{"id":28524,"date":"2019-12-02T13:03:23","date_gmt":"2019-12-02T10:03:23","guid":{"rendered":"http:\/\/ihcoedu.uobaghdad.edu.iq\/?p=28524"},"modified":"2020-02-12T03:32:56","modified_gmt":"2020-02-12T00:32:56","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%a8-7","status":"publish","type":"post","link":"https:\/\/ihcoedu.uobaghdad.edu.iq\/?p=28524","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\u0628\u062d\u062b \u0641\u064a \u0627\u0644\u0643\u0634\u0641 \u0627\u0644\u062c\u0632\u064a\u0626\u064a \u0644\u062c\u064a\u0646\u0627\u062a \u0645\u0642\u0627\u0648\u0645\u0629 \u0627\u0644\u0645\u0636\u0627\u062f\u0627\u062a \u0627\u0644\u062d\u064a\u0648\u064a\u0629 \u0641\u064a \u0628\u0643\u062a\u0631\u064a\u0627 Acinetobacter baumannii"},"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 ( \u0627\u0644\u0643\u0634\u0641<\/strong> \u0627\u0644\u062c\u0632\u064a\u0626\u064a<\/strong> \u0644\u0628\u0639\u0636<\/strong> \u062c\u064a\u0646\u0627\u062a<\/strong> \u0645\u0642\u0627\u0648\u0645\u0629 \u0627\u0644\u0645\u0636\u0627\u062f\u0627\u062a<\/strong> \u0627\u0644\u062d\u064a\u0648\u064a\u0629<\/strong> \u0641\u064a<\/strong> \u0628\u0643\u062a\u0631\u064a\u0627<\/strong> Acinetobacter<\/em><\/strong> baumannii<\/em><\/strong> \u0627\u0644\u0645\u0639\u0632\u0648\u0644\u0629<\/strong> \u0645\u0646<\/strong> \u062d\u0627\u0644\u0627\u062a<\/strong> \u0633\u0631\u064a\u0631\u064a\u0629<\/strong> \u0645\u062e\u062a\u0644\u0641\u0629<\/strong> ) \u0644\u0644\u0637\u0627\u0644\u0628 ( <\/strong>\u0627\u0631\u0643\u0627\u0646 \u0639\u062f\u0646\u0627\u0646 \u0645\u0647\u062f\u064a ) \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 \u0641\u064a \u0627\u0644\u0642\u0633\u0645 ( \u0631\u0646\u0627 \u0645\u062c\u0627\u0647\u062f \u0639\u0628\u062f \u0627\u0644\u0644\u0647 \u0627\u0644\u0634\u0648\u064a\u062e)\u00a0 .<\/strong><\/span><\/h4>\n

\u00a0\"\"<\/strong><\/span><\/h4>\n

\u0648\u064a\u0647\u062f\u0641 \u0627\u0644\u0628\u062d\u062b \u0627\u0644\u0649 :<\/span><\/h4>\n
    \n
  • \n

    \u0639\u0632\u0644 \u0627\u0644\u0628\u0643\u062a\u064a\u0631\u064a\u0627 \u0645\u0646 \u0639\u064a\u0646\u0627\u062a \u0633\u0631\u064a\u0631\u064a\u0629 \u0645\u062e\u062a\u0644\u0641\u0629 .<\/span><\/h4>\n<\/li>\n
  • \n

    \u0627\u062c\u0631\u0627\u0621 \u0641\u062d\u0635 \u0627\u0644\u062d\u0633\u0627\u0633\u064a\u0629 \u0628\u0637\u0631\u064a\u0642\u064a\u062a\u064a\u0646 \u0645\u062e\u062a\u0644\u0641\u062a\u064a\u0646.<\/span><\/h4>\n<\/li>\n
  • \n

    \u0627\u0644\u062a\u062d\u0631\u064a \u0639\u0646 \u062c\u064a\u0646\u0627\u062a \u0645\u0642\u0627\u0648\u0645\u0629 \u0627\u0644\u0645\u0636\u0627\u062f\u0627\u062a \u0627\u0644\u062d\u064a\u0648\u064a\u0629 (\u00a0\u00a0\u00a0pmrA<\/em> , bla-OXA23 like<\/em> , like<\/em>\u00a0 \u00a0bla-OXA-51 <\/em>\u00a0\u0648\u0627\u0644\u062c\u064a\u0646 aacC1\u00a0<\/em>) \u0627\u0644\u062a\u064a \u062a\u0634\u0641\u0631 \u0627\u0644\u0649 \u0645\u0642\u0627\u0648\u0645\u0629 \u0645\u0636\u0627\u062f\u0627\u062a \u0627\u0644\u0628\u064a\u062a\u0627\u0644\u0627\u0643\u062a\u0627\u0645 \u0648 \u0627\u0644\u0627\u0645\u064a\u0646\u0648\u0643\u0644\u0627\u064a\u0643\u0648\u0633\u0627\u064a\u062f \u0648 \u0645\u0636\u0627\u062f \u0627\u0644\u0643\u0648\u0644\u064a\u0633\u064a\u0646.<\/span><\/h4>\n<\/li>\n
  • \n

    \u062f\u0631\u0627\u0633\u0629 \u0627\u0644\u062a\u0639\u0628\u064a\u0631 \u0627\u0644\u062c\u064a\u0646\u064a \u0644\u0644\u062c\u064a\u0646\u0627\u062a \u0627\u0644\u0645\u0630\u0643\u0648\u0631\u0629 \u0627\u0639\u0644\u0627\u0647 \u0628\u0639\u062f \u0645\u0639\u0627\u0645\u0644\u0629 \u0639\u0632\u0644\u0627\u062a \u0628\u0643\u062a\u064a\u0631\u064a\u0627 (Acinetobacter baumannii<\/em>) \u0628\u0627\u0644\u0645\u0636\u0627\u062f\u0627\u062a \u0627\u0644\u062d\u064a\u0648\u064a\u0629 \u0627\u0644\u0627\u062a\u064a\u0629 : Ceftazidime \u060c\u00a0Gentamycin \u060c\u00a0Colistin\u00a0 \u00a0<\/span><\/h4>\n<\/li>\n<\/ul>\n

