{"id":8837,"date":"2018-08-31T22:03:43","date_gmt":"2018-08-31T22:03:43","guid":{"rendered":"https:\/\/sc.qu.edu.iq\/\/?p=8837"},"modified":"2024-02-24T17:19:18","modified_gmt":"2024-02-24T14:19:18","slug":"%d8%af%d8%b1%d8%a7%d8%b3%d8%a9-%d9%88%d8%b5%d9%81%d9%8a%d8%a9-%d9%88%d8%ac%d8%b2%d9%8a%d8%a6%d9%8a%d8%a9-%d9%84%d8%ac%d8%b1%d8%ab%d9%88%d9%85%d8%a9-providencia-%d8%a7%d9%84%d9%85%d8%b9%d8%b2%d9%88","status":"publish","type":"post","link":"https:\/\/sc.qu.edu.iq\/?p=8837","title":{"rendered":"\u062f\u0631\u0627\u0633\u0629 \u0648\u0635\u0641\u064a\u0629 \u0648\u062c\u0632\u064a\u0626\u064a\u0629 \u0644\u062c\u0631\u062b\u0648\u0645\u0629 Providencia  \u0627\u0644\u0645\u0639\u0632\u0648\u0644\u0629  \u0645\u0646 \u0645\u0635\u0627\u062f\u0631 \u0645\u062e\u062a\u0644\u0641\u0629 \u0641\u064a \u0645\u062d\u0627\u0641\u0638\u0629 \u0627\u0644\u062f\u064a\u0648\u0627\u0646\u064a\u0629 \u0648 \u0645\u0642\u0627\u0648\u0645\u062a\u0647\u0627 \u0644\u0645\u0636\u0627\u062f\u0627\u062a \u062d\u064a\u0648\u064a\u0629 \u0645\u062e\u062a\u0644\u0641\u0629 :\u062f\u0631\u0627\u0633\u0629 \u0644\u0637\u0627\u0644\u0628\u0629 \u0641\u064a \u0643\u0644\u064a\u0629 \u0627\u0644\u0639\u0644\u0648\u0645"},"content":{"rendered":"<p><span lang=\"ar-IQ\"><b>\u0639\u0644\u0649 \u0642\u0627\u0639\u0629 \u0623\u0628\u0646 \u0627\u0644\u0647\u064a\u062b\u0645 \u0641\u064a \u0643\u0644\u064a\u0629 \u0627\u0644\u0639\u0644\u0648\u0645 \u0628\u062c\u0627\u0645\u0639\u0629 \u0627\u0644\u0642\u0627\u062f\u0633\u064a\u0629 \u062c\u0631\u062a \u0645\u0646\u0627\u0642\u0634\u0629 \u0627\u0644\u062f\u0631\u0627\u0633\u0629 \u0627\u0644\u0645\u064f\u0639\u064e\u062f\u0629 \u0645\u0646 \u0642\u0628\u0644\u00a0\u0627\u0644\u0637\u0627\u0644\u0628\u0629 <strong>\u0631\u0627\u0648\u064a\u0629 \u062d\u0633\u064a\u0646 \u0639\u0644\u064a \u0627\u0644\u062d\u062f\u0627\u062f<\/strong> \u00a0\u062a\u062d\u062a \u0639\u0646\u0648\u0627\u0646\u00a0<strong>\u062f\u062f\u0631\u0627\u0633\u0629 \u0648\u0635\u0641\u064a\u0629 \u0648\u062c\u0632\u064a\u0626\u064a\u0629 \u0644\u062c\u0631\u062b\u0648\u0645\u0629 <em>Providencia <\/em>\u00a0\u0627\u0644\u0645\u0639\u0632\u0648\u0644\u0629\u00a0 \u0645\u0646 \u0645\u0635\u0627\u062f\u0631 \u0645\u062e\u062a\u0644\u0641\u0629 \u0641\u064a \u0645\u062d\u0627\u0641\u0638\u0629 \u0627\u0644\u062f\u064a\u0648\u0627\u0646\u064a\u0629 \u0648 \u0645\u0642\u0627\u0648\u0645\u062a\u0647\u0627 \u0644\u0645\u0636\u0627\u062f\u0627\u062a \u062d\u064a\u0648\u064a\u0629 \u0645\u062e\u062a\u0644\u0641\u0629 <\/strong>\u062f\u0631\u0627\u0633\u0629\u00a0\u0628\u0623\u0634\u0631\u0627\u0641 \u0627\u0644\u0623\u0633\u062a\u0627\u0630 \u0627\u0644\u0645\u0633\u0627\u0639\u062f \u0627\u0644\u062f\u0643\u062a\u0648\u0631\u00a0<\/b><\/span><strong>\u0641\u0631\u0627\u0633 \u0633\u0631\u062d\u0627\u0646 \u0639\u0628\u062f \u0627\u0644\u0645\u064a\u0627\u062d\u064a&#8230;..