{"id":27009,"date":"2019-06-24T10:24:57","date_gmt":"2019-06-24T07:24:57","guid":{"rendered":"http:\/\/ihcoedu.uobaghdad.edu.iq\/?p=27009"},"modified":"2019-06-30T11:45:08","modified_gmt":"2019-06-30T08:45:08","slug":"%d9%82%d8%b3%d9%85-%d8%b9%d9%84%d9%88%d9%85-%d8%a7%d9%84%d8%ad%d9%8a%d8%a7%d8%a9-%d9%8a%d9%86%d8%a7%d9%82%d8%b4-%d8%b1%d8%b3%d8%a7%d9%84%d8%a9-%d9%85%d8%a7%d8%ac%d8%b3%d8%aa%d9%8a%d8%b1-%d8%aa%d8%aa","status":"publish","type":"post","link":"https:\/\/ihcoedu.uobaghdad.edu.iq\/?p=27009","title":{"rendered":"\u0642\u0633\u0645 \u0639\u0644\u0648\u0645 \u0627\u0644\u062d\u064a\u0627\u0629 \u064a\u0646\u0627\u0642\u0634 \u0631\u0633\u0627\u0644\u0629 \u0645\u0627\u062c\u0633\u062a\u064a\u0631 \u062a\u062a\u062d\u0631\u0649 \u0623\u062c\u0646\u0627\u0633 \u0628\u0643\u062a\u064a\u0631\u064a\u0629 \u062a\u0633\u0628\u0628 \u0627\u0644\u062a\u0647\u0627\u0628 \u0627\u0644\u0623\u0645\u0639\u0627\u0621 \u0627\u0644\u062a\u0646\u062e\u0631\u064a \u0639\u0646\u062f \u0627\u0644\u0623\u0637\u0641\u0627\u0644 \u0627\u0644\u0631\u0636\u0639"},"content":{"rendered":"

\u0646\u0627\u0642\u0634 \u0642\u0633\u0645 \u0639\u0644\u0648\u0645 \u0627\u0644\u062d\u064a\u0627\u0629 \u0641\u064a \u0643\u0644\u064a\u0629 \u0627\u0644\u062a\u0631\u0628\u064a\u0629 \u0644\u0644\u0639\u0644\u0648\u0645 \u0627\u0644\u0635\u0631\u0641\u0629 (\u0627\u0628\u0646 \u0627\u0644\u0647\u064a\u062b\u0645) \u0631\u0633\u0627\u0644\u0629 \u0627\u0644\u0645\u0627\u062c\u0633\u062a\u064a\u0631 \u0627\u0644\u0645\u0648\u0633\u0648\u0645\u0629 (\u062f\u0631\u0627\u0633\u0629 \u0628\u0643\u062a\u0631\u064a\u0648\u0644\u0648\u062c\u064a\u0629 \u0644\u0645\u0631\u0636\u0649 \u0627\u0644\u062a\u0647\u0627\u0628 \u0627\u0644\u0623\u0645\u0639\u0627\u0621 \u0627\u0644\u062a\u0646\u062e\u0631\u064a \u0639\u0646\u062f \u0627\u0644\u0623\u0637\u0641\u0627\u0644 \u0627\u0644\u0631\u0636\u0639) \u0644\u0644\u0637\u0627\u0644\u0628 (\u0639\u0628\u062f \u0627\u0644\u0643\u0631\u064a\u0645 \u0639\u0646\u0627\u062f \u062d\u0645\u0648\u062f) \u0627\u0644\u062a\u064a \u0627\u0646\u062c\u0632\u0647\u0627 \u0628\u0627\u0634\u0631\u0627\u0641 \u0627\u0644\u062a\u062f\u0631\u064a\u0633\u064a\u0629 (\u0623.\u0645.\u062f. \u0644\u0645\u0649 \u0639\u0628\u062f \u0627\u0644\u0647\u0627\u062f\u064a \u0632\u0648\u064a\u0646).<\/span><\/h4>\n

\"\"<\/p>\n

 <\/p>\n

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    \n
  1. \n

    \u0627\u0644\u062d\u0635\u0648\u0644 \u0639\u0644\u0649 \u0639\u064a\u0646\u0627\u062a (\u062e\u0631\u0648\u062c\u060c \u062f\u0645\u060c \u0628\u0648\u0644) \u0645\u0646 \u0623\u0637\u0641\u0627\u0644 \u0631\u0636\u0639 \u0623\u0648 \u062d\u062f\u064a\u062b\u064a \u0627\u0644\u0648\u0644\u0627\u062f\u0629.<\/span><\/h4>\n<\/li>\n
  2. \n

    \u0639\u0632\u0644 \u0648\u062a\u0634\u062e\u064a\u0635 \u0627\u0644\u0628\u0643\u062a\u0631\u064a\u0627 \u0628\u0627\u0644\u0637\u0631\u0627\u0626\u0642 \u0627\u0644\u0645\u0632\u0631\u0639\u064a\u0629 \u0648\u0627\u0644\u0643\u064a\u0645\u0648\u062d\u064a\u0648\u064a\u0629 \u0648\u0627\u0633\u062a\u0639\u0645\u0627\u0644 \u062c\u0647\u0627\u0632 \u0627\u0644\u0641\u0627\u064a\u062a\u0643.<\/span><\/h4>\n<\/li>\n
  3. \n

    \u062f\u0631\u0627\u0633\u0629 \u0628\u0639\u0636 \u0639\u0648\u0627\u0645\u0644 \u0627\u0644\u0636\u0631\u0627\u0648\u0629 \u0644\u0644\u0628\u0643\u062a\u0631\u064a\u0627 \u0627\u0644\u0645\u0639\u0632\u0648\u0644\u0629 \u0644\u0627\u0633\u064a\u0645\u0627 \u0627\u0644\u0633\u0627\u0626\u062f\u0629.<\/span><\/h4>\n<\/li>\n
  4. \n

