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Article
Hafnia Alvei Urinary Tract Infection

Author: Jamela Ghadban Auda Al-Grawi
Journal: Iraqi Academic Scientific Journal المجلة العراقية للاختصاصات الطبية ISSN: 16088360 Year: 2008 Volume: 7 Issue: 1 Pages: 71-75
Publisher: The Iraqi Borad for Medical Specialization المجلس العراقي للاختصاصات الطبية

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Abstract

ABSTRACT:BACKGROUND:The genus Hafnia , a member of the family Enterobacteriaceae, consists of Gram negative bacteriathat are occasionally implicated in both intestinal and extraintestinal infections in human. This genuscontains only a single species (Hafnia alvei).METHODS:The above bacterium was identified from 250 bacterial strains which were isolated from 220 urinesamples of patients with urinary tract infection.RESULTS:One H. alvei strain was isolated from an elderly patient, and identified by conventional biochemicaltests and API20E system at the first time in Iraq. Antimicrobial susceptibility test showed that thisstrain is sensitive to Cefotaxime, Ciprofluxacine, Chloramphenicol, Doxycycline and Trimethoprimsulfamethaxzole,while it is resistant to Penicillin, Oxacillin and Amoxicillin plus clavulanic acid.CONCLUSION:H. alvei an important uropathogen that causing urinary tract infection in elderly and may be inimmunocompromised patients.


Article
None anticipated bacterial urinary tract infections in type 2 diabetic patients relative to duration and angiopathies

Author: Salim M. Alruba’ae سالم الربيعي
Journal: Al-Kindy College Medical Journal مجلة كلية الطب الكندي ISSN: 18109543 Year: 2011 Volume: 7 Issue: 2 Pages: 37-44
Publisher: Baghdad University جامعة بغداد

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Background: Diabetes mellitus is a well known metabolic and vascular illness associated with high incidence of bacterial urinary tract infections especially in diabetic complications including both micro and macro-vascular types. Objective: To study the incidence of bacterial urinary tract infections in type 2 diabetic patients, the type of micro-organism responsible in relation to age, sex of patients, duration of the disease & related micro & macrovascular diabetic complications. Methods: A prospective study of the diabetic patients including 40 males with mean age of 54(±9) years and 50 females, mean age of 51(±7) years and duration of the and sex matched controls (27 males and 33 females).Symptoms of urinary tract infections, general urine examination, urine culture & ultrasound of abdomen were studied & reported for both groups. Results: This study showed significant increase in urinary tract infections among diabetic patients with four fold rise in bacteriuria especially among diabetic women & Escherechia Coli was the predominant micro-organism in 85% of cases.Conclusion: Urinary tract infection has significant increase incidence in type 2 diabetic patients with fourfold rise among diabetic women.


Article
Effect of seed oil Ricinus communis on E. coli isolated from Recurrent Urinary Tract Infections
تأثير زيت بذور الخروع Ricinuscommunis في بكتريا E. coli المعزولة من التهابات المجاري البولية المتكررة

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Abstract

This study was conducted in Wasit governorate for the period between February 2012 to February 2013 to determine the impact of Castor seed oil at different concentrations 100, 75, 50 and 25% in inhibition of the growth of E. coli isolated from 52 male and female patients (2-70 yrs) attending Al Zahra Hospital and Al Karama Hospital in Kut city. Oil was extracted from seeds of Castor had the ability to inhibit E. coli isolated from patients presented with recurrent urinary tract infections . Zone of inhibition accomplishing was 9.06 mm in diameter.HPLC analysis revealed that the content of α-linolenic in Castor seed oil (18.90 µgml) was higher than other fatty acids followed by oleic. Perhaps this is why it able to inhibit E. coli; which affect the cellular components in bacteria.

