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Bacteriology and Epidemiology Study of Uropathogens Associated with Urinary Tract Infection in Children | ||
| journal of al-qadisiyah for pure science(quarterly) | ||
| Article 1, Volume 10, Issue 2, 2010, Pages 10-31 PDF (0 K) | ||
| Author | ||
| Aamal Ghazi Mahdi | ||
| Abstract | ||
| ( 375 ) urine specimens were collected from children suffering from UTI contacting Educational Hospital of Delivery and children in Al Qadisiah city , and ( 50 ) urine specimens were collected from healthy children , ( 211 ) isolated were recovered from patient children and ( 4 ) isolates from healthy children , isolated bacteria from infected children contain : Escherichia coli with ( 81 ) isolates ( 38.38 % ) , then Klebsiella pneumoniae ( 34 ) ( 16.11 % ) , Proteus mirabilis( 27 ) ( 12.79 % ) , Enterobacter cloaca ( 18 ) ( 8.53 % ) , Staphylococcus aureus ( 13 ) ( 6.16 % ) , Proteus vulgaris ( 12 ) ( 5.68 % ) , Enterobacter aerogenes ( 10 ) ( 4.73 % ) , Klebsiella oxytoca ( 4 ) ( 1.89 % ) , Pseudomonas aeroginosa ( 4 ) ( 1.89 % ) , Streptococcus agalactiae ( 3 ) ( 1.42 % ) , Enterococcus faecalis ( 3 ) ( 1.42 % ) , Morganella morganii ( 2 ) ( 0.94 % ) , while isolated bacteria from healthy children contain : E. coli with ( 50 % ) , Proteus mirabilis ( % 25 ) , Enterobacter cloaca ( % 25 ) . Results showed there were ( 47 ) samples with percentage ( 22.27 %) given bacterial urine without pus and ( 164 ) ( 77.72 % ) with pus , and the highest percentage of bacteria causative of infection were recovered to E. coli ( 46.34 % ) and the highest percentage of bacteria without pus cell to Proteus spp ( 51.06 % ) . Study of epidemiological factors recovered percentage ( 53.98 % ) infection in female children and ( 45.86 %) in male , specimens with significant bacterial growth were ( 64.03 % ) and without significant growth ( 9.35 %) in female , and ( 47.09 ) specimens with significant bacterial growth and ( 6.39 % ) without significant growth in males, E. coli was predominance in female ( 43.84 %) and Proteus spp ( 30.86 % ) in males . The highest percentage of UTI infection in the age group ( 2-4 ) ( 40.28 %) with predominance of E. coli ( 40.74 % ) and the highest percentage of UTI infection ( 61.13%)in children of countryside ,while ( 38.86 %) to the town children with predominance of E. coli ( 38.75 % ) ( 37.88 %) respectively , and highest percentage of UTI infection in children ( 12.59 %) were recovered in July , while the lowest percentage ( 1.01 % ) recovered in December . Results showed that Ciprofloxacin is reactively expensive when compared to most antibiotics used with percentage to E.coli (92.69%) , proteus spp. (85.17%) , klebsiella spp .(92.53%) , Enterobacter spp. (93.50%) , S.aureus (95.06%) , pseudomanas aeruginosa (94.64%) , S.agalactiae (100%) ,Enterococcus spp (100%), M.morganii (100%).There were no significant differences in Lactoferrin Concentration was observed between the healthy children and children negative UTI , whereas , the differences between UTI negative and UTI positive children was significant ( p<0.001 ) . Results showed too that pathogen –specific antibody secreting cells ( ASC) were found in the blood of ( 77 / 81 ) children with UTI caused by E. coli , and predominance of IgM ( 67.53 % ) ,while IgA dominate ( 32.46% ) in this patients. | ||
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