    \u062f\u0631\u0627\u0633\u0629 \u062d\u0633\u0627\u0633\u064a\u062a\u0647\u0627 \u0644\u0644\u0645\u0636\u0627\u062f\u0627\u062a \u0627\u0644\u062d\u064a\u0648\u064a\u0629 \u0628\u0627\u0633\u062a\u0639\u0645\u0627\u0644 \u0627\u0644\u062a\u0631\u0643\u064a\u0632 \u0627\u0644\u0645\u062b\u0628\u0637 \u0627\u0644\u0623\u062f\u0646\u0649MIC) ) \u0628\u062c\u0647\u0627\u0632 \u0627\u0644\u0641\u0627\u064a\u062a\u0643.<\/span><\/h4>\n<\/li>\n
  5. \n

    \u0627\u0644\u0643\u0634\u0641 \u0639\u0646 \u0627\u0644\u062c\u064a\u0646\u0627\u062a \u0627\u0644\u062a\u064a \u062a\u0634\u0641\u0631 \u0625\u0644\u0649 \u0639\u0648\u0627\u0645\u0644 \u0627\u0644\u0627\u0644\u062a\u0635\u0627\u0642 (fimA fimH, mrkA, mrkD,).<\/span><\/h4>\n<\/li>\n<\/ol>\n

    \"\"<\/h4>\n

     <\/p>\n

    \u0623\u062c\u0631\u064a\u062a \u0647\u0630\u0647 \u0627\u0644\u062f\u0631\u0627\u0633\u0629 \u0644\u0639\u0632\u0644 \u0648\u062a\u0634\u062e\u064a\u0635 \u0627\u0644\u0623\u062c\u0646\u0627\u0633 \u0627\u0644\u0628\u0643\u062a\u064a\u0631\u064a\u0629 \u0627\u0644\u0645\u0633\u0628\u0628\u0629 \u0644\u0627\u0644\u062a\u0647\u0627\u0628 \u0627\u0644\u0623\u0645\u0639\u0627\u0621 \u0627\u0644\u062a\u0646\u062e\u0631\u064a \u0639\u0646\u062f \u0627\u0644\u0623\u0637\u0641\u0627\u0644 \u0627\u0644\u0631\u0636\u0639\u060c \u0625\u0630 \u062c\u0645\u0639\u062a (64) \u0639\u064a\u0646\u0629 \u0633\u0631\u064a\u0631\u064a\u0629 \u0645\u0646 \u0645\u0633\u062a\u0634\u0641\u0649 \u062d\u0645\u0627\u064a\u0629 \u0627\u0644\u0623\u0637\u0641\u0627\u0644 \u0628\u0645\u062f\u064a\u0646\u0629 \u0627\u0644\u0637\u0628 \u0628\u0628\u063a\u062f\u0627\u062f \u0644\u0623\u0637\u0641\u0627\u0644 \u0645\u0635\u0627\u0628\u064a\u0646 \u0628\u0627\u0644\u062a\u0647\u0627\u0628 \u0627\u0644\u0623\u0645\u0639\u0627\u0621 \u0627\u0644\u062a\u0646\u062e\u0631\u064a \u062a\u0636\u0645\u0646\u062a (41) \u0639\u064a\u0646\u0629 \u0645\u0646 \u0627\u0644\u062e\u0631\u0648\u062c Stool \u00a0\u0648(14) \u0639\u064a\u0646\u0629 \u0645\u0646 \u0627\u0644\u062f\u0645 Blood \u06489 \u0639\u064a\u0646\u0627\u062a \u0645\u0646 \u0627\u0644\u0628\u0648\u0644Urine \u00a0\u0644\u0644\u0645\u062f\u0629 \u0645\u0646 29\/1\/2018 \u0625\u0644\u0649 4\/4\/2018. \u0632\u0631\u0639\u062a \u062c\u0645\u064a\u0639 \u0627\u0644\u0639\u064a\u0646\u0627\u062a \u0639\u0644\u0649 \u0648\u0633\u0637 \u0623\u0643\u0627\u0631 \u0627\u0644\u0645\u0627\u0643\u0648\u0646\u0643\u064aMacConkey agar \u00a0\u0648\u0648\u0633\u0637 \u0623\u0643\u0627\u0631 \u0627\u0644\u062f\u0645 Blood agar.<\/span><\/h4>\n

    \u0634\u062e\u0635\u062a \u0627\u0644\u0639\u0632\u0644\u0627\u062a \u0628\u0627\u0644\u0641\u062d\u0648\u0635\u0627\u062a \u0627\u0644\u0645\u062c\u0647\u0631\u064a\u0629 \u0648\u0627\u0644\u0645\u0632\u0631\u0639\u064a\u0629 \u0648\u0627\u0644\u0643\u064a\u0645\u0648\u062d\u064a\u0648\u064a\u0629\u060c \u0641\u0636\u0644\u0627\u064b \u0639\u0646 \u0627\u0644\u062a\u0634\u062e\u064a\u0635 \u0628\u0627\u0633\u062a\u0639\u0645\u0627\u0644 \u062c\u0647\u0627\u0632 Vitek-2 \u0625\u0630 \u0623\u0645\u0643\u0646 \u0627\u0644\u062d\u0635\u0648\u0644 \u0639\u0644\u0649 (43) \u0639\u0632\u0644\u0629\u060c \u0648\u0645\u0646 \u062e\u0644\u0627\u0644 \u0627\u0644\u062a\u0634\u062e\u064a\u0635 \u0628\u0646\u0638\u0627\u0645 \u0627\u0644\u0641\u0627\u064a\u062a\u0643 \u062a\u0628\u064a\u0646 \u0625\u0646 (26) 60.46%\u0639\u0632\u0644\u0629 \u062a\u0639\u0648\u062f \u0644\u0628\u0643\u062a\u0631\u064a\u0627 Klebsiella pneumoniae \u0648 (8) 18.60% \u0639\u0632\u0644\u0627\u062a Escherichia coli \u0648(4) 9.30% \u0639\u0632\u0644\u0627\u062aPseudomonas aeruginosa \u00a0\u0648\u0639\u0632\u0644\u062a\u064a\u0646 Klebsiella oxytoca \u00a04.65% \u0648\u0639\u0632\u0644\u062a\u064a\u0646Enterobacter cloacae \u00a0\u0628\u0646\u0633\u0628\u0629 4.65% \u0648\u0639\u0632\u0644\u0629 \u0648\u0627\u062d\u062f\u0629 \u0644\u0628\u0643\u062a\u0631\u064a\u0627 \u00a0Proteus hauseri \u0628\u0646\u0633\u0628\u0629 2.32%.<\/span><\/h4>\n