أجريت هذه الدراسة في محافظة واسط للمدة مابين شباط 2012 وشباط 2013 لتحديد تأثير زيت بذور الخروع بتراكيز مختلفة 25 و 50 و 75 و 100% في تثبيط نمو بكتريا E. coli المعزولة من 52 مريضا من الاناث والذكور باعمار تتراوح 2-70 سنة الراقدين في مستشفى الزهراء والكرامة في مدينة الكوت. الزيت المستخلص من بذور الخروع له القدرة في تثبيط بكتريا E. coli المعزولة من المرضى الذين يعانون من التهابات المجاري البولية المتكررة وبقطر تثبيط 9.06 ملم . كشف تحليل HPLC أن محتوى حامض الفا- لينولينيك في زيت بذور الخروع (18.90 ميكروجرام مل) كان أعلى من الأحماض الدهنية الاخرى ويليه حامض الأوليك. ولعل هذا هو السبب في كونه قادر على تثبيط E. coli؛ اذ يؤثر في مكونات الخلية في البكتيريا.


Article
Epidemiological Study of Symptomatic and Asymptomatic Bacteriuria Among Pregnant Women Attending Antenatal Clinic in Baquba- Diyala Province

Authors: Sawsan Talib Salman سوسن طالب سلمان --- Nadhim Ghazal Noaman ناظم غزال نعمان --- Anfal Shakir Motib انفال شاكر متعب
Journal: Diyala Journal of Medicine مجلة ديالى الطبية ISSN: 97642219 Year: 2013 Volume: 4 Issue: 1 Pages: 79-86
Publisher: Diyala University جامعة ديالى

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Abstract

Background: Pregnancy causes many changes in the pregnant women, due to mechanical and hormonal changes which lead to ureteral dilatation and urinary stasis which contribute to the  increased risk of developing urinary tract infection. Subject and methods: A cross sectional study was conducted at Al-Batool Teaching Hospital in antenatal care clinic from March during October 2012 to study the epidemiology of symptomatic and asymptomatic bacteriuria among pregnant women. Results: out of 200 pregnant women who were included (24%) and (14%) with ≤20 years old age group were asymptomatic and symptomatic respectively, and (56%), (64%) were asymptomatic and symptomatic in age group 21-30 years old , while in those ≥ 31 years age group was (20%) and (22%) asymptomatic and symptomatic respectively. The asymptomatic bacteriuria was (77%) and it was higher among 31-40 weeks of gestation than other weeks of gestations (p= 0.006).The nulliparous was (27%) asymptomatic and (21%) symptomatic, where para1- para3 was (56%) asymptomatic and (65%) symptomatic and para4 and above was (17%) asymptomatic and (14%) symptomatic. Escherichia coli was (42.3%) more than other species.Conclusion: Urinary tract infections is a public health problem, Routine urine culture test should be performed on all antenatal asymptomatic and symptomatic pregnant women to identify unsuspected infection.


Article
Bacterial isolates associated with urinary tract infections in children
العزلات البكتیریة المرافقة لخمج المجاري البولیة للاطفال

Author: Zahrah Adnan dlakhal
Journal: Misan Journal of Acodemic Studies مجلة ميسان للدراسات الاكاديمية ISSN: 1994697X Year: 2013 Volume: 12 Issue: 22 Pages: 56-60
Publisher: Misan University جامعة ميسان

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Abstract

Urinary tract infections UTI are common conditions worldwide and thepattern of antimicrobial resistance varies in different regions. We describe therelationships between sex,age and isolated bacterial agents and antibioticresistance of UTIs solates . The study was confined to UTIs in children .Thepresent study were aimed to investigate the antibiotic resistance of urinarypathogens isolated from Al - Sadder Hospital .The total number of samples was(50) sample, from 22 children samples were positive for culture.The mostbacterial isolates in the present study was Enterobacter spp 6(27.2%) , Ecoli4(18.1%) , Pseudomonas spp 3(13.6%) , Escherichia spp, Staphylococcus aureus,Salmonella spp, Klebseilla spp, Citrobacter spp were 2(9.09) % andEdwardsilla spp 1(4.5%) Antibiotics resistance in the most common gramnegative than in gram positive. The high effective antibiotics were Imipenem inall isolates.