    \"\"<\/h4>\n

    \u0648\u062a\u0645 \u0641\u064a \u0647\u0630\u0627 \u0627\u0644\u0628\u062d\u062b \u062c\u0645\u0639 200 \u0639\u064a\u0646\u0629 \u0633\u0631\u064a\u0631\u064a\u0629 \u0645\u0646 \u0645\u062e\u062a\u0644\u0641 \u0627\u0644\u0645\u0635\u0627\u062f\u0631 \u0634\u0645\u0644\u062a 50 \u0639\u064a\u0646\u0629 \u062f\u0645 Blood) ) \u00a0\u0645\u0646 \u0645\u0631\u0636\u0649 \u062a\u062c\u0631\u062b\u0645 \u0627\u0644\u062f\u0645 ( (bacteremia,55 \u0639\u064a\u0646\u0629 \u0645\u0646 \u00a0\u0627\u0644\u0642\u0634\u0639 Sputum)) \u0645\u0646 \u0645\u0631\u0636\u0649 \u0627\u0644\u062a\u0647\u0627\u0628 \u0627\u0644\u0645\u0633\u0627\u0644\u0643 \u0627\u0644\u062a\u0646\u0641\u0633\u064a\u0629, \u00a050 \u0639\u064a\u0646\u0629 \u0645\u0646 \u0627\u0644\u0628\u0648\u0644 Urine)) \u0645\u0646 \u0645\u0631\u0636\u0649 \u0627\u0644\u062a\u0647\u0627\u0628 \u0627\u0644\u0645\u0633\u0627\u0644\u0643 \u0627\u0644\u0628\u0648\u0644\u064a\u0629 ,10 \u00a0\u0639\u064a\u0646\u0627\u062a \u00a0\u0645\u0646 \u0645\u0633\u062d\u0627\u062a\u00a0 \u0627\u0644\u062c\u0631\u0648\u062d (Wound swab) \u00a0\u00a0\u0645\u0646 \u0627\u0644\u062a\u0647\u0627\u0628 \u0627\u0644\u062c\u0631\u0648\u062d \u00a0\u00a0,10 \u0639\u064a\u0646\u0627\u062a \u00a0\u0645\u0646 \u0645\u0633\u062d\u0627\u062a \u00a0\u0627\u0644\u062d\u0631\u0648\u0642 (( Burn swab \u0645\u0646 \u0645\u0631\u0636\u0649 \u0627\u0644\u062d\u0631\u0648\u0642 ,10 \u0639\u064a\u0646\u0627\u062a \u00a0\u0645\u0646 \u0645\u0633\u062d\u0627\u062a \u0627\u0644\u062d\u0646\u062c\u0631\u0629 Throat swab)) \u0645\u0646 \u0627\u0644\u062a\u0647\u0627\u0628 \u0627\u0644\u062c\u0647\u0627\u0632 \u0627\u0644\u062a\u0646\u0641\u0633\u064a \u0627\u0644\u0639\u0644\u0648\u064a,Upper respiratory 10 \u0639\u064a\u0646\u0629 \u0645\u0646 \u00a0\u0633\u0648\u0627\u0626\u0644 \u0627\u0644\u062c\u0633\u0645 (Pleural effusion)\u00a0 \u00a0\u0648\u0630\u0644\u0643 \u00a0\u0645\u0646 \u0645\u0633\u062a\u0634\u0641\u064a\u0627\u062a \u0645\u062e\u062a\u0644\u0641\u0629 \u0641\u064a \u0628\u063a\u062f\u0627\u062f\u00a0 \u00a0\u0644\u0644\u0645\u062f\u0629 \u00a0\u0645\u0646 \u00a020\u00a0 \\11\\ 2018 \u0648\u0627\u0644\u0649\u00a0 15\\2\\2019 \u00a0.<\/span><\/h4>\n