    \u0623\u0638\u0647\u0631\u062a \u0627\u0644\u0646\u062a\u0627\u0626\u062c \u0627\u0646 \u0628\u0643\u062a\u0631\u064a\u0627 K. pneumoniae \u0647\u064a \u0627\u0644\u0646\u0648\u0639 \u0627\u0644\u0633\u0627\u0626\u062f \u0641\u064a \u0627\u0644\u0639\u064a\u0646\u0627\u062a \u0627\u0644\u0645\u0623\u062e\u0648\u0630\u0629 \u0645\u0646 \u0627\u0644\u0623\u0637\u0641\u0627\u0644 \u0627\u0644\u0631\u0636\u0639 \u0627\u0644\u0645\u0635\u0627\u0628\u064a\u0646 \u0628\u0627\u0644\u062a\u0647\u0627\u0628 \u0627\u0644\u0623\u0645\u0639\u0627\u0621 \u0627\u0644\u062a\u0646\u062e\u0631\u064a\u060c \u0648\u0643\u0627\u0646\u062a \u00a023(88.46%) \u0639\u0632\u0644\u0629 \u0628\u0643\u062a\u064a\u0631\u064a\u0629 \u0627\u0644\u0645\u0639\u0632\u0648\u0644\u0629 \u0645\u0646 \u0639\u064a\u0646\u0627\u062a \u0627\u0644\u062e\u0631\u0648\u062c\u00a0 \u0648\u0639\u0632\u0644\u062a\u064a\u0646 (7.69%) \u0645\u0646 \u0627\u0644\u062f\u0645 \u0648\u0639\u0632\u0644\u0629 \u0648\u0627\u062d\u062f\u0629 3.84% \u0645\u0646 \u0627\u0644\u0628\u0648\u0644.<\/span><\/h4>\n

    \u0623\u0638\u0647\u0631\u062a \u0646\u062a\u0627\u0626\u062c \u0641\u062d\u0635 \u0627\u0644\u062d\u0633\u0627\u0633\u064a\u0629 \u0628\u0627\u0633\u062a\u0639\u0645\u0627\u0644 \u062c\u0647\u0627\u0632 Vitek-2 \u00a0\u0643\u0648\u0646\u0647 \u0623\u0643\u062b\u0631 \u0643\u0641\u0627\u0621\u0629 \u0645\u0642\u0627\u0631\u0646\u0629 \u0628\u0627\u0644\u0637\u0631\u064a\u0642\u0629 \u0627\u0644\u062a\u0642\u0644\u064a\u062f\u064a\u0629 \u0627\u062a\u062c\u0627\u0647 18 \u0645\u0636\u0627\u062f\u0627\u064b \u062d\u064a\u0648\u064a\u0627\u064b \u0644\u062a\u062d\u062f\u064a\u062f \u0627\u0644\u062a\u0631\u0643\u064a\u0632 \u0627\u0644\u0645\u062b\u0628\u0637 \u0627\u0644\u0623\u062f\u0646\u0649 Minimum Inhibitory Concentration (MICs)\u060c \u0648\u0628\u064a\u0646\u062a \u0627\u0644\u0646\u062a\u0627\u0626\u062c \u0623\u0646 \u062c\u0645\u064a\u0639 \u0627\u0644\u0639\u0632\u0644\u0627\u062a \u0627\u0644\u0628\u0643\u062a\u064a\u0631\u064a\u0629 \u0643\u0627\u0646\u062a \u0645\u0642\u0627\u0648\u0645\u0629 Resistance \u0628\u0646\u0633\u0628\u0629 100% \u0644\u0645\u0636\u0627\u062f\u064a Amoxicillin \u00a0\u0648Ampicillin \u060c \u0641\u064a\u0645\u0627 \u0623\u0638\u0647\u0631\u062a \u0627\u0644\u0639\u0632\u0644\u0627\u062a \u0627\u0644\u0628\u0643\u062a\u064a\u0631\u064a\u0629 \u0645\u0642\u0627\u0648\u0645\u0629 \u0628\u0646\u0633\u0628\u0629 96.15% \u0644\u0645\u0636\u0627\u062f Piperacillin\u060c \u0648\u0645\u0642\u0627\u0648\u0645\u062a\u0647\u0627 \u0627\u062a\u062c\u0627\u0647 \u0627\u0644\u0645\u0636\u0627\u062f\u0627\u062a \u0627\u0644\u062d\u064a\u0648\u064a\u0629 Cefazolin \u0648Ceftazidime \u0648Ceftriaxone \u0648 Cefepime\u0648Trimethoprim\/ Sulfamethoxazole \u0628\u0646\u0633\u0628\u0629 88.46% \u0648\u0645\u0642\u0627\u0648\u0645\u0629 \u0644\u0644\u0645\u0636\u0627\u062f Ampicillin\/sulbactam \u0628\u0646\u0633\u0628\u0629 73% \u0648\u0627\u0644\u0645\u0636\u0627\u062fCefoxitin \u00a0\u0628\u0646\u0633\u0628\u0629 61.54% \u0648\u0645\u0642\u0627\u0648\u0645\u0629 \u0644\u0644\u0645\u0636\u0627\u062f Meropenem \u0648\u0627\u0644\u0645\u0636\u0627\u062f Tobramycin \u00a0\u0628\u0646\u0633\u0628\u0629 57.70%\u060c \u0648\u0643\u0630\u0644\u0643 \u0645\u0642\u0627\u0648\u0645\u0629 \u0644\u0644\u0645\u0636\u0627\u062f Amikacin \u0648\u0627\u0644\u0645\u0636\u0627\u062f Gentamicin \u0628\u0646\u0633\u0628\u0629 50%\u060c \u0648\u0645\u0642\u0627\u0648\u0645\u0629 \u0644\u0644\u0645\u0636\u0627\u062f Ertapenem \u0648\u0627\u0644\u0645\u0636\u0627\u062f Ciprofloxacin \u0628\u0646\u0633\u0628\u0629 38.46%\u060c \u0648\u0645\u0642\u0627\u0648\u0645\u0629 \u0644\u0644\u0645\u0636\u0627\u062f Levofloxacin \u0628\u0646\u0633\u0628\u0629 23.07 % \u0648\u0645\u0642\u0627\u0648\u0645\u0629 \u0644\u0644\u0645\u0636\u0627\u062f Nitrofurantoin \u0628\u0646\u0633\u0628\u0629 15.38%\u060c \u0628\u064a\u0646\u0645\u0627 \u0643\u0627\u0646\u062a \u0627\u0644\u0639\u0632\u0644\u0627\u062a \u0627\u0644\u0628\u0643\u062a\u064a\u0631\u064a\u0629 \u0645\u062a\u0648\u0633\u0637\u0629 \u0627\u0644\u0645\u0642\u0627\u0648\u0645\u0629 \u0644\u0644\u0645\u0636\u0627\u062f Ampicillin\/Sulbactam \u0648\u0627\u0644\u0645\u0636\u0627\u062f \u00a0Levofloxacin\u0628\u0646\u0633\u0628\u0629 19.23%\u060c \u0648\u0644\u0644\u0645\u0636\u0627\u062f \u00a0Meropenem\u0628\u0646\u0633\u0628\u0629 3.84% \u0648\u0644\u0644\u0645\u0636\u0627\u062f Ciprofloxacin \u0628\u0646\u0633\u0628\u0629 7.69% \u0648\u0644\u0644\u0645\u0636\u0627\u062f Nitrofurantoin \u0628\u0646\u0633\u0628\u0629 53.84%.<\/span><\/h4>\n