التھاب المجاري البولیة من الامراض الواسع الانتشار في العالم و ذات مدى عالي للمقاومة المضد


Article
Serotyping and molecular detection of some resistance genes of Escherichia coli isolated from urinary tract infection children in Nasiriyah City
التنميط المصلي والكشف الجزيئي لبعض جينات المقاومة لجرثومة الإشيريشيا القولونية المعزولة من الأطفال المصابين بأخماج المجاري البولية في مدينة الناصرية

Authors: Widad Sameer jaaz AL-Zirjawi وداد سمير جعاز --- Saad SalmanHamim سعد سلمان هميم
Journal: Univesity of Thi-Qar Journal مجلة جامعة ذي قار العلمية ISSN: 66291818 Year: 2016 Volume: 11 Issue: 3 Pages: 1-20
Publisher: Thi-Qar University جامعة ذي قار

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Abstract

Identification of  UropathogenicEscherichia coli (UPEC) from urinary tract infections and molecular detection of some serotypes and determine some of drug resistant genes. 500 urine samples were collected from Mohammed Al-Moussawi hospital and Bint-Alhuda hospital from urinary tract infection children in Nasiriyah City From September (2014) to June (2015).  The positive bacterial culture were 306(61.20%) isolate, distributed to gram negative with 192 isolate (75.62%) and gram positive with 114 isolates (25.37%). The highest percentage of gram negative bacteria represented by Escherichia coli with 75 isolate (39.06%). Of a total of E. coli 50 isolates, were identifiy by convential polymerase chain reaction (PCR) for the isolated DNA by using specific primers for (O6, O15, O16, O25 and 16SrRNA) genes results showed that 36 (72%) isolate represent 57 serotype and 14(36%) The serotype were distributed as 23(40.35%), 18(31.57%), 7(12.28%), 9(15.7%) and 50(100%) respectively. The antibiotic resistant genes of Escherichia coli (CITM,tet(A), aac3-IV, Sul1, dfrA1). The results of the present study showed appositive reaction with 25(50.08%), 23(46%), 19(38%), 17(34%), 5(10%) respectively. The present study results some of E.coliSerogroups carry genes responsible  for its resistance to most antibiotics.

تضمنت الدراسة عزل وتشخيص الجراثيم الهوائية المسببة لاخماج المجاري البولية حيث جمعت 500 عينة إدرار من أطفال مرضى يعانون من أخماج المجاري البولية من مستشفى محمد الموسوي ومستشفى بنت الهدى للولادة والأطفال في مدينة الناصرية وللفترة من شهر ايلول (2014) ولغاية شهر حزيران (2015). بلغ عدد العزلات الموجبة للزرع الجرثومي 306 (61.20%) عزلة توزعت إلى العزلات السالبة لملون جرام وبلغت 192عزلة (75.62% ) أما الجراثيم الموجبة لملون جرام فقد بلغت 114عزلة (25.37%).أظهرت نتائج الدراسة الحالية إن المسببات الجرثومية الأكثر شيوعا في الاخماج البولية المعزولة من المرضى هي الاشريشيات القولونية Escherichia coli حيث كان عددها 75 عزلة وبنسبة مئوية بلغت (06.39%) من مجموع العزلات السالبة لملون جرام. أخضعت 50 عزلة من جراثيم E.coli لتفاعلاتإنزيم سلسلةالبلمرة ((PCR للدنا المعزول باستخدام البادئات النوعية للموروثات( O6و O15و O16و  O25و 16SrRNA) أظهرت النتائج إن 36 عزلة (72 % ) حاوية على 57 نمط مصلي و14(36%) لم تحتوي الأنماط المذكورة، وتوزعت الأنماط أعلاه ‏23‏ (.3540 %) و18 31.57) %) و7(.2812%) و(815.7%) و(100%) على التوالي. تم الكشف عن البادئات النوعية للموروثات المقاومة لبعض من المضادات الحياتية للأنماط الجرثومية للاشيريشيا القولونية )CITM و tet(A)و aac3-IVو Sul1 وdfrA1 ). أظهرت نتائج الدراسة الحالية أظهرت نتائج الدراسة الحالية نتائج موجبة لـ 25 عزلة (0850.%) و23 (46%) و19 (38%) و17 (34%) و5 (10%) على التوالي. أظهرت نتائج الدراسة الحالية وجود تفاوت في نسبة الجينات المقاومة لجراثيم E.coliللمضادات الحياتية.


