Antibiotic susceptibility of isolated bacteria from cases of appendicitis in Sulaymaniyah city, Iraq


  • Nabaz Hamarashid Hama Medical Laboratory Science Department, College of Science, Komar University of Science and Technology, Kurdistan Region, Iraq. Author
  • Huner Hiwa Arif Department of Biology, College of Science, University of Sulaimani, Kurdistan Region, Iraq. Author
  • Sirwan Muhsin Muhammed Ameen Department of Biology, College of Science, University of Sulaimani, Kurdistan Region, Iraq. Author



Acute appendicitis, Appendectomy, Bacteria, Antibiotics, Sulaimani


Effective treatment of appendicitis requires the identification of the microorganism causing the condition, and the selection of antibiotics the bacterial pathogens are susceptible to. Isolation of 165 potential pathogenic bacteria took place from 50 patients suffering from acute appendicitis, and both the conventional and Vitek 2 compact automated systems were used for identification. In vitro testing of bacterial isolates were used to examine the susceptibility and minimum inhibitory concentrations (MICs) of infectious agents to various antibiotics. Escherichia coli (27.27%) was the most prevalent microorganism, followed by Staphylococcus aureus and anaerobic Bacteroides fragilis (7.8%). For E. coli, its susceptibility to Ciprofloxacin Gentamicin, Imipenem, Amoxicillin, and Amoxicillin/Clavulanate acid amounted to 72%, 100%, 100%, 80%, and 76%, respectively. For B. fragilis, its susceptibility to Imipenem, Metronidazole, Cefoxitin, Amoxicillin-Clavulanate, and Piperacillin Tazobactam amounted to 100%, 100%, 100%, 60%, and 80%, respectively. Various bacterial isolates, including E. coli, B. fragilis, and S. aureus were identified as the most prevalent organisms isolated from the sample of acute appendicitis patients. For clinical use, combined Ciprofloxacin and Metronidazole administration as prophylactic antibiotics or treatments is recommended to treat acute appendicitis.


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How to Cite

Antibiotic susceptibility of isolated bacteria from cases of appendicitis in Sulaymaniyah city, Iraq. (2021). Journal of Zankoy Sulaimani - Part A, 23(1), 7-16.

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