    \u0628\u064a\u0646\u062a \u0646\u062a\u0627\u0626\u062c \u0627\u0644\u062a\u062d\u0631\u064a \u0639\u0646 \u0628\u0639\u0636 \u0639\u0648\u0627\u0645\u0644 \u0627\u0644\u0636\u0631\u0627\u0648\u0629 \u0645\u0638\u0647\u0631\u064a\u0627\u064b \u0628\u0623\u0646 \u062c\u0645\u064a\u0639 \u0639\u0632\u0644\u0627\u062a \u0628\u0643\u062a\u0631\u064a\u0627 K.pneumoniae \u0643\u0627\u0646\u062a \u0642\u0627\u062f\u0631\u0629 \u0639\u0644\u0649 \u0627\u0644\u0627\u0644\u062a\u0635\u0627\u0642 \u0628\u0648\u0633\u0627\u0637\u0629 \u0627\u0644\u062e\u0645\u0644 \u0645\u0646 \u0627\u0644\u0646\u0648\u0639 \u0627\u0644\u0623\u0648\u0644 T1f \u0628\u0646\u0633\u0628\u0629 61.54% \u0648\u0627\u0644\u062e\u0645\u0644 \u0645\u0646 \u0627\u0644\u0646\u0648\u0639 \u0627\u0644\u062b\u0627\u0644\u062b T3f \u0628\u0646\u0633\u0628\u0629 38.46%\u060c \u0648\u0627\u062e\u062a\u0628\u0631\u062a \u0642\u062f\u0631\u0629 \u0627\u0644\u0628\u0643\u062a\u0631\u064a\u0627 \u0639\u0644\u0649 \u062a\u0643\u0648\u064a\u0646 \u0627\u0644\u063a\u0634\u0627\u0621 \u0627\u0644\u062d\u064a\u0648\u064a Biofilm \u0628\u0627\u0633\u062a\u0639\u0645\u0627\u0644 \u0637\u0631\u064a\u0642\u0629 \u0627\u0644\u0643\u0648\u0646\u063a\u0648 \u0627\u0644\u0623\u062d\u0645\u0631, \u0625\u0630 \u0628\u064a\u0646\u062a \u0627\u0644\u0646\u062a\u0627\u0626\u062c \u0642\u062f\u0631\u0629 \u0623\u063a\u0644\u0628 \u0627\u0644\u0639\u0632\u0644\u0627\u062a \u0627\u0644\u0628\u0643\u062a\u064a\u0631\u064a\u0629 \u0639\u0644\u0649 \u062a\u0643\u0648\u064a\u0646 \u0627\u0644\u063a\u0634\u0627\u0621 \u0627\u0644\u062d\u064a\u0648\u064a \u060c \u0625\u0630 \u0623\u0646 14 \u0639\u0632\u0644\u0629 \u0628\u0646\u0633\u0628\u0629 53.84% \u0643\u0627\u0646\u062a \u0645\u0643\u0648\u0646\u0629 \u0644\u0644\u063a\u0634\u0627\u0621 \u0627\u0644\u062d\u064a\u0648\u064a \u0648\u0628\u0634\u0643\u0644 \u0642\u0648\u064a \u064810 \u0639\u0632\u0644\u0627\u062a \u0628\u0646\u0633\u0628\u0629 38.46 % \u0643\u0627\u0646\u062a \u0645\u0643\u0648\u0646\u0629 \u0644\u0644\u063a\u0634\u0627\u0621 \u0627\u0644\u062d\u064a\u0648\u064a \u0648\u0628\u0634\u0643\u0644 \u0645\u062a\u0648\u0633\u0637 \u060c \u0641\u064a \u062d\u064a\u0646 \u0643\u0627\u0646\u062a \u0639\u0632\u0644\u062a\u0627\u0646 \u0628\u0646\u0633\u0628\u0629 7.7 % \u063a\u064a\u0631 \u0645\u0643\u0648\u0646\u0629 \u0644\u0644\u063a\u0634\u0627\u0621 \u0627\u0644\u062d\u064a\u0648\u064a.<\/span><\/h4>\n

