Incidence, Bacterial causes and Antibiotic Resistance Patterns of Urinary Tract Infection in Pet Animals

T The primary goal of the study was to determine the prevalence and various bacterial risks of lower urinary tract infections (UTI) in diseased and seemingly healthy pet animals with and without urine retention whether they were catheterized or not. The bacterial isolates were in vitro tested for their antibiotic resistance and antibiotic resistance genes were investigated. Between October 2020 and January 2022, 128 urine samples were randomly collected from pets recruited to veterinary hospitals and clinics in Cairo and Giza. Samples were cultivated for bacteriological isolation. Escherichia coli (E. coli), Staphylococcus aureus (S. aureus) and Klebsiella spp. were found to be the most common bacterial causes of urinary tract infections in pets, with prevalence rates of 32.9%, 28%, and 19.5%, respectively followed by Proteus mirabilis (P. mirabilis) and Pseudomonas aeruginosa (P. aeruginosa) with incidences of 18.2% and 1.2%, respectively. Based on bacterial types and their virulence genes, antibiotic resistance and multi-drug resistance (MDR) behaviour varied. Epidemiology, diagnosis, and control of the urinary tract infection would benefit from the identification and characterization of isolated bacterial species

Validation and adaptation of the hospital consumer assessment of healthcare providers and systems in Arabic context: Evidence from Saudi Arabia

One of the main purposes of healthcare organizations is to serve patients by providing safe and high-quality patient-centered care. Patients are considered the most appropriate source to assess the quality level of healthcare services. The objectives of this paper were to describe the translation and adaptation process of the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) survey for Arabic speaking populations, examine the degree of equivalence between the original English version and the Arabic translated version, and estimate and report the validity and reliability of the translated Arabic HCAHPS version.The translation process had four main steps: (1) qualified bilingual translators translated the HCAHPS from English to Arabic; (2) the Arabic version was translated back to English and reviewed by experts to ensure content accuracy (content equivalence); (3) both Arabic and English versions were verified for accuracy and validity of the translation, checking for the similarities and differences (semantic equivalence); (4) finally, two independent bilinguals reviewed and made the final revision of both the Arabic and English versions separately and agreed on one final version that is similar and equivalent to the original English version in terms of content and meaning.The study findings showed that the overall Cronbach’s α for the Arabic HCAHPS version was 0.90, showing good internal consistency across the 9 separate domains, which ranged from 0.70 to 0.97 Cronbach’s α. The correlation coefficient between each statement for each separate domain revealed a highly positive significant correlation ranging from 0.72 to 0.89.The results of the study show empirical evidence of validity and reliability of HCAHPS in its Arabic version. Moreover, the Arabic version of HCAHPS in our study presented good internal consistency and it is highly recommended to be replicated and applied in the context of other Arab countries. Keywords: HCAHPS psychometrics, Reliability, Validity, Patient experience, Arabic language, Saudi Arabi