<\/strong>\u0627\u0633\u062a\u0647\u062f\u0641\u0640\u062a \u0647\u0640\u0630\u0647 \u0627\u0644\u062f\u0631\u0627\u0633\u0629 \u0639\u0640\u0632\u0644 \u0648\u062a\u0634\u062e\u064a\u0640\u0635 \u0628\u0643\u062a\u0631\u064a\u0627 <em>Providencia <\/em>spp<em>. <\/em><em>\u00a0<\/em>\u0645\u0646 \u0645\u0635\u0627\u062f\u0631 \u0645\u062a\u0646\u0648\u0639\u0629 \u0641\u064a \u0645\u062d\u0627\u0641\u0638\u0629 \u0627\u0644\u062f\u064a\u0648\u0627\u0646\u064a\u0629 , \u0625\u0630 \u062c\u0645\u0639\u062a 1209 \u0639\u064a\u0646\u0629\u00a0 \u062a\u0636\u0645\u0646\u062a \u062c\u0645\u0640\u0639\u00a0 791 \u0639\u064a\u0646\u0629 \u0633\u0631\u064a\u0631\u064a\u0629 (\u0642\u0634\u0639 305 \u0639\u064a\u0646\u0629, \u062d\u0631\u0648\u0642245 \u00a0\u0639\u064a\u0646\u0629 , \u0625\u062f\u0631\u0627\u0631 174 \u0639\u064a\u0646\u0629 , \u0628\u0631\u0627\u0632 37\u0639\u064a\u0646\u0629 , \u062c\u0631\u0648\u062d30 \u00a0\u0639\u064a\u0646\u0629), \u0648 288 \u0639\u064a\u0646\u0629 \u0628\u064a\u0626\u064a\u0629 ( \u0641\u0636\u0644\u0627\u062a \u0627\u0644\u0637\u064a\u0648\u0631116 \u00a0\u0639\u064a\u0646\u0629 , \u0645\u064a\u0627\u0647 \u0645\u0644\u0640\u0648\u062b\u0629 107\u0639\u064a\u0646\u0629 , \u0645\u064a\u0627\u0647 \u0634\u0640\u0631\u0628 \u0627\u0644\u0623\u0628\u0642\u0627\u0631 33\u0639\u064a\u0640\u0646\u0629 , \u062a\u0640\u0631\u0628\u0640\u062932 \u00a0\u0639\u064a\u0646\u0629) , \u0648 130\u0639\u064a\u0646\u0629 \u0644\u062d\u0648\u0645 (\u0627\u0633\u0645\u0627\u0643 \u00a053 \u0639\u064a\u0646\u0629 , \u0644\u062d\u0648\u0645 \u0623\u0628\u0642\u0627\u063142 \u00a0\u0639\u064a\u0646\u0629 , \u0644\u062d\u0648\u0645 \u062f\u062c\u0627\u062c 35 \u0639\u064a\u0646\u0647) \u0644\u0644\u0641\u062a\u0640\u0640\u0631\u0629 \u0645\u0646 \u0634\u0647\u0631 \u062a\u0634\u0640\u0631\u064a\u0646 \u0627\u0644\u0623\u0648\u0644 \u00a02016 \u0625\u0644\u0649 \u0634\u0647\u0640\u0631 \u0643\u0627\u0646\u0648\u0646 \u0627\u0644\u0623\u0648\u0644 2017.<\/p>\n<p>\u0623\u062b\u0628\u062a\u062a \u0646\u062a\u0627\u0626\u0640\u062c \u0627\u0644\u0632\u0631\u0639 \u0627\u0644\u0645\u062e\u062a\u0628\u0631\u064a \u0648\u0627\u0644\u0641\u062d\u0635 \u0627\u0644\u0645\u062c\u0647\u0640\u0631\u064a \u0648\u0627\u0644\u0627\u062e\u062a\u0628\u0640\u0627\u0631\u0627\u062a \u0627\u0644\u0643\u064a\u0645\u0640\u0648\u062d\u064a\u0640\u0648\u064a\u0640\u0629 \u0648\u0627\u0644\u062a\u0634\u062e\u064a\u0640\u0640\u0635 \u0627\u0644\u062a\u0623\u0643\u064a\u0640\u062f\u064a \u0628\u0627\u0633\u0640\u062a\u0640\u062e\u0640\u062f\u0627\u0645 \u0646\u0638\u0627\u0645 \u00a0API-20E system \u0648\u0646\u0638\u0627\u0645 Vitek 2 system \u00a0, \u0648 \u0627\u0644\u062a\u0634\u062e\u064a\u0640\u0635 \u0627\u0644\u0646\u0647\u0640\u0627\u0626\u064a \u0628\u0627\u0633\u062a\u0639\u0645\u0627\u0644 \u0645\u0640\u0648\u0631\u062b\u0640\u0629\u00a0 <em>16S rRNA<\/em> gene \u0627\u0644\u062a\u0634\u062e\u064a\u0635\u064a\u0640\u0629 \u0639\u0627\u0626\u062f\u064a\u0629\u00a0 18 \u0639\u0640\u0632\u0644\u0629 \u0644\u0628\u0643\u062a\u0640\u0631\u064a\u0627 <em>Providencia <\/em>spp<em>. <\/em>(10 \u00a0\u0639\u0640\u0632\u0644\u0627\u062a \u0644\u0644\u0646\u0648\u0639 <em>P.alcalifaciens<\/em> , 8 \u0639\u0640\u0632\u0644\u0627\u062a \u0644\u0644\u0646\u0648\u0639 <em>P.rettgeri<\/em>).