    \u062a\u0645 \u0627\u0644\u062a\u062d\u0631\u064a \u0639\u0646 \u0628\u0639\u0636 \u062c\u064a\u0646\u0627\u062a \u0627\u0644\u0636\u0631\u0627\u0648\u0629 \u0644\u0628\u0643\u062a\u0631\u064a\u0627K.pneumoniae \u00a0\u0648\u062a\u0636\u0645\u0646\u062a \u0647\u0630\u0647 \u0627\u0644\u062c\u064a\u0646\u0627\u062a \u0643\u0644\u0627\u064b \u0645\u0646 fim A \u0648 fim H \u0627\u0644\u062a\u064a \u062a\u0634\u0641\u0631 \u0639\u0646 \u0628\u0631\u0648\u062a\u064a\u0646 \u0627\u0644\u062a\u0635\u0627\u0642 \u0627\u0644\u062e\u0645\u0644 \u0627\u0644\u0639\u0627\u0626\u062f\u0629 \u0625\u0644\u0649 \u0627\u0644\u0646\u0648\u0639 \u0627\u0644\u0623\u0648\u0644 \u0648\u062c\u064a\u0646\u0627\u062a mrk A \u0648mrk D \u0627\u0644\u062a\u064a \u062a\u0634\u0641\u0631 \u0639\u0646 \u0628\u0631\u0648\u062a\u064a\u0646 \u0627\u0644\u062a\u0635\u0627\u0642 \u0627\u0644\u062e\u0645\u0644 \u0627\u0644\u0639\u0627\u0626\u062f\u0629 \u0625\u0644\u0649 \u0627\u0644\u0646\u0648\u0639 \u0627\u0644\u062b\u0627\u0644\u062b\u060c \u0648\u0623\u0638\u0647\u0631\u062a \u0627\u0644\u0646\u062a\u0627\u0626\u062c \u0648\u062c\u0648\u062f \u062c\u064a\u0646\u0627\u062a fim A \u0648 fim H \u0648 mrk A \u0628\u0646\u0633\u0628\u0629 100% \u0641\u064a \u062c\u0645\u064a\u0639 \u0627\u0644\u0639\u0632\u0644\u0627\u062a\u060c \u0623\u0645\u0627 \u062c\u064a\u0646\u00a0 mrk D \u0641\u0644\u0645 \u064a\u0638\u0647\u0631 \u0641\u064a \u062c\u0645\u064a\u0639 \u0627\u0644\u0639\u0632\u0644\u0627\u062a.<\/span><\/h4>\n

    \u0648\u0628\u0646\u0627\u0621 \u0639\u0644\u0649 \u0645\u0627 \u0633\u0628\u0642 \u0641\u0642\u062f \u0627\u0633\u062a\u0646\u062a\u062c \u0627\u0644\u0637\u0627\u0644\u0628 \u0645\u0627\u064a\u0644\u064a :<\/span><\/h4>\n
      \n
    1. \n

      \u0627\u0638\u0647\u0631\u062a \u0628\u0643\u062a\u0631\u064a\u0627pneumoniae \u0647\u064a \u0627\u0644\u0646\u0648\u0639 \u0627\u0644\u0633\u0627\u0626\u062f \u0641\u064a \u0627\u0644\u0639\u064a\u0646\u0627\u062a \u0627\u0644\u0645\u0623\u062e\u0648\u0630\u0629 \u0645\u0646 \u0627\u0644\u0623\u0637\u0641\u0627\u0644 \u0627\u0644\u0631\u0636\u0639 \u0627\u0644\u0645\u0635\u0627\u0628\u064a\u0646 \u0628\u0627\u0644\u062a\u0647\u0627\u0628 \u0627\u0644\u0623\u0645\u0639\u0627\u0621 \u0627\u0644\u062a\u0646\u062e\u0631\u064a \u0648\u0643\u0627\u0646\u062a \u062a\u062d\u062a\u0644 \u0623\u0639\u0644\u0649 \u0646\u0633\u0628\u0629 \u0623\u0635\u0627\u0628\u0629 \u0648\u062c\u0627\u0621\u062a \u0628\u0639\u062f\u0647\u0627 \u0628\u0643\u062a\u0631\u064a\u0627 E.coli \u0648 P. aeruginosa\u0648 K.oxytoca \u0648 E.cloacae \u0648\u0628\u0643\u062a\u0631\u064a\u0627 P.hauseri \u0628\u0623\u0642\u0644 \u0646\u0633\u0628\u0629 \u0625\u0635\u0627\u0628\u0629.<\/span><\/h4>\n<\/li>\n
    2. \n

      \u064a\u0645\u0643\u0646 \u0627\u0644\u0627\u0639\u062a\u0645\u0627\u062f \u0639\u0644\u0649 \u0639\u064a\u0646\u0627\u062a \u0627\u0644\u062e\u0631\u0648\u062c \u0641\u064a \u062a\u062d\u062f\u064a\u062f \u0646\u0648\u0639 \u0627\u0644\u0625\u0635\u0627\u0628\u0629 \u0627\u0644\u0628\u0643\u062a\u064a\u0631\u064a\u0629 \u0641\u064a \u0627\u0644\u0627\u0637\u0641\u0627\u0644 \u0627\u0644\u0645\u0635\u0627\u0628\u064a\u0646 \u0628\u0627\u0644\u062a\u0647\u0627\u0628 \u0627\u0644\u0627\u0645\u0639\u0627\u0621 \u0627\u0644\u062a\u0646\u062e\u0631\u064a.<\/span><\/h4>\n<\/li>\n
    3. \n

