{"id":6377,"date":"2020-09-20T23:02:47","date_gmt":"2020-09-20T20:02:47","guid":{"rendered":"http:\/\/ams.uokerbala.edu.iq\/wp\/en\/?p=6377"},"modified":"2020-09-20T23:02:47","modified_gmt":"2020-09-20T20:02:47","slug":"incidence-of-multi-drug-resistant-escherichia-coli-isolates-from-blood-and-urine-in-kerbala-iraq-2","status":"publish","type":"post","link":"https:\/\/ams.uokerbala.edu.iq\/wp\/en\/blog\/2020\/09\/20\/incidence-of-multi-drug-resistant-escherichia-coli-isolates-from-blood-and-urine-in-kerbala-iraq-2\/","title":{"rendered":"Incidence of Multi-Drug Resistant Escherichia Coli Isolates from Blood and Urine in Kerbala, Iraq."},"content":{"rendered":"[mhc_section admin_label=&#8221;section&#8221;][mhc_row admin_label=&#8221;row&#8221;][mhc_column type=&#8221;4_4&#8243;][mhc_text admin_label=&#8221;\u0646\u0635&#8221; background_layout=&#8221;light&#8221; text_orientation=&#8221;left&#8221;]\n<h4 style=\"text-align: center\"><strong>Incidence of Multi-Drug Resistant Escherichia<\/strong><br \/>\n<strong>Coli Isolates from Blood and Urine in Kerbala,<\/strong><br \/>\n<strong>Iraq.<\/strong><\/h4>\n<p>&nbsp;<\/p>\n<p dir=\"ltr\"><strong>Abstract<\/strong><br \/>\nEscherichia coli is a common cause of urinary tract infection (UTI) and septicemia\/<br \/>\nbactriemia. With the increase of antibiotic resistance among E. coli isolates, monitoring of the<br \/>\nincidence of drug resistance became critical for appropriate empiric selection of antibiotic therapy.<br \/>\nThe aims of this study are to explore the drug resistance patterns among E. coli isolates from urine<br \/>\nand blood in Kerbala, and to identify the antibiotics that might be considered appropriate for<br \/>\nempirical treatment for UTI and Septicemia caused by E. coli in the study region. A total of 1637<br \/>\nculture results of urine (n=410) and blood (n=1227) were reviewed and analyzed for isolation and<br \/>\nidentification of bacteria , antimicrobial susceptibility testing, in addition, patients age and sex.<br \/>\nOnly single isolate per patients were considered in the study analyses. E. coli was isolated from 105<br \/>\npatients (62 from urine and 43 from blood samples). High resistance rates were documented to<br \/>\nAmpicillin (95.7%), Cephalothin (94.0%), Amoxicillin-Clavulanic acid (89.09%), Cefixime<br \/>\n(82.7%), Ceftriaxone (78.4%) and Cefotaxime (76.9%). In contrast, high degrees of sensitivity were<br \/>\ndetected to Imipenem (100%), Nitrofurantoin (90.2%), Chloramphenicol (81.8%) and Amikacin<br \/>\n(76.0%). No significant differences were seen in susceptibility patterns among isolates from blood<br \/>\nversus urine. Overall, 67 isolates (63.8%) were multi-drug resistant (MDR), that are resistant to<br \/>\nmore than 2 classes of antibiotics. Proportion of MDR isolates among urine samples was higher<br \/>\nthan among blood samples (69.4% versus 55.8%). In conclusion: E. coli displayed high resistance<br \/>\nrates to several antibiotics. However, Imipenem, Nitrofurantoin, chloramphenicol and amikacin are<br \/>\nappropriate for empirical treatment for UTI and Septicemia caused by E. coli inKerbala.<br \/>\nContinuous surveillance of drug \u2013resistance is highly recommended.