيدلانية ISSN: 18150993 Year: 2015 Volume: 15 Issue: 1 Pages: 1-5
Publisher: Al-Mustansyriah University الجامعة المستنصرية

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Brucellosis constitutes a major health problem around the world, especially in developing countries. The sensitivity pattern of the Brucella isolates encountered in the most countries, numerous studies were indicated the sensitivity of Brucella melitensis to some antibiotics and resistance to another. The aim of this study to evaluated, in vitro, the effect of single and combination of some antibiotics on the activities of Brucella melitensis. This study included collection of (100) clinical sample of blood from different hospital in Baghdad. Six isolates of Brucella melitensis were identified and determine according to their biotypes. The susceptibility to different antibiotics was evaluated by disk diffusion method and MICs for some antibiotics used for brucellosis treatment were applied. Some antibiotics combination affect at concentrations of sub MIC on the growth of Brucella melitensis. Results showed that isolates of Brucella melitensi were sensitive completely to gentamycin, kanamycin and naldixic acid while it’s resistant to lincomycin, rifampicin, ciprofloxacin, Levofloxacin and doxycyline.The MIC to doxycycline and rifampicin were (40 and 5) μg/ml. respectively. There was an important effect on bacterial growth when the following antibiotics were mixed as (doxycyline+ rifampicin). The doxycycline changed the colonies from growth phase )pathogen phase( to intermediate phase while the rifampicin had no effect on colonies. The mixed of doxycycline with rifampicin have effect that change the pathogen phase to non pathogen phase (no growth phase). By this study, we can conclude a combination of antibiotics should be used to treat Brucellosis, tetracyclines, quinolones, trimethoprim/sulfamethoxazole, rifampicin, and streptomycin are commonly used preparations for this treatment.Key words: Brucella, MIC and Susceptibility.

تسبب البروسلا مشكلة صحیة كبیرة حول العالم وخاصة في الدول النامیة. درست حساسیة عزلات البروسیلا في معظم الأقطار و دلت الدراسات على حساسیة البروسیلا تجاه بعض المضادات الحیویة ومقاومتھا للبعض الاخر.تھدف ھذه الدراسة الى تقیم فاعلیة بعض المضادات الحیویة بشكل مفرد أو خلیط على فاعلیة بكتریا البروسیلا داخل المختبر.( شملت ھذا الدراسة جمع ( 100 ) عینة سریریة من دم المرضى من مستشفیات مختلفة في بغداد. تم الحصول على ( 6عزلات من إحدى أنواع بكتریا البروسیلا وتحدید أنماطھا الحیویة وھي البروسیلا المالطیة المعزولة من الانسان وتحدید


Article
Use of chromogenic Agar in detection of urinary tract pathogens and antimicrobial Susceptibility

Authors: Shaymaa L. Salman --- Rana M. Abdullah --- Arwa M. Abdullah
Journal: Journal of the Faculty of Medicine مجلة كلية الطب ISSN: 00419419 Year: 2009 Volume: 51 Issue: 1 Pages: 39-42
Publisher: Baghdad University جامعة بغداد

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Abstract

Background: HROM agar Orientation is a chromogenic medium used for the detection and differentiation of Gram’s negative and Gram’s positive pathogenic microorganisms in urine samples.
Evaluation of CHROM agar Orientation for identification of urinary pathogens and susceptibility determinations in comparison to the ordinary media used.
Patients and Methods: A total of 375 midstream urine sample collected from patients with urinary tract infection (UTIs). CHROM agar Orientation, blood agar and macConkey agar media were used for direct inoculation.
Results: CHROM agar Orientation succeeded in detecting all the urine pathogens that were detected by the reference media, and antimicrobial Susceptibility tests were performed directly from primary isolates in all cases without the need for subcultures.Conclusion: HROM agar Orientation medium excellent detection of urinary pathogens and antimicrobial Susceptibility tests without the need for subcultures. Therefore, can replace the standard primary plating media used in routine diagnosis of urinary tract infection.


