-
Doctor of Sciences/ Medical Microbiology, University of Kiel,
Germany (1972)
-
Professor of Medical Microbiology, Department:
Pathology-Microbiology & Forensic Medicine Faculty of
Medicine, University of Jordan (1977- up-today)
-Consultant
in Diagnostic Microbiology, Jordan University Hospital,
Medical Laboratories(1977-2010).
-
Consultant in Medical Bacteriology, Ministry of Health, Jordan
( 1993-1977)
HONORS
AND AWARDS
Received
6 times research awards to work at the following Medical
Research Centers & Universities: University of
Hamburg-Germany, University of Heidelberg-Germany, University
of Minnesota, USA, Wake Forest-Baumann Gray Medical School,
USA, National Institute of Health, Bethesda, USA, Central for
Disease Control, USA (1976-2001).
Main
Research and Studies
-
Medical diagnostic of pathogenic
Bacteria and Fungi, epidemiology of infectious agents,
detection of bacterial toxins and virulence factors of
bacteria &
Fungi and molecular mechanisms of antimicrobial resistance, 70
publications, mostly in international indexed journals.
-
Supervisor and Co-supervisor for
36 MSc thesis's at the University of Jordan
and other Jordanian Universities (2010)
.
Published books in
Arabic language :
1-
Human Pathogenic Microorganisms,
1999, Jordan Store Book, Amman, Jordan
2-
Microbes between Health &
Disease, 2010,Dar-wael Publisher, Amman, Jordan
Professional consultation and activities:
-
2001-up-today, Member and since
2008 Chairman of the committee for quality control of water,
Jordan.
-
1989-1991, Chairman the
Committee for medical technology training & education,
Ministry of High Education Amman, Jordan
-
2007-2009, free consultant for
sexually transmitted diseases WHO, Cairo, Egypt.
-
2004-up-today,Vice
President of Arab Alliance for Prudent Use for Antimicrobial,
Agents, Cairo, Egypt.
-
Associate
editor for many national and international medical and
scientific journals.
-
Writer of
more than 120 public scientific articles on all aspects of
infectious diseases, environment and health issues in Arabic
journals and newspapers.
Main
publications at PubMed
Human metapneumovirus in hospitalized children in Amman, Jordan.
(PMID:20419816)
Find
all citations by this author (default).
Or
filter
your current search
Ali SA,
Find
all citations by this author (default).
Or
filter
your current search
Williams JV,
Find
all citations by this author (default).
Or
filter
your current search
Chen Q,
Find
all citations by this author (default).
Or
filter
your current search
Faori S,
Find
all citations by this author (default).
Shehabi A,
Find
all citations by this author (default).
Or
filter
your current search
Jundi EA,
Find
all citations by this author (default).
Or
filter
your current search
Khuri-Bulos N, et al.
Find
all citations in this journal (default).
Or
filter
your current search
Journal
of Medical Virology [2010,
82(6):1012-6]
Human
metapneumovirus (HMPV) has recently been identified as an
important cause of acute respiratory infections (ARI) in
children worldwide. However, there is little systematic data
on its frequency and importance as a cause of ARI in the
Middle East. We conducted a viral surveillance study in
children <5 years of age admitted with respiratory symptoms
and/or fever at two major tertiary care hospitals in Amman,
Jordan from 1/18-3/29/07. Nose and throat swabs were collected
and tested for HMPV and other respiratory viruses by real-time
RT-PCR. A total of 743 subjects were enrolled. Forty-four (6%)
subjects were positive for HMPV, 467 (64%) were positive for
RSV and 13 (1.3%) had co-infection with both HMPV and RSV. The
frequency of HMPV in January, February, and March was 4.1%,
3.0%, and 11.9% respectively. Clinical features associated
with HMPV infection were similar to those of other respiratory
viruses, except children with HMPV were more likely to present
with fever than children not infected with HMPV. Children with
HMPV and RSV co-infection were administered supplemental
oxygen and were admitted to the ICU more frequently than
children infected with HMPV alone or RSV alone, though these
differences did not reach statistical significance. We
conclude that HMPV is an important cause of acute respiratory
infections in children in Amman, Jordan. Longer surveillance
studies are needed to better understand the seasonal
epidemiology of HMPV and to assess if co-infection with HMPV
and RSV leads to more severe illness. « Less
Human
metapneumovirus (HMPV) has recently been identified as an
important cause of acute respiratory infections (ARI) in
children worldwide. However, there is little... More »
Burden of respiratory syncytial virus in hospitalized infants and young
children in Amman, Jordan.
(PMID:20100116)
Find
all citations by this author (default).
Or
filter
your current search
Khuri-Bulos N,
Find
all citations by this author (default).
Or
filter
your current search
Williams JV,
Find
all citations by this author (default).
Or
filter
your current search
Shehabi AA,
Find
all citations by this author (default).
Or
filter
your current search
Faouri S,
Find
all citations by this author (default).
Or
filter
your current search
Al Jundi E,
Find
all citations by this author (default).
Or
filter
your current search
Abushariah O,
Find
all citations by this author (default).
Or
filter
your current search
Chen Q,
et al.
Find
all citations in this journal (default).
Or
filter
your current search
Scandinavian
Journal of Infectious Diseases [2010,
42(5):368-74]
Acute
respiratory infections (ARI) play a major role in
hospitalizations in the Middle East, but the specific viral
causes are unknown. We conducted prospective viral
surveillance in children <5 y of age admitted with ARI
and/or fever at 2 dissimilar hospitals in Amman, Jordan during
peak respiratory syncytial virus (RSV) season. We collected
prospective clinical and demographic data and obtained
nose/throat swabs for testing for RSV by real-time polymerase
chain reaction (RT-PCR). We obtained clinical and laboratory
data for 728/743 (98%) subjects enrolled. The children's
median age was 4.3 months, 58.4% were males, 87% were
breastfed, 4% attended day care, 67% were exposed to smokers,
7% were admitted to the intensive care unit, and 0.7% died (n
= 5). Out of 728 subjects, 467 (64%) tested positive by RT-PCR
for RSV. Comparing RSV-positive with RSV-negative subjects,
the RSV-positive subjects had lower median age (3.6 vs 6.4
months, p < 0.001) and fewer males (55% vs 64%, p = 0.02).
RSV-positive children had higher rates of oxygen use (72% vs
42%, p < 0.001), a longer hospital stay (5 vs 4 days, p =
0.001), and higher hospital charges (US$538 vs US$431, p <
0.001) than RSV-negative children. In young hospitalized
Jordanian infants, the medical and financial burden of RSV was
found to be high. Effective preventive measures, such as an
RSV vaccine, would have a significant beneficial impact.
« Less
Acute
respiratory infections (ARI) play a major role in
hospitalizations in the Middle East, but the specific viral
causes are unknown. We conducted prospective viral... More »
Brucellosis presenting as myelofibrosis: first case report.
(PMID:19501533)
Find
all citations by this author (default).
Or
filter
your current search
Bakri FG,
Find
all citations by this author (default).
Or
filter
your current search
Al-Bsoul NM,
Find
all citations by this author (default).
Or
filter
your current search
Magableh AY,
Find
all citations by this author (default).
Shehabi A,
Find
all citations by this author (default).
Or
filter
your current search
Tarawneh M,
Find
all citations by this author (default).
Or
filter
your current search
Al-Hadidy AM,
Find
all citations by this author (default).
Or
filter
your current search
Abu-Fara MA, et al.
Find
all citations in this journal (default).
