Molecular Characterization of Antibiotic-Resistant Bacteria in Pregnant Women with Diabetes and UTIs in Tikrit, Iraq
DOI:
https://doi.org/10.69923/ja30a780Keywords:
oprM, mecA, UTIs, Antibiotic Resistance, Pregnant.Abstract
The present study was carried out in Tikrit City, Iraq, to investigate the prevalence and molecular characteristics of antibiotic-resistant bacteria among pregnant women suffering from gestational diabetes and urinary tract infections (UTIs). A total of 77 urine samples were collected and examined, leading to the successful isolation and identification of 14 bacterial isolates, consisting of 7 Staphylococcus aureus and 7 Pseudomonas aeruginosa. Antimicrobial susceptibility testing revealed a high level of resistance to commonly prescribed antibiotics, particularly ampicillin and Augmentin, with resistance rates of 90% and 95% respectively in Escherichia coli and Klebsiella spp. isolates. Molecular analysis demonstrated that all S. aureus strains harbored the mecA gene, confirming their classification as methicillin-resistant S. aureus (MRSA). Furthermore, the oprM gene was detected in all P. aeruginosa isolates, confirming the role of efflux pump mechanisms in their multidrug resistance. These findings highlight a concerning increase in antibiotic-resistant pathogens among high-risk pregnant women in Tikrit, emphasizing the urgent need for effective infection control strategies, rational antibiotic use, and continuous molecular surveillance to prevent further spread and complications in maternal healthcare.
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