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The Main Causes Of E. Coli Infects

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In the present study, 45% of the urine specimens showed E. coli infections. Similar results were reported by Salem et al. [12] in Egypt as E. coli was found in 58.75% of all urinary isolates from hospitalized patients. Our results showed that E. coli was the most frequent microorganism isolated from urine. The same result was reported by Salem et al. [12], Mohamed Al-Agamy et al. [15], Evans et al. [16] and Kang et al. [17]. In our results, E. coli CIs (36.3%) were found the most in ICUs, followed by the urosurgery ward (16.3%) and the general surgery ward (13.8%). Urine was the major source (56.25%) of E. coli CIs, followed by sputum specimens (20%). This was in agreement with the results of Salem et al. [12], who reported that E. coli is …show more content…

The prevalence of the IntI1 gene was higher in the Pongpech et al. [20] study, in which the intI1 gene was detected in 99% of E. coli CIs and 87% of fecal specimen E. coli isolates. Other comparable prevalences of the intI1 gene in gram-negative CIs have been reported in Western and Central Europe, 43%, more than 50% in the Netherlands, 59% in France, and 75% among aminoglycosides-resistant isolates from the USA [19].In the present study, there was a highly significant difference between E. coli CIs and E. coli commensals in their susceptibility to different antibiotics. All E. coli CIs and 70% of E. coli commensals were MDR strains. This was in agreement with the study of Lee et al. [2], who reported that the rate of resistance to antimicrobial agents was higher among nasocommial E. coli (98.5%) than those of E. coli commensals. A difference in the resistance to antibiotics in our study was observed between the CIs and commensals; about 100% of E. coli CIs were resistant to ampicillin, amikacin, tobramycin, gentamycin, and trimethoprim/ sulfamethoxazole versus 50–55% of E. coli commensals. About 90–95% of E. coli CIs versus 20–35% of E. coli commensals were resistant to piperacillin, amoxicillin/ clavulinate, streptomycin,

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