    \u00a0\u00a0\u00a0 \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u0632\u0631\u0639\u062a \u00a0\u0627\u0644\u0639\u064a\u0646\u0627\u062a \u0639\u0644\u0649 \u0627\u0648\u0633\u0627\u0637 \u00a0\u0632\u0631\u0639\u064a\u0629 \u0634\u0645\u0644\u062a \u00a0\u0648\u0633\u0637 \u0627\u0643\u0627\u0631 \u0627\u0644\u062f\u0645 blood agar \u00a0, \u0648\u0633\u0637 \u0627\u0643\u0627\u0631 \u00a0\u0627\u0644\u0645\u0627\u0643\u0648\u0646\u0643\u064a MacConky agar \u0648 \u0648\u0633\u0637\u00a0 \u0627\u0643\u0627\u0631 \u0627\u0644\u0643\u0631\u0648\u0645\u0627\u062c\u064a\u0646 \u00a0\u0627\u0648\u0631\u064a\u0646\u062a\u064a\u0634\u0646 \u00a0Chromagen agar orientation \u00a0\u00a0\u0644\u062f\u0631\u0627\u0633\u0629 \u0627\u0644\u0635\u0641\u0627\u062a \u0627\u0644\u0645\u0632\u0631\u0639\u064a\u0629 (\u0627\u0644\u0645\u0638\u0647\u0631\u064a\u0629) \u0648\u0627\u0644\u0645\u062c\u0647\u0631\u064a\u0629 \u00a0\u062b\u0645 \u00a0\u0627\u062c\u0631\u064a\u062a \u0627\u0644\u0627\u062e\u062a\u0628\u0627\u0631\u0627\u062a \u00a0\u0627\u0644\u0643\u064a\u0645\u0648 \u062d\u064a\u0648\u064a\u0629 \u0627\u0630 \u00a0\u062a\u0645 \u0627\u0644\u062a\u0634\u062e\u064a\u0635 \u0627\u0644\u0646\u0647\u0627\u0626\u064a \u0644\u0644\u0628\u0643\u062a\u0631\u064a\u0627 \u0628\u0648\u0627\u0633\u0627\u0637\u0629 \u062c\u0647\u0627\u0632 \u0627\u0644\u0641\u0627\u064a\u062a\u0643 \u0648API 20 E \u0648\u062a\u0645 \u0627\u0644\u062a\u0634\u062e\u064a\u0635 \u0627\u0644\u062c\u0632\u064a\u0626\u064a \u0628\u0627\u0644\u0627\u0639\u062a\u0645\u0627\u062f \u0639\u0644\u0649 \u0627\u0644\u062c\u064a\u0646 16srRNA<\/em> \u00a0\u0627\u0630 \u064a\u0639\u062f \u00a0\u0627\u0644\u0641\u062d\u0635 \u0627\u0644\u0627\u0633\u0631\u0639 \u0648\u0627\u0644\u0627\u062f\u0642 \u00a0\u0641\u064a \u0645\u062c\u0627\u0644 \u0627\u0644\u062a\u0634\u062e\u064a\u0635 \u00a0\u0648\u0642\u062f \u00a0\u0627\u0638\u0647\u0631\u062a \u062c\u0645\u064a\u0639 \u0627\u0644\u0639\u0632\u0644\u0627\u062a \u0627\u0645\u062a\u0644\u0627\u0643\u0647\u0627 \u0644\u0644\u062c\u064a\u0646 \u0628\u0646\u0633\u0628\u0629 100% \u0648\u0628\u0648\u0632\u0646 \u062c\u0632\u064a\u0626\u064a \u00a0151 \u0632\u0648\u062c \u0642\u0627\u0639\u062f\u0629 .<\/span><\/h4>\n

    \u00a0 \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u0627\u0638\u0647\u0631\u062a \u0646\u062a\u0627\u0626\u062c \u062a\u0634\u062e\u064a\u0635 \u0627\u0646 40 \u0639\u0632\u0644\u0629 \u00a0\u062a\u0639\u0648\u062f \u0644\u0628\u0643\u062a\u0631\u064a\u0627 Acinetobacter baumannii<\/em> \u0648\u0634\u0645\u0644\u062a \u00a0\u00a014 \u0639\u0632\u0644\u0629 \u00a0\u0645\u0646 \u0639\u064a\u0646\u0627\u062a \u0627\u0644\u062f\u0645 \u00a0<\/em>\u0648<\/em> \u0628\u0646\u0633\u0628\u0629 35% , 15 \u0639\u0632\u0644\u0629 \u0645\u0646 \u0639\u064a\u0646\u0627\u062a \u0627\u0644\u0642\u0634\u0639 \u0648\u0628\u0646\u0633\u0628\u0629 38% , \u0627\u0645\u0627 \u0645\u0646 \u0639\u064a\u0646\u0627\u062a \u0627\u0644\u062c\u0631\u0648\u062d \u0641\u0643\u0627\u0646\u062a 4 \u0639\u0632\u0644\u0627\u062a \u00a0\u00a0\u0648\u0628\u0646\u0633\u0628\u0629 10% , \u0639\u064a\u0646\u0627\u062a \u0627\u0644\u0628\u0648\u0644 \u00a0\u0643\u0627\u0646\u062a 4 \u00a0\u0639\u0632\u0644\u0627\u062a \u0648 \u0628\u0646\u0633\u0628\u0629 10% , \u0627\u0645\u0627 \u0639\u064a\u0646\u0627\u062a (\u0627\u0644\u062d\u0631\u0648\u0642 , \u0633\u0648\u0627\u0626\u0644 \u0627\u0644\u062c\u0633\u0645 \u0648 \u0645\u0633\u062d\u0627\u062a \u0627\u0644\u062d\u0646\u062c\u0631\u0629) \u0643\u0627\u0646\u062a \u0639\u0632\u0644\u0629 \u0648\u0627\u062d\u062f\u0647 \u0644\u0643\u0644 \u0645\u0646\u0647\u0645 \u00a0\u0648\u0628\u0646\u0633\u0628\u0629 2.5%.<\/span><\/h4>\n

