Eman Natiq Naji
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Cytological and Microbial Investigation of Cervicitisby Endocervical Cytobrushe Smear in Some Iraqi Women Patients Eman Natiq Naji
Journal of Global Pharma Technology Volume 09 Issue 12
Publisher : Journal of Global Pharma Technology

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This study is interested with occurrence and evaluationof cervicitis by endocervical cytobrushe smearin a sample of Iraqi women (87) who attending to the obstetrics and gynaecology outpatient  clinic in AL-Numan hospital complaining from certain symptoms for a period of 6 months. Samples were obtained from cervical and endocervicl area,divided into 2 parts; cytological and microbiological tests have been curried out . Smears were prepared in order to detect inflammation and non inflammation changes in endocervical cells .Microbiological investigation has been performed to identified suspected  pathogens; bacterial isolates; Candidaspp.and Trichomonas vaginalis. Results of cytological aspectwere shown as Increasing in number of  lymphocytes and neutrophils indicating that there is an acute inflammation besides of clusters of squamous cells in many area, squamous intraepithelial cells with nuclei were increased in size and shape in addition to containing hyperchromatic ,  membrane irregularities and thickness have appeared. On the other hand, aggregation of inflammatory cells with numerous squamous cells has been noticed.Microbiological results were represented by detection of several aerobic and aeaerobic bacteria accompanied with the infection in addition to Candidaalbicance and Candidaglabrata.A total of79 samples have been tested; 44 (55.7%)  were positivefor culturedistributed between acute29 (36.7%); and chronic;15 (18.98%).Thehighest isolation percentages were for C.albicance (15.9%), followed by different bacterial spescies ; Gardnerella vaginalis (13.6%), Staphylococcus aureus(11.3) in acute cervicitis cases,the lowest was for Lactobacillus acidophilus (0%) while in chronic cervicitis ,the highest percentage was (3.6%) for each of S.aureus ,G.vaginalis,L.acidophilus and C.albicance.Keywords: Cervicitis, Endocervical cells, Aerobic & anaerobic bacteria.
The Relationship between Phylogenic Typing and Antimicrobial Susceptibility Patterns Forescherichia Coliisolatedfrom Utis in Many Hospitals at Baghdad City Eman Natiq Naji; Eptisam Younam Pirko; Munim Radwan Ali
Journal of Global Pharma Technology Vol. 9 Issue 7 : 2017
Publisher : Journal of Global Pharma Technology

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Objective In the currentsearch , E.coli  isolated from UTIs in many Baghdad hospitals. The study concentrated on phylogenic groups and this was done based on triplex PCR method by primers besieged to three genetic markers, chuA, yjaA and TspE4.C2. Evaluate the relationship of phylogenic groups of E.coli isolates with the antibiotic-non sensitive patterns.Methodology Four hundredof E.coli bacteria inaccessible from urine samples from  five hospitals in Baghdad city includes : Ghazi AL-Hariri, Iben- Beledi , AL-Iskan , AL-Nooman and AL-Yarmoke hospitals. Phylogenetic categorization of E. coli isolates was completed by by means ofearlier reported triplex PCR-based on  phylotyping procedure using primers besieged at three markers, chuA, yjaAand TspE4.C2. Phylogenetic combination was done on the starting point of the existence or nonexistence of the3 DNA fragments as follows: chuA–, TspE4.C2–, group A; chuA–, yjaA–, TspE4.C2+, group B1; chuA+, yjaA+, group B2; chuA+, yjaA–, group D. Because two possible profiles can be obtained for the groups A, B2, and D. Fifteen antibiotics second-hand for all foremost groups and their individual generations were used in this paper adjacent to all bacterial isolates. Results The isolates ofE.colifrom UTI  were distributed within thephylogroups B2 (43%); phylogroups D (28.25%); phylogroups A (24%) and B1 (3.5%), so phylogenic group B1 was prevalent among  male patients of AL-Yermouk hospital ( 14%), followed AL-Iskan (3.75)% so, isolation rate of E.coli were higher among age (11-20 ) years (31.75 %), also(11%) were sensitivity to antibiotics, whilst (75.25%) were classified as extensive drug resistance pathogens, but  13.75% were multidrug resistance  and in Qarkh areas, the frequency of phylogeneticB2 was (59.88%), followed phylogenetic A and D were ( 68.75 and 48.78%) respectively as  compared to Rusafa areas were prevalence phylogenetic B2(40.12%),followedphylogenetic D and A were (51.22 and 31.25 %) , as well as most of these phylogenetic groups occurred more frequently in both groups B2 or D (43, 28.25) % respectively, also ( 2.75, 2.5 )% of phylogenic A were antibiotics sensitivity in both AL-Iskan hospital and Ghazi AL-Hariri hospital respectively whilst these phylogenic was multidrug resistance as percentage (9, 3.75) % respectively in both AL-Yermouk hospital and AL-Iskan hospital, Whilst in these hospital this phylogenic A was founded with extensive drug resistance (1, 0.75) % respectively, also most of phylogenetic group  B2 occurred more frequently in AL-Yermouk hospital, so the sensitivity; multidrug resistance and extensive drug resistance as (2.25, 15 and 3.5) % respectively, also all  phylogenetic groups E. coli isolates from UTI patients of five hospital weregrouped  in two or three major group as  A , B group contain major sub groups .RecommendationsThe study recommends additional studies of the correlation  between the Phylogenic group  with antibiotic-resistance pattern  for other bacterial  types  isolated from  UTIs or the same bacteria isolated from other types of infections. We suggest to applicate our study on bacteria Vibrio colerai  isolated from the infected patients stool who submitted to  the same hospitals  or in the other provinces of the country, because of our country suffering frome  epidemics infections  in the last two years. Keywords: Urinary tract infections, Enterobacterial repetitive intergenic consensus PCR (ERIC-PCR), E. coli, Antibiotic resistance, MDR.