<\/p>\n<p>\u0623\u064f\u062c\u0640\u0631\u064a \u0627\u062e\u062a\u0628\u0627\u0631 \u0627\u0644\u062d\u0633\u0627\u0633\u064a\u0629 \u0627\u0644\u062f\u0648\u0627\u0626\u064a\u0640\u0629 \u0644\u062c\u0645\u064a\u0639 \u0627\u0644\u0639\u0632\u0644\u0627\u062a \u0641\u064a \u0627\u0644\u062f\u0631\u0627\u0633\u0629 \u0627\u0644\u062d\u0627\u0644\u064a\u0629 \u062a\u062c\u0627\u0647 31 \u0645\u0636\u0640\u0627\u062f\u0627 \u062d\u064a\u0648\u064a\u0627\u00a0 \u0648\u0627\u0644\u0639\u0627\u0626\u0640\u062f\u0629 \u0644\u064012 \u00a0\u0635\u0646\u0640\u0640\u0641 \u0645\u0646 \u0623\u0635\u0646\u0627\u0641 \u0627\u0644\u0645\u0636\u0627\u062f\u062a \u0627\u0644\u062d\u064a\u0648\u064a\u0629 \u0648\u0643\u0627\u0646\u062a \u0627\u0644\u0639\u0632\u0644\u0627\u062a \u0627\u0644\u062a\u064a \u0642\u0627\u0648\u0645\u062a \u0645\u0636\u0627\u062f\u0627\u064b \u0648\u0627\u062d\u062f\u0627\u064b \u0645\u0646 \u062b\u0644\u0627\u062b \u0623\u0635\u0646\u0627\u0641 \u0639\u0644\u0649 \u0627\u0644\u0623\u0642\u0644 \u0645\u0646 \u0627\u0644\u0645\u0636\u0627\u062f\u0627\u062a \u0627\u0644\u062d\u064a\u0648\u064a\u0629 \u0639\u062f\u062a \u0645\u0646 \u0627\u0644\u0628\u0643\u062a\u0631\u064a\u0627 \u0630\u0627\u062a \u0627\u0644\u0645\u0642\u0627\u0648\u0645\u0629 \u0627\u0644\u0645\u062a\u0639\u0640\u062f\u062f\u0629 \u0644\u0644\u0645\u0636\u0627\u062f\u0627\u062a \u0627\u0644\u062d\u064a\u0648\u064a\u0629 (MDR). \u0625\u0630 \u0623\u0628\u062f\u062a \u0627\u0644\u0639\u0640\u0632\u0644\u0627\u062a\u00a0 \u0623\u0639\u0644\u0649 \u0646\u0633\u0628\u0640\u0629 \u0645\u0642\u0627\u0648\u0645\u0640\u0629% 100 \u00a0\u0644\u0645\u0636\u0640\u0627\u062f Nitrofurantoin \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u064a\u0644\u064a\u0647 \u0627\u0644\u0645\u0636\u0640\u0627\u062f\u0627\u062a Ampicillin \u0648 \u00a0Azthromycin \u0628\u0646\u0633\u0628\u0640\u0629 %94.4 \u0644\u0643\u0644 \u0645\u0646\u0647\u0645\u0627 \u062b\u0645 \u0645\u0636\u0640\u0627\u062f\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0Amoxicillin \/ clavulanic acid\u00a0 \u0628\u0646\u0633\u0640\u0628\u0629 72.2% , \u0643\u0645\u0627 \u0628\u0644\u063a\u062a \u0646\u0633\u0628\u0629 \u0627\u0644\u0645\u0642\u0627\u0648\u0645\u0629 \u0627\u0644\u062c\u0631\u062b\u0648\u0645\u064a\u0629\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0(44.4 % ,38.9 % , %33.3 , %33.3 , % 22.2, %16.7, %11.1 , %11.1) \u0644\u0645\u0636\u0627\u062f\u0627\u062a Cephalexin, Ampicillin\/sulbactam, Tetracycline ,Tigecycline \u00a0, Piperacillin \/ tazobactam ,Nalidixic acid \u00a0, Cefuroxime \u0648 Trimethoprim \u0639\u0644\u0649 \u0627\u0644\u062a\u0648\u0627\u0644\u064a , \u0648\u0633\u062c\u0644\u062a \u0645\u0636\u0627\u062f\u0627\u062a Cefotaxime , Imipenem\u0648 \u00a0Trimethoprim -Sulfamethaxazole\u0646\u0633\u0628\u0629 \u0645\u0642\u0627\u0648\u0645\u0629 \u0628\u0644\u063a\u062a 5.6% \u0644\u0643\u0644 \u0645\u0646\u0647\u0627, \u0641\u064a \u062d\u064a\u0646 \u0623\u0628\u062f\u062a \u0627\u0644\u0628\u0643\u062a\u0631\u064a\u0627 \u062d\u0633\u0640\u0627\u0633\u064a\u0629 \u062a\u0627\u0645\u0629 \u0628\u0646\u0633\u0628\u0629 %100 \u0644\u0643\u0644 \u0645\u0646 \u0645\u0636\u0627\u062f\u0627\u062a\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0Cefexime ,Ceftriaxon \u00a0\u00a0, Meropenem , Azteronam , Amikacin , \u00a0Gentamicin, Tobramycin , Ciprofloxacin , Norfloxacin \u0648 \u00a0Chloramphenicol \u0623\u0645\u0627 \u00a0\u0645\u0636\u0627\u062f\u0627\u062a\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0\u00a0Ticarcillin \/ clavulanic acid , Cefoxitin, Ceftazidime \u00a0, Cefepime \u00a0, Levofloxacin \u0648 Ofloxacin \u0641\u0643\u0627\u0646\u062a \u0627\u0644\u0628\u0643\u062a\u0631\u064a\u0627 \u062d\u0633\u0627\u0633\u0640\u0629 \u0644\u0647\u0627 \u0628\u0646\u0633\u0628\u0629 \u00a0%88.9, %61.1 , %94.4 , %94.4, %94.4 \u0648 %88.9 \u0639\u0644\u0649 \u0627\u0644\u062a\u0648\u0627\u0644\u064a .<\/p>\n<p>&nbsp;<\/p>\n<p>\u0648\u0643\u0627\u0646\u062a \u0647\u0646\u0627\u0644\u0643 \u0641\u0631\u0648\u0642 \u0641\u064a \u0646\u0633\u0628 \u0627\u0644\u0645\u0642\u0627\u0648\u0645\u0629 \u0644\u0639\u062f\u062f \u0645\u0646 \u0627\u0644\u0645\u0636\u0627\u062f\u0627\u062a \u0627\u0644\u062d\u064a\u0648\u064a\u0629 \u0625\u0630 \u0643\u0627\u0646\u062a \u00a0\u0646\u0633\u0628 \u0627\u0644\u0645\u0642\u0627\u0648\u0645\u0629 \u0627\u0644\u062a\u064a \u0623\u0628\u062f\u062a\u0647\u0627 \u0627\u0644\u0628\u0643\u062a\u0631\u064a\u0627 \u062a\u062c\u0627\u0647 \u0645\u0636\u0627\u062f\u0627\u062a \u00a0Amoxicillin\/clavulanic acid \u00a0, Cefoxitin , Cefuroxime \u00a0,\u00a0 Ciprofloxacin , Levofloxacin \u0648 Cefepime \u0642\u062f \u0628\u0644\u063a\u062a \u00a0%72.2 , %0 , %11.1, %0,%0 \u0648%0 \u0639\u0644\u0649 \u0627\u0644\u062a\u0648\u0627\u0644\u064a \u0628\u0627\u0644\u0627\u0639\u062a\u0645\u0627\u062f \u0639\u0644\u0649 CLSI-2017 , \u0628\u064a\u0646\u0645\u0627 \u0628\u0644\u063a\u062a \u0627\u0644\u0646\u0633\u0628 %83.3 ,%44.4 , %16.7, %16.7, %11.1 \u0648 %5.6 \u00a0\u0644\u0646\u0641\u0633 \u0627\u0644\u0645\u0636\u0627\u062f\u0627\u062a \u0648 \u0639\u0644\u0649 \u0627\u0644\u062a\u0648\u0627\u0644\u064a \u0628\u0627\u0644\u0627\u0639\u062a\u0645\u0627\u062f \u0639\u0644\u0649. EUCAST-2017<\/p>\n<p>\u0623\u064f\u062e\u0636\u0639\u062a \u0627\u0644\u0639\u0632\u0644\u0627\u062a \u0627\u0644\u0645\u0634\u062e\u0635\u0629 \u0644\u0644\u062a\u062d\u0640\u0631\u064a \u0639\u0646 \u0642\u0627\u0628\u0644\u064a\u062a\u0647\u0627 \u0639\u0644\u0649 \u0625\u0646\u062a\u0627\u062c \u0625\u0646\u0632\u064a\u0645\u0627\u062a \u0627\u0644\u0628\u064a\u062a\u0627-\u0644\u0627\u0643\u062a\u0627\u0645\u064a\u0632 \u0645\u0638\u0647\u0631\u064a\u0627\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0\u0625\u0630 \u062a\u0645 \u0627\u0644\u062a\u062d\u0631\u064a \u0639\u0646 \u0625\u0646\u062a\u0627\u062c \u0625\u0646\u0632\u064a\u0645\u0627\u062a \u0627\u0644\u0628\u064a\u062a\u0627-\u0644\u0627\u0643\u062a\u0627\u0645\u064a\u0632 \u0648\u0627\u0633\u0639\u0629 \u0627\u0644\u0637\u064a\u0640\u0641 ESBLs \u0628\u0627\u0633\u062a\u0639\u0645\u0627\u0644 \u0637\u0631\u064a\u0642\u0629\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0\u0627\u0644\u0623\u0642\u0640\u0631\u0627\u0635 \u0627\u0644\u0645\u062a\u0627\u062e\u0645\u0629 \u00a0\u0648 \u0628\u0644\u063a\u0640\u062a \u0646\u0633\u0628\u0629 \u0625\u0646\u062a\u0627\u062c\u0647\u0640\u0627 66.7% , \u0623\u0645\u0627 \u0642\u0627\u0628\u0644\u064a\u062a\u0647\u0640\u0627 \u0639\u0644\u0649 \u0625\u0646\u062a\u0627\u062c \u0625\u0646\u0632\u064a\u0645\u0627\u062a \u0627\u0644\u0628\u064a\u062a\u0627-\u0644\u0627\u0643\u062a\u0627\u0645\u064a\u0632 \u0646\u0648\u0639 AmpC \u0641\u062a\u0645 \u0627\u0644\u062a\u062d\u0631\u064a \u0639\u0646\u0647\u0627 \u0628\u0637\u0631\u064a\u0642\u062a\u064a\u0646 : \u0627\u0644\u062a\u062d\u0640\u0631\u064a \u0627\u0644\u0623\u0648\u0644\u064a \u0644\u0644\u0640 Cefoxitin \u0648 \u0627\u0644\u062a\u062d\u0640\u0631\u064a \u0627\u0644\u062a\u0623\u0643\u064a\u0640\u062f\u064a Ceftazidime-Imipenem Antagonism Test (CIAT) \u0648\u0643\u0627\u0646\u0640\u062a \u0646\u0633\u0640\u0628\u0640\u0629 \u0625\u0646\u062a\u0627\u062c\u0647\u0640\u0627 %44.4\u00a0 \u0648 \u00a037.5% \u0639\u0640\u0644\u0649 \u0627\u0644\u062a\u0648\u0627\u0644\u064a \u00a0.<\/p>\n<p>\u0648\u062c\u0631\u0649 \u0627\u0644\u062a\u062d\u0640\u0631\u064a \u0639\u0646 \u0625\u0646\u062a\u0627\u062c \u0625\u0646\u0632\u064a\u0645\u0627\u062a \u0627\u0644\u0628\u064a\u062a\u0627-\u0644\u0627\u0643\u062a\u0627\u0645\u064a\u0632 \u0627\u0644\u0645\u0639\u062f\u0646\u064a\u0629 (Metallo beta \u2013lactamases) \u0628\u0637\u0631\u064a\u0642\u0629 Imipenem-EDTA \u0648 \u0642\u062f \u062a\u0628\u064a\u0646 \u0623\u0646 80 % \u0645\u0646 \u0647\u0630\u0647 \u0627\u0644\u0639\u0632\u0644\u0627\u062a \u0643\u0627\u0646\u062a \u0645\u0646\u062a\u062c\u0629 \u0644\u0647\u0630\u0647 \u0627\u0644\u0625\u0646\u0632\u064a\u0645\u0627\u062a \u0643\u0645\u0627 \u0627\u0633\u062a\u0639\u0645\u0644 \u0627\u062e\u062a\u0628\u0627\u0631\u0627 \u0647\u0640\u0648\u062f\u062c \u0627\u0644\u0645\u062d\u0648\u0631 \u00a0Modified Hodge Test\u0648 Disc Potentiation Test \u0625\u0644\u0627 \u0623\u0646\u0647\u0645\u0627 \u0644\u0645 \u064a\u0639\u0637\u064a\u0627 \u0646\u062a\u064a\u062c\u0629 \u0627\u064a\u062c\u0627\u0628\u064a\u0629 .