Article
Virulence Genes Profile of Escherichia coli Isolated from Urinary Catheterized and Non-Catheterized Patients
الملف الشخصي لعوامل الفوعة لبكتريا Escherichia coli المعزولة من مرضى القثطرة البولية وغير القثطرة

Authors: Saba Nazeih Abdul-Ghaffar صبا نزيه عبد الغفار --- Rasmia Abed Abu-Risha رسمية عبد ابو ريشة
Journal: Iraqi Journal of Science المجلة العراقية للعلوم ISSN: 00672904/23121637 Year: 2017 Volume: 58 Issue: 2B Pages: 820-835
Publisher: Baghdad University جامعة بغداد

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Abstract

The severity of UTI produced by E. coli is due to the expression of a wide spectrum of virulence factors. In this study the role of E. coli virulence determinants in the pathogenesis of UTI in urinary catheterized and non-catheterized patients has been evaluated. The isolates were recovered from 129 patients admitted to the hospital. Virulence genes of E. coli were detected by polymerase chain reaction analysis for the prevalence of these virulence factors. The targeted genetic determinants were those coding for Type 1 fimbriae, Pyelonephritis-Associated Pili (PAP), Antigen 43 (Ag43), α-Hemolysin and Aerobactin siderophores among the studied isolates. The prevalence of genes fimH, papC, ang43, hlyA and iutA were 88.37%, 72.09%, 18.60%, 51.16% and 79.06% respectively. The fimH gene with 88.37% had a highest prevalence of virulence genes in patients with UTIs. Statistically in the present study, there was no significant difference in the prevalence of genes profiles of E. coli isolates causing UTI in non-catheterized and catheterized patients. However, all the studied strains exhibited 16 virulence gene patterns; among the strains isolated from patients with urinary catheter showed multitude and greatest diversity of genes patterns than strains from non-catheterized patients.

ان شدة التهاب المجاري البولية المتسببة من بكتريا E. coli تعود الى انتاجها لطيف واسع من عوامل الفوعة. في هذة الدراسة تم تقييم دور محددات الفوعه لبكتريا E. coli في مرض التهاب المجاري البولية الماخوذة من مرضى القثطرة البوليه وغير الفثطرة البولية. وان العزلات اخذت من 129 من المرضى الذين يرتادون المستشفى. تم تطبيق تقنية تفاعل البلمرة المتسلسل للتحري عن عوامل الفوعه لبكتريا E. coli ودراسة انتشار عوامل الفوعه هذه. وكان الهدف الجيني لمحددات الفوعة وكانت للجينات المشفرة لانتاج Type 1 fimbriae و Pyelonephritis-Associated Pili (PAP) و Antigen 43 (Ag43) و α-Hemolysin و Aerobactin siderophores ضمن العزلات المدروسة. وكانت نسبه انتشار الجينات fimH و papC و ang43 و hlyA و iutA هي 88٫37٪ و 72٫09٪ و 18٫60٪ و 51٫16٪ و 79٫06٪ على التوالي. وكان الجين fimH بنسبة وجوده 88٫37٪ اكثر انتشارا بين عوامل الفوعة لمرضى خمج المجاري البولية. تبين من خلال التحليل الاحصائي لهذه الدراسة عدم وجود اي فرق معنوي في انتشار التكوين الجيني لعزلات بكتريا E. coli المسببة لمرض خمج المجاري البولية لكلا من مرضى القثطرة وغير القثطرة البولية. واظهرت العزلات في هذه الدراسة 16 نمطا جينيا وكانت السلالات المعزولة من مرضى القثطرة البولية اكثر واكبر تباينا في الانماط الجينية بمقارنتها بعزلات غير القثطرة البولية.


