اسم المؤلف:
هبة اركان فنطيل الحسناوي
اسم المشرف:
علي عبد رحيم الناشي
المستخلص:
Salmonella is a bacteria and Shigella types of intestinal bacteria, and because of the seriousness of the pathogenicity and the spread of infection in their environment has been conducting this study.Collected during the current study, 462 different clinical sample (feces and urine) of adults aged 20 years and older and those with symptoms of the bacteria Salmonella and Shigella and both sexes reviewers for laboratories and hospitals in the city of Diwaniya, for the period from 2012 \ 11 \ 6 to 2013 \ 5 \ 26. Diagnosed isolates based on phenotypic traits and AGRO tests biochemical in addition to diagnosis by Api20E system as isolates Salmonella reached 17 isolation and by 3.6% and were all belonging to the type S.typhi, either isolates bacteria Shigella was three isolates and 0.64%, and all of them belong to the type of Sh. Flexneri. The incidence of bacteria S.typhi for the male sex was higher than in females, Ozbulg number of infected males and 10 by 58.8%, while the number Fayalnads was infected 7 and by 41.1%, but for bacteria to Sh. flexneri, as was the incidence in males is also higher than in females as in males reached 2 and by 66.6%, while the number of infected females in bringing only one injury and 33.3%. Were more age groups injury is a class 20 - 29 where recorded 9 injuries and by 52.9% and the number of infected males 6 The number of cases in females 3 injuries, age group 30 - 39 recorded 5 injuries and by 29.4 and were two goals in the male and three injuries in females, the age category 40 - 49sgelt two goals by 11.9% and the injury was confined to males either category above 50 years and one injury recorded only in females and 5.8%, either in bacteria Sh. flexneri was the only injury in the 20 - 29 age group and by three injuries. The more isolated the proportion of bacteria S.typhi in the month of May and April as recorded 4 isolates each, and by 23.5%, while giving the lowest ratio for the presence of bacterial during the months of December and January, as recorded isolation and one each of these two months and 5.8% either November remaining months February, March was the number of isolates in 3, 2, 2, respectively, and 15%, 17.6%, 11.7, 11.7%, respectively, as well, either for the bacteria Sh. flexneri as Bulgtaaly proportion of injury in the month of May was the number of isolates 2 and by 66.6% during the month of April either recorded a hit single Vqtobnsph 33.3% did not notice any injury to the other months of the study. Tested the sensitivity of the isolates S.typhi and Sh.flexneri direction antibiotics used as 8 used antibiotics in common use in this study show that the bacteria were sensitive S.typhi 100% Anti Ciprofloxacin, but resisted antibiotics Ampicillin, Amoxicillin, Chloramphenicol, Tetracycline, Nalidixicacid, Gentamicin, Ceftriaxone at a rate of 82.3%, 82.3%, 76.4%, 70.5%, 64.7%, 23.5%, 23.5% respectively. The bacteria Sh.flexneri was 100% sensitive to antibiotics Ciprofloxacin, Gentamicin, Nalidixic acid, Amoxicillin, Ceftriaxone while it was resistant to antibiotics Tetracycline, Chloramphenicol, Ampicillin by 66.6% each. Been investigating some of the virulence of the bacteria S.typhi factors, including the presence of the portfolio Capsule as were all Salmonella isolates characterized by possessing the portfolio, while the production of the enzyme protease Protase was all isolates S.typhi producing this enzyme also showed 12 isolation of the ability to produce the enzyme Lipase and increased by 70.5%, but all isolates were S.typhi unproductive enzyme protease. The bacteria Sh.flexneri marked by Azltan of three Azladtha and by (% 66.6) viability link red dye Congo also showed 2 of these isolates and by (66.6) ability to form thin membrane (Pellicle) and two Aezzltan which have demonstrated susceptibility to adhesion was isolated one of them only possess cilia first pattern type 1. The research covered also study the changes that occur in some of the blood parameters in people infected with the bacterium Salmonella Heclauzar that there is a decrease in the total number of red blood cells Red blood cells in people infected with Salmonella, where the total number of blood cells Reds reached 4.91 x 106 c \ ml total number of cells rate 3.7 white blood x 103c \ ml the proportion of types of white blood cells of the total number of cells, the white was lymphocyte ratio lymphocytes% 52.55 which is low compared with the normal number, while there was an increase in both acidophilus cells Eosinophils and only Monocyte as she was represented 1.2%, 2.9% in November while it was% 0.03 Basophils cells, the highest percentage of increase in healthy people, and the amount of total hemoglobin rate. Hemoglobin9.07 g \ dl which is low compared with healthy peopleBut in people infected with bacteria Sh. Flexner, bringing the average number of red blood cells 106 c \ ml3.7 x, the lowest rate with the number of healthy people, as the amount of hemoglobin g \ dl13.5 rate, either the total number of white blood cells, the rate was slightly higher than what is found in healthy people Azbulg (11.32 x 103c \ ml), it was noted that most of the increase was high in the white blood cells of the type Neutrophils the increase amounted to 62.34%
