Uropathogenic E. coli (UPEC) is problematic and still the leading cause of urinary tract infections worldwide. It is developed resistance against most antibiotics. The investigation, surveillance system, and efficient strategy will facilitate selecting an appropriate treatment that could control the bacterial distribution. The present study aims to investigate the epidemiology and associated risk factors of uropathogenic E. coli and to study their antibiotic resistance patterns. 1585 midstream urine specimens were collected from symptomatic urinary tract infections (UTI) patients (225 males and 1360 females) admitted to Zakho emergency hospital, Zakho, Kurdistan Region, Iraq from January 2016 until the end of December 2018. Specimens were inoculated on blood and MacConkey plates and incubated at 37оC for 24 hours. Uropathogenic E. coli was diagnosed based on gram staining, colony characteristics, and standard biochemical tests in accordance with local standards and guidelines. All isolates were screened for their antibiogram pattern using the disk diffusion method based on the Clinical and Laboratory Standards Institute guidelines. The results showed that out of 1585 urine specimens, 1026 (64.7%) were UTIs positive with a statistically higher rate in 2016 (83.6%) (P< 0.0001). The UTIs frequency in females was significantly higher than males (P< 0.0001). Generally, the uropathogenic E. coli represented 21.1% with the highest level in 2016 (22.9%). The uropathogenic E. coli rate was higher, statistically not significant, in females (21.4%) than males (18.5%) (P=0.4946). Additionally, through the three years of study, uropathogenic E. coli (UPEC) was in high frequency in February and May 2016. The female’s age group from 20 to 39 years was the most vulnerable (46%) form total infected females, while those from 70-74 years (1%) were the least susceptible in males and females. A high percentage (80.56 %) of multidrug resistance E. coli isolates was observed with high resistance against -lactamase and macrolides antibiotics. However, higher sensitivity was towards imipenem and meropenem. In conclusion, the wrong and overuse of antibiotics will increase the resistance rate of E. coli. For this reason, proper use of available antibiotics is necessary. Also, the educational programs and periodic monitoring of antimicrobial susceptibility are essential for reducing the antibiotic resistance rate.
this research has discussed some social phenomena in lslamic society through the book of the unique contract of lbn abed rabbi al-andalusi. ln the beginning , he gave an account of his life.
The developed financial system is essential for increasing economic growth and poverty reduction in the world. The financial development helps in poverty reduction indirectly via intermediate channel which is the economic growth. The financial development enhancing economic development through mobilization of savings and channel them to the most efficient uses with higher economic and social returns. In addition, the economic growth reduces the poverty through two channels. The first is direct by increasing the introduction factors held by poor and improve the situations into the sectors and areas where the poor live. The second is indirect through redistribution the realized incomes from the economic growth as well as the realiz
... Show Moreمن نحن ؟ التحديات التي تواجه الهوية الامريكية
Summary:
We are aware that we cannot reach a correct level of understanding of the Arabic language without using the Quran as our main source in our research. Since the word of the Quran that put an end to all words which kneeled before it all the phrases that lead to the showcasing of the Arabic language in its best self.
Arab scientist realized this truth and gave all their attention to the singular and created from it an important subject for their research in the origins of the language and the science behind. Thus, since they dealt with the structure and studied the significance of the context through the use of vocabulary. Therefore, researching Islamic words or the “surat” mentioned in the Qur’an was necessar
Anger is one of the problems of scientific importance that psychologists and education scientists are interested in, especially societies and educational environments, because if a child’s anger continues to develop into violence, then it becomes an unusual behavior, and an indication of the child's lack of adaptation to his family and his environment (Moses, 2013: 4) &n
... Show Moreتصنيع الطابوق الحراري الثقيل من خامات محلية
اتخذت الهند موقفاً محايداً من الحرب الروسية الأوكرانية، لما له من أبعاد سياسية واقتصادية وعسكرية مع أطراف الصراع في الحرب، وقناعتها بعدم قدرتها على التأثير فيها. فهي تربطها علاقات استراتيجية تاريخية مع روسيا، الداعمة لها سياسياً في مجلس الأمن والوسيط ضد خصومها الصين وباكستان. لذلك الهند مقتنعة بأن أوكرانيا تُعدّ مجالاً للنفوذ الروسي الذي عمل حلف شمال الأطلسي على التوسع به رغم التحذيرات الروسية. لذا أيقنت ا
... Show MoreThe current research tries to study the reasons for lying since its
inception, as it is interesting to a child's moral growth, which can benefit from
the results of this research by institutions of socialization, parents and
teachers in the treatment and care of children.
The objective of this research is to highlight the reasons for lying to the
children from the viewpoint of teachers and the answer to the paragraphs of
research designed research instrument (questionnaire) was distributed to a
sample of teachers was clear from the analysis that the reasons lie that
received a high percentage of members of the sample are: -
- The fear of severe punishment
- Child rid himself of a specific problem
- To sat
The study of Terracotta in Mesopotamia is one of the important
technical topics that gave us valuable information ،whether from a
technical or cultural point of view