ملخص البحث :
A total number of [100] midstream urine samples were collected randomly from patients suspected to be infected
with UTIs in Al-Hilla Hospital, Babylon from 15 Oct. to 15 Jan. 2018. These samples were streaked by the sterile loop on
MacConkey and EMB agar plates, then incubated aerobically 37Cº for 24 hrs. Detection of the causative agents was performed
according to the routine diagnostic steps illustrated in Baily and Scott’s diagnostic microbiology i. e. colonial morphology and
the biochemical reactions. Antibiotic susceptibility patterns were done phenotypically determined by clinical laboratory standard
Institute (CLSI) (2014); finally, the disclosure of some resistant genes (par C, qnr C and aac(6')-Ib-cr) were diagnosed by PCR
technique. The results of the presents study showing that nineteen isolates (72 %) identified as E. coli. The results demonstrated
that the highest percentage of UTIs was found in third trimester 44% followed by 29% and 27% for second and first
trimesters, respectively. Age group (16-22) yrs. occupied the highest ratio 34%. Antibiotic susceptibility patterns phenotypically
(disc diffusion method) illustrated that the high proportion of resistance was 73.7% (14/19) for amoxicillin, while the lowest
ratio was 0% (0/19) for gentamycin antibiotic. bla-TEM-1 was predominant resistant gene 42.10% succeeded by bla-CTX-M
31.57% while another gene frequencies were 26.31% and 21.05% for aac (6')- Ib-cr and sul-1, respectively.Two isolates
(10.52%) appear to be bearing bla-CTX-M and bla-TEM-1, one isolate bearing bla-CTX-M+ sul-1, one isolate bearing blaCTX-M+ bla-TEM-1+ sul1, one isolate bearing aac (6’)-Ib-cr+ bla-TEM-1, and three isolates bearing bla-TEM-1+sul1. In
conclusion, the virulence of a bacterium has increased significantly as a result of its acquisition of properties that enable it to
resist the third generation of cephalosporin’s in addition to other antibiotics.
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سنة النشر : 2019
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تصنيف البحث : scopus
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