Background: Escherichia coli (E. coli) remains one of the leading agents of urinary tract infection (UTIs), it has become resistant to many drugs. Current work aimed to evaluate some chemical substances as antibacterial agents and molecular study of virulence factors associated with UTIs. Methods: This work involved 133 urine specimens obtained from females' patients suffering from UTIs, Methods of well diffusion and disk diffusion were achieved to assay the effect of some chemical substances and antibiogram profiles toward Sulfamethoxazole-trimethoprim (SXT)resistant E. coli respectively. Virulence genes were done based on the technique of Polymerase Chain Reaction (PCR). Results:The results recorded 49/133 (36.84%) E. coli among women suffering UTIs, 28/49 (57.14%) were resistant to SXT drug. imipenem, meropenem, and nitrofurantoin were recorded more effectively. Chemicals substances at the concentration 0.3 (g/ml) recorded percentages of inhibition, reaching 9.143±1.442, 15.36±0.5914, and 21.82±0.8699 for NaHCO3, Ch4c, and Viroxide Super™ respectively. PCR demonstrated that 28/28 (100%) of SXT-resistant E. coli isolates were harbored Sul-2, FeoB and PapC genes, while 14/28 (50%), 15/28 (53.57%), 19/28 (67.85%) and 26/28 (92.85%) in U250 (pet), FumC, Sul-1 and IutA genes, respectively. Sul-3 gene was not observed. Conclusions: Observed a high percentage of E. coli that were resistant to SXT drug, and having several virulence genes, poses a real threat, it requires a real pause to create substitutions to limit the spreading of this threat.
Objectives: This study was aimed to investigate the ability of Enterotoxigenic E.coli and their enterotoxins to induce cellular immune response by means of erythrocyte-rosette formation and leukocyte migration inhibition factor tests. Methodology: Total of 30 stool sample was collected of patient with severe diarrhea whom attended to Al-Sadder teaching hospital in Al-Najaf city in period extended of April to June 2013. All bacterial isolates was identified according to morphological and biochemical testes and by API 20 E system, which further conformational tested for heat stable enterotoxin production by Suckling Mice Assay (SMA). three antigens (heat killed bacterial cell, crude enterotoxin and purified heat stable enterotoxin ETECST) was prepared and injected in experimental animals(rabbit) and tested in the level of systemic and mucosa (appendix and duodenum). Statistical analysis was done by least significant difference (LSD). Results: The results showed that 20% (6 isolates) was Enterotoxigenic E.coli and the immune experiments showed significant increase level of E-rosette formation in rabbit injected with heat killed antigen (50.1%, 49.7% and 53.0%) compared with control (23.1%, 31.8% and 29.6%) in blood appendix and duodenum consecutively, while high level appeared in crude enterotoxin and ETECST in appendix (41.3%) and (47.4%) consecutively. The assessment of ETECST LIF in migration percent to sensitizer was showing high significant LIF (54.5%, 47.6% and 43.3%) compared with control (82.0%, 79.5% and 79.5%) in blood appendix and duodenum consecutively. Conclusions: crud and partially purified enterotoxins have ability to induce cellular immune response in blood and mucosa. Recommendation: prepare a carrier molecule model for partially purified enterotoxins to make a vaccine against Enterotoxigenic E.coli .
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