基尔库克医院新分离的人不动杆菌的分离诊断及耐药性研究

Usama AL Hadeedy, N. Mahdi, Ibraheem AL Jebory
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引用次数: 0

摘要

2018年2月15日至6月15日期间,从基尔库克市基尔库克综合医院、阿扎迪教学医院、儿童医院和呼吸与胸科疾病专科中心诊所的不同来源采集了200份临床样本,2018年,在咨询了专科医生后,从门诊和住院患者中采集了样本,并将样本送往实验室。每个样本的数据都以特殊形式记录,其中包括:55份呼吸道感染样本、25份血液样本、30份脑膜炎样本、30例尿路感染样本、30个伤口样本和30份烧伤样本。分离株在MacConkey琼脂和Blood琼脂上培养后进行鉴定。生化检测:采用API 20E系统对样品进行氧化酶和过氧化氢酶检测。经培养和诊断,获得12株鲍曼不动杆菌,其中5株来自痰液,3株来自烧伤拭子,2株来自伤口拭子,1株来自菌血症和脑脊液。来自基尔库克医院的不同临床来源的鲍曼不动杆菌分离株对13种不同抗生素的敏感性测试结果显示,该研究的细菌分离株具有不同的耐药性。所有样本(100%)显示对氨苄青霉素、阿莫西林、头孢他啶、头孢噻肟、氯霉素和甲氧苄啶有耐药性,83.33%的样本显示《基尔库克大学学报/科学研究》(KUJSS)第14卷第3期,2019年9月,第(155-173)页ISSN:1992-0849(印刷版),2616-6801(在线)网站:www.uokirkuk.edu.iq/KUJSS电子邮件:kujss@uokirkuk.edu.iq,kujss.journal@gmail.com511对阿米卡星、乐福沙星、甲氧苄啶-磺胺甲恶唑和哌拉西林的耐药性,对阿莫西林-克拉维酸和庆大霉素的耐药性为58.33%,对亚胺培南的耐药性为50%。
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Isolation and Diagnosis of Acinetobacter Bumanniii Recently Isolated From Patients in Kirkuk Hospitals and Study their Antibiotics Resistance
Two hundred samples of clinical samples were collected from different sources from Kirkuk General Hospital, Azadi Teaching Hospital, Children Hospital and the Specialized Center of Respiratory and Chest Diseases clinics in Kirkuk city from the period Feb., 15, 2018 to Jun., 15, 2018 from outand in-patients after consultation with the specialist doctor and the samples were forwarded to the laboratory. The data of each of the samples were recorded in special forms and they included: 55 samples of respiratory tract infection, 25 blood samples, 30 samples of meningitis, 30 samples of urinary tract infection, 30 wound samples and 30 burn samples. The isolates were identified after being cultured on MacConkey agar, and Blood agar. The biochemical tests: Oxidase and Catalase were done for the samples and for final diagnosis API 20E system was used. After culture and diagnosis, 12 isolates of Acinetobacter baumannii were obtained, of which five were from sputum, three from swabs of burns, two swabs of wound and an isolate from each of bacteremia and CSF. The results of the sensitivity tests for A. baumannii isolates from different clinical sources from Kirkuk hospitals for 13 different antibiotics showed resistance of the bacterial isolates of the study at different rates. All the samples (100%) showed resistance to Ampicillin, Amoxicillin, Ceftazidim, Cefotaxime, Chloramphenicol and Trimethoprime, while 83.33% showed Kirkuk University Journal /Scientific Studies (KUJSS) Volume 14, Issue 3, September 2019 , pp. (155-173) ISSN: 1992-0849 (Print), 2616-6801 (Online) Web Site: www.uokirkuk.edu.iq/kujss E-mail: kujss@uokirkuk.edu.iq, kujss.journal@gmail.com 511 resistance to Amikacin, Lefofloxacin, Trimethoprime-Sulphamethoxazole and Piperacillin, and 58.33% to Amoxicillin-Clavulanic acid and Gentamycin and 50 % to Imipenem .
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