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Gaza, Palestinian Territory

El Qouqa I.A.,Hejazi Medical Center | Jarou M.A.E.,Al Shifa Hospital | Samaha A.S.A.,University of Palestine | Afifi A.S.A.,Al Nasser Pediatric Hospital | Al Jarousha A.M.K.,Al - Azhar University of Gaza
International Journal of Infectious Diseases

Objectives: A case-control study was conducted to identify risk factors, signs, and symptoms that may be associated with, Yersinia enterocolitica among children aged less than 12 years. Methods: From February 2006 to January 2007, stool samples from diarrhea cases with a clinical diagnosis of gastroenteritis and those of matched uninfected and infected controls, were examined for the presence of Y. enterocolitica. Results: Sixteen sporadic cases of Y. enterocolitica were identified. Of these, eight were detected in winter (December through February), while the remaining cases occurred in the spring, summer, and autumn. Of the 16 isolates, 10 belonged to serotype O:3, five belonged to serotype O:9, and one to serotype O:8. Compared to matched uninfected controls, multivariate analysis revealed that malnutrition (adjusted odds ratio (aOR) 6.23; p= 0.002) and water supply (aOR 3.05; p= 0.049) were independently associated with infection. Compared to infected controls, multivariate analysis showed malnutrition (aOR 3.53; p= 0.027) to be an independent risk factor for the acquisition of yersiniosis. The antibiotic susceptibility profile showed that Y. enterocolitica was generally susceptible to meropenem (100%), ceftriaxone (94%), and ciprofloxacin (94%), followed by ceftazidime (88%) and amikacin (81%). Almost all Y. enterocolitica was resistant to ampicillin. Conclusions: This study demonstrated that Y. enterocolitica occurs sporadically in children, with a predominance of serotypes O:3 and O:9. Furthermore malnutrition was identified as the main risk factor for yersiniosis. © 2010 International Society for Infectious Diseases. Source

Elmanama A.A.,Islamic University of Gaza | Abdelateef N.,Al Shifa Hospital
International Arabic Journal of Antimicrobial Agents

Background: Acute gastroenteritis is a common infection among the children of Gaza. The emergence of antibiotic resistance in enteropathogenic bacteria has profound clinical implications on the acute gastroenteritis disease. This study is a matched case-control and aims to determine the incidence of enteropathogenic bacteria, antibiotic resistance and associated-risk factors in diarrheal patients in Gaza Strip. Methods: A total of 132 patients with acute diarrhea were investigated along with data collected from 132 healthy controls having the same demographic characteristics of patients except they didn't suffer from diarrhea within the last three months. The same data were collected through completing a questionnaire form for the cases and healthy controls. Stool samples were collected from six Primary Health Care Clinics and the samples were inoculated, isolated and identified using standard bacteriological methods in the Remal clinic- Microbiology laboratory. Results: A total of 12 (9.1%) enteropathogenic bacteria spp. were isolated from 132 stool samples. Salmonella, Campylobacter coli/jejuni, and Aeromonas hy-drophilia were isolated in equal numbers from samples (3/12; 25% each), Shigella 2/12 (16.7%), and Yersinia enterocolytica 1/12 (8.3%). The two Shigella isolates were Shigella boydii. The antimicrobial profile of all isolated enteropathogenic bacteria showed high resistance rates against the tested antimicrobials. Campylobacter coli/jejuni (61.1%), followed by Y. enterocolytica (57.1.7%), A hydrophilia (54.7.1%), Shigella (28.5%) and Salmonella spp. (9.5%). The highest antimicrobial resistance rates were found against erythromycin (75%) and Amoxicillin (65%). Conclusions: Most enteropathogenic bacteria isolates showed high resistance rate to several antimicrobials. This study demonstrated that C coli/jejuni, A. hydrophilia, and Y. Enterocolytica are detected as causative agents of diarrhea in Gaza Strip. © Under License of Creative Commons Attribution 3.0 License. Source

Almoghrabi A.,Al Shifa Hospital | Abu Shaban N.,Al Shifa Hospital
Annals of Burns and Fire Disasters

Burn patterns differ across the whole world and not only in relation to lack of education, overcrowding, and poverty. Cultures, habits, traditions, psychiatric illness, and epilepsy are strongly correlated to burn patterns. However, burns may also occur because of specific religious beliefs and activities, social events and festivals, traditional medical practices, occupational activities, and war. Source

Naim A.,Palestinian Energy Authority | Dalies H.A.,Al Shifa Hospital | Balawi M.E.,Al Shifa Hospital | Salem E.,Al Shifa Hospital | And 4 more authors.
International Journal of Environmental Research and Public Health

This is the first report of registration at birth, and of incidence of major structural birth defects (BD) obtained in Gaza at Al Shifa Hospital, where 28% of total births in Gaza Strip occur. Doctors registered 4,027 deliveries, with a protocol comprehensive of clinical, demographic, kin and environmental questions. Prevalence of BD is 14/1,000, without association with intermarriage or gender of the child. Prevalence of late miscarriages and still births are respectively 23.3/1,000 and 7.4/1,000, and of premature births 19.6/1,000. Couples with a BD child have about 10 times higher frequency of recurrence of a BD in their progeny than those with normal children, but none of their 694 siblings and only 10/1,000 of their 1,423 progeny had BD, similar to the frequency in general population. These data suggest occurrence of novel genetic and epigenetic events in determination of BD. Children with BD were born with higher frequency (p < 0 001) in families where one or both parents were under "white phosphorus" attack, that in the general population. Bombing of the family home and removal of the rubble were also frequently reported by couples with BD occurrence. These data suggests a causative/favoring role of acute exposure of parents to theweapons-associated contaminants, and/or of their chronic exposure from their persistence in the environment on the embryonic development of their children. © 2012 by the authors; licensee MDPI, Basel, Switzerland. Source

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