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.com
Volume 5, Issue 6(Suppl)
J Infect Dis Ther, an open access journal
ISSN: 2332-0877
Euro Infectious Diseases 2017
September 07-09, 2017
September 07-09, 2017 | Paris, France
Infectious Diseases
6
th
Euro-Global Conference on
Prevalence, risk factors and antimicrobial resistance of
Salmonella
diarrhoeal infection among
children in Thi-Qar Governorate, Iraq
Ali Harb
1,2
, Mark O’Dea
2
, Zaman K Hanan
3
, Sam Abraham
2
and
Ihab Habib
2
1
Thi-Qar Public Health Division - Ministry of Health, Iraq
2
Murdoch University, Australia
3
Thi-Qar University, Iraq
Statement of the Problem:
Salmonellosis is one of the most common bacterial diarrheal illnesses among children and poses
a significant public health burden worldwide; despite this fact, data on non-typhoidal
Salmonella
spp. in Iraq are limited. The
current study therefore aimed to determine the prevalence, clinical presentation, serotype and antimicrobial resistance profiles,
and risk factors associated with
Salmonella
infection in children in Thi-Qar province, south-eastern Iraq.
Methodology &Theoretical Orientation:
This hospital-based cross-sectional study was conducted among children aged less
than 5 years presenting with diarrhoea at paediatrics hospitals. Stool samples were identified using conventional and molecular
methods. Antimicrobial susceptibility testing was performed using disk diffusion method. The associations between stool-
culture positivity for
Salmonella
spp. and risk factors were assessed by Odds Ratio (OR), and 95% Confidence Intervals (CIs)
was considered significant at P-value ≤ 0.05.
Findings:
From 320 diarrhea cases enrolled between March and August 2016, 33 (10.3%) diarrhea cases were stool culture-
positive for non-typhoidal
Salmonella
. Resistance was most commonly detected against tetracycline (78.8%), azithromycin
(66.7%), and ciprofloxacin (60.6%). The multivariable logistic regression analysis indicated that higher odd of
Salmonella
infection in children from household associated with untreated water (pipe water) (OR=4.7 (95% CI: 1.6, 13.9), exposure to
domestic animals (OR=10.5; 95% CI: 3.8, 28.4) and low education level of the caregiver (OR=3.9; 95% CI: 1.0, 6.4). Lower
odd of
Salmonella
infection were associated with children exclusively breastfed (OR=0.4; 95% CI: 0.1, 0.9) and caregiver those
always washing hands after cleaning child defecation (95% CI: 0.1, 0.7).
Conclusion & Significance:
Our findings indicate that
Salmonella
is an important cause of children diarrhea in this setting.
This work provides local, specific epidemiological data which are crucial to understand and combat pediatric diarrhea in Iraq.
Biography
Ali Harb has worked as a Head of the Investigation Team for Communicable Diseases in Thi-Qar Public Health Division, Ministry of Health, Iraq. He was graduated
with a Bachelor’s in Veterinary Medicine in 2003 and an MSc in Zoonotic Disease in 2010 from Baghdad University, Iraq. Currently, he is a PhD student in
Epidemiology and Infectious Diseases. His PhD research is about investigating the transmission routes of community-acquired Salmonella infection in Iraq. He
collected human and food samples from Iraq. He also conducted two surveys to determine the risk factors of diarrhea illness and Salmonella infection among
children under five years. His research will provide a better understanding of the mode of transmission of Salmonella spp. from food sources to cause infections
in humans.
a.harb@murdoch.edu.au aliharb8@yahoo.comAli Harb et al., J Infect Dis Ther 2017, 5:6(Suppl)
DOI: 10.4172/2332-0877-C1-033