Otitis Media; Etiology and Antibiotics Susceptibility among Children under Ten Years Old in Hillah city,Iraq

Background: This is an aerobic bacteriological study of acute otitis media to identify common pathogens and to evaluate their antibiotic susceptibility pattern. Otitis media is a major health problem of children in low income countries. Objectives: This study was done to determine the bacterial isolates and antimicrobial susceptibility of otitis media from children under 10 years old. Methods: Infected samples were collected from sixty (190) children under ten years old suffering from otitis media from out clinic and Al-Hillah education Hospital in babil, Iraq. Over a 9 months period (September 2012 to May 2013). Antimicrobial susceptibility tests were performed using disc diffusion technique as per the standard Kirby-Bauer method. Results: In this study, 48% of patients were males and 52% were females. Patients ranged in age from 0 to 8 years old. 34 percent of patients had no previous visit and regular treatment. The results of the bacteriological studies on the 190 cases showed that microbiological culture was yielded from 190 samples. Pure cultures consist of (166/30.1%) had a single organism isolated from the middle ear discharge, while the remaining or Mixed growth (367/66.37%) had two or more organisms isolated. There were (20/3.62%) samples who had a no culture with any microorganism isolated Conclusion: Otitis media linked with high levels of multiple antibiotic resistant bacteria is a major health concern in all age groups of the study population. There is a need for culture and susceptibility test facilities for appropriate antimicrobial therapy of otitis media and antimicrobial resistant infections

Study of Prevalence and Antimicrobial Susceptibilities of Uropathogenic Isolated from Patients in Al-Hillah city

In this study, 200 patients (100 male and 100 female) suffering from Urinary tract infection who presented to the Emergency Department of Babylon Maternity and Children Hospital  and Al-Hillah educational Hospital from October\2012 to February\2013 underwent a history and physical examination. In this study, Escherichia coli formed the major causative agent (10.8% in male and 13.2% in female) followed by staphylococcus aureus (5.4% in male and 4% in female), Pseudomonas aeruginosa (4% in male and 4.6% in female). All isolates were tested for the sensitivity to Amikacin, Chloromphenicol, Nitrofurantoin, Ofloxacin, Norfloxacin, while Pseudomonas aeruginosa shows sensitivity with Norfloxacin, Ofloxacin, Piperacillin, Tobramycin, Proteus species shows sensitivity with Amikacin, Amoxicillin , Cefodizime, Cefoxitin, Cephalexin, Gentamycin, , Norfloxacin, Piperacillin, Tobramycin and Klebsiella pneumoniae isolates shows sensitivity with Amikacin, Norfloxacin, Piperacillin, Tobramycin. Our investigation showed that from the 200 patients with UTI, 62 male and 84 had pyuria > 5 WBCs/hpf, 84 male and 75 female had pyuria >10 WBCs/mL, 86 male and 64 female had CRP >24 mg/L, 67 male and 70 female had ESR >35 mm/hour, and 69 male and 55 female had WBC >15 000/mL