    \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0\u0627\u062c\u0631\u064a \u0641\u062d\u0635 \u0627\u0644\u062d\u0633\u0627\u0633\u064a\u0629 \u0644\u0644\u0639\u0632\u0644\u0627\u062a \u0627\u0644\u0628\u0643\u062a\u064a\u0631\u064a\u0629 \u00a0\u0648\u0628\u0627\u0639\u062a\u0645\u0627\u062f \u00a0\u0637\u0631\u064a\u0642\u0647 \u0627\u0646\u062a\u0634\u0627\u0631 \u0627\u0644\u0627\u0642\u0631\u0627\u0635. \u00a0\u0627\u0638\u0647\u0631\u062a \u00a0\u0627\u0644\u0646\u062a\u0627\u0626\u062c \u0627\u0646 \u00a0\u0628\u0643\u062a\u0631\u064a\u0627 A. baumannii<\/em> \u00a0\u0645\u0642\u0627\u0648\u0645\u0629 \u0644\u0645\u0636\u0627\u062f \u00a0\u00a0\u00a0Ampicillin\u00a0 \u00a0\u0628\u0646\u0633\u0628\u0629 )85%( ,\u00a0 \u0644\u0645\u0636\u0627\u062f \u00a0Augmentin \u0628\u0646\u0633\u0628\u0629 ( ,(85% \u0644\u0645\u0636\u0627\u062f Ceftazidime \u0628\u0646\u0633\u0628\u0629 )78%( , Cefatoxime\u00a0 \u00a0\u0628\u0646\u0633\u0628\u0629 )68 %) Norfloxacin \u00a0\u0628\u0646\u0633\u0628\u0629(55%) , \u0644\u0645\u0636\u0627\u062f \u00a0\u00a0\u00a0Gentamycin \u00a0\u0628\u0646\u0633\u0628\u0629 (53 %), , \u0644\u0645\u0636\u0627\u062f Imipinem \u00a0\u0628\u0646\u0633\u0628\u0629 (50%) ,\u0644\u0645\u0636\u0627\u062f \u00a0\u00a0\u00a0Amikacin \u0628\u0646\u0633\u0628\u0629 ( 50% ),\u00a0 , \u0644\u0645\u0636\u0627\u062f Ciprofloxacin \u00a0\u0628\u0646\u0633\u0628\u0629 (50%) , \u0644\u0645\u0636\u0627\u062f Cifepem \u00a0\u0628\u0646\u0633\u0628\u0629 (50%) , \u0644\u0645\u0636\u0627\u062f Topramycin \u00a0\u00a0\u0628\u0646\u0633\u0628\u0629( 33% ) \u0648 \u00a0\u0644\u0645\u0636\u0627\u062f Colistin \u00a0\u00a0\u0628\u0646\u0633\u0628\u0629 (15 % ) \u00a0.<\/span><\/h4>\n

    \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0\u00a0\u00a0\u0627\u0645\u0627 \u0646\u062a\u0627\u0626\u062c \u0641\u062d\u0635 \u0627\u0644\u062d\u0633\u0627\u0633\u064a\u0629 \u0628\u0627\u0639\u062a\u0645\u0627\u062f \u0637\u0631\u064a\u0642\u0629 \u0627\u0644\u062a\u0631\u0643\u064a\u0632 \u0627\u0644\u0645\u062b\u0628\u0637 \u0627\u0644\u0627\u062f\u0646\u0649 MIC \u0641\u0643\u0627\u0646\u062a \u0643\u0645\u0627 \u064a\u0623\u062a\u064a \u00a0\u0645\u0636\u0627\u062fTicarcicllin \u00a0\u0628\u0646\u0633\u0628\u0629 ( 55%) , \u0645\u0636\u0627\u062f \u00a0Ceftazidim \u0628\u0646\u0633\u0628\u0629 ( 52%) ,\u0645\u0636\u0627\u062f\u00a0 \u00a0\u00a0Cefipim\u0628\u0646\u0633\u0628\u0629 ( 52%), \u0645\u0636\u0627\u062f Imipinem \u0628\u0646\u0633\u0628\u0629 (52%), \u0645\u0636\u0627\u062f Ciprofloxacin \u0628\u0646\u0633\u0628\u0629 (52 %) , \u0645\u0636\u0627\u062f \u00a0Trimethoprim \u0628\u0646\u0633\u0628\u0629 (52.5%) , \u0645\u0636\u0627\u062f Gentamycin \u0628\u0646\u0633\u0628\u0629 (42%) \u0645\u0636\u0627\u062f Meropinem \u0628\u0646\u0633\u0628\u0629(37%), \u0645 \u0645\u0636\u0627\u062f \u00a0pipracillin \u0628\u0646\u0633\u0628\u0629 (37%), Colistin \u0628\u0646\u0633\u0628\u0629 (15%). \u0645\u0636\u0627\u062f Topramycin \u0628\u0646\u0633\u0628\u0629 ( 10%).<\/span><\/h4>\n

    \u00a0 \u00a0\u062a\u0645 \u0627\u0644\u062a\u062d\u0631\u064a \u0639\u0646 \u062c\u064a\u0646\u0627\u062a \u0627\u0644\u0645\u0642\u0627\u0648\u0645\u0629 \u0644\u0628\u0643\u062a\u0631\u064a\u0627 Acinetobacter baumannii<\/em> \u00a0\u0628\u0648\u0633\u0627\u0637\u0629 \u062c\u0647\u0627\u0632 \u0627\u0644\u0628\u0644\u0645\u0631\u0629 \u0627\u0644\u0645\u062a\u0633\u0644\u0633\u0644 (PCR) \u0648\u0642\u062f \u0628\u064a\u0646\u062a \u0627\u0644\u0646\u062a\u0627\u0626\u062c \u0627\u0646 \u0628\u0643\u062a\u0631\u064a\u0627 A. baumannii<\/em> \u062a\u0645\u062a\u0644\u0643 \u00a0\u0627\u0644\u062c\u064a\u0646 bla-OXA-23like<\/em> \u0628\u0646\u0633\u0628\u0629 100% \u0648\u0628\u0648\u0632\u0646 \u062c\u0632\u064a\u0626\u064a 605 \u00a0\u0632\u0648\u062c \u0642\u0627\u0639\u062f\u0629. \u0627\u0645\u0627 \u0627\u0644\u062c\u064a\u0646 bla-OXA-<\/em>51like<\/em> \u0641\u0623\u0638\u0647\u0631\u062a \u00a0\u0627\u0644\u0646\u062a\u0627\u0626\u062c \u0627\u0646 \u0627\u0644\u0628\u0643\u062a\u0631\u064a\u0627 \u062a\u062d\u0645\u0644 \u0647\u0630\u0627 \u0627\u0644\u062c\u064a\u0646 \u0628\u0646\u0633\u0628\u0629 ( 100%) \u0648\u0628\u0648\u0632\u0646 \u062c\u0632\u064a\u0626\u064a 382 \u0632\u0648\u062c \u0642\u0627\u0639\u062f\u0629 . \u0627\u0645\u0627 \u0627\u0644\u062c\u064a\u0646 \u00a0aacC1<\/em>\u0641\u0642\u062f \u0627\u0638\u0647\u0631\u062a \u0627\u0644\u0646\u062a\u0627\u0626\u062c \u0627\u0646 \u0627\u0644\u0628\u0643\u062a\u0631\u064a\u0627 \u00a0\u00a0\u062a\u062d\u0645\u0644 \u0647\u0630\u0627 \u00a0\u0627\u0644\u062c\u064a\u0646 \u0648 \u0628\u0646\u0633\u0628\u0629 (100%) \u0648\u0628\u0648\u0632\u0646 \u062c\u0632\u064a\u0626\u064a 465\u00a0 \u0632\u0648\u062c \u0642\u0627\u0639\u062f\u0629 . \u0627\u0645\u0627 \u0627\u0644\u062c\u064a\u0646 pmrA<\/em>\u00a0 \u0641\u0642\u062f \u00a0\u0627\u0638\u0647\u0631\u062a \u0627\u0644\u0646\u062a\u0627\u0626\u062c \u0627\u0646 \u0627\u0644\u0628\u0643\u062a\u0631\u064a\u0627 \u062a\u062d\u0645\u0644 \u0627\u0644\u062c\u064a\u0646 \u0628\u0646\u0633\u0628\u0629 15% \u0648\u0628\u0648\u0632\u0646 \u062c\u0632\u064a\u0626\u064a 175 \u0632\u0648\u062c \u0642\u0627\u0639\u062f\u0629 .<\/span><\/h4>\n