Article
Prevalence of urinary tract infection in diabetic patients and identification of the causal microorganisms
انتشار عدوى المسالك البولية في مرضى السكري وتحديد الكائنات الحية الدقيقة المسببة

Author: Ahang Ali Ahmed
Journal: Zanco Journal of Medical Sciences مجلة زانكو للعلوم الطبية ISSN: 19955588/19955596 Year: 2013 Volume: 17 Issue: 1 Pages: 363-369
Publisher: Hawler Medical Univeristy جامعة هولير الطبية

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Abstract

Background and objective: Urinary tract infection (UTI) is a condition in which the urinary tract is infected with a pathogen causing inflammation. One of the predisposing factors for UTIs is diabetes mellitus (DM), spillage of glucose into the urine provide a good culture medium for bacteria. The objectives of this study were to evaluate the distribution of UTIs among diabetic patients of both genders with studying the effect of some relative factors, and identifying types of the causal microorganisms. Methods: Diabetic patients (type1 and 2), from both genders were included in this study. All patients were interviewed. Uncontaminated urine samples were collected for microscopic and macroscopic analysis. Isolations and identifications of bacteria were done by standard methods. Results: Out of 150 diabetic patients, 53 (35.33%) have UTI. Gender, middle age and high level of proteinuria were risk factors, while type and duration of DM with its type of treatment, body mass index (BMI), and hypertension were non significant. The isolated types of pathogens were Escherichia coli (45.3%), Klebsiella pneumoniae (15.1%), Staphylococcus saprophyticus (15.1%), Citrobacter diversus (11.3%), Candida albicans (7.5%) and Staphylococcus aureus (5.7%). Conclusion: This study revealed that diabetic females were most susceptible to get UTIs than diabetic males. In both genders the most reliable age for UTI were between 31-40 years. The results showed that the level of proteinuria was higher in patients suffering from UTIs associated with DM, which considered as a risk factor. Certain types of microorganisms were isolated; the most common types were Escherichia coli, Klebsiella pneumoniae and Staphylococcus saprophyticus.


Article
Bacteriological study of Hospital-acquired urinary tract infections in Erbil city
دراسة بكتريولوجية لعدوى المسالك البولية المكتسبة من المستشفيات في مدينة أربيل

Author: Aza Bahadeen Taha
Journal: Zanco Journal of Medical Sciences مجلة زانكو للعلوم الطبية ISSN: 19955588/19955596 Year: 2011 Volume: 15 Issue: 2 Pages: 45-50
Publisher: Hawler Medical Univeristy جامعة هولير الطبية

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Background and objectives: Urinary tract infections are amongst the most common infections, Hospital-acquired urinary tract infection increases not only morbidity and mortality but also hospital costs. The objectives of this study were to determine bacteria responsible for hospital-acquired urinary tract infection, their antibiotic sensitivities and to describe the risk factors of the infection.Methods: All urine samples fulfilling the criteria for significant bacteriuria were included in the study. Isolation and identification of bacteria was performed by standard method and susceptibility testing was determined by disk diffusion method.Results: Out of 290 patients, 133 (45.86%) have acquired hospital-acquired urinary tract infection. Older age, hospitalization and catheterization were risk factors of the infection. Escherichia coli (51.70%) and Klebsiella pneumoniae (16.33%) represented the most common isolates. The most bacteria isolates were sensitive to ciprofloxacin, rifampin and trimethoprim + sulphamethoxazole.Conclusions: To prevent hospital-acquired urinary tract infections, important factors must be taken into consideration, for example: avoid unnecessary urethral catheterization, choose narrow spectrum antibiotics according to antibiotic sensitivities, and investigate regularly the causative bacteria and their susceptibility patterns


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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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.

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