      \u0623\u0638\u0647\u0631\u062a \u0639\u0632\u0644\u0627\u062a \u0628\u0643\u062a\u0631\u064a\u0627 pneumoniae \u0645\u0642\u0627\u0648\u0645\u062a\u0647\u0627 \u0628\u0646\u0633\u0628\u0629 \u0639\u0627\u0644\u064a\u0629 \u0644\u0644\u0639\u062f\u064a\u062f \u0645\u0646 \u0627\u0644\u0645\u0636\u0627\u062f\u0627\u062a \u0627\u0644\u062d\u064a\u0648\u064a\u0629 \u0627\u0644\u0645\u0633\u062a\u0639\u0645\u0644\u0629 \u0641\u064a \u0627\u0644\u062f\u0631\u0627\u0633\u0629 \u0639\u0646\u062f \u062a\u062d\u062f\u064a\u062f \u0627\u0644\u062a\u0631\u0643\u064a\u0632 \u0627\u0644\u0645\u062b\u0628\u0637 \u0627\u0644\u0623\u062f\u0646\u0649 (MICs) \u0628\u0627\u0633\u062a\u0639\u0645\u0627\u0644 \u062c\u0647\u0627\u0632 \u0627\u0644\u0641\u0627\u064a\u062a\u0643.<\/span><\/h4>\n<\/li>\n
    4. \n

      \u0648\u0623\u0638\u0647\u0631\u062a \u0639\u0632\u0644\u0627\u062a \u0628\u0643\u062a\u0631\u064a\u0627 pneumoniae \u0623\u0646\u0645\u0627\u0637 \u0645\u0642\u0627\u0648\u0645\u0629 \u0639\u0627\u0644\u064a\u0629 \u0644\u0644\u0645\u0636\u0627\u062f\u0627\u062a \u0627\u0644\u062d\u064a\u0648\u064a\u0629.<\/span><\/h4>\n<\/li>\n
    5. \n

      \u0623\u0638\u0647\u0631\u062a \u0628\u0639\u0636 \u0639\u0632\u0644\u0627\u062a \u0628\u0643\u062a\u0631\u064a\u0627 pneumoniae \u0627\u0645\u062a\u0644\u0627\u0643\u0647\u0627 \u0645\u0639\u0627\u064b \u0627\u0644\u062e\u0645\u0644 \u0645\u0646 \u0627\u0644\u0646\u0648\u0639 \u0627\u0644\u0623\u0648\u0644 \u0648\u0627\u0644\u062b\u0627\u0644\u062b \u0648\u0623\u0638\u0647\u0631\u062a \u0642\u062f\u0631\u062a\u0647\u0627 \u0639\u0644\u0649 \u062a\u0643\u0648\u064a\u0646 \u0627\u0644\u063a\u0634\u0627\u0621 \u0627\u0644\u062d\u064a\u0648\u064a Biofilm \u0628\u0627\u0633\u062a\u0639\u0645\u0627\u0644 \u0637\u0631\u064a\u0642\u0629 \u0627\u0644\u0643\u0648\u0646\u063a\u0648 \u0627\u0644\u0623\u062d\u0645\u0631.<\/span><\/h4>\n<\/li>\n
    6. \n

      \u062a\u062e\u062a\u0644\u0641 \u0627\u0644\u0639\u0632\u0644\u0627\u062a \u0641\u064a \u0627\u0645\u062a\u0644\u0627\u0643\u0647\u0627 \u0644\u062c\u064a\u0646\u0627\u062a \u0627\u0644\u0627\u0644\u062a\u0635\u0627\u0642 \u0628\u0627\u0644\u0627\u0639\u062a\u0645\u0627\u062f \u0639\u0644\u0649 \u0645\u0635\u062f\u0631 \u0627\u0644\u0639\u0632\u0644\u0629 \u0625\u0630 \u0623\u0638\u0647\u0631\u062a \u0646\u062a\u0627\u0626\u062c \u0627\u0644\u0643\u0634\u0641 \u0639\u0646 \u062c\u064a\u0646\u0627\u062a \u0627\u0644\u0636\u0631\u0627\u0648\u0629 \u0627\u0645\u062a\u0644\u0627\u0643 \u0628\u0643\u062a\u0631\u064a\u0627 pneumoniae \u0643\u0644 \u0645\u0646 \u0627\u0644\u062c\u064a\u0646\u0627\u062a fim A \u0648 fim H \u0648 mrk A \u0641\u064a \u062c\u0645\u064a\u0639 \u0627\u0644\u0639\u0632\u0644\u0627\u062a \u0648\u0628\u0646\u0633\u0628\u0629 100%\u060c \u0623\u0645\u0627 \u062c\u064a\u0646 mrk D \u0641\u0644\u0645 \u064a\u0638\u0647\u0631 \u0641\u064a \u062c\u0645\u064a\u0639 \u0627\u0644\u0639\u0632\u0644\u0627\u062a.<\/span><\/h4>\n<\/li>\n<\/ol>\n

      <\/h4>\n

      \u0627\u0644\u062a\u0648\u0635\u064a\u0627\u062a Recommendation<\/span><\/h4>\n
        \n
      1. \n

        \u0625\u062c\u0631\u0627\u0621 \u062f\u0631\u0627\u0633\u0627\u062a \u0644\u0644\u0643\u0634\u0641 \u0627\u0644\u062c\u064a\u0646\u064a \u0639\u0646 \u0627\u0644\u062e\u0645\u0644 \u0645\u0646 KPC \u0648KPF-28 \u0641\u064a \u0627\u0644\u0623\u0646\u0648\u0627\u0639 \u0627\u0644\u0628\u0643\u062a\u064a\u0631\u064a\u0629 \u0627\u0644\u0645\u0633\u0628\u0628\u0629 \u0644\u0625\u0644\u062a\u0647\u0627\u0628 \u0627\u0644\u0623\u0645\u0639\u0627\u0621 \u0627\u0644\u062a\u0646\u062e\u0631\u064a \u0639\u0646\u062f \u0627\u0644\u0623\u0637\u0641\u0627\u0644 \u0627\u0644\u0631\u0636\u0639.<\/span><\/h4>\n<\/li>\n
      2. \n