    \u062a\u0645 \u0642\u064a\u0627\u0633 \u0627\u0644\u062a\u0639\u0628\u064a\u0631 \u0627\u0644\u062c\u064a\u0646\u064a \u0644\u0643\u0644 \u0645\u0646 \u062c\u064a\u0646\u0627\u062a \u0627\u0644\u0645\u0642\u0627\u0648\u0645\u0629 \u00a0\u00a0pmrA<\/em> , bla-OXA23 like<\/em> , like<\/em>\u00a0 \u00a0bla-OXA-51 <\/em>\u00a0\u0648\u0627\u0644\u062c\u064a\u0646 aacC1<\/em>. \u0644\u0648\u062d\u0638 \u0647\u0646\u0627\u0643 \u0632\u064a\u0627\u062f\u0629 \u0641\u064a \u0627\u0644\u062a\u0639\u0628\u064a\u0631 \u0627\u0644\u062c\u064a\u0646\u064a \u0644\u062c\u064a\u0646 pmrA<\/em>\u00a0 \u0628\u0639\u062f \u0627\u0646 \u062a\u0645 \u0645\u0639\u0627\u0645\u0644\u0629 \u0627\u0644\u0639\u0632\u0644\u0629 \u0627\u0644\u0628\u0643\u062a\u064a\u0631\u064a\u0629\u00a0 \u0628\u0645\u0636\u0627\u062f \u0627\u0644\u0643\u0648\u0644\u0633\u064a\u0646 , \u0648\u0627\u0638\u0647\u0631\u062a \u0627\u0644\u0646\u062a\u0627\u0626\u062c \u0627\u0646 \u00a0\u0647\u0646\u0627\u0643 \u0632\u064a\u0627\u062f\u0629 \u0641\u064a \u0627\u0644\u062a\u0639\u0628\u064a\u0631 \u0627\u0644\u062c\u064a\u0646\u064a \u0644\u062c\u064a\u0646\u00a0 blaOXA23like<\/em> \u0628\u0639\u062f \u0627\u0646 \u062a\u0645 \u0645\u0639\u0627\u0645\u0644\u0629 \u0627\u0644\u0639\u0632\u0644\u0629 \u0627\u0644\u0628\u0643\u062a\u064a\u0631\u064a\u0629 \u0628\u0645\u0636\u0627\u062f Ceftazedim , \u0641\u064a \u062d\u064a\u0646 \u0644\u0645 \u062a\u0644\u0627\u062d\u0638\u00a0 \u0627\u064a\u0629 \u0632\u064a\u0627\u062f\u0629 \u0641\u064a \u0627\u0644\u062a\u0639\u0628\u064a\u0631 \u0627\u0644\u062c\u064a\u0646\u064a\u00a0 \u0628\u0627\u0644\u0646\u0633\u0628\u0629 \u0644\u0644\u062c\u064a\u0646 bla-OXA51like<\/em> \u0628\u0639\u062f \u0645\u0639\u0627\u0645\u0644\u0629 \u0627\u0644\u0628\u0643\u062a\u0631\u064a\u0627 \u0628\u0645\u0636\u0627\u062f Ceftazidime . \u0648\u0644\u0648\u062d\u0638 \u0627\u0646 \u0647\u0646\u0627\u0643 \u0632\u064a\u0627\u062f\u0629 \u0628\u0627\u0644\u062a\u0639\u0628\u064a\u0631 \u0627\u0644\u062c\u064a\u0646\u064a \u0644\u0644\u062c\u064a\u0646 aacC1<\/em> \u0628\u0639\u062f \u0627\u0646 \u062a\u0645 \u0645\u0639\u0627\u0645\u0644\u0629 \u0627\u0644\u0628\u0643\u062a\u0631\u064a\u0627 \u0628\u0645\u0636\u0627\u062f Gentamycin.<\/span><\/h4>\n

    \u00a0<\/strong><\/span><\/h4>\n

    \u0648\u062a\u0648\u0635\u0644 \u0627\u0644\u0637\u0627\u0644\u0628 \u0627\u0644\u0628\u0627\u062d\u062b \u0627\u0644\u0649 \u0627\u0644\u0627\u0633\u062a\u0646\u062a\u0627\u062c\u0627\u062a : <\/strong><\/span><\/h4>\n
      \n
    1. \n