Or
filter
your current search
International
Journal of Infectious Diseases : IJID : Official Publication
of the International Society for Infectious Diseases [2010,
14(2):e158-60]
We
describe the case of a 29-year-old woman who presented with
pancytopenia and myelofibrosis. Brucella melitensis was
identified in her blood. The patient recovered completely with
doxycycline and rifampin. A repeat bone marrow biopsy showed
hypercellularity without myelofibrosis. Bone marrow findings
in cases of pancytopenia due to brucellosis reveal
normocellularity, hypercellularity, hemophagocytosis, or
granuloma. To our knowledge this is the first report of
brucellosis causing myelofibrosis. Brucellosis should be
considered as a possible cause of myelofibrosis in endemic
areas. « Less
We
describe the case of a 29-year-old woman who presented with
pancytopenia and myelofibrosis. Brucella melitensis was
identified in her blood. The patient recovered... More »
Or
filter
your current search
Clostridium difficile infections among Jordanian adult hospitalized
patients.
(PMID:19712999)
Find
all citations by this author (default).
Or
filter
your current search
Nasereddin LM,
Find
all citations by this author (default).
Or
filter
your current search
Bakri FG,
Find
all citations by this author (default).
Or
filter
your current search
Shehabi AA
Find
all citations in this journal (default).
Or
filter
your current search
American
Journal of Infection Control [2009,
37(10):864-6]
This
prospective study investigated the important epidemiologic
aspects of Clostridium difficile infections (CDIs) among
Jordanian adult hospitalized patients. A total of 300 stool
specimens were investigated using culture and polymerase chain
reaction methods for detection of C difficile, its toxins, and
fluoroquinolone resistance. C difficile-positive cultures were
found in 13.7% of the patients, and 73% of the isolates
carried tcdA and/or tcdB toxin genes, and all C difficile
isolates were negative for binary toxin. The isolates showed
moderate level of resistance to both ciprofloxacin and
levofloxacin, whereas metronidazole and vancomycin were highly
susceptible. This study indicates the need for early detection
of CDIs and prevention of its severe disease in hospitalized
patients. « Less
This
prospective study investigated the important epidemiologic
aspects of Clostridium difficile infections (CDIs) among
Jordanian adult hospitalized patients. A total... More »
(This
paper was selected from Popular Infectious Disease Register as
ONE of the10 most popular published papers during the
September 2009 )
Human rhinovirus C associated with wheezing in hospitalised children in
the Middle East.
(PMID:19581125)
Find
all citations by this author (default).
Or
filter
your current search
Miller EK,
Find
all citations by this author (default).
Or
filter
your current search
Khuri-Bulos N,
Find
all citations by this author (default).
Or
filter
your current search
Williams JV,
Find
all citations by this author (default).
Or
filter
your current search
Shehabi AA,
Find
all citations by this author (default).
Or
filter
your current search
Faouri S,
Find
all citations by this author (default).
Or
filter
your current search
Al Jundi I,
Find
all citations by this author (default).
Or
filter
your current search
Chen Q,
et al.
Find
all citations in this journal (default).
Or
filter
your current search
Journal
of Clinical Virology : the Official Publication of the Pan
American Society for Clinical Virology [2009,
46(1):85-9]
BACKGROUND:
Few studies have investigated the disease burden and genetic
diversity of human rhinoviruses (HRVs) in developing
countries.
OBJECTIVES: To assess the burden of HRV in Amman,
Jordan, and to characterise clinical differences between HRV
groups.
STUDY DESIGN: We prospectively studied children <5
years, hospitalised with respiratory symptoms and/or fever in
Amman, Jordan. Viruses were identified by real-time reverse
transcriptase polymerase chain reaction (RT-PCR). VP4/VP2 gene
sequencing was performed on HRV-positive specimens.
RESULTS: Of the 728 enrolled children, 266 (37%) tested
positive for picornaviruses, 240 of which were HRV. Of the HRV-positive
samples, 62 (26%) were of the recently identified group HRVC,
131 (55%) were HRVA and seven (3%) were HRVB. The HRVC strains
clustered into at least 19 distinct genotypes. Compared with
HRVA-infected children, children with HRVC were more likely to
require supplemental oxygen (63% vs. 42%, p=0.007) and, when
co-infections were excluded, were more likely to have wheezing
(100% vs. 82%, p=0.016).
CONCLUSIONS: There is a significant burden of HRV-associated
hospitalisations in young children in Jordan. Infection with
the recently identified group HRVC is associated with wheezing
and more severe illness. « Less
BACKGROUND:
Few studies have investigated the disease burden and genetic
diversity of human rhinoviruses (HRVs) in developing
countries. OBJECTIVES: To assess the burden... More »
Common antimicrobial resistance phenotypes and genotypes of fecal
Escherichia coli isolates from a single family over a 6-month
period.
(PMID:19432518)
Find
all citations by this author (default).
Or
filter
your current search
Al-Dweik MR,
Find
all citations by this author (default).
Or
filter
your current search
Shehabi AA
Find
all citations in this journal (default).
Or
filter
your current search
Microbial
Drug Resistance (Larchmont, N.Y.) [2009,
15(2):103-7]
This
study investigated the antimicrobial resistance phenotypes and
genotypes among fecal Escherichia coli isolates from the
members of a single Jordanian family over a 6-month period. A
total of 55 (51%) E. coli isolates were resistant to >2,
and 21 (19%) to >3 of the 14 tested antimicrobial agents,
respectively. The highest resistance rates were observed to
tetracycline (42%), followed by coamoxyclav and cotrimoxazole
(32%), gentamicin (31%), and nalidixic acid (27%). Sixteen out
of 21 (76%) multiresistant E. coli isolates (resistant to
>3 drugs) transferred most of their resistance markers in
vitro to E. coli K12. Five out of the six family members were
colonized with E. coli carrying one or two of the two common
plasmid sizes (54.3 and 13.2 kb). Ten of these isolates (48%)
were positive for class 1 integron genes and harbored four tet
(A) and five tet (B) genes, respectively, but all were
negative for tet (39). The genetic diversity of E. coli
isolates using randomly amplified polymorphic DNA-PCR
demonstrated 13 major clusters of genotype groups, and most of
the isolates (63%) belonged to one genotype group. This study
indicates that all six family members are colonized with fecal
E. coli isolates exhibiting a common number of antimicrobial
resistance phenotypes and at least one prevalent genotype.
« Less
This
study investigated the antimicrobial resistance phenotypes and
genotypes among fecal Escherichia coli isolates from the
members of a single Jordanian family over... More »
OBJECTIVE:
To examine practice patterns and workload of practising
Australian intensivists and to investigate the risk and
prevalence of "burnout syndrome".
DESIGN AND SETTING: On-line survey was emailed to 324
intensivists listed on the database of the Australian and New
Zealand Intensive Care Society (ANZICS) and practising in
Australia.
MAIN OUTCOME MEASURES: Prospectively recorded workload
during a specific week in October 2007, self-reported
12-weekly averaged work pattern, and prevalence of burnout
syndrome assessed by modified Maslach Burnout
Inventory-General Survey (MBI-GS).
RESULTS: 115 intensivists (36%) responded; respondents
were representative of mainstream tertiary intensive care
practitioners. On average in a 12-week period, intensivists
spent 42% of working days in bedside patient management, 16%
in administration, 11% in locum positions, 9% in research and
9% in recreational leave. During 1 week of prospective
recording of actual workload, 26% of intensivists managed more
than nine ventilated patients, and most admitted more than two
new patients per day. Most were involved in more than two
family conferences with a median duration of 1 h. The MBI-GS
showed that 80% of respondents had signs of psychological
stress and discomfort, 42% showed signs of emotional
exhaustion, 32% had negative feelings and cynicism, and 37%
considered they underachieved in terms of personal
accomplishments.