<\/p>\n<p>\u062a\u0645 \u0627\u0644\u062a\u062d\u0640\u0631\u064a \u0639\u0646 \u0628\u0639\u0636 \u062c\u064a\u0646\u0627\u062a \u0627\u0644\u0645\u0642\u0627\u0648\u0645\u0629 \u0644\u0644\u0645\u0636\u0640\u0627\u062f\u0627\u062a \u0627\u0644\u062d\u064a\u0640\u0648\u064a\u0640\u0629 \u0628\u064a\u0646 \u0639\u0632\u0644\u0627\u062a <em>\u00a0<\/em><em>Providencia <\/em>spp. \u0641\u064a \u0627\u0644\u062f\u0631\u0627\u0633\u0640\u0629 \u0627\u0644\u062d\u0627\u0644\u064a\u0640\u0629 \u062c\u0632\u064a\u0626\u064a\u0627\u064b \u0628\u0627\u0633\u062a\u0639\u0645\u0627\u0644 \u062a\u0642\u0646\u064a\u0640\u0629\u00a0 (PCR)\u00a0 \u0648\u0638\u0647\u0631 \u0623\u0646 \u0627\u0644\u0639\u0640\u0632\u0644\u0627\u062a \u0643\u0627\u0646\u062a \u062d\u0627\u0645\u0644\u0629 \u0644\u0643\u0644 \u0645\u0646 \u0645\u0648\u0631\u062b\u0627\u062a <em>bla<sub>CTX-M<\/sub><\/em> \u0648 <em>bla<sub>OXA<\/sub><\/em> \u0648 <em>bla<sub>SHV<\/sub><\/em> \u0648\u0628\u0646\u0633\u0628\u0629 77.8% , 50% \u0648 5.6% \u0639\u0644\u0649 \u0627\u0644\u062a\u0648\u0627\u0644\u064a , \u0641\u064a\u0645\u0627 \u062e\u0644\u062a \u0645\u0646 \u0645\u0648\u0631\u062b\u0627\u062a <em>bla<sub>PER<\/sub><\/em> \u00a0, \u00a0<em>bla<sub>TEM<\/sub><\/em> \u0648 <em>bla<sub>NDM<\/sub><\/em><sub>\u00a0 <\/sub>, \u0648 \u0645\u0648\u0631\u062b\u0629 \u00a0<em>qnr<\/em> \u0627\u0644\u0645\u0634\u0641\u0631\u0629 \u0644\u0645\u0642\u0627\u0648\u0645\u0629 \u0645\u0636\u0627\u062f\u0627\u062a \u0627\u0644\u0643\u0648\u064a\u0646\u0648\u0644\u0648\u0646 .<\/p>\n<p>\u062d\u064f\u0644\u0644\u062a \u0646\u062a\u0627\u0626\u062c \u0627\u0644\u0634\u062c\u0631\u0629 \u0627\u0644\u0648\u0631\u0627\u062b\u064a\u0629 \u0628\u0627\u0633\u062a\u0639\u0645\u0627\u0644 \u0628\u0631\u0646\u0627\u0645\u062c MEGA 6 \u0648\u0628\u0627\u062e\u062a\u064a\u0627\u0631 \u0637\u0631\u064a\u0642\u0640\u0629\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0(Neighbor-Joining Method) \u00a0\u0644\u0639\u0632\u0644\u0627\u062a<em>Providencia <\/em>spp. \u0627\u0644\u0645\u0634\u062e\u0635\u0629 \u0628\u0648\u0627\u0633\u0637\u0629 \u062a\u0642\u0646\u064a\u0629 (PCR) \u0628\u0627\u0644\u0627\u0639\u062a\u0645\u0627\u062f \u0639\u0644\u0649 \u0645\u0648\u0631\u062b\u0629 \u00a0<em>16S rRNA<\/em> gene \u0648 \u0628\u062d\u062c\u0645 546 \u00a0\u0632\u0648\u062c \u0642\u0627\u0639\u062f\u064a \u0648\u0642\u062f \u0643\u0627\u0646\u062a \u0646\u0633\u0628\u0629 \u0627\u0644\u0645\u0637\u0627\u0628\u0642\u0629 \u0639\u0627\u0644\u064a\u0629 \u0628\u064a\u0646 \u0627\u0644\u0623\u0646\u0648\u0627\u0639 \u0627\u0644\u0645\u062d\u0644\u064a\u0629 \u0627\u0644\u0645\u0634\u0645\u0648\u0644\u0629 \u0628\u0627\u0644\u062f\u0631\u0627\u0633\u0629 \u0627\u0644\u062d\u0627\u0644\u064a\u0629 \u0645\u0639 \u0646\u0638\u064a\u0640\u0631\u0627\u062a\u0647\u0627 \u0627\u0644\u0645\u0633\u062c\u0644\u0629 \u0639\u0627\u0644\u0645\u064a\u0627 \u0641\u064a \u0627\u0644\u0645\u0631\u0643\u0632 \u0627\u0644\u0648\u0637\u0646\u064a \u0644\u0645\u0639\u0644\u0648\u0645\u0627\u062a \u0627\u0644\u062a\u0642\u0646\u064a\u0627\u062a \u0627\u0644\u0625\u062d\u064a\u0627\u0626\u064a\u0629 NCBI \u00a0, \u0648\u0628\u064a\u0646\u062a \u0627\u0644\u0634\u062c\u0631\u0629 \u0627\u0644\u0648\u0631\u0627\u062b\u064a\u0629 \u0648\u062c\u0648\u062f \u0645\u062c\u0645\u0648\u0639\u062a\u064a\u0646 \u0631\u0626\u064a\u0633\u064a\u062a\u064a\u0646 \u0627\u0644\u0623\u0648\u0644\u0649 \u062a\u0645\u062b\u0640\u0644 \u0627\u0644\u0633\u0644\u0627\u0644\u0627\u062a \u0627\u0644\u0639\u0627\u0626\u062f\u0629 \u0644\u0644\u0646\u0648\u0639\u00a0 <em>P .alcalifaciens<\/em><em> \u00a0<\/em>\u0628\u064a\u0646\u0645\u0627 \u0627\u0644\u062b\u0627\u0646\u064a\u0629 \u062a\u0645\u062b\u0644 \u0627\u0644\u0633\u0644\u0627\u0644\u0627\u062a \u0627\u0644\u0639\u0627\u0626\u062f\u0629 \u0644\u0644\u0646\u0648\u0639 <em>P.rettgeri<\/em> \u0645\u0639 \u0648\u062c\u0648\u062f \u0645\u0633\u0627\u0641\u0627\u062a \u062a\u0645\u062b\u0644 \u0627\u0644\u0628\u0639\u062f \u0627\u0644\u0648\u0631\u0627\u062b\u064a \u0628\u064a\u0646 \u0627\u0644\u0623\u0646\u0648\u0627\u0639 \u0627\u0644\u0639\u0627\u0626\u062f\u0629 \u0644\u062c\u0646\u0633 <em>Providencia <\/em>spp<em>.<\/em>.<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-medium wp-image-8841\" src=\"https:\/\/sc.qu.edu.iq\/\/wp-content\/uploads\/2018\/08\/6-300x199.jpg\" alt=\"\" width=\"300\" height=\"199\" srcset=\"https:\/\/sc.qu.edu.iq\/wp-content\/uploads\/sites\/41\/2018\/08\/6-300x199.jpg 300w, https:\/\/sc.qu.edu.iq\/wp-content\/uploads\/sites\/41\/2018\/08\/6-600x399.jpg 600w, https:\/\/sc.qu.edu.iq\/wp-content\/uploads\/sites\/41\/2018\/08\/6-768x510.jpg 768w, https:\/\/sc.qu.edu.iq\/wp-content\/uploads\/sites\/41\/2018\/08\/6-1536x1020.jpg 1536w, https:\/\/sc.qu.edu.iq\/wp-content\/uploads\/sites\/41\/2018\/08\/6-2048x1360.jpg 2048w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/> <img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-medium wp-image-8842\" src=\"https:\/\/sc.qu.edu.iq\/\/wp-content\/uploads\/2018\/08\/7-300x199.jpg\" alt=\"\" width=\"300\" height=\"199\" srcset=\"https:\/\/sc.qu.edu.iq\/wp-content\/uploads\/sites\/41\/2018\/08\/7-300x199.jpg 300w, https:\/\/sc.qu.edu.iq\/wp-content\/uploads\/sites\/41\/2018\/08\/7-600x399.jpg 600w, https:\/\/sc.qu.edu.iq\/wp-content\/uploads\/sites\/41\/2018\/08\/7-768x510.jpg 768w, https:\/\/sc.qu.edu.iq\/wp-content\/uploads\/sites\/41\/2018\/08\/7-1536x1020.jpg 1536w, https:\/\/sc.qu.edu.iq\/wp-content\/uploads\/sites\/41\/2018\/08\/7-2048x1360.jpg 2048w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/> <img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-medium