      \u0634\u064a\u0648\u0639 \u0639\u0632\u0644\u0627\u062a \u0628\u0643\u062a\u0631\u064a\u0627 Acinetobacter baumannii<\/em> \u0641\u064a \u0639\u064a\u0646\u0627\u062a \u0627\u0644\u062a\u0647\u0627\u0628 \u0627\u0644\u0645\u062c\u0627\u0631\u064a \u0627\u0644\u062a\u0646\u0641\u0633\u064a\u0629 \u0648\u0639\u064a\u0646\u0627\u062a \u0627\u0644\u062f\u0645.<\/span><\/h4>\n<\/li>\n
    2. \n

      \u0627\u0638\u0647\u0631\u062a \u0627\u0644\u0646\u062a\u0627\u0626\u062c \u0627\u0646 \u062c\u0645\u064a\u0639 \u0639\u0632\u0644\u0627\u062a \u0628\u0643\u062a\u0631\u064a\u0627 Acinetobacter baumannii<\/em> \u00a0\u062a\u0645\u062a\u0644\u0643 \u0627\u0644\u062c\u064a\u0646 16srRNA<\/em> \u0648\u0628\u0646\u0633\u0628\u0629 100% \u00a0<\/span><\/h4>\n<\/li>\n
    3. \n

      \u0627\u0638\u0647\u0631\u062a \u0627\u0644\u0646\u062a\u0627\u0626\u062c \u0627\u0646 \u0627\u0639\u0644\u0649 \u0646\u0633\u0628\u0629 \u0645\u0642\u0627\u0648\u0645\u0629 \u0641\u064a \u0628\u0643\u062a\u0631\u064a\u0627 Acinetobacter baumannii<\/em> \u00a0\u0643\u0627\u0646\u062a \u0644\u0645\u0636\u0627\u062f Ampicillin \u00a0\u0648Augmantin \u00a0\u062d\u064a\u062b \u0628\u0644\u063a\u062a 85% \u0644\u0643\u0644 \u0645\u0646\u0647\u0645 . \u0648\u0627\u0642\u0644 \u0646\u0633\u0628\u0629 \u0645\u0642\u0627\u0648\u0645\u0629 \u0643\u0627\u0646\u062a \u0636\u062f \u0645\u0636\u0627\u062f \u0627\u0644\u0643\u0648\u0644\u0633\u064a\u0646 \u062d\u064a\u062b \u0628\u0644\u063a\u062a \u00a015% \u0641\u0642\u0637 . \u00a0<\/span><\/h4>\n<\/li>\n
    4. \n

      \u062a\u0645\u062a\u0644\u0643 \u0628\u0643\u062a\u0631\u064a\u0627 Acinetobacter baumannii<\/em> \u00a0\u062c\u064a\u0646 \u0627\u0644\u0645\u0642\u0627\u0648\u0645\u0629\u00a0\u00a0 aacC1<\/em> \u00a0\u00a0\u00a0\u0628\u0646\u0633\u064a\u0647 100% , \u00a0\u062c\u064a\u0646\u0627\u062a \u0627\u0644\u0645\u0642\u0627\u0648\u0645\u0629 bla-OXA-23 like <\/em>\u00a0<\/em>\u0648 bla-OXA-51like<\/em> \u00a0\u0628\u0646\u0633\u0628\u0629 100% \u0644\u0643\u0644 \u0645\u0646\u0647\u0645\u0627 \u00a0\u0648 \u0627\u0644\u062c\u064a\u0646 pmrA<\/em> \u00a0.\u0628\u0646\u0633\u0628\u0629 15%.<\/span><\/h4>\n<\/li>\n
    5. \n

      \u0627\u0638\u0647\u0631\u062a \u0646\u062a\u0627\u0626\u062c \u0627\u0644\u062a\u0639\u0628\u064a\u0631 \u0627\u0644\u062c\u064a\u0646\u064a \u0627\u0646 \u0647\u0646\u0627\u0643 \u0632\u064a\u0627\u062f\u0629 \u0641\u064a \u0627\u0644\u062a\u0639\u0628\u064a\u0631 \u0627\u0644\u062c\u064a\u0646\u064a \u0644\u0644\u062c\u064a\u0646 bla-OXA<\/em>–23 like<\/em> \u0628\u0639\u062f \u0645\u0639\u0627\u0645\u0644\u0629 \u0627\u0644\u0639\u0632\u0644\u0629 \u00a0\u0628\u0645\u0636\u0627\u062f Ceftazedim \u00a0. \u0641\u064a \u062d\u064a\u0646 \u0644\u0645 \u062a\u0638\u0647\u0631 \u0647\u0646\u0627\u0643 \u0627\u064a\u00a0 \u0632\u064a\u0627\u062f\u0629 \u0641\u064a \u0627\u0644\u062a\u0639\u0628\u064a\u0631 \u0627\u0644\u062c\u064a\u0646\u064a \u0644\u0644\u062c\u064a\u0646 bla-OXA51like<\/em> \u0628\u0639\u062f \u0645\u0639\u0627\u0645\u0644\u0629 \u0627\u0644\u0639\u0632\u0644\u0629\u00a0 \u0628\u0645\u0636\u0627\u062f Ceftazedim . \u0643\u0645\u0627 \u0648\u0627\u0638\u0647\u0631\u062a \u0627\u0644\u0646\u062a\u0627\u0626\u062c \u0627\u0646 \u0647\u0646\u0627\u0643 \u0632\u064a\u0627\u062f\u0629 \u0641\u064a \u0627\u0644\u062a\u0639\u0628\u064a\u0631 \u0627\u0644\u062c\u064a\u0646\u064a \u0644\u0644\u062c\u064a\u0646 aacC1 <\/em>\u00a0<\/em>\u00a0\u0628\u0639\u062f \u0645\u0639\u0627\u0645\u0644\u0629 \u0627\u0644\u0639\u0632\u0644\u0629 \u0628\u0645\u0636\u0627\u062f Gentamycin . \u0648 \u0632\u064a\u0627\u062f\u0629 \u0641\u064a \u0627\u0644\u062a\u0639\u0628\u064a\u0631 \u0627\u0644\u062c\u064a\u0646\u064a \u00a0\u0644\u0644\u062c\u064a\u0646 pmrA<\/em>\u00a0 \u0628\u0639\u062f \u0645\u0639\u0627\u0645\u0644\u0629 \u00a0\u0627\u0644\u0639\u0632\u0644\u0629 \u0628\u0645\u0636\u0627\u062f Colistin \u00a0.<\/span><\/h4>\n<\/li>\n<\/ol>\n

