chrome-extension://efaidnbmnnnibpcajpcglclefindmkaj/https://www.researchgate.net/profile/Valentina-Chorna/publication/369761646_PREDICTORS_OF_THE_DEVELOPMENT_OF_EMOTIONAL_BURNOUT_AND_THE_MOTIVATIONAL_COMPONENT_OF_THE_MEDICAL_STAFF_OF_HEALTH_CARE_INSTITUTIONS_IN_UKRAINE/links/65f0751f32321b2cff6843eb/PREDICTORS-OF-THE-DEVELOPMENT-OF-EMOTIONAL-BURNOUT-AND-THE-MOTIVATIONAL-COMPONENT-OF-THE-MEDICAL-STAFF-OF-HEALTH-CARE-INSTITUTIONS-IN-UKRAINE.
الوصف The aim: The aim of the study was to detect the antimicrobial susceptibility patterns and frequency of aminoglycosides resistance genes of Gram-negative bacteria isolated from pediatric patient with UTI. Materials and methods: The study has been performed with a total of 500 urine specimens collected from pediatric patients under the age of 18 year suspected with UTI, admitted to hospitals in Al-Najaf province/Iraq during the period from November 2018 to March 2019. Results: A total of 500 urine specimens had been tested, 120 (24%) had significant bacteriuria, while there 380 (76%) had non-significant bacteriuria. Escherichia coli represent about 70 (68.2%) followed by followed by 23 (22.5%) K. pneumoniae, 5 (4.9%) P. aeruginosa, 2 (1.9%) Proteus spp., 1 (0.9%) Enterobacter spp. and 1 (0.9%) Oligella uratolytic. The antimicrobial susceptibility profile of 102 Gram-negative isolates, revealed that 59 (58%) were multidrug resistant (MDR) and 38 (37%) were extensive drug resistant (XDR). The PCR results of aminoglycosides resistance showing that 23 (74.1%) Gram-negative isolates had acc (6’)-Ib gene and 12 (38.7%) Gram-negative isolates acc (3’)-II gene. Conclusions: A high frequency of multi-drug resistance and extensive-drug resistance of isolates were recognized, and an alarming percentage of aminoglycosides resistance to acc (6’)-Ib and acc (3’)-I