        \u0627\u0639\u062a\u0645\u0627\u062f \u0637\u0631\u0627\u0626\u0642 \u062d\u062f\u064a\u062b\u0629 \u0623\u062e\u0631\u0649 \u0644\u0644\u0643\u0634\u0641 \u0627\u0644\u0645\u0638\u0647\u0631\u064a \u0639\u0646 \u0627\u0644\u062e\u0645\u0644 \u0645\u0646 \u0627\u0644\u0646\u0648\u0639 \u0627\u0644\u0623\u0648\u0644 \u0648\u0627\u0644\u062b\u0627\u0644\u062b \u0644\u0644\u0628\u0643\u062a\u0631\u064a\u0627 \u0627\u0644\u0645\u0633\u0628\u0628\u0629 \u0644\u0625\u0644\u062a\u0647\u0627\u0628 \u0627\u0644\u0623\u0645\u0639\u0627\u0621 \u0627\u0644\u062a\u0646\u062e\u0631\u064a \u0639\u0646\u062f \u0627\u0644\u0623\u0637\u0641\u0627\u0644 \u0627\u0644\u0631\u0636\u0639 \u0628\u0627\u0633\u062a\u0639\u0645\u0627\u0644 \u062a\u0642\u0646\u064a\u0629 \u062c\u0647\u0627\u0632 Fluorescent.<\/span><\/h4>\n<\/li>\n
      3. \n

        \u0625\u062c\u0631\u0627\u0621 \u062f\u0631\u0627\u0633\u0627\u062a \u0644\u0644\u062a\u062d\u0631\u064a \u0639\u0646 \u0642\u0627\u0628\u0644\u064a\u0629 \u0627\u0644\u062a\u0635\u0627\u0642 \u0627\u0644\u0628\u0643\u062a\u0631\u064a\u0627 \u0627\u0644\u0645\u0633\u0628\u0628\u0629 \u0644\u0625\u0644\u062a\u0647\u0627\u0628 \u0627\u0644\u0623\u0645\u0639\u0627\u0621 \u0627\u0644\u062a\u0646\u062e\u0631\u064a \u0639\u0646\u062f \u0627\u0644\u0623\u0637\u0641\u0627\u0644 \u0627\u0644\u0631\u0636\u0639 \u0639\u0644\u0649 \u0627\u0644\u0623\u0646\u0633\u062c\u0629 \u0627\u0644\u0637\u0644\u0627\u0626\u064a\u0629 \u0648\u0627\u0644\u0623\u062c\u0647\u0632\u0629 \u0627\u0644\u0637\u0628\u064a\u0629.<\/span><\/h4>\n<\/li>\n
      4. \n

        \u0636\u0631\u0648\u0631\u0629 \u0627\u0644\u0639\u0645\u0644 \u0639\u0644\u0649 \u0627\u0644\u062e\u0644\u0637 \u0628\u064a\u0646 \u0627\u0644\u0645\u0636\u0627\u062f\u0627\u062a \u0644\u0644\u062d\u062f \u0645\u0646 \u0627\u0644\u0645\u0642\u0627\u0648\u0645\u0629 \u0627\u0644\u0645\u062a\u0639\u062f\u062f\u0629 \u0644\u0644\u0628\u0643\u062a\u0631\u064a\u0627 \u0627\u0644\u0645\u0633\u0628\u0628\u0629 \u0644\u0625\u0644\u062a\u0647\u0627\u0628 \u0627\u0644\u0623\u0645\u0639\u0627\u0621 \u0627\u0644\u062a\u0646\u062e\u0631\u064a \u0639\u0646\u062f \u0627\u0644\u0623\u0637\u0641\u0627\u0644 \u0627\u0644\u0631\u0636\u0639.<\/span><\/h4>\n<\/li>\n
      5. \n

        \u062f\u0631\u0627\u0633\u0629 \u0627\u0644\u062a\u0639\u0628\u064a\u0631 \u0627\u0644\u062c\u064a\u0646\u064a \u0644\u0644\u062e\u0645\u0644 \u0645\u0646 \u0627\u0644\u0646\u0648\u0639 \u0627\u0644\u0623\u0648\u0644 \u0648\u0627\u0644\u062b\u0627\u0644\u062b.<\/span><\/h4>\n<\/li>\n
      6. \n

        \u062c\u0628 \u0623\u0646 \u062a\u0643\u0648\u0646 \u0647\u0646\u0627\u0643 \u0637\u0631\u0627\u0626\u0642 \u062d\u062f\u064a\u062b\u0629 \u0644\u0644\u062a\u062d\u0631\u064a \u0639\u0646 \u0627\u0644\u0628\u0643\u062a\u0631\u064a\u0627 \u0627\u0644\u0645\u0633\u0628\u0628\u0629 \u0644\u0625\u0644\u062a\u0647\u0627\u0628 \u0627\u0644\u0623\u0645\u0639\u0627\u0621 \u0627\u0644\u062a\u0646\u062e\u0631\u064a \u0639\u0646\u062f \u0627\u0644\u0623\u0637\u0641\u0627\u0644 \u0627\u0644\u0631\u0636\u0639 \u0628\u0627\u0633\u062a\u0639\u0645\u0627\u0644 \u0627\u0644\u062a\u0634\u062e\u064a\u0635 \u0627\u0644\u0645\u0635\u0644\u064a \u0648 PCR.<\/span><\/h4>\n

        Department of Biology discusses M.Sc. Thesis on Bacteriological Study of Necrotizing Enterocolitis Patients in Infants<\/span><\/h3>\n

        Department of Biology \u00a0was discussed M.Sc. Thesis on\u00a0 Bacteriological Study of Necrotizing Enterocolitis Patients of Abdulkareem Enad\u00a0 supervised by Asst.prof.Dr.Luma Abdulhadi Zowain<\/span><\/h3>\n

