Methicillin resistant Staphylococcus aureus nasal colonization among secondary school students at Duhok City-Iraq

Habeeb, Ary; Hussein, Nawfal R; Assafi, Mahde Saleh; Al-Dabbagh, Samim A.

doi:10.5799/ahinjs.02.2014.02.0128

Cited by 39 publications

(53 citation statements)

References 27 publications

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“…The exact cause for this is unknown, but it was thought to be due to elimination of pop off mechanism. UTI is a common problem in our region and is caused by multi-drug resistant microorganisms (8,29). Such an infection can predispose to septicaesmia and renal scaring.…”

Section: Discussionmentioning

confidence: 99%

“…To prevent VUR related sequels, participants can be treated by continuous antibiotic prophylaxis, surgical intervention by ureteric reimplantation, or endoscopic treatment by injecting bulking agents (7). Continuous antibiotic prophylaxis might be associated with increased levels of resistance (8) and antibiotics-related side effects. Therefore, many studies have recommended surgical intervention and particularly endoscopic treatment as the first line of management (9-15).…”

Section: Introductionmentioning

confidence: 99%

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The Relationship Between Vesicoureteral Reflux and Recurrent Urinary Tract Infection in Children in Kurdistan Region, Iraq

2018

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Background: Recurrent urinary tract Infection (UTI) is a common problem in pediatric age group. Vesicoureteral reflux (VUR) is a common cause for recurrent UTI. Objectives: This study was conducted to determine the prevalence of VUR in children who presented with recurrent UTIs and to assess the effect of endoscopic treatment in patients with grade III-V VUR. Methods: This was a prospective study recruiting 1232 patients who presented with recurrent UTI during April 2008 and January 2012. We used voiding cystourethrogram to diagnose VUR, and treated grades III-V VUR by bulking agent. One to 2 sessions were performed and the participants were followed-up postoperatively at first, second, third, and 12th months postoperatively. Results: VUR was found in 437 (35.5%) of the patients. Amongst those, 197 (16%) patients were diagnosed with VUR grade I and II. Additionally, 240 (19.5%) cases were diagnosed with VUR III-V. Two sessions were required to correct the reflux in all patients with grade III. The success rate of correction of grade IV was 79% after the second session. The success rate was 71% in grade V. New contralateral reflux with low grade (I and II) de novo VUR was found in 28/240 (11.7%) cases. After successful correction of VUR, UTI occurred in 12/203 (5.9%) of the patients. Conclusions: VUR was common in children with recurrent UTI with a good prognosis after endoscopic correction. Further study is needed to follow-up the participants who did not respond to treatment.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

The Relationship Between Vesicoureteral Reflux and Recurrent Urinary Tract Infection in Children in Kurdistan Region, Iraq

2018

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“…E. coli and other genera of gram negative bacteria possess a naturally occurring, chromosomally mediated β-lactamase and plasmid mediated β-lactamase [8]. The antibiotic misuse, ineffective empiric antibiotic therapy, poor dosing, prolonged antibiotic treatment and spontaneous use of these antibiotics in developing countries are the reason for the development of high resistance rates in bacterial isolates [9][10][11][12].…”

Section: Discussionmentioning

confidence: 99%

Prevalence and molecular characterization of extended spectrum beta-Lactamases-producing uropathogenic Escherichia coli isolated in Zakho, Iraq

Assafi¹

2016

Journal of Microbiology and Infectious Diseases

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Objectives: Uropathogenic Escherichia coli are the most important group of microorganisms responsible for urinary tract infection. A high percentage of uropathogenic E. coli over the world are detected to be ESBLs producers, which is now a problem that limits therapeutic options. The aim of this study is to determine the prevalence of ESBLs E. coli and study the prevalence of different ESBLs genotype patterns among the ESBLs producing isolates. Methods:One hundred and six uropathogenic E. coli isolates were analyzed for their ESBL production by molecular methods.Results: 55 (52%) isolates were detected as extended spectrum β-lactamases (ESBLs) producers. Based on the PCR results, all E. coli isolates possessed one or more ESBL gene. CTX-M type ESBL was the most dominant ESBL (87.2%) among the isolates. While those for TEM-type and SHV-type were 54.5% and 21.8% respectively. Six genotype patterns were detected (TEM, CTX-M, TEM+SHV, TEM+CTX-M, SHV+CTX-M and TEM+SHV+CTX-M). The genotype CTX-M was the most prevalent genotype (40%) followed by the genotype TEM+CTX-M combination (30.9%). The occurrences of the genotypes (TEM, TEM+SHV, SHV+CTX-M and TEM+SHV+CTX-M) were 7.3%, 5.5%, 5.4%, 10.9%, respectively. Conclusions:Control measures and education programs are necessary to avoid the uncontrollable use of β-lactam and cephalosporins in order to minimize the emergence of ESBLs producing E. coli. J Microbiol Infect Dis 2016;6(4): 163-167

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“…In another study conducted in the UK, the UTI rate was found to be higher in transplanted kidneys with stent than those without stent (10). Recalling that multidrug resistant microorganisms are common in Iraq, infection poses a deleterious effect on the graft (7,(11)(12)(13)(14). In our study, we found that 29.4% of our stented patients versus 7.4% of the non-stented patients developed UTI within the first two weeks after transplant.…”

Section: Discussionmentioning

confidence: 99%

Impact of Ureteral Double J Stenting on Kidney Transplant Outcome at Duhok Transplant Center, Iraq

Jabaly¹,

Saleem²,

Hussein³

et al. 2016

Int J Infect

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Background: Renal transplant is considered the treatment of choice for end stage renal disease. During the transplantation, stents are placed routinely at duhok transplant center (DTC) to protect the ureter-bladder anastomosis and to decrease anastomosisrelated complications. Objectives: The aim of this study was to compare the incidence of urinary tract infection (UTI) and other postoperative complications in patients undergoing renal transplant with or without stent insertion. Methods: All recipients of kidney transplantation at DTC between January 2012 and December 2013 took part in this study. The patients were followed up at the same center and those who developed post-operative complications were referred back to DTC for management. The study included data of following up the patients for 12 months.

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Methicillin resistant Staphylococcus aureus nasal colonization among secondary school students at Duhok City-Iraq

Cited by 39 publications

References 27 publications

The Relationship Between Vesicoureteral Reflux and Recurrent Urinary Tract Infection in Children in Kurdistan Region, Iraq

The Relationship Between Vesicoureteral Reflux and Recurrent Urinary Tract Infection in Children in Kurdistan Region, Iraq

Prevalence and molecular characterization of extended spectrum beta-Lactamases-producing uropathogenic Escherichia coli isolated in Zakho, Iraq

Impact of Ureteral Double J Stenting on Kidney Transplant Outcome at Duhok Transplant Center, Iraq

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