      <\/h4>\n

      \u0648\u0627\u0648\u0635\u0649 \u0627\u0644\u0637\u0627\u0644\u0628 \u0641\u064a \u062e\u062a\u0627\u0645 \u0631\u0633\u0627\u0644\u062a\u0647 \u0628\u0627\u0644\u062a\u0648\u0635\u064a\u0627\u062a \u0627\u0644\u0627\u062a\u064a\u0629 :<\/strong><\/span><\/h4>\n
        \n
      1. \n

        \u0627\u062c\u0631\u0627\u0621 \u0627\u0644\u0639\u062f\u064a\u062f \u0645\u0646 \u0627\u0644\u062f\u0631\u0627\u0633\u0627\u062a \u062d\u0648\u0644 \u0645\u0642\u0627\u0648\u0645\u0629 \u0627\u0644\u0628\u0643\u062a\u0631\u064a\u0627 \u0644\u0644\u0645\u0636\u0627\u062f\u0627\u062a \u0627\u0644\u062d\u064a\u0648\u064a\u0629 \u0627\u0644\u0645\u062e\u062a\u0644\u0641\u0629 .<\/span><\/h4>\n<\/li>\n
      2. \n

        \u0627\u062c\u0631\u0627\u0621 \u0627\u0644\u0639\u062f\u064a\u062f \u0645\u0646 \u0627\u0644\u062f\u0631\u0627\u0633\u0627\u062a \u062d\u0648\u0644 \u062c\u064a\u0646\u0627\u062a \u0627\u062e\u0631\u0649 \u0645\u0633\u0624\u0648\u0644\u0629 \u0639\u0646 \u0645\u0642\u0627\u0648\u0645\u0629 \u0627\u0644\u0628\u0643\u062a\u0631\u064a\u0627 \u00a0\u0644\u0644\u0645\u0636\u0627\u062f\u0627\u062a \u0627\u0644\u062d\u064a\u0648\u064a\u0629 \u0627\u0644\u0645\u062e\u062a\u0644\u0641\u0629 .\u00a0<\/span><\/h4>\n<\/li>\n
      3. \n

        \u062f\u0631\u0627\u0633\u0629 \u0627\u0644\u062a\u062d\u0644\u064a\u0644 \u0627\u0644\u062a\u062a\u0627\u0628\u0639\u064a \u0644\u062c\u064a\u0646\u0627\u062a \u0627\u0644\u0645\u0642\u0627\u0648\u0645\u0629 aacC1<\/em>, <\/em>pmrA<\/em>, <\/em>bla-OXA23-like<\/em>, <\/em>bla-OXA51like<\/em>– \u0648\u0627\u0644\u062a\u062d\u0631\u064a \u0639\u0646 \u0627\u0644\u0637\u0641\u0631\u0627\u062a \u0627\u0644\u062c\u062f\u064a\u062f\u0629 \u00a0\u0627\u0644\u062a\u064a \u064a\u0645\u0643\u0646 \u062a\u0648\u0627\u062c\u062f\u0647\u0627 \u0641\u064a \u0647\u0630\u0647 \u0627\u0644\u062c\u064a\u0646\u0627\u062a \u0648\u062f\u0631\u0627\u0633\u0629\u00a0 \u062a\u0623\u062b\u064a\u0631\u0647\u0627 \u0641\u064a \u00a0\u0642\u0627\u0628\u0644\u064a\u0629 \u0627\u0644\u0628\u0643\u062a\u0631\u064a\u0627 \u00a0\u0644\u0645\u0642\u0627\u0648\u0645\u0629\u00a0 \u0644\u0644\u0645\u0636\u0627\u062f\u0627\u062a \u0627\u0644\u062d\u064a\u0648\u064a\u0629 .\u00a0 \u00a0<\/span><\/h4>\n<\/li>\n
      4. \n

        \u062f\u0631\u0627\u0633\u0629 \u062a\u0642\u0646\u064a\u0627\u062a \u0627\u062e\u0631\u0649 \u0641\u064a \u0627\u0644\u062a\u0634\u062e\u064a\u0635 \u0645\u062b\u0644\u0627 \u0646\u0638\u0627\u0645 MLST database (mutilocus system typing) \u00a0\u0644\u0644\u062a\u062d\u0631\u064a \u0639\u0646 \u0639\u0632\u0644\u0627\u062a \u0628\u0643\u062a\u0631\u064a\u0627 baumannii<\/em> .<\/span><\/h4>\n<\/li>\n
      5. \n

        \u0627\u062c\u0631\u0627\u0621 \u0627\u0644\u0639\u062f\u064a\u062f \u0645\u0646 \u0627\u0644\u062f\u0631\u0627\u0633\u0627\u062a \u062d\u0648\u0644 \u0627\u0644\u062a\u0639\u0628\u064a\u0631 \u0627\u0644\u062c\u064a\u0646\u064a \u0644\u062c\u064a\u0646\u0627\u062a \u0627\u0644\u0645\u0642\u0627\u0648\u0645\u0629 \u0644\u0645\u062e\u062a\u0644\u0641 \u0627\u0646\u0648\u0627\u0639 \u0627\u0644\u0645\u0636\u0627\u062f\u0627\u062a \u0627\u0644\u062d\u064a\u0648\u064a\u0629 .\u00a0 \u00a0 \u00a0 \u00a0<\/span><\/h3>\n
        \n

