المستخلص: |
The main objectives of the present study were to determine the isolation of main pathogenic bacteria that cause diarrhea and respiratory tract infection in children under 5 years of age by using specific parameters. Bacteriological analysis showed that from 50 stool specimens; 21(42%) were strains of Escherichia coli others are Klebsiella pneumonia 9(18%), Enterobacter cloacae 8(16%) and other Enterobacteriacea, and the distribution of diarrheal children by age. It shows that diarrhea is statistically associated with age and majority of cases occurring in children between 7 months and under 5 years of age. Bacteria were isolated from 15 of 47 (31.91%) nasal swabs Staphylococcus aureus was most common, isolated in 10 out of the 47 (21.3%) nasal swabs collected from the children followed by E. coli, 9 (19.14%) β-hemolytic Streptococcus, 6 (12.3%) Klebsiella pneumonia. Other bacteria isolated in fewer specimens were Enterococcus faecalis (10.63%) and Enterobacter spp. (4.25%). In this study, bacteremia was confirmed in 28(56%) patient out of 50 children. the most common primary infection was identified in 50(33.3%) from 150 samples: gastroenteritis and pneumonia 47(31.3%). The most common pathogens were Streptococcus spp. (35.7%) especially Beta hemolysis Streptococci mainly isolated from cases with pneumonia. Escherichia coli was isolated in (17.9%) of the cases; it was reported to be the most frequent gram-negative bacterial species recovered from blood cultures, Klebsiella pneumonia presented (14.3%) of the cases, Enterococcus faecalis and Enterobacterspp. Were isolated from blood cultures of three children (7.14% , 3.6%) who had been hospitalized for > 10 days.
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