CONCLUSIONS: Intensivists are at high risk of burnout
syndrome. Recognising the drivers and early signs of burnout
and identifying a preventive strategy is a professional
priority for ANZICS and the intensive care community. « Less
Find
all citations by this author (default).
Or
filter
your current search
Epidemiology and clinical outcome of candidaemia among Jordanian
newborns over a 10-year period.
(PMID:17852924)
Find
all citations by this author (default).
Or
filter
your current search
Badran EF,
Find
all citations by this author (default).
Or
filter
your current search
Al Baramki JH,
Find
all citations by this author (default).
Or
filter
your current search
Al Shamyleh A,
Find
all citations by this author (default).
Shehabi A,
Find
all citations by this author (default).
Or
filter
your current search
Khuri-Bulos N
Find
all citations in this journal (default).
Or
filter
your current search
Scandinavian
Journal of Infectious Diseases [2008,
40(2):139-44]
This
retrospective study includes all newborn patients with culture
proved candidaemia who were admitted to the neonatal intensive
care unit of Jordan University Hospital through the period
January 1995 to June 2006. Among 24 patients included, 13
(54.2%) died. The incidence of candidaemia was 0.27%, the mean
age at diagnosis 25.9 d and the mean gestational age at birth
34.6 weeks. Species most frequently isolated were Candida
albicans (50%) and C. krusei (20%). Previous gastrointestinal
pathology was present in 41.7% of the cases. A comparison of
cases due to C. albicans with those due to other species of
Candida revealed no statistical differences in terms of
demographic factors, age at onset of disease, mortality,
clinical manifestations or risk factors. Based on our results,
empirical antifungal therapy should be considered in neonates
who have gastrointestinal pathology and other risk factors.
« Less
This
retrospective study includes all newborn patients with culture
proved candidaemia who were admitted to the neonatal intensive
care unit of Jordan University Hospital... More »
An analysis of therapeutic, adult antibiotic prescriptions issued by
dental practitioners in Jordan.
(PMID:18063860)
Find
all citations by this author (default).
Or
filter
your current search
Dar-Odeh NS,
Find
all citations by this author (default).
Or
filter
your current search
Abu-Hammad OA,
Find
all citations by this author (default).
Or
filter
your current search
Khraisat AS,
Find
all citations by this author (default).
Or
filter
your current search
El Maaytah MA,
Find
all citations by this author (default).
Shehabi A
Find
all citations in this journal (default).
Or
filter
your current search
Chemotherapy
[2008, 54(1):17-22]
OBJECTIVE:
The aim of this study was to determine the therapeutic adult
antibiotics prescribed by dental practitioners working in the
Jordan University Hospital.
METHODS: Adult dental prescriptions for therapeutic
antibiotics issued between 1 January 2003 and 31 May 2004 by
dental specialists working in the Jordan University Hospital
were included in this study. Data included the name of the
antibiotic as well as the dose, quantity and presentation of
the drug. Descriptive statistical analysis was carried out.
RESULTS: Amoxycillin and metronidazole were the most
commonly prescribed antibiotics, with 60% of the prescriptions
containing amoxycillin and 39.4% containing metronidazole.
20.4% of the prescriptions were combination prescriptions
containing metronidazole. In this study, long courses were
observed for amoxycillin (60.5%), cephalosporins (21%) and
metronidazole (59.7%).
CONCLUSIONS: It seems that in the sample studied,
Jordanian dental specialists have a tendency towards
overprescribing antibiotics both in quantity and duration.
This may constitute a problem particularly when considering
the remaining sectors of less well-educated dental
practitioners. The results will be used to increase awareness
among dental practitioners in the field of antibiotic
prescribing throughout the University of Jordan and the
Jordanian Dental Association. « Less
OBJECTIVE:
The aim of this study was to determine the therapeutic adult
antibiotics prescribed by dental practitioners working in the
Jordan University Hospital. METHODS:... More »
Critical
Care (London, England) [2008,
12(3):211]
You
are concerned about the escalating use of antibiotics in your
intensive care unit (ICU). This has put a strain on the ICU
budget and is possibly resulting in the emergence of resistant
bacteria. You review the situation with your team and one
suggestion is to consider using biomarkers such as
procalcitonin to better guide appropriate antibiotic decision
making. « Less
You
are concerned about the escalating use of antibiotics in your
intensive care unit (ICU). This has put a strain on the ICU
budget and is possibly resulting in the... More »
Prevalence of putative virulence factors and antimicrobial
susceptibility of Enterococcus faecalis isolates from patients
with dental Diseases.
(PMID:18513445)
Find
all citations by this author (default).
Or
filter
your current search
Salah R,
Find
all citations by this author (default).
Or
filter
your current search
Dar-Odeh N,
Find
all citations by this author (default).
Or
filter
your current search
Abu Hammad O,
Find
all citations by this author (default).
Or
filter
your current search
Shehabi AA
Find
all citations in this journal (default).
Or
filter
your current search
BMC
Oral Health [2008, 8:17]
BACKGROUND:
This study investigated the prevalence of Enterococcus
faecalis, its putative virulence factors and antimicrobial
susceptibility in individuals with and without dental
diseases. A total of 159 oral rinse specimens were collected
from patients (n = 109) suffering from dental diseases and
healthy controls (n = 50).
RESULTS: E. faecalis was detected using only culture in
8/109 (7.3%) of the patients with various types of dental
diseases, whereas no E. faecalis was found in the healthy
controls weather using both culture and PCR. Phenotype
characterizations of the 8 E. faecalis isolates indicated that
25% of the isolates produced haemolysin and 37.5% produced
gelatinase. Most important virulence genes; collagen binding
protein (ace) and endocarditis antigen (efaA) were present in
all 8 E. faecalis isolates, while haemolysin activator gene (cylA)
was detected only in 25% of isolates, and all isolates were
negative for esp gene. All E. faecalis isolates were 100%
susceptible to ampicillin, chloramphenicol, ciprofloxacin,
vancomycin, and teicoplanin, and to less extent to
erythromycin (62.5%).
CONCLUSION: This study shows that all E. faecalis
isolates were recovered only from patients with dental
diseases especially necrotic pulps, and all isolates carried
both collagen binding protein and endocarditis antigen genes
and highly susceptible to frequently used antimicrobial drugs
in Jordan. « Less
BACKGROUND:
This study investigated the prevalence of Enterococcus
faecalis, its putative virulence factors and antimicrobial
susceptibility in individuals with and without... More »
Incidence and characterization of diarrheal enterotoxins of fecal
Bacillus cereus isolates associated with diarrhea.
(PMID:17878069)
Find
all citations by this author (default).
Or
filter
your current search
Al-Khatib MS,
Find
all citations by this author (default).
Or
filter
your current search
Khyami-Horani H,
Find
all citations by this author (default).
Or
filter
your current search
Badran E,
Find
all citations by this author (default).
Or
filter
your current search
Shehabi AA
Find
all citations in this journal (default).
