Ilaf Jasim Mohammed; Ibrahim Abdulqader Naqid; Huseyin Kaya Süer
Abstract
Background: Escherichia coli (E. coli) are known to be a major cause of uropathogen among women globally. Urinary tract infection in pregnant women continues to pose clinical problems, which is a big burden for physicians. The emergence of antibiotic resistance to E. coli is inevitable and one of the ...
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Background: Escherichia coli (E. coli) are known to be a major cause of uropathogen among women globally. Urinary tract infection in pregnant women continues to pose clinical problems, which is a big burden for physicians. The emergence of antibiotic resistance to E. coli is inevitable and one of the critical health-associated problems. The present study aimed to determine the E. coli isolates, risk factors, and antibiotic resistance profile of the UTI among pregnant women. Methods: We conducted this cross-sectional study on pregnant women who attended maternity hospital in Zakho City, Kurdistan Region, Iraq. From October 2020 to January 2021, 196 subjects were recruited in the present experiment. Uropathogenic E. coli were detected from mid-stream urine of the participants. Subsequently, we performed antibiotic sensitivity test using microbiological standard tests. Through the use of designed questionnaires, the required data were collected, processed, and analysed via the Fisher’s exact test and Chi-square. Results: Out of a total of 196 subjects, 34 (17.34%) were culture positive for E. coli infection among pregnant women. A high rate of infection was detected in the age group of between 25-34 years (21.6%). Additionally, the highest rate of E. coli belonged to illiterate people (19.4%), followed by those with higher education (18.9%). The assessment of the risk factors associated with E. coli indicated that diabetes (P=0.028), a history of UTI infection (P=0.049), and the presence of symptoms during infection (P=0.001) were statistically significantly different. The antibiotics sensitivity profile in urine samples of pregnant women showed that E. coli were extremely sensitive to Nitrofurantoin (82.4%), Meropenem (79.4%), and around 67.6% for both Amikacin and Ciprofloxacin. Conclusion: The prevalence rate of E. coli infection is quite lower among pregnant women compared to that in non-pregnant ones. The major risk factors associated with E. coli during pregnancy were diabetes mellitus, a history of UTI, and the presence of symptoms during infection. E. coli isolated from urine samples seem to be different concerning antibiotic sensitivity pattern. During their regular follow-up, pregnant women should also be examined for major risk factors and antibiotic susceptibility.
Nawfal R Hussein; Hashim A Sharaf; Shaveen Mahdi
Abstract
Background: Hepatitis C virus (HCV) is a public health issue, worldwide. HCV infection during pregnancy is associated with vertical transmission. Objectives The current study aimed at investigating the prevalence of HCV in pregnant women.
Methods: The current cross sectional study was conducted in Duhok, ...
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Background: Hepatitis C virus (HCV) is a public health issue, worldwide. HCV infection during pregnancy is associated with vertical transmission. Objectives The current study aimed at investigating the prevalence of HCV in pregnant women.
Methods: The current cross sectional study was conducted in Duhok, Kurdistan region of Iraq from January 2016 to December 2018. In the study, pregnant women were tested for HCV antibodies (HCV-Ab) positivity. The infection then was confirmed by HCV-real time polymerase chain reaction (RT-PCR).
Results: During the study, 37,200 pregnant women were recruited; 15 (0.04%) subjects were positive for HCV-Ab. To confirm the infection, HCV-RT PCR was performed for subjects with positive results and only three cases were confirmed using this method; giving a prevalence of 3/37,200 (0.001%).
Conclusions: HCV prevalence in pregnant women was low in Duhok city. Continuous screening is required to control infection and prevent vertical transmission.
Wahida A Ibrahim; Shameran Daniel; Nawfal R Hussein; Mahde Saleh Assafi; Ramadan Othman
Abstract
Background: Human Papillomavirus infection is sexually transmitted and associated with several cancers, such as cancer of the cervix, vagina, vulva, head and neck, anal, and penile carcinoma. Health education plays a pivotal role in building knowledge and positive attitude about health issues.
Objectives: ...
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Background: Human Papillomavirus infection is sexually transmitted and associated with several cancers, such as cancer of the cervix, vagina, vulva, head and neck, anal, and penile carcinoma. Health education plays a pivotal role in building knowledge and positive attitude about health issues.
Objectives: The current study aimed at assessing the knowledge of final and pre-final students of colleges of medicine and nursing.
Methods: This cross-sectional study was performed between September 2017 and December 2017. The project was carried out in the College of Nursing and Azadi Teaching Hospital of Duhok, Iraq. An HPV knowledge questionnaire was used covering three HPV-related subjects, including cervical cancer-HPV association, HPV features, and HPV vaccines. All final and pre-final students of the college of medicine and nursing were recruited.
Results: In cervical cancer-HPV association knowledge dimension, which composed of four questions, there were significant differences in knowledge regarding HPV-cancer association (77.6% for medical students versus 51.6% for nursing students, P < 0.001) and cancer prevention (81.9% versus 38.7%, P < 0.001), when the correct answers were stratified according to college. When the answers were stratified according to the study years, significant differences were found in awareness about the detection of HPV in cervical cancer between pre-final and final year students in college of medicine (68.3% for pre-final versus 87.5% for final P = 0.02) and college of nursing (33.3% versus 72.4%, P < 0.001). Then, the researchers tested awareness of HPV features and there were significant differences in the awareness of students between both colleges (P < 0.01 for all questions). A significant difference was found between males and females when they were asked about the genotypes and cervical cancer (67.3% for males versus 78% for females P = 0.043). Finally, this research tested the awareness of students about HPV vaccine. The participants were asked whether HPV vaccine protects against all STD; 81.9% of medical students and 60.5% of nursing students gave correct answers (P < 0.001).
Conclusions: The knowledge of students varied according to college, study year, and gender. Attention must be paid to HPV and quick revision is mandated to increase the awareness of students.