wp-image-8843\" src=\"https:\/\/sc.qu.edu.iq\/\/wp-content\/uploads\/2018\/08\/8-300x199.jpg\" alt=\"\" width=\"300\" height=\"199\" srcset=\"https:\/\/sc.qu.edu.iq\/wp-content\/uploads\/sites\/41\/2018\/08\/8-300x199.jpg 300w, https:\/\/sc.qu.edu.iq\/wp-content\/uploads\/sites\/41\/2018\/08\/8-600x399.jpg 600w, https:\/\/sc.qu.edu.iq\/wp-content\/uploads\/sites\/41\/2018\/08\/8-768x510.jpg 768w, https:\/\/sc.qu.edu.iq\/wp-content\/uploads\/sites\/41\/2018\/08\/8-1536x1020.jpg 1536w, https:\/\/sc.qu.edu.iq\/wp-content\/uploads\/sites\/41\/2018\/08\/8-2048x1360.jpg 2048w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/p>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>\u0639\u0644\u0649 \u0642\u0627\u0639\u0629 \u0623\u0628\u0646 \u0627\u0644\u0647\u064a\u062b\u0645 \u0641\u064a \u0643\u0644\u064a\u0629 \u0627\u0644\u0639\u0644\u0648\u0645 \u0628\u062c\u0627\u0645\u0639\u0629 \u0627\u0644\u0642\u0627\u062f\u0633\u064a\u0629 \u062c\u0631\u062a \u0645\u0646\u0627\u0642\u0634\u0629 \u0627\u0644\u062f\u0631\u0627\u0633\u0629 \u0627\u0644\u0645\u064f\u0639\u064e\u062f\u0629 \u0645\u0646 \u0642\u0628\u0644\u00a0\u0627\u0644\u0637\u0627\u0644\u0628\u0629 \u0631\u0627\u0648\u064a\u0629 \u062d\u0633\u064a\u0646 \u0639\u0644\u064a \u0627\u0644\u062d\u062f\u0627\u062f \u00a0\u062a\u062d\u062a &#8230; <a class=\"cz_readmore cz_readmore_no_icon\" href=\"https:\/\/sc.qu.edu.iq\/?p=8837\"><span>\u0627\u0642\u0631\u0623 \u0623\u0643\u062b\u0631<\/span><\/a><\/p>\n","protected":false},"author":1,"featured_media":8841,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"chat","meta":{"footnotes":""},"categories":[5,654],"tags":[],"class_list":["post-8837","post","type-post","status-publish","format-chat","has-post-thumbnail","hentry","category-5","category-654","post_format-post-format-chat"],"_links":{"self":[{"href":"https:\/\/sc.qu.edu.iq\/index.php?rest_route=\/wp\/v2\/posts\/8837","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/sc.qu.edu.iq\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/sc.qu.edu.iq\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/sc.qu.edu.iq\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/sc.qu.edu.iq\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=8837"}],"version-history":[{"count":1,"href":"https:\/\/sc.qu.edu.iq\/index.php?rest_route=\/wp\/v2\/posts\/8837\/revisions"}],"predecessor-version":[{"id":22088,"href":"https:\/\/sc.qu.edu.iq\/index.php?rest_route=\/wp\/v2\/posts\/8837\/revisions\/22088"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/sc.qu.edu.iq\/index.php?rest_route=\/wp\/v2\/media\/8841"}],"wp:attachment":[{"href":"https:\/\/sc.qu.edu.iq\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=8837"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/sc.qu.edu.iq\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=8837"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/sc.qu.edu.iq\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=8837"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}