Or
filter
your current search
Diagnostic
Microbiology and Infectious Disease [2007,
59(4):383-7]
A
total of 490 stool specimens were collected from patients with
diarrhea and healthy controls without diarrhea to investigate
the incidence of Bacillus cereus and its enterotoxins. B.
cereus was found more significant in stools of persons with
diarrhea than without diarrhea (9.5% versus 1.8%, P <
0.05), and was also detected more frequent but not significant
in individuals aged > or =1 year and in adults than in
children aged <1 year (11% and 8% versus 7.8%, P >
0.05). The hemolytic enterotoxin HBL genes of B. cereus
isolates (hblA, hblC, hblD) were detected in 58%, 58%, and
68%, respectively, whereas the nonhemolytic enterotoxin NHE
genes (nheA, nheB, nheC) were detected more frequent in 71.%,
84%, and 90% of the isolates, respectively. This study
suggests that B. cereus isolates harboring 1 or more
enterotoxin gene(s) can be a potential cause of diarrhea in
Jordanian population. « Less
A
total of 490 stool specimens were collected from patients with
diarrhea and healthy controls without diarrhea to investigate
the incidence of Bacillus cereus and its... More »
Find
all citations by this author (default).
Or
filter
your current search
Persistent bacteraemia due to methicillin-resistant Staphylococcus
aureus with reduced susceptibility to vancomycin in a patient
with erythrodermic psoriasis.
(PMID:17464871)
Find
all citations by this author (default).
Or
filter
your current search
Bakri FG,
Find
all citations by this author (default).
Or
filter
your current search
Al-Hommos NA,
Find
all citations by this author (default).
Shehabi A,
Find
all citations by this author (default).
Or
filter
your current search
Naffa RG,
Find
all citations by this author (default).
Or
filter
your current search
Cui L,
Find
all citations by this author (default).
Or
filter
your current search
Hiramatsu K
Find
all citations in this journal (default).
Or
filter
your current search
Scandinavian
Journal of Infectious Diseases [2007,
39(5):457-60]
A
49-y-old male with erythrodermic psoriasis developed
persistent bacteraemia for 3 months due to methicillin-resistant
Staphylococcus aureus despite antimicrobial therapy. The skin
was the likely focus. Three consecutive isolates from the
blood and 1 from the nose were identical and had vancomycin
MIC of 4 mg/l. « Less
A
49-y-old male with erythrodermic psoriasis developed
persistent bacteraemia for 3 months due to methicillin-resistant
Staphylococcus aureus despite antimicrobial therapy... More »
Characterization of antimicrobial resistance and class 1 integrons found
in Escherichia coli isolates from human stools and drinking
water sources in Jordan.
(PMID:17127221)
Find
all citations by this author (default).
Or
filter
your current search
Shehabi AA,
Find
all citations by this author (default).
Or
filter
your current search
Odeh JF,
Find
all citations by this author (default).
Or
filter
your current search
Fayyad M
Find
all citations in this journal (default).
Or
filter
your current search
Journal
of Chemotherapy (Florence, Italy) [2006,
18(5):468-72]
This
study demonstrates that Escherichia coli isolates from human
stools showed mostly higher minimum inhibitory concentrations
(MICs) and significant rates of resistance (32%-67%,
P<0.05) than Escherichia coli water isolates in Jordan, as
follows: ampicillin (67% vs 28%), trimethoprim/sulfamethoxazole
(67% vs 28%) nalidixic acid (63% vs 20%), cefuroxime (32% vs
4%), gentamicin (32% vs 17%), norfloxacin (32% vs 12%) and
tetracycline (33% vs 16%). The prevalence of integron
integrase genes (Intl1) in these isolates was also
significantly higher in patients' stools (67%, P <0.05)
than in water (36%), but the distribution of Sul 1/Sul 2 or
both in association with postive Intl1 and resistance to
ampicillin and sulfamethoxazole was not significantly higher
(74% versus 62%, P <0.05) in isolates from stool and water.
Plasmid profiles of representative multiresistant E. coli
isolates from both sources indicated the presence of two
common plasmids (49,25 kb) in 11/12 (91.6%), and all E. coli
transconjugants were positive for class 1 integron markers
(Intl 1, Sul 1 and Sul2) and mostly associated with three
transferable drug-resistant determinants to ampicillin,
sulfamethoxazole and tetracycline. These results indicate that
class 1 integrons with conjugative R-plasmids are common and
transferable among commensal antimicrobial multiresistant E.
coli isolated from human feces and drinking water sources in
Jordan. « Less
This
study demonstrates that Escherichia coli isolates from human
stools showed mostly higher minimum inhibitory concentrations
(MICs) and significant rates of resistance... More »
Enterotoxicity and genetic variation among clinical Staphylococcus
aureus isolates in Jordan.
(PMID:16434711)
Find
all citations by this author (default).
Or
filter
your current search
Naffa RG,
Find
all citations by this author (default).
Or
filter
your current search
Bdour SM,
Find
all citations by this author (default).
Or
filter
your current search
Migdadi HM,
Find
all citations by this author (default).
Or
filter
your current search
Shehabi AA
Find
all citations in this journal (default).
Or
filter
your current search
Journal
of Medical Microbiology [2006,
55(Pt 2):183-7]
A
total of 100 Jordanian clinical Staphylococcus aureus isolates
was analysed for the presence of the enterotoxin genes sea,
seb, sec, sed and see using multiplex PCR. Twenty-three
isolates (23 %) were potentially enterotoxigenic. The
prevalence of sea, sec and sea plus sec among the total
clinical isolates was 15, 4 and 4 %, respectively. None of the
isolates harboured sed, seb or see genes. S. aureus isolates
were subjected to DNA fingerprinting by randomly amplified
polymorphic DNA (RAPD) analysis to test whether isolates
harbouring the toxin genes were genetically clustered. A total
of 13 genotypes was identified at a 47 % similarity level.
Genotypes I and V accounted for the largest number of
enterotoxigenic isolates (19 %). This study has demonstrated
the genetic diversity of Jordanian clinical S. aureus isolates
and shown that the presence of the toxin genes is not genotype
specific. « Less
A
total of 100 Jordanian clinical Staphylococcus aureus isolates
was analysed for the presence of the enterotoxin genes sea,
seb, sec, sed and see using multiplex PCR... More »
Common antimicrobial resistance patterns, biotypes and serotypes found
among Pseudomonas aeruginosa isolates from patient's stools
and drinking water sources in Jordan.
(PMID:15920903)
Find
all citations by this author (default).
Or
filter
your current search
Shehabi AA,
Find
all citations by this author (default).
Or
filter
your current search
Masoud H,
Find
all citations by this author (default).
Or
filter
your current search
Maslamani FA
Find
all citations in this journal (default).
Or
filter
your current search
Journal
of Chemotherapy (Florence, Italy) [2005,
17(2):179-83]
Pseudomonas
aeruginosa was isolated in low rates from stool specimens of
outpatients and inpatients (7% versus 12%) but in higher rates
from chlorinated and nonchlorinated water sources (15% versus
44%), respectively in Jordan. The same biotype was recognized
among 90% of P. aeruginosa isolates from patient's stools and
water sources using specific biochemical profiles. Three
serogroups belonging to 01, 06 and 011 accounted for the
majority of these isolates in water (66%) and stools (78%),
respectively. All P. aeruginosa isolates from water were
highly susceptible (87%-100%) to piperacillin-tazobactam,
amikacin, gentamicin, imipenem, aztreonam, ceftazidime and
ciprofloxacin, whereas the isolates from stool were slightly
less susceptible (81%-98%) to these antimicrobials. P.
aeruginosa isolates from water and stool sources were almost
equally highly resistant to tetracycline (86%-89%) and
carbenicillin (88%-89%), respectively. One common small
plasmid (15.4 kb) was detected in 14/25 (56%) of
multidrug-resistant P. aeruginosa isolates from both water and
stool. This study demonstrates certain common epidemiological
characteristics including antimicrobial resistance pattern,
biotypes and serotypes among P. aeruginosa isolates from
patient's stools and drinking water sources in Jordan.
