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Prevalence of Drug-Resistant Strains of Escherichia coli and Klebsiella pneumoniae Isolated from Women with Urinary Tract Infections in Karbala City, Iraq

Article

Last updated: 01 Jan 2025

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Abstract

Urinary tract infections (UTIs) are becoming more common among women worldwide and it usually caused by bacteria that are highly resistant to antibiotics. This study identifies the prevalence of multi-drug resistant and extensively drug resistant of Klebsiella pneumoniae and Escherichia coli that have been isolated from women with UTIs. It also identifies an effective antibiotic to use in the treatment of UTI infections. Bacterial strains were identified and recognized by standard laboratory protocols and tested to antibiotic susceptibility test for 11 antibiotics using standard disk diffusion technique. 63(42%) E. coli, and 30(20%) K. pneumoniae clinical strains were isolated from 150 women with "UTIs" over a period of seven months. The antibiotic sensitivity assays showed that all strains exhibited high resistance rate against Beta-lactam (Amoxicillin-clavulanic acid), and cephalosporin's antibiotics in all strains which were 95.2% for Amoxicillin-clavulanic acid , and from 71.4 to 90.5% to cephalosporin's antibiotics for E. coli, but 100%, and 90 to 100% relatively for K. pneumoniae. However, the antimicrobial agent imipenem was found to retain their antimicrobial properties against both bacteria, which were 100 and 90% respectively. Also nitrofurantoin exhibited activity only against E. coli strains. Out of 93 uropathogens 45(71.42%), and 27(90%) of E. coli and K. pneumoniae strains were found to be MDR respectively. Our study demonstrates that a significant frequency of multidrug-resistant K. pneumoniae and, E. coli . In addition, Imipenem was appropriate drug to treat infections caused by these uropathogens. These findings may aid physicians in the management of UTI infections.

DOI

10.21608/ejbo.2022.155164.2089

Keywords

<i>Escherichia coli</i>, Extensively drug- resistance, <i>Klebsiellae pneumoniae</i>, Multidrug-resistance, Urinary Tract infections

Authors

First Name

Zahraa A.

Last Name

Al-Khfaji

MiddleName

-

Affiliation

Department of Pharmacology and Toxicology and Clinical Pharmacy, College of Pharmacy, Al-Zahraa University for Women, Karbala, Iraq

Email

zahraa.alkhfaji@alzahraa.edu.iq

City

Kerbala

Orcid

0000-0002-0849-0345

First Name

Sahbaa H.

Last Name

Sagban

MiddleName

-

Affiliation

Department of Physiotherapy Techniques, College of Health & Medical Technical, Al-Zahraa University for Women, Karbala, Ira

Email

sahbaa.hafidh@alzahraa.edu.iq

City

Karbala

Orcid

0000-0003-2629-5436

First Name

Ali F.

Last Name

Al-Musawi

MiddleName

-

Affiliation

Department of Clinical Pharmacy and Laboratory Sciences, College of Pharmacy, Al-Kafeel University, Najaf, Iraq

Email

ali.almusawi@alkafeel.edu.iq

City

Najaf

Orcid

0000-0001-7842-8742

Volume

63

Article Issue

1

Related Issue

38544

Issue Date

2023-01-01

Receive Date

2022-08-10

Publish Date

2023-01-01

Page Start

295

Page End

303

Print ISSN

0375-9237

Online ISSN

2357-0350

Link

https://ejbo.journals.ekb.eg/article_272701.html

Detail API

https://ejbo.journals.ekb.eg/service?article_code=272701

Order

19

Type

Original Article

Type Code

111

Publication Type

Journal

Publication Title

Egyptian Journal of Botany

Publication Link

https://ejbo.journals.ekb.eg/

MainTitle

Prevalence of Drug-Resistant Strains of Escherichia coli and Klebsiella pneumoniae Isolated from Women with Urinary Tract Infections in Karbala City, Iraq

Details

Type

Article

Created At

22 Jan 2023