<\/p>\n[\/mhc_text][mhc_button admin_label=&#8221;\u0632\u0631&#8221; url_new_window=&#8221;off&#8221; button_style=&#8221;off&#8221; button_color=&#8221;#474747&#8243; button_text_color=&#8221;#ffffff&#8221; background_layout=&#8221;dark&#8221; use_icon=&#8221;off&#8221; font_list=&#8221;mhicons&#8221; text_orientation=&#8221;right&#8221; animation=&#8221;off&#8221; button_fx=&#8221;off&#8221; button_size=&#8221;default&#8221; button_font=&#8221;off&#8221; wide_button=&#8221;off&#8221; button_url=&#8221;https:\/\/drive.google.com\/file\/d\/1FUgM68Tqh35PJ5MqppqD6SBVU9ic82Dx\/view?usp=sharing&#8221; button_text=&#8221;Research&#8221;] [\/mhc_button][\/mhc_column][\/mhc_row][\/mhc_section]\n","protected":false},"excerpt":{"rendered":"<p>[mhc_section admin_label=&#8221;section&#8221;][mhc_row admin_label=&#8221;row&#8221;][mhc_column type=&#8221;4_4&#8243;][mhc_text admin_label=&#8221;\u0646\u0635&#8221; background_layout=&#8221;light&#8221; text_orientation=&#8221;left&#8221;] Incidence of Multi-Drug Resistant Escherichia Coli Isolates from Blood and Urine in Kerbala, Iraq. &nbsp; Abstract Escherichia coli is a common cause of urinary tract infection (UTI) and septicemia\/ bactriemia. With the increase of antibiotic resistance among E. coli isolates, monitoring of the incidence of drug resistance became [&hellip;]<\/p>\n","protected":false},"author":7,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"rop_custom_images_group":[],"rop_custom_messages_group":[],"rop_publish_now":"initial","rop_publish_now_accounts":[],"rop_publish_now_history":[],"rop_publish_now_status":"pending","_monsterinsights_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0,"ocean_post_layout":"","ocean_both_sidebars_style":"","ocean_both_sidebars_content_width":0,"ocean_both_sidebars_sidebars_width":0,"ocean_sidebar":"","ocean_second_sidebar":"","ocean_disable_margins":"enable","ocean_add_body_class":"","ocean_shortcode_before_top_bar":"","ocean_shortcode_after_top_bar":"","ocean_shortcode_before_header":"","ocean_shortcode_after_header":"","ocean_has_shortcode":"","ocean_shortcode_after_title":"","ocean_shortcode_before_footer_widgets":"","ocean_shortcode_after_footer_widgets":"","ocean_shortcode_before_footer_bottom":"","ocean_shortcode_after_footer_bottom":"","ocean_display_top_bar":"default","ocean_display_header":"default","ocean_header_style":"","ocean_center_header_left_menu":"","ocean_custom_header_template":"","ocean_custom_logo":0,"ocean_custom_retina_logo":0,"ocean_custom_logo_max_width":0,"ocean_custom_logo_tablet_max_width":0,"ocean_custom_logo_mobile_max_width":0,"ocean_custom_logo_max_height":0,"ocean_custom_logo_tablet_max_height":0,"ocean_custom_logo_mobile_max_height":0,"ocean_header_custom_menu":"","ocean_menu_typo_font_family":"","ocean_menu_typo_font_subset":"","ocean_menu_typo_font_size":0,"ocean_menu_typo_font_size_tablet":0,"ocean_menu_typo_font_size_mobile":0,"ocean_menu_typo_font_size_unit":"px","ocean_menu_typo_font_weight":"","ocean_menu_typo_font_weight_tablet":"","ocean_menu_typo_font_weight_mobile":"","ocean_menu_typo_transform":"","ocean_menu_typo_transform_tablet":"","ocean_menu_typo_transform_mobile":"","ocean_menu_typo_line_height":0,"ocean_menu_typo_line_height_tablet":0,"ocean_menu_typo_line_height_mobile":0,"ocean_menu_typo_line_height_unit":"","ocean_menu_typo_spacing":0,"ocean_menu_typo_spacing_tablet":0,"ocean_menu_typo_spacing_mobile":0,"ocean_menu_typo_spacing_unit":"","ocean_menu_link_color":"","ocean_menu_link_color_hover":"","ocean_menu_link_color_active":"","ocean_menu_link_background":"","ocean_menu_link_hover_background":"","ocean_menu_link_active_background":"","ocean_menu_social_links_bg":"","ocean_menu_social_hover_links_bg":"","ocean_menu_social_links_color":"","ocean_menu_social_hover_links_color":"","ocean_disable_title":"default","ocean_disable_heading":"default","ocean_post_title":"","ocean_post_subheading":"","ocean_post_title_style":"","ocean_post_title_background_color":"","ocean_post_title_background":0,"ocean_post_title_bg_image_position":"","ocean_post_title_bg_image_attachment":"","ocean_post_title_bg_image_repeat":"","ocean_post_title_bg_image_size":"","ocean_post_title_height":0,"ocean_post_title_bg_overlay":0.5,"ocean_post_title_bg_overlay_color":"","ocean_disable_breadcrumbs":"default","ocean_breadcrumbs_color":"","ocean_breadcrumbs_separator_color":"","ocean_breadcrumbs_links_color":"","ocean_breadcrumbs_links_hover_color":"","ocean_display_footer_widgets":"default","ocean_display_footer_bottom":"default","ocean_custom_footer_template":"","ocean_post_oembed":"","ocean_post_self_hosted_media":"","ocean_post_video_embed":"","ocean_link_format":"","ocean_link_format_target":"self","ocean_quote_format":"","ocean_quote_format_link":"post","ocean_gallery_link_images":"on","ocean_gallery_id":[],"footnotes":""},"categories":[111],"tags":[],"class_list":["post-6377","post","type-post","status-publish","format-standard","hentry","category-ministry-of-higher-education-and-scientific-research","entry"],"aioseo_notices":[],"jetpack_featured_media_url":"","rttpg_featured_image_url":null,"rttpg_author":{"display_name":false,"author_link":"https:\/\/ams.uokerbala.edu.iq\/wp\/en\/blog\/author\/ams0manager\/"},"rttpg_comment":0,"rttpg_category":"<a href=\"https:\/\/ams.uokerbala.edu.iq\/wp\/en\/blog\/category\/ministry-of-higher-education-and-scientific-research\/\" rel=\"category tag\">Ministry of Higher Education and Scientific Research<\/a>","rttpg_excerpt":"[mhc_section admin_label=&#8221;section&#8221;][mhc_row admin_label=&#8221;row&#8221;][mhc_column type=&#8221;4_4&#8243;][mhc_text admin_label=&#8221;\u0646\u0635&#8221; background_layout=&#8221;light&#8221; text_orientation=&#8221;left&#8221;] Incidence of Multi-Drug Resistant Escherichia Coli Isolates from Blood and Urine in Kerbala, Iraq. &nbsp; Abstract Escherichia coli is a common cause of urinary tract infection (UTI) and septicemia\/ bactriemia. With the increase of antibiotic resistance among E. coli isolates, monitoring of the incidence of drug resistance became&hellip;","_links":{"self":[{"href":"https:\/\/ams.uokerbala.edu.iq\/wp\/en\/wp-json\/wp\/v2\/posts\/6377","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/ams.uokerbala.edu.iq\/wp\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/ams.uokerbala.edu.iq\/wp\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/ams.uokerbala.edu.iq\/wp\/en\/wp-json\/wp\/v2\/users\/7"}],"replies":[{"embeddable":true,"href":"https:\/\/ams.uokerbala.edu.iq\/wp\/en\/wp-json\/wp\/v2\/comments?post=6377"}],"version-history":[{"count":1,"href":"https:\/\/ams.uokerbala.edu.iq\/wp\/en\/wp-json\/wp\/v2\/posts\/6377\/revisions"}],"predecessor-version":[{"id":6378,"href":"https:\/\/ams.uokerbala.edu.iq\/wp\/en\/wp-json\/wp\/v2\/posts\/6377\/revisions\/6378"}],"wp:attachment":[{"href":"https:\/\/ams.uokerbala.edu.iq\/wp\/en\/wp-json\/wp\/v2\/media?parent=6377"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/ams.uokerbala.edu.iq\/wp\/en\/wp-json\/wp\/v2\/categories?post=6377"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/ams.uokerbala.edu.iq\/wp\/en\/wp-json\/wp\/v2\/tags?post=6377"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}