Occurrence of antibiotic resistant bacteria causing UTIs among children under school age in Soran city, North of Iraq

Authors : Hasan AKAN, Rawezh HAKEEM MUSTAFA

Pages : 82-100

Doi:10.38001/ijlsb.1241994

View : 40 | Download : 12

Publication Date : 2023-04-15

Article Type : Research Paper

Abstract :The current study was carried out to investigate the occurrence of multidrug resistant uropathogens among children under school age insert ignore into journalissuearticles values(six years old); in Soran city, North of Iraq. A total number of 200 urine samples were taken from children under six years old suffering from UTIs, attending Ashti hospital and Childbirth hospitals in Soran city from July 2017 to march 2018. High frequency of UTIs was among children less than two years old insert ignore into journalissuearticles values(34.3%); and incidence of UTIs was significantly higher in little girls insert ignore into journalissuearticles values(57.1%); than in little boys. 70 bacterial uropathogens have benn isolated while 130 samples showed negative culture. The diagnosis of isolates showed that the most common uropathogen was E. coli constituting 27 insert ignore into journalissuearticles values(38.6%);, while others included; Staphylococcus aureus 13 insert ignore into journalissuearticles values(18.6%);, coagulase negative staphylococci 8 insert ignore into journalissuearticles values(11.4);%, Klebsiella pneumonia 7insert ignore into journalissuearticles values(10%);, Enterococcus faecalis 6 insert ignore into journalissuearticles values(8.6%);, Streptococcus spp. 4 insert ignore into journalissuearticles values(5.7%);, Pseudomonas aeruginosa 2 insert ignore into journalissuearticles values(2.9%);, Staphylococcus saprophyticus 2 insert ignore into journalissuearticles values(2.9%); and Proteus vulgaris 1 insert ignore into journalissuearticles values(1.4%);. Most of uropathogenic isolates have resisted ampicillin, ceftazidime, ceftriaxone and cefotaxime. Other antibiotics differently showed moderate susceptibilities. The most effective antibiotics were quinolones insert ignore into journalissuearticles values(ciprofloxacin and levofloxacin); and carbapenems insert ignore into journalissuearticles values(impenem and meropenem); which showed high susceptibility percentages on all isolates under study. Six multidrug have been chosen resistant isolates to detect the presence of qnrA, qnrB, qnrS and blaKPC responsible for quinolones and carbapenem resistance by using RABD-PCR. The DNA profile showed that only the isolate K 61 insert ignore into journalissuearticles values(Klebsiella pneumoniae); was bearing qnrB.
Keywords : Antibiyotik direnci, çoklu ilaca dirençli bakteri, IYE, Çocuklar, Okul öncesi