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SHIGELLAE – ASSOCIATED DIARRHOEA IN CHILDREN IN BAGHDAD – IRAQ | ||
| IRAQI JOURNAL OF MEDICAL SCIENCES | ||
| Article 1, Volume 7, Issue 3, 2009, Pages 59-65 | ||
| Author | ||
| Abdul Munim N. Mohammed | ||
| Abstract | ||
| Background: shigella spp. reported to be the second commonest bacterial agent responsible for childhood diarrhea after E.coli.Currently, isolation of the bacterium and confirmation of the diagnosis by bacteriological and biochemical methods remains the "gold standard". Objective: To determine the prevalence of shigella spp. among children below 3 years with acute diarrhoea and susceptibility of the isolates to commonly used antimicrobials. Methods: This study was carried out in the outpatient's clinic of Children Central Teaching Hospital in Baghdad from May 2007 – April 2008. One hundred and fifty children below 3 years with acute dirrhea were the source of stool specimens to detect shigella spp.All isolates were diagnosed according to bacteriological and biochemical standard methods. Available antimicrobial were used to determine the susceptibility of isolates to antibiotics. Results: Shigella flexneri type 2 was the predominate serotype out of 9 isolates.The prevalence of shigellae isolates was significantly higher in children older than one year .All patients were on artificial feeding, 78% were using untreated water for drinking. All isolates were sensitive to ceftriaxone , ciprofloxacin , nalidixic acid, norfloxacin and gentamicin. Drug resistant to 3 or more drugs was found in 56% of the isolates. Conclusion: Shigella flexneri type 2 was the predominate serotype and most isolates were resistant to trimethoprim -sulphamethoxazole (89%). Keywords: Shigellae , Diarrhoea, Antibiotic, Children, Iraq . | ||
| Keywords | ||
| Shigellae; Diarrhoea; antibiotic; Children; Iraq | ||
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