Article
Postoperative Wound Infections and the Antimicrobial Susceptibility in Baghdad Hospitals

Author: Maysoon A. Merdaw ميسون عبد الزهرة مرداو
Journal: Iraqi Journal of Pharmaceutical Sciences المجلة العراقية للعلوم الصيدلانية ISSN: 16833597 Year: 2011 Volume: 20 Issue: 2 Pages: 59-65
Publisher: Baghdad University جامعة بغداد

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Abstract

Nosocomial infections are one of the most important causes of mortality and morbidity in hospitals. These are major public health problems worldwide, but particularly in developing countries. The purpose of this research was to analyze the frequency of the microorganisms in the specimens taken from the surgical wounds, and to examine antimicrobial susceptibility for some isolates . Wound swabs were examined from June 2010 to January 2011. The isolates were identified by conventional methods, antimicrobial susceptibility testing was performed by Kirby-Bauer disc diffusion method as per NCCLS guidelines.A total of 102 wound swabs were examined 22(21.56%) swabs were sterile and 80(78.43%) were positive for microorganisms. The results showed 27.2% positive for Pseudomonas aeruginosa, 25.0% positive for Coagulase positive Staphylococci, 20.0% positive for Enterococcus spp., 17.5% positive for Escherichia coli,15.0% positive for Klebsiella pneumonia,13.7% for Proteus mirabilis,and10.0% for Acinetobacter baumannii. Antimicrobial susceptibility testing showed that the rate of isolates of Imipenem Resistance Pseudomonas aeruginosa(IRPA) were 3.7% , 11.2% positive for Vancomycin Resistance Enterococci(VRE) ,13.7% positive for both Methicillin Resistance Staphylococcus aureus(MRSA)and Vancomycin Resistance Staphylococcus aureus(VRSA) ,and 11.2% positive for Vancomycin Intermediate Staphylococcus aureus(VISA). We found that postoperative wound infections increase with pre and post operative hospitalization that's mean the infections can be decrease by shortening the hospitalization time.Our results appear to be maintained with strategies for preventing nosocomial infection,permanent education, strong application of protocols and urging the implementation of strict infection control policy.

الأصابات المتعلقة بالمستشفیات واحدة من الأسباب المھمة للموت والأمراضیة في المستشفیات , وھي من المشاكل الصحیة فيكل انحاء العالم وبالأخص في البلدان النامیة . الغرض من ھذا البحث ھو معرفة الأحیاء المجھریة في المسحات المأخوذة من جروحالعملیات , وفحص القابلیة الضد مایكروبیة لعدد من العزلات. تم جمع وفحص المسحات للفترة من حزیران 2010 الى كانون الثاني2011 بالطرق التقلیدیة , أما فحص القابلیة الضد مایكروبیة فكان بطریقة كیربي- باور (طریقة الأنتشار باسنعمال الأقراص). وجد من78,43 %) مسحة موجبة (ملوثة) , كما أظھرت النتائج ) 21,56 %) مسحة معقمة (غیر ملوثة) و 80 ) مجموع 102 مسحة , 22%20,0 ,coagulase positive Staph. %25,0 لبكتریا , Pseudomonas aeruginosa %27,2 مسحة موجبة لبكتریا%13.7, Klebsiella pneumonia %15.0 لبكتریا ,Escherichia coli %17,5 لبكتریا ,Enterococcus spp. لبكتریاالقابلیة الضد مایكروبیة أظھرت نسب من العزلات . Acinetobacter baumannii و 10.0 % لبكتریا Proteus mirabilis لبكتریاوكانت نسبتھا 3,7 % , و 11,2 % من العزلات (IRPA) Pseudomonas aeruginosa من بكتریا Imipenem المقاومة للمضادMethicillin )MRSA و 13,7 % موجبة لكل من بكتریا (VRE) Enterococcus من بكتریا Vancomycin المقاومة للمضادو (Vancomycin Resistance Staphylococcus aureus) VRSA وبكتریا (Resistance Staphylococcus aureusاستنتجنا من بحثنا أن التلوث لجروح .Vancomycin Intermediate Staphylococcus aureus)) VISA %11,2 لبكتریامابعد العملیات یزداد بزیادة مدة البقاء في المستشفیات ( قبل وبعد اجراء العملیات) ,وھذا یعني أنھ ممكن تقلیل نسبة الأصابات بتقلیلھذه المدة , لذا فأنھ للحمایة من أصابات المستشفیات یستوجب التثقیف الدائم والتطبیق الصارم لسیاسات السیطرة على اصاباتالمستشفیات.

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