ANTIBIOTIC SUSCEPTIBILITY OF ESCHERICHIA COLI ISOLATE FROM URINARY TRACT INFECTION OF THALASSEMIC PATIENTS IN THI-QAR PROVINCE
Escherichia coli (E. coli) is the most common type of pathogen that causes Urinary tract infection disease. It can be presented as a pathogenic or non-pathogenic strain and found not only in the animal but also in the human intestine. This bacterium can cause opportunistic infection when the human host comprised of thalassemia patients or changes the healthy hemostatic flora. This study aimed to analyze the presence of bacteria in thalassemia patients with urinary tract infection. A total of 303 samples were collected during the period from August 2019 to January 2020 from thalassemia patients who suffered from urinary tract infection. The results showed that there were 6.9% of patients infected with E. coli, 2.6% of patients were infected with S. aureus, 0.7% with both Proteus and Klebsiella, while 89.1% of patients had a negative sample for bacteria. Also, the incidence of urinary tract infections in females is higher than in males. Besides, its occurrence in rural areas is higher than in city residents. Moreover, among 16 antibiotics tested to sensitize bacteria to antibiotics, Imipenem showed 100% efficacy on all isolated bacteria. In contrast, Netilmicin showed 80.1% efficacy, Gentamycin 80.1%, and Amikacin 76.2%. Ampicillin, Aztreonam, Amoxicillin-Clavulanic Acid, Tetracycline, and Ticarcillin-Clavulanic Acid, did not show any effectiveness toward the bacteria while other antibiotics showed different activities. Furthermore, the isolated microbes from thalassemia patients were the highest resistance to antibiotics in comparison with other studies, and this antibiotic-resistant may be due to the weakening of the patient's immune status and frequent blood taking and the antibodies it contains.
Read ArticleMANAGEMENT MODEL FOR CONSTRUCTION WASTE PRODUCED IN THE CITY OF RIO DE JANEIRO
Background: A new management model for construction and demolition waste (CDW) was proposed for the city of Rio de Janeiro, hence waste the city planning area estimated generation; the results were compared with the data published by COMLURB and SNIS through the statistics tests was proved that CDW had been dispersed, which support the hypothesis that the current model cause dispersion of the rubble. Aim: This study proposes a new management model for CDW to the city, according to regions where occur the higher production of rubble. Methods: The estimation of rubble was obtained through the issued licenses from 2006 to 2020 published by SMPU. The quantification of rubble in the city was carried out by adopting the generation indicator from licensed construction activities. The amount of CDW published by COMLURB and SNIS was compared through statistics tests ANOVA and T-Test, the second period from 2006 to 2020 and 2011 to 2020. To measure the area to implant a CDW recycling plant, criteria from production capacity were used. Results: ANOVA test to data from 2006 to 2020 and 2011 to 2020, according to a confidence interval of 95%, found the P value 0.589 and 0.022, respectively, it was verified that the significant difference is between data from COMLURB and Estimated. The T-test was applied from the same period in data from SNIS and estimated the P values 0.399 and 0.014. Discussion: The data from Estimating between 2006 and 2020 showed the best representation. The Área de Planejamento – AP (Planning Area) 4 was where 50.70% of the total rubble, after the AP 3 with 17.66%, the AP 5 was estimated at 16.59%, last of all, AP 2 and AP 1 were calculated the generation of 8.28% and 6.77%, respectively. Therefore, sizing the CDW recycling producing 361,99.00 tons per year demands an area of 32,397.50 m². Conclusions: It was concluded that the receipt of CDW in transfer stations managed by COMLURB is not allowed; therefore, the need to create a construction waste recycling plant was presented, to this end, it is necessary to have an available area of approximately 32,397.50 m².
Read ArticleMISUSE AND ABUSE OF DRUGS: A CROSS-SECTIONAL SURVEY AMONG PHARMACY PROFESSIONALS IN SAUDI ARABIA
Prescription and non-prescription medication misuse or abuse is a global problem that has a negative impact on all human life aspects, including health, social, economic, and security status. According to the United Nations Office on Drug and Crime reports, over 5% of adult people used drugs at least once in the year 2015, and 29.5 million of them were suffered from the consequences of inappropriate use of drugs. Information on the knowledge and perception among pharmacists regarding the misuse and abuse medications in Saudi Arabia are limited, and therefore, a study was conducted among pharmacy staff to assess their knowledge and awareness on drug misuse and abuse. A cross-sectional study was carried out in Eastern Province, Saudi Arabia. Pharmacy professionals with more than three months of experience were included in the study. A structured questionnaire was used to obtain the participant's responses. A Chi-square test was used to evaluate the association of sociodemographic factors with the participant's responses. Ninety pharmacy professionals were responded. Overall, 69 (76.7%) participants agreed that misuse and abuse are two different terms. In addition, the study showed different responses for patients who suspected to be medication abusers. In conclusion, this study provides an initial picture of pharmacy staffs' knowledge and opinion regarding the misuse and abuse of medicines in Saudi Arabia. Participants' reactions toward such behaviors were different and not consistent. Therefore, there should be a clear policy to define the role of the pharmacy staff toward the misuse and abuse of medication in Saudi Arabia.
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