EFFECT OF METRONIDAZOLE ON ADHERENCE PROPERTY OF GARDNERELLA VAGINALIS ISOLATED FROM PRETERM LABOR PATIENTS IN AL-HILLA CITY, IRAQ

I. Bunyan
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Abstract

One hundred fifty clinical sample were collected from preterm labor patients with (bacterial vaginosis, urinary tract infection and aborted women) 80, 15, 55 respectively, admitted to Babylon Maternity and pediatric hospital and Al-Hilla Teaching Hospital, at the period from February to October 2016. These high vaginal samples were subjected to different methods of identification of G.vginalis mainly traditional bacteriological methods. It was found that 6 (4%) G.vaginalis isolates were recovered by using selective media and Viteck 2 system where 30 (20%) isolates were recovered dependent on direct extraction to high vaginal swab on molecular level. The screening of the adherence property were carried out to all (6) isolates and showed that all of it were capable to adhere on the epithelial cell then subjected to Metranidazole reduce it. Finally in vitro anti-adherence activity to Metronidazole were studied and the results revealed that all isolates were inhibited by aqueous solution at concentration (5%) which gave results (100%) very effective to eradication adherence, the results proved that is effective on disrupted adherence in the first step.
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甲硝唑对伊拉克al-hilla市早产患者阴道加德纳菌粘附性的影响
收集2016年2 - 10月在巴比伦妇幼医院和Al-Hilla教学医院住院的早产儿(细菌性阴道病、尿路感染和流产妇女)80例、15例、55例的临床样本150例。对这些高含量的阴道标本进行了以传统细菌学方法为主的不同鉴定方法。结果表明,采用选择性培养基和Viteck 2系统分离得到6株(4%)阴道g.d inalis分离株,其中直接提取至高分子水平阴道拭子分离得到30株(20%)。对所有(6)株菌株进行了粘附性筛选,结果表明,所有菌株都能粘附在上皮细胞上,然后经甲硝唑降低其粘附性。最后研究了体外对甲硝唑的抗粘附活性,结果表明,所有分离株均被5%浓度的水溶液抑制,100%有效地根除了甲硝唑的粘附,结果证明了甲硝唑对第一步的破坏粘附是有效的。
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