دراسة وبائية وفسلجية لمسببات الإسهال في محافظة كربلاء

Study of epidemiological and physiological of the causes diarrhea in Karbala city

   during the period between October 2008 until September 2009, examined 4064 faeces of samples of for ages ranging from one year to forty of auditors children’s hospital in Karbala,general  al-Husseini hospital.The Samples were examined by the direct smear and culture methods

1 – Result of examination revealed the record of fire categories of di arrhea causes which included Total incidence Giardia lamblia (17.8%) compared with (13.7%) Entameoba histolytica and dysentery (12.7%) of the E. coli (7.0%) of Salmonella (4.6%) of the Shigella.

2 – Overall, the pathogens of diarrhea during the months of June and July and August are higher rates during the hot months than other in months of the year did not notice any injuries in samoella and shigella during the following months (November and December and February) was observed by statistical analysis (Chi square test) that there are significant differences under the level of 0.01 and 0.05 between months of the year and the incidence of E. coli and Salmonella, while there were not significant differences with an infection Giardia lamblia and Entamoeba histolytica  The Shigella  did not show a difference with the moral of the year below the level of 0.01, but significant difference showed significantly under the level of 0.05 .

3 – Signifcant differences in the study shows the percentages of infection causes of diarrhea in different age groups, we have the injury Giardia lamblia  and low among the age group (1-10) in 7.8% compared to the age group (10-20) years 37.5%, while the Entameoba histolytica in group (20-30) years was 6.3% low compared to age group (30-40), amounting to 27.4 The bacterial causes of diarrhea were the proportion of bacteria Escherichia coli infection in the age group (20-30) years compared to 4.0% in age group (1 — 10) year 28.2%, while the incidence of Salmonella bacteria in the age group (1-10) year amounted to (5.8)% compared to age group (30-40) years is (9.5%) either Shigella recorded injuries and low where the two categories (10-20) years and (20-30) years, and they, respectively (4.0%, 2.7%). Generally observed by Chi square test that there were significant differences below the level (0.01 and 0.05) for different age groups with different causes of diarrhea of Microbiology, except as Shigella  bacteria did not show significant difference with the various age groups below the level of 0.01 and 0.05.

4 – The sensitivity of bacteria Escherichia coli and Salmonella and Shigella causing diarrhea, the concentrations of different plant extracts to this drop inhibitory circuit (mm) it was observed that aqueous extract mixture (Citrus aurantifolial+ garlic + black seed) with an inhibiting effect is evident in these bacteria.

5 – clear from the study the effect of some physiological criteria for blood in cases of bacteria Escherichia coli and Salmonella and Shigella and the parasite Giardia lamblia& Entamoeba histolytica, as noted a significant decrease in the proportion of Glucose , Total protein, calcium, Calcium and Cholestrol and Sodium Na + and a significant increase in each of Uric acid and Blood urea high Uric acid as rate at the Case
The rest of the physiological criteria did not show any increase or decrease in the ratios within the body (Alkaline phosphats, Gpt, Got, Albumine) .

6 – through the investigation of microbiology and parasitic in tap water and reservoirs for different regions in the province of Karbala to the different city if the growth of Microbiology G.lmblia, Streptococcus, E.coli E.histolytica as find in drinking water and reservoir of density populated of  neighborhoods and neighborhoods poor of the city.

7 – has been the investigation of intestinal bacteria, pathogens and parasites Entamoeba histolytica  and Giardia lamblia  in vegetables have been obtained on the growth of Microbiology for all kinds of vegetables under study.