Isolation and diagnosis of bacterial infections among children in the west bank of Mosul city

Abstract EN

Infections caused by bacteria are common in infants and neonates.

Some of these infections are severe and usually carry high risk of fatal complications such as septicemia and / meningitis if left un-treated.

Very often, the diagnosis of these infections is clinical as well as laboratory diagnosis to determine the type of bacteria in body fluids such as urine, stool, blood and CSF.

The present study aims to isolate and identify the bacteria responsible for some types of severe infections in neonates such as urinary tract infections (UTI), gastrointestinal tract (GIT) infections and bacteremia in West bank of Mosul city and test their susceptibility to different antibiotics.

Twenty-seven (27) samples from blood, 28 from urine and 6 from stool were collected from neonates admitted to "Mosul General Hospital" in West Bank of Mosul city in the period between 1/7/2018 to 1/9/2018.

Our results indicated that Staphylococcus aureus was the most common bacterial isolate in blood (81%), whereas both Staphylococcus aureus and Esch.

coli were common in urine (48% and 43% respectively) followed by Proteus and Pseudomonas aeruginosa (4.5 % each).

Both Staphylococcus aureus and Esch.

coli were highly sensitive to amoxiclav (83% for and 100% respectively), levofloxacin (88% for Staphylococcus aureus and 100 % for Esch.coli) and meropenem (100% for both Staphylococcus aureus and Esch .coli).

However, both of them were highly resistant to ampicillins (100%) and 3rd generation cephalosporins.

Although meropenem is effective, it's use should be selected and restricted to highly resistant cases to avoid the emergence of early antibiotic resistance.