« Less
Pseudomonas
aeruginosa was isolated in low rates from stool specimens of
outpatients and inpatients (7% versus 12%) but in higher rates
from chlorinated and nonchlorinated... More »
Heterogeneity in microbial exposure in schools in Sweden, Poland and
Jordan revealed by analysis of chemical markers.
(PMID:15254476)
Find
all citations by this author (default).
Or
filter
your current search
Wady L,
Find
all citations by this author (default).
Shehabi A,
Find
all citations by this author (default).
Or
filter
your current search
Szponar B,
Find
all citations by this author (default).
Or
filter
your current search
Pehrson C,
Find
all citations by this author (default).
Or
filter
your current search
Sheng Y,
Find
all citations by this author (default).
Or
filter
your current search
Larsson L
Find
all citations in this journal (default).
Or
filter
your current search
Journal
of Exposure Analysis and Environmental Epidemiology [2004,
14(4):293-9]
We
used gas chromatography--tandem mass spectrometry to analyze
microbial components in 85 samples of airborne dust from
schools in Jordan, Sweden, and Poland. To collect the samples,
we allowed dust to settle on plexiglass plates hanging in the
breathing zone in school buildings during both summer and
winter. In each of the three countries, we conducted such
sampling in two schools: one in an urban environment and the
other in rural surroundings. The microbial marker profiles
differed significantly between the schools and seasons. For
example, samples from Jordan contained remarkably low levels
of ergosterol (marker of fungal biomass) and high levels of
3-hydroxy acids (markers of lipopolysaccharide) of 10, 12, and
14 carbon chain lengths relative to such acids of 16 and 18
carbons in comparison with samples from Sweden and Poland.
This dissimilarity in 3-hydroxy fatty acid distribution
indicates significant differences in the populations of
Gram-negative bacteria. We also noted that muramic acid
(marker of bacterial biomass) exhibited the smallest variation
between schools and seasons. In summary, our results
demonstrate that exposure to microorganisms in indoor air in
school buildings may differ markedly between countries,
between seasons, and between urban and rural environments.
« Less
We
used gas chromatography--tandem mass spectrometry to analyze
microbial components in 85 samples of airborne dust from
schools in Jordan, Sweden, and Poland. To collect... More »
Antimicrobial resistance and plasmid profiles of urinary Escherichia
coli isolates from Jordanian patients.
(PMID:16212208)
Find
all citations by this author (default).
Or
filter
your current search
Shehabi AA,
Find
all citations by this author (default).
Or
filter
your current search
Mahafzah AM,
Find
all citations by this author (default).
Or
filter
your current search
Al-Khalili KZ
Find
all citations in this journal (default).
Or
filter
your current search
Eastern
Mediterranean Health Journal = La Revue de Sante de la
Mediterranee Orientale = Al-Majallah Al-sihhiyah Li-sharq Al-mutawassit
[2004, 10(3):322-8]
We
investigated antimicrobial resistance patterns and plasmid
profiles of uropathogenic Escherichia coli isolates from
inpatients and outpatients at Jordan University Hospital in
2000 and 2001. E. coli accounted for 32.4% and 37.4% of all
isolates respectively. The lowest susceptibility was for
ampicillin (11%), cotrimoxazole (23%) and tetracycline (26%).
The relative incidence of resistant isolates of E. coli to
nalidixic acid, gentamicin, norfloxacin, cefuroxime and
nitrofurantoin was significantly greater for inpatients than
for outpatients (P< 0.05). A large, transferable R-plasmid
of 28 kb was found in most E. coli isolates (67%) that were
resistant to at least ampicillin, cotrimoxazole and
tetracycline. This R-plasmid reservoir may contribute to the
spread of multiple antibiotic resistance in our Region.
« Less
We
investigated antimicrobial resistance patterns and plasmid
profiles of uropathogenic Escherichia coli isolates from
inpatients and outpatients at Jordan University... More »
Investigation of Burkholderia cepacia nosocomial outbreak with high
fatality in patients suffering from diseases other than cystic
fibrosis.
(PMID:15119360)
Find
all citations by this author (default).
Or
filter
your current search
Shehabi AA,
Find
all citations by this author (default).
Or
filter
your current search
Abu-Al-Soud W,
Find
all citations by this author (default).
Or
filter
your current search
Mahafzah A,
Find
all citations by this author (default).
Or
filter
your current search
Khuri-Bulos N,
Find
all citations by this author (default).
Or
filter
your current search
Abu Khader I,
Find
all citations by this author (default).
Or
filter
your current search
Ouis IS,
Find
all citations by this author (default).
Or
filter
your current search
Wadström T
Find
all citations in this journal (default).
Or
filter
your current search
Scandinavian
Journal of Infectious Diseases [2004,
36(3):174-8]
Over
a 1-y period, 26 inpatients at the Jordan University Hospital
in Amman were detected with bacteraemia (23 cases) or
respiratory tract colonized with B. cepacia (3 cases). A
combination of genetic identification and molecular typing has
proved that all cases were caused by a single epidemic strain
of B. cepacia genomovar IIIa. Nosocomial infections could be
documented in 21/26 (81%) patients, mostly with severe
underlying or malignant diseases other than cystic fibrosis,
but the source of infection was undetected. The overall
mortality related to infection with B. cepacia was 42%. All B.
cepacia isolates were resistant to ampicillin, amikacin,
carbenicillin and gentamicin; and mostly susceptible to
piperacillin, chloramphenicol, cotri-moxazole, tetracycline,
ceftazidime, and tazocin (62-88%). This study demonstrates the
nosocomial and high fatality of B. cepacia genomovar IIIa in
Jordanian patients suffering from diseases other than cystic
fibrosis. « Less
Over
a 1-y period, 26 inpatients at the Jordan University Hospital
in Amman were detected with bacteraemia (23 cases) or
respiratory tract colonized with B. cepacia (3 cases)... More »
Antibiotic resistance patterns of mecA-positive Staphylococcus aureus
isolates from clinical specimens and nasal carriage.
(PMID:15650377)
Find
all citations by this author (default).
Or
filter
your current search
Al-Zu'bi E,
Find
all citations by this author (default).
Or
filter
your current search
Bdour S,
Find
all citations by this author (default).
Or
filter
your current search
Shehabi AA
Find
all citations in this journal (default).
Or
filter
your current search
Microbial
Drug Resistance (Larchmont, N.Y.) [2004,
10(4):321-4]
The
present study demonstrates that the nasal carriage rate of
Staphylococcus aureus was 40% in Jordanian healthy young adult
population, and 19% of nasal S. aureus and 57% of clinical
isolates over the same period were resistant to oxacillin (MRSA),
respectively. The mecA gene was detected in all MRSA isolates
in both groups. Most of MRSA isolates were multiresistant to
three antibiotic classes (beta-lactams, aminoglycosides,
macrolides-lincosamides). This result suggests a serious
problem may be encountered in treatment of staphylococcal
infections in Jordan. « Less
The
present study demonstrates that the nasal carriage rate of
Staphylococcus aureus was 40% in Jordanian healthy young adult
population, and 19% of nasal S. aureus and... More »
Prevalence of genital chlamydial infection in symptomatic and
asymptomatic Jordanian patients.
(PMID:14563224)
Find
all citations by this author (default).
Or
filter
your current search
Awwad ZM,
Find
all citations by this author (default).
