دراسة البكتريولوجية ل Haemophilus influenzae المعزولة من التياب اللوزتين المزمن في الاطفال دون السادسة من العمر في مدينة كركوك

Bacteriological study of Haemophilus influenzae isolated from chronic tonsillitis in children under six year in Kirkuk city

This study done to investigate the role of H.influenzae and other bacterial types which cause chronic tonsillitis in children below six years of age , (120) clinical samples were collected , Included (60) samples from surface tonsiles and (60) samples from core tonsils, In the period from December 2014 to April 2015 attending Azadi teaching hospital and general Kirkuk hospital in Kirkuk city, 147 different bacterial isolation were obtained which showed positive for bacteriological culture. The result showed obvicus differences in bacterial species between surface throat and core swabs and the most common isolates was : Streptococcus spp. which came at first order (54) isolates (36.73%) , an‎d Staphylococcus spp. came secondly with (45) (30.61%). Haemophilus spp. Which came in third order with (18) (12.24%), an‎d Pseudomonas spp. With (14) (9.52%), an‎d Proteus spp.with (12) (8.16%), an‎d Klebsiella spp. With(4) (2.72%). The result showed infection with chronic tonsillitis in males about 60% and in the females 40% , The serotyping results appears that H.ifluenzae type (Hib) was common 81.81% , but Biotyping results (III,I) was more common types 33.33%. H.influenzae isolates exhibit high resistance to the antibiotics Ampicillin, Gentamycin, Erythromycin, Tetracyclin, Amoxicillin, Co-trimeexazole, Piperacillin and Cephalothin, while appeared highly sensitive to antibiotics Cefotaxime, Chloramphenicol, Ciprofloxacin, Azithromycin, Imipenem and Ceftriaxone,The study showed inhibitory effect of Water extracts (Thuja- pomegranate peel, garlic) on the growth of bacteria H.influenzae.