        Molecular detection of some antibiotic resistant genes in Acinetobacterbaumannii that isolated from different clinical cases.<\/span><\/h3>\n

        By Arkan Adnan Mahdi<\/span><\/h3>\n

        Supervised by Prof. Dr.RanaMujahid Abdullah AL- Shwaikh<\/span><\/h3>\n

        Two Hundred clinical\u00a0 samples\u00a0 were collected\u00a0 from different \u00a0\u00a0\u00a0\u00a0sources of infection , included 50 sample of \u00a0blood from patients suffering with bacteremia , 55 sample of sputum were taken from patients suffering with respiratory tract infection ,50samplesof Urine were taken\u00a0 from \u00a0the patients suffering from urinary \u00a0tract infection(UTI) , \u00a010 samples of wound swab were taken \u00a0from the \u00a0patients \u00a0suffering from wound infection , 10 samples of burn ,10samples of \u00a0throat swab were taken \u00a0from the patients \u00a0suffering from upper respiratory infection and 10 samples of body fluid from \u00a0plural infusion and the samples collected from different hospitals in \u00a0Baghdad during \u00a0the period from20\\11\\ 2018 to\u00a0 15\\2\\2019 .<\/span><\/h3>\n

        \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 All isolates were identified by culturing \u00a0on MacConky agar , blood agar and\u00a0 Chromagen agar orientation to study phenotypic and microbiologic characteristics and then the isolates identified\u00a0 by using several biochemical tests . the final diagnosis was done by vitik 2 system and API 20E. Molecular detection of 16srRNA gene which \u00a0it is the faster and accurate for bacterial \u00a0diagnosis. All isolates have the gene (100%) with molecular weight 151bp.<\/span><\/h3>\n

        After identification \u00a0we obtained\u00a0 40\u00a0 isolates ofAcinetobacterbaumannii, including 14 isolates \u00a0from blood (35%) , 15isolates from sputum (38%) , 4 isolates from wound infection (10%),4 isolates from Urine (10%) , only one isolate from Throat swabs, Burn and plural effusion \u00a0fluid(2.5%) .\u00a0\u00a0\u00a0\u00a0\u00a0<\/span><\/h3>\n

        Aantimicrobial susceptibility test to (12) antibiotics had done be using disk diffusion method , the results showed that all isolates were high \u00a0resistant to Ampicillin (85%) , Augmentin (85%) Ceftazidime (78%)Cefotaxime ( 68 %) ,Norfloxacin(55%)Gentamycin (53%) Imipenem ( 50%) , Amikacin (50%), Ciprofloxacin ( 50%) Cefepime( 50%) , Topramycin ( 33%) and Colistin (15 %) .<\/span><\/h3>\n

        \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 The results of antibiotic sensitivity had done by using Minimum Inhibition Constriction (MIC), the results\u00a0 \u00a0showed \u00a0that all isolates \u00a0resistant to Ticarcicllin(55%) , Ceftazidim(52%)Cefipim)52%(Imipinem(52%)Ciprofloxacin )52%( , Trimethoprim )52.3 %(Gentamycin) \u00a040%(Meropinem)37% (Colistin) \u00a015%( and Topramycin)10 %. (.<\/span><\/h3>\n

        Genotypic detection of some Antibiotics Resistant genes by using polymerase chain reaction (PCR) was appeared in (100%) of bla-OXA23 like with molecular weight 605base pair,bla-OXA 51 likein (100%)with molecular weight 382base pair,100% aacC1 with molecular weight465base pair and (15 %)of pmrA gene with molecular weight 175\u00a0 base pair<\/span><\/h3>\n

        Gene expression was done of the pmrA , bla-OXA23like , bla-OXA51like and aacC1genes. The results of gene expression for pmrAgene showed increase of the gene expression when treated by Colistin Antibiotic, increase the gene expression for bla-OXA23like gen \u00a0when treated the isolates by Ceftazidim Antibiotic, thebla-OXA51 like gene ,don\u2019t showed any \u00a0increasing in gene expression when treated by Ceftazidime Antibiotic and the \u00a0gene expression of the aacC1gene \u00a0was increasing in gene expression when treated by Gentamycin Antibiotic<\/span><\/h3>\n

        <\/h3>\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 (….<\/i>\u0627\u0644\u0645\u0632\u064a\u062f<\/span><\/a><\/p>\n","protected":false},"author":25,"featured_media":28534,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_lmt_disableupdate":"no","_lmt_disable":"","footnotes":""},"categories":[44,7,16],"tags":[23],"class_list":["post-28524","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-44","category-7","category-16","tag-ihcoedu"],"modified_by":"ihcoedu","_links":{"self":[{"href":"https:\/\/ihcoedu.uobaghdad.edu.iq\/index.php?rest_route=\/wp\/v2\/posts\/28524","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=28524"}],"version-history":[{"count":0,"href":"https:\/\/ihcoedu.uobaghdad.edu.iq\/index.php?rest_route=\/wp\/v2\/posts\/28524\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/ihcoedu.uobaghdad.edu.iq\/index.php?rest_route=\/wp\/v2\/media\/28534"}],"wp:attachment":[{"href":"https:\/\/ihcoedu.uobaghdad.edu.iq\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=28524"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/ihcoedu.uobaghdad.edu.iq\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=28524"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/ihcoedu.uobaghdad.edu.iq\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=28524"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}