Etiology of bacterial diarrhea in children under five years in Kerbala Province, Iraq

  • Alaa K. A. Al-Abbas Department of Microbiology, University of Kerbala, College of Medicine, Karbala, Iraq


Objective: To determine the bacterial causative causes of diarrhea and related factors in children under 5 years in Kerbala Province, Iraq.Methods: The study was conducted on 648 children infected with diarrhea under the age of 5 years, visited hospitals and health centers in the province of Karbala for the period from January 2016 to October 2016 and collected information related to the patient by a special form for that.Results: The results showed that rate of bacterial infection of diarrhea is 244 (37.65%) of the total diseased samples of 648 cases. Rural characterized areas of Kerbala were the highest rate of diarrhea (33) compared with the center of Karbala urban landscape, the distributed highest infection was recorded in the Alhur (43.85%), and the lowest infected rate in the center of the of Karbala (39.75%). Diarrhea increase within May 33 (49.24%) and decrease during January 14 (24.56%) The isolates bacteria were distributed as follows: About 82 isolates (33.6%) from enteropathogenic Escherichia coli (EPEC), followed by 34 isolates (13.9%) Proteus mirabilis, 31 isolates (12.7%) Salmonella Typhimurium, 26 isolates (10.7%) Klebsiella pneumonia, 23 isolates (9.4%) Pseudomonas aeruginosa, 21 isolates (8.6%) Shigella spp, 16 isolates (8.6%) Aeromonas hydrophila, 6 isolates (2.5%) Staphylococcus aureus, four isolates (1.6%) Enterobacter areogenosa, and one isolates (0.4%) Vibrio cholera. There was no significant difference between gender in infected diarrhea patients. Bacterial isolates showed various reactions to the antibiotic used in the study.Conclusions: Enteropathogenic E. coli considered as a most common etiology of bacterial diarrhea in children under 5 years in Kerbala Province, Iraq, especially, aged 12–23 months. All isolates bacteria showed sensitivity to the Norfloxacin and resistant against Trimethoprim, Amoxicillin. Antibiotics should be used wisely after antibiotic susceptibility test.
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AL-ABBAS, Alaa K. A.. Etiology of bacterial diarrhea in children under five years in Kerbala Province, Iraq. Iraqi Journal of Public Health, [S.l.], v. 2, n. 1, p. 2-6, may 2018. ISSN 2521-7267. Available at: <>. Date accessed: 02 dec. 2021.