        \u00a0Summary<\/span><\/h3>\n

        This study was conducted to isolate and identification of bacterial from infants genera with Necrotizing Enterocolitis.<\/span><\/h3>\n

        Sixty four clinical samples were collected from the children protection hospital of the Medical city in Baghdad for infants infected of Necrotizing Enterocolitis where included (41) samples from stool and (14) samples from Blood and (9) samples from urine for the period from January 2018 to April 2018.<\/span><\/h3>\n

        All samples were cultured on Mac Conkey and Blood agar. All isolates were identification depending on macroscopic \u00a0microscopic, and biochemical test as well as definite with Vitek-2 compact system, (43) isolates were obtained from patiants (26) isolates belonged to K.pneumoniae (60.46%), 8 isolates toE.coli (18.60%), 4 isolates diagnosed as P.aeruginosa (9.30 %), 2 isolates toK.oxytoca (4.65%), 2 isolates toE.cloacae (4.65%) and one isolate to P.hauseri (2.32%).<\/span><\/h3>\n

        The results showed that K.pneumoniae was the predominant 26 (88.46 %) isolates from stool, 2(7.69%) from blood and 1(3.84%) isolate from urine.<\/span><\/h3>\n

        The results of the investigation of some virulence factors revealed that all K. pneumonia isolates were able to attachment by the fimbriae of type 1 (T1f) 61.54% and type 3 (T3f) 38.46% and were ableto form bio, film to using Congo red agar method.<\/span><\/h3>\n

        The results showed ability most of K.pneumoniae isolates to form bio film on Congo red agar media where it 16(53.84%) isolates of 26 isolates which belong to K.pneumoniae were able to form bio film strongly and 10(38.46%) isolates were able to form bio film moderately while 2(7.7%) isolates were unable to form bio film.<\/span><\/h3>\n

        Results of the sensitivity test shown by using Vitek-2 compact system was its more efficient than the traditional methods towards 18 antibiotics to determine the Minimum inhibitory concentration (MICs).<\/span><\/h3>\n

        The results showed that all K.pneumoniae isolates were resistant 100% to Ampicillin and Amoxicillin, while were resistance 96.15% to Piperacillin, 88.46% of isolates were resistant to Cefazolin, Ceftazidime, Ceftriaxone, Cefepime and Trimethoprim\/Sulfamethoxazole, 73% to Ampicillin\/Sulbactam, 61.54% to Cefoxitin, 57.70% to Meropenem and Tobramycin, 50% to Amikacin and Gentamicin, 38.46% to Ertapenem and Ciprofloxacin, 23.07% to Levofloxacin, 15.38% to Nitrofurantoin, whereas the bacterial isolates were moderately resistant to Ampicillin \/ Sulbactam and Levofloxacin to reched 19.23% and to Meropenem 3.84% and to Ciprofloxacin 7.69% and to Nitrofurantoin 53.84%.<\/span><\/h3>\n

        In this study investigated of some of the virulence genes to K.pneumoniaebacteria, these genes included both fim A and fim H which encodes for the fimbriae adhesion protein which belong to type 1, genes mrk A and mrkD which encodes for fimbriae adhesion which belong to type 3 and the results showed presence of genes fimA, fimH and mrkA 100% in all isolates while mrkD gene were not detected in all isolates.<\/span><\/h3>\n
        \n<\/li>\n<\/ol>\n","protected":false},"excerpt":{"rendered":"

        \u0646\u0627\u0642\u0634 \u0642\u0633\u0645 \u0639\u0644\u0648\u0645 \u0627\u0644\u062d\u064a\u0627\u0629 \u0641\u064a \u0643\u0644\u064a\u0629 \u0627\u0644\u062a\u0631\u0628\u064a\u0629 \u0644\u0644\u0639\u0644\u0648\u0645 \u0627\u0644\u0635\u0631\u0641\u0629 (\u0627\u0628\u0646 \u0627\u0644\u0647\u064a\u062b\u0645) \u0631\u0633\u0627\u0644\u0629 \u0627\u0644\u0645\u0627\u062c\u0633\u062a\u064a\u0631 \u0627\u0644\u0645\u0648\u0633\u0648\u0645\u0629 (\u062f\u0631\u0627\u0633\u0629 \u0628\u0643\u062a\u0631\u064a\u0648\u0644\u0648\u062c\u064a\u0629 \u0644\u0645\u0631\u0636\u0649 \u0627\u0644\u062a\u0647\u0627\u0628 \u0627\u0644\u0623\u0645\u0639\u0627\u0621 \u0627\u0644\u062a\u0646\u062e\u0631\u064a….<\/i>\u0627\u0644\u0645\u0632\u064a\u062f<\/span><\/a><\/p>\n","protected":false},"author":25,"featured_media":27012,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_lmt_disableupdate":"","_lmt_disable":"","footnotes":""},"categories":[7,16],"tags":[23],"class_list":["post-27009","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-7","category-16","tag-ihcoedu"],"modified_by":"ihcoedu","_links":{"self":[{"href":"https:\/\/ihcoedu.uobaghdad.edu.iq\/index.php?rest_route=\/wp\/v2\/posts\/27009","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/ihcoedu.uobaghdad.edu.iq\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/ihcoedu.uobaghdad.edu.iq\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/ihcoedu.uobaghdad.edu.iq\/index.php?rest_route=\/wp\/v2\/users\/25"}],"replies":[{"embeddable":true,"href":"https:\/\/ihcoedu.uobaghdad.edu.iq\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=27009"}],"version-history":[{"count":0,"href":"https:\/\/ihcoedu.uobaghdad.edu.iq\/index.php?rest_route=\/wp\/v2\/posts\/27009\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/ihcoedu.uobaghdad.edu.iq\/index.php?rest_route=\/wp\/v2\/media\/27012"}],"wp:attachment":[{"href":"https:\/\/ihcoedu.uobaghdad.edu.iq\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=27009"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/ihcoedu.uobaghdad.edu.iq\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=27009"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/ihcoedu.uobaghdad.edu.iq\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=27009"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}