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Evaluation Of Bacterial Pathogens And Antimicrobial Resistance In Blood Isolates From Febrile Cases At Medical City Hospital In Baghdad Al-shattrawi, Huda Jihad G.
Academia Open Vol 10 No 1 (2025): June (In Progress)
Publisher : Universitas Muhammadiyah Sidoarjo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21070/acopen.10.2025.10497

Abstract

Bacterial bloodstream infection is a critical public health issue due to its high morbidity and mortality rates. Prompt diagnosis and appropriate treatment are essential for improving patient outcomes. This study aimed to identify the bacterial composition of bloodstream infections and their antibiotic resistance patterns at Medical City Hospital, Baghdad. A cross-sectional study of 462 fever-diagnosed individuals (244 females, 218 males) conducted from July 3 to September 24, 2024, found that 96 (20.8%) had culture-positive bacteria. Staphylococcus aureus (30.21%) was the most prevalent, followed by coagulase-negative staphylococci (26.04%), Escherichia coli (10.42%), Enterobacter cloacae (8.34%), Streptococcus pyogenes (7.29%), Citrobacter spp. (6.25%), and Klebsiella spp. (5.25%). Antibiotic resistance was high, particularly to oxacillin (95.63%), ampicillin (97.79%), and gentamicin (88.54%). Multidrug resistance was identified in 87.49% of bacterial isolates, with susceptibility to cefotaxime, azithromycin, ceftriaxone, and ciprofloxacin. Notably, Gram-positive bacteria showed significant resistance to vancomycin and oxacillin (54.17%). These findings underscore the importance of routine susceptibility testing for pathogens and antibiotics to prevent the spread of resistant bacterial infections and guide effective treatment strategies. Highlights: Identify bloodstream infection bacteria, analyze antibiotic resistance patterns. 20.8% culture-positive; Staphylococcus aureus most prevalent; high resistance. Multidrug resistance prevalent; emphasize susceptibility testing to manage resistance. Keywords: Bloodstream infections, Antimicrobial resistance, Multidrug, Cross-sectional research, Microbiological analysis
Molecular Profiling of Multidrug-Resistant Zoonotic Shigella spp. in Chicken Farms: A Case Study from Diyala Al-Shattrawi, Huda Jihad G.
Indonesian Journal on Health Science and Medicine Vol. 2 No. 1 (2025): July
Publisher : Universitas Muhammadiyah Sidoarjo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21070/ijhsm.v2i1.167

Abstract

Background: Zoonotic bacterial infections caused by multidrug-resistant (MDR) strains pose a growing global public health concern, particularly through the food chain from poultry to humans. The emergence of resistant Shigella species in poultry farms has heightened the risk of zoonotic transmission and complicates treatment options. Aims: This review aims to synthesize current knowledge on the prevalence, virulence factors, and antimicrobial resistance profiles of Shigella spp. isolated from poultry, with a focus on their potential for zoonotic transfer and public health impact. Methods: A systematic literature review was conducted by searching major scientific databases (e.g., PubMed, Scopus) using specific keywords related to Shigella, poultry, antimicrobial resistance, and zoonosis. Selected studies were evaluated for epidemiological data, molecular characterization, and resistance patterns, and data were analyzed qualitatively to identify common themes and gaps. Results: The review identified a notable prevalence of Shigella spp. in poultry farms, with many isolates harboring key virulence genes such as virA, sat, ial, set1A, and set1B. A significant proportion exhibited multidrug resistance, especially against antibiotics like ampicillin and tetracycline, raising concerns about zoonotic transmission and treatment challenges. Novelty: This review is among the first to compile and analyze molecular and resistance profiles of MDR Shigella spp. directly from poultry sources in the Middle East, highlighting their critical zoonotic potential and resistance trends in this region. Implications: The findings emphasize the urgent need for stricter antibiotic stewardship, improved farm biosecurity, and continuous surveillance to monitor and control the spread of resistant Shigella strains from poultry to humans. Such measures are essential to mitigate public health risks and curb the escalation of antimicrobial resistance. Highlights: High MDR Prevalence: Shigella spp. isolated from poultry frequently show resistance to multiple antibiotics, complicating treatment options. Virulence Risk: Presence of virulence genes (e.g., virA, set1A/B) highlights their zoonotic potential and health impact. Regional Insight: This is among the first reviews highlighting MDR Shigella in poultry from the Middle East, filling a key knowledge gap. Keywords: Zoonotic, Shigella spp., Molecular, Chicken Farms, Multi-Drug Resistant