Or
filter
your current search
Al-Amarat AA,
Find
all citations by this author (default).
Or
filter
your current search
Shehabi AA
Find
all citations in this journal (default).
Or
filter
your current search
International
Journal of Infectious Diseases : IJID : Official Publication
of the International Society for Infectious Diseases [2003,
7(3):206-9]
OBJECTIVE:
To detect Chlamydia trachomatis infection among 230 patients,
130 with signs or symptoms associated with urethritis, and 100
asymptomatic patients, attending the Jordan University
Hospital urology clinic.
METHODS: Routine urine examination and the leukocyte
esterase test were done for each patient. C. trachomatis
infection was detected using first-void urine specimens and a
cryptic plasmid-based PCR technique specific for C.
trachomatis.
RESULTS: The prevalence of chlamydial infection was
4.6% among symptomatic patients with urethritis. The
difference in prevalence was statistically insignificant (P
> 0.05) between males and females, as well as in relation
to their marital status. Two-thirds of the Chlamydia-positive
patients also had urine positive for leukocyte esterase.
CONCLUSION: The low prevalence of chlamydial infection
in association with urethritis among Jordanian patients might
be due to the conservative behavior of the Jordanian society
towards free sexuality. « Less
OBJECTIVE:
To detect Chlamydia trachomatis infection among 230 patients,
130 with signs or symptoms associated with urethritis, and 100
asymptomatic patients, attending... More »
Oral candidosis in patients with removable dentures.
(PMID:12801360)
Find
all citations by this author (default).
Or
filter
your current search
Dar-Odeh NS,
Find
all citations by this author (default).
Or
filter
your current search
Shehabi AA
Find
all citations in this journal (default).
Or
filter
your current search
Mycoses
[2003,
46(5-6):187-91]
The
prevalence of Candida species with and without denture-related
stomatitis were evaluated in 167 Jordanian patients. The study
revealed that 47 (28%) of the patients with denture-related
stomatitis were colonized with Candida species (clinical
group). Candida albicans was responsible for most cases of
denture-related stomatitis (72%), and it was the only species
capable of secreting aspartic proteinases. The study also
indicated that candidal colonization was not influenced by
predisposing haematological deficiencies, as both the clinical
and control patient groups showed comparable haematological
parameters and the differences were not significant (P >
0.05). All Candida species isolates were 100% susceptible to
amphotericin B, while these isolates were less susceptible
(25-75%) to fluconazole. « Less
The
prevalence of Candida species with and without denture-related
stomatitis were evaluated in 167 Jordanian patients. The study
revealed that 47 (28%) of the patients... More »
Characterization of diarrhoeagenic Escherichia coli isolates in
Jordanian children.
(PMID:12953946)
Find
all citations by this author (default).
Or
filter
your current search
Shehabi AA,
Find
all citations by this author (default).
Or
filter
your current search
Bulos NK,
Find
all citations by this author (default).
Or
filter
your current search
Hajjaj KG
Find
all citations in this journal (default).
Or
filter
your current search
Scandinavian
Journal of Infectious Diseases [2003,
35(6-7):368-71]
In
a prospective study carried out among Jordanian children in
Amman, a total of 73/250 (29.2%) stool specimens were positive
for 1 or more diarrhoeagenic Escherichia coli strains using a
multiplex polymerase chain reaction method. This study
indicated that diarrhoeagenic E. coli isolates were found
frequently more in stools of children with diarrhoea (34%)
than without diarrhoea (23.1%), but without any significant
difference (p > 0.05). The predominant diarrhoeagenic E.
coli strains associated with diarrhoea were enteropathogenic
E. coli (11.3%), followed by enterotoxigenic E. coli (9.8%)
and enteroaggrative E. coli (9%), whereas in the control group
these were 4.3%, 11.1% and 6%, respectively. Enteroinvasive E.
coli strains (2.9%) were found only in stools of children with
diarrhoea. This study revealed the absence of
enterohaemorrhagic E. coli in both diarrhoeal and control
stools, and found that diarrhoeagenic E. coli isolates were
highly resistance to tetracycline (55%), co-trimoxazole (60%)
and ampicillin (89%), which are commonly used antibiotics in
Jordan. « Less
In
a prospective study carried out among Jordanian children in
Amman, a total of 73/250 (29.2%) stool specimens were positive
for 1 or more diarrhoeagenic Escherichia... More »
Prevalence of Clostridium difficile-associated diarrhoea among
hospitalized Jordanian patients.
(PMID:15332775)
Find
all citations by this author (default).
Or
filter
your current search
Shehabi AA,
Find
all citations by this author (default).
Or
filter
your current search
Abu-Ragheb HA,
Find
all citations by this author (default).
Or
filter
your current search
Allaham NA
Find
all citations in this journal (default).
Or
filter
your current search
Eastern
Mediterranean Health Journal = La Revue de Sante de la
Mediterranee Orientale = Al-Majallah Al-sihhiyah Li-sharq Al-mutawassit
[2001, 7(4-5):750-5]
We
investigated stool specimens of 400 patients at Jordan
University Hospital (300 patients with clinical diarrhoea and
100 controls without diarrhoea) for the presence of
Clostridium difficile or its toxin. We found a 9.7% prevalence
rate of C. difficile or its toxin in stools of patients with
diarrhoea. The prevalence of other potential enteric
pathogens, such as Salmonella spp. (2.3%), Shigella spp.
(1.0%) and Entamoeba histolytica (2.7%), was significantly
less. Prevalence of C. difficile or its toxin in controls was
3.0%. Toxin A was detected in 93.1% of C. difficile-associated
diarrhoea cases using an enzyme immunoassay. Our study
indicates that C. difficile-associated diarrhoea is mostly
observed among hospitalized patients aged > or = 50 years,
in association with antimicrobial treatment. « Less
We
investigated stool specimens of 400 patients at Jordan
University Hospital (300 patients with clinical diarrhoea and
100 controls without diarrhoea) for the presence... More »
Frequency of nasal and wound isolates of Staphylococcus aureus
associated with TSST-1 production in Jordanian population.
(PMID:10640602)
Find
all citations by this author (default).
Or
filter
your current search
Daghistani HI,
Find
all citations by this author (default).
Or
filter
your current search
Issa AA,
Find
all citations by this author (default).
Or
filter
your current search
Shehabi AA
Find
all citations in this journal (default).
Or
filter
your current search
FEMS
Immunology and Medical Microbiology [2000,
27(2):95-8]
A
total of 110 Staphylococcus aureus isolates were obtained from
nasal carriers and wound infections of Jordanian population.
The isolates were identified by cultural and biochemical
methods. The nasal carrier rate of S. aureus among individuals
was 22.7%. In comparison with the nasal S. aureus isolates the
wound isolates did not produce significantly more virulence
factors except DNase. Toxic shock syndrome toxin-1 production
was higher among the S. aureus nasal isolates (40%) as
compared with the wound isolates (26%) detected by an ELISA
method which proved to be uniformly more sensitive than the
immunodiffusion optimal sensitivity plate (OSP) method.
« Less
A
total of 110 Staphylococcus aureus isolates were obtained from
nasal carriers and wound infections of Jordanian population.
The isolates were identified by cultural... More »
High incidence of Klebsiella pneumoniae clinical isolates to
extended-spectrum B-lactam drugs in intensive care units.
(PMID:10744368)
Find
all citations by this author (default).
Or
filter
your current search
Shehabi AA,
Find
all citations by this author (default).
Or
filter
your current search
Mahafzah A,
Find
all citations by this author (default).
Or
filter
your current search
Baadran I,
Find
all citations by this author (default).
Or
filter
your current search
Qadar FA,
Find
all citations by this author (default).
Or
filter
your current search
Dajani N
Find
all citations in this journal (default).
Or
filter
your current search
Diagnostic
Microbiology and Infectious Disease [2000,
36(1):53-6]
A
prospective study conducted among Jordanian ICU patients in
1997 using Etest identified resistance rates among isolates of
E. coli (25%-44%), Enterobacter spp. (54%-62%), and Klebsiella
spp. (30%-80%) to extended-spectrum B-lactams (ESBLs):
ceftazidime, cefotaxime, ceftriaxone, and aztreonam. All these
isolates were susceptible to imipenem and showed low
resistance rate to ciprofloxacin (5%-19%) and amikacin
(13%-18%). Higher and significant resistance rates of
Klebsiella isolates to ceftazidime (80%) and aztreonam (65%)
were observed in 1997 compared with a previous study performed
in 1994. The majority of Klebsiella pneumoniae (70%) express
different ESBL phenotypes that were almost resistant to
aztreonam and ceftazidime but susceptible or resistant to
cefotaxime and/or ceftriaxone. This prospective study strongly
suggests that ESBL production of Klebsiella pneumoniae
isolates have been highly disseminated among ICU patients
during 1997. « Less
A
prospective study conducted among Jordanian ICU patients in
1997 using Etest identified resistance rates among isolates of
E. coli (25%-44%), Enterobacter spp. (54%-62%),... More »
Multifactorial modelling for caries prediction in Jordanian university
students.
(PMID:9225539)
Find
all citations by this author (default).
Or
filter
your current search
Sayegh A,
Find
all citations by this author (default).
Shehabi A,
Find
all citations by this author (default).
Or
filter
your current search
Hilow H
Find
all citations in this journal (default).
Or
filter
your current search
Community
Dental Health [1997,
14(2):97-101]
OBJECTIVE:
To construct a prediction model for caries experience in
Jordanian university students using a number of explanatory
risk factors as predictors.
DESIGN: Data on salivary flow rate, buffering capacity,
streptococci and lactobacilli counts, plaque accumulation,
oral hygiene and between meal sugar intakes were tested as
predictors of clinically and radiographically registered DMFS:
Methods of analysis included correlation, then multiple
regression, and finally dichotomisation of the DMFS data and
application of discriminant analysis and logistic regression.
The latter analyses were conducted in order to predict in
which caries risk group an individual belonged rather than
predicting (as with regression) their actual caries status.
Two dichotomisation schemes were investigated; dichotomisation
at the mean and at the 75th percentile.
SETTING: The University of Jordan.
PARTICIPANTS: A random sample of 180 university
students (77 male and 103 female).
OUTCOME MEASURES: Relationships were expressed as
correlation coefficients, R2, and sensitivity, specificity and
predictive values of the predictors, and also their validity
and efficiency.
RESULTS: The highest correlation coefficient achieved
was 0.43 (P < 0.0001) between sugar-containing snack
intakes and DMFS. The predicted power of the fitted multiple
regression model was low R2 = 0.38). Logistic regression with
the DMFS data dichotomised at the 75th percentile indicated
that the fitted caries model correctly identified 76 per cent
of the subjects. Sensitivity and specificity values of the
predictive battery were 80 per cent and 75 per cent
respectively.
CONCLUSIONS: The multifactorial aetiology of caries
remains unclear and requires further research. In the
meantime, well-documented preventive measures should be
implemented for this and similar populations. « Less
OBJECTIVE:
To construct a prediction model for caries experience in
Jordanian university students using a number of explanatory
risk factors as predictors. DESIGN: Data... More »
Extra-intestinal infections with multiply drug-resistant Salmonella
typhimurium in hospitalized patients in Jordan.
(PMID:7556236)
Find
all citations by this author (default).
Or
filter
your current search
Shehabi AA
Find
all citations in this journal (default).
Or
filter
your current search
European
Journal of Clinical Microbiology & Infectious Diseases :
Official Publication of the European Society of Clinical
Microbiology [1995,
14(5):448-51]
During
the 12-year period from 1978 to 1989, Salmonella typhimurium
was the most frequently isolated serotype (592/1,500; 39.5%)
among all clinical Salmonella isolates at Jordan University
Hospital. Extra-intestinal infections due to Salmonella
typhimurium accounted for 68 (11.5%) isolates. A high
percentage of Salmonella typhimurium strains (52-90%) were
resistant to commonly used drugs in Jordan. Most of the
antibiotic-resistant strains of Salmonella typhimurium (10/12)
examined which were from extra-intestinal sources contained a
large plasmid (55 MDa) in addition to two to four small
plasmids. These strains were also able to transfer most or
part of their drug resistance in vitro. It is concluded that
the invasive potential of Salmonella typhimurium isolates is
probably associated with the presence of a large virulence
plasmid and multiple antibiotic resistance. « Less
During
the 12-year period from 1978 to 1989, Salmonella typhimurium
was the most frequently isolated serotype (592/1,500; 39.5%)
among all clinical Salmonella isolates... More »
Foodhandler-associated Salmonella outbreak in a university hospital
despite routine surveillance cultures of kitchen employees.
(PMID:8077642)
Find
all citations by this author (default).
Or
filter
your current search
Khuri-Bulos NA,
Find
all citations by this author (default).
Or
filter
your current search
Abu Khalaf M,
Find
all citations by this author (default).
Shehabi A,
Find
all citations by this author (default).
Or
filter
your current search
Shami K
Find
all citations in this journal (default).
Or
filter
your current search
Infection
Control and Hospital Epidemiology : the Official Journal of
the Society of Hospital Epidemiologists of America [1994,
15(5):311-4]
OBJECTIVE:
To describe an outbreak of salmonella food poisoning that
probably was due to contamination of mashed potatoes by a
foodhandler, which occurred despite a policy for routine
surveillance stool cultures of kitchen employees.
DESIGN: A case control study of 223 individuals who ate
the lunch meal on September 23, 1989, at the Jordan University
Hospital (JUH) cafeteria.
SETTING: Tertiary care university hospital in Amman,
the capital of Jordan.
PATIENTS: Individuals who developed loose stool or
vomiting 6 to 72 hours after eating the lunch meal of
September 23, 1989, at the JUH cafeteria.
RESULTS: Of 619 individuals, 183 fit the case
definition (attack rate, 19.6%); 150 were employees, 26 were
inpatients, and seven were visitors. Twelve other employees
became sick 4 to 6 days later and probably were infected
secondarily. The incubation period ranged from 16 to 72 hours
in 183 instances. Symptoms included diarrhea (88%), fever
(71%), abdominal pain (74%), dehydration (34%), and bloody
stool (5%). Eighty-four were hospitalized. Cultures of eight
food items were negative, but stool culture on 90 of 180
patients and 11 of 61 kitchen employees yielded Salmonella
enteritidis group D. A cohort study of 223 individuals
revealed a food-specific attack rate of 72% for the steak and
potato meal and 18% for the rice and meat meal (RR, 4; CI95,
2.62 to 6.24; P < 0.01). Stratified analysis of the steak
and potato meal revealed that the potatoes were implicated
most strongly (RR, 1.93; CI95, 1.42 to 2.64; P < 0.01).
Cultures were obtained from all kitchen employees, and 11 of
61 grew Salmonella enteritidis group D. One asymptomatic,
culture-positive employee prepared the mashed potatoes on
September 23. All of these employees had negative stool
cultures 3 months earlier.
CONCLUSION: This outbreak probably was caused by
massive contamination of mashed potatoes by the contaminated
hands of the foodhandler. Routine stool culture of
foodhandlers is not cost-effective and should not be used as a
substitute for health education and proper hygienic practices.
« Less
OBJECTIVE:
To describe an outbreak of salmonella food poisoning that
probably was due to contamination of mashed potatoes by a
foodhandler, which occurred despite a policy... More »
Find
all citations in this journal (default).
Or
filter
your current search
Prevalence of Salmonella, Shigella and intestinal parasites in food
handlers in Irbid, Jordan.
(PMID:2081882)
Find
all citations by this author (default).
Or
filter
your current search
al-Lahham AB,
Find
all citations by this author (default).
Or
filter
your current search
Abu-Saud M,
Find
all citations by this author (default).
Or
filter
your current search
Shehabi AA
Find
all citations in this journal (default).
Or
filter
your current search
Journal
of Diarrhoeal Diseases Research [1990,
8(4):160-2]
During
a one-year period, 283 food handlers in Irbid, Jordan were
investigated for the presence of potential enteropathogens in
their stools. The prevalence rate of enteropathogens among
non-Jordanian food handlers (48.0%) was significantly higher
(p less than 0.05) than that of the Jordanian group (12.3%).
The isolation rates of Salmonella and Shigella were 6% and
1.4% respectively. Multi-drug resistance was frequent among
isolates of Salmonella group B and Shigella spp. Intestinal
parasites detected in the stools of food handlers included
Ascaris lumbricoides (4.9%), Giardia lamblia (3.9%),
Schistosoma mansoni, (2.8%), hookworms 2.5%, Hymenolyepis nana
(1.8%), Trichuris trichiura (1.1%), Entamoeba histolytica
(0.7%), and Taenia saginata (0.4%). This study emphasises the
importance of food handlers, particularly the non-Jordanians,
in Jordan, as potential source of food-borne infection.
« Less
During
a one-year period, 283 food handlers in Irbid, Jordan were
investigated for the presence of potential enteropathogens in
their stools. The prevalence rate of enteropathogens... More »
Find
all citations by this author (default).
Or
filter
your current search
Diagnosis and treatment of 106 cases of human brucellosis.
(PMID:2299182)
Find
all citations by this author (default).
Shehabi A,
Find
all citations by this author (default).
Or
filter
your current search
Shakir K,
Find
all citations by this author (default).
Or
filter
your current search
el-Khateeb M,
Find
all citations by this author (default).
Or
filter
your current search
Qubain H,
Find
all citations by this author (default).
Or
filter
your current search
Fararjeh N,
Find
all citations by this author (default).
Or
filter
your current search
Shamat AR
Find
all citations in this journal (default).
Or
filter
your current search
The
Journal of Infection [1990,
20(1):5-10]
During
the year 1987, 106 cases of human brucellosis were studied
prospectively at the Jordan University Hospital. The disease
was more often diagnosed among adults (73.6%) than children
(26.4%). Serious clinical complications were observed in 5.7%
patients. An initial Brucella antibody titre greater than or
equal to 160 proved to be reliable in confirming suspected
cases of acute and subacute brucellosis. Culture of blood was
found to be more sensitive (44.4%) and significant (P less
than 0.02) than bone marrow culture (27.7%) for detecting
Brucella melitensis. All patients treated with rifampicin plus
tetracycline or co-trimoxazole were considered to be
clinically cured by disappearance of all major clinical
features of brucellosis. By contrast, 2/10 patients treated
with rifampicin alone, as well as 1/56 patients treated with
tetracycline and streptomycin, clinically relapsed. It is
evident from this study that the treatment with rifampicin
alone is not as effective in brucellosis as it is when given
with another appropriate drug. « Less
During
the year 1987, 106 cases of human brucellosis were studied
prospectively at the Jordan University Hospital. The disease
was more often diagnosed among adults (73... More »
The changing epidemiology of diphtheria in Jordan.
(PMID:3260143)
Find
all citations by this author (default).
Or
filter
your current search
Khuri-Bulos N,
Find
all citations by this author (default).
Or
filter
your current search
Hamzah Y,
Find
all citations by this author (default).
Or
filter
your current search
Sammerrai SM,
Find
all citations by this author (default).
Shehabi A,
Find
all citations by this author (default).
Or
filter
your current search
Hamed R,
Find
all citations by this author (default).
Or
filter
your current search
Arnaout MA,
Find
all citations by this author (default).
Or
filter
your current search
Turk J,
et al.
Find
all citations in this journal (default).
Or
filter
your current search
Bulletin
of the World Health Organization [1988,
66(1):65-8]
Virulence mechanisms associated with clinical isolates of non-O1 Vibrio
cholerae.
(PMID:3739461)
Find
all citations by this author (default).
Or
filter
your current search
Shehabi AA,
Find
all citations by this author (default).
Or
filter
your current search
Drexler H,
Find
all citations by this author (default).
Or
filter
your current search
Richardson SH
Find
all citations in this journal (default).
Or
filter
your current search
Zentralblatt
fur Bakteriologie, Mikrobiologie, und Hygiene. Series A,
Medical Microbiology, Infectious Diseases, Virology,
Parasitology [1986,
261(2):232-9]
Twenty
one isolates of non-O1 V. cholerae from patients with
diarrheal illness were examined for the presence of potential
virulence mechanisms. The motile strains (90%) produced
cell-associated mannose-sensitive hemagglutinins which reacted
with human group O, chicken, sheep and rabbit erythrocytes.
Motile isolates also attached to embryonic intestinal
epithelial cells (ATCC 407), and the adherence was not
inhibited by the presence of 1% D-mannose. All vibrio isolates
hemolyzed sheep erythrocytes. Three vibrio isolates (14%)
harbored two or three plasmids which ranged in size between
1.7 and 5.2 megadaltons. The presence of the plasmid did not
correlate with the presence of hemolysin, hemagglutinins,
adhesions or antibiotic resistance in any of the isolates.
Thus, it appears that multiple factors associated with
bacterial cell surfaces influence adhesin and apparently
pathogenic potential of the non-O1 vibrio isolates in the host
intestine. « Less
Twenty
one isolates of non-O1 V. cholerae from patients with
diarrheal illness were examined for the presence of potential
virulence mechanisms. The motile strains (90%)... More »
A recent survey of tinea capitis in Jordanian children.
(PMID:3726980)
Find
all citations by this author (default).
Shehabi A,
Find
all citations by this author (default).
Or
filter
your current search
Arda H,
Find
all citations by this author (default).
Or
filter
your current search
Sharaf M,
Find
all citations by this author (default).
Or
filter
your current search
Damin J
Find
all citations in this journal (default).
Or
filter
your current search
Transactions
of the Royal Society of Tropical Medicine and Hygiene [1986,
80(1):163-4]
Enterotoxigenicity of clinical isolates of non-O1 Vibrio cholerae.
(PMID:3911661)
Find
all citations by this author (default).
Or
filter
your current search
Shehabi AA,
Find
all citations by this author (default).
Or
filter
your current search
Richardson SH
Find
all citations in this journal (default).
Or
filter
your current search
Zentralblatt
fur Bakteriologie, Mikrobiologie, und Hygiene. Series A,
Medical Microbiology, Infectious Diseases, Virology,
Parasitology [1985,
260(3):311-8]
Whole
cultures, but not culture supernatant fluids, of 21 isolates
of non-O1 V. cholerae from patients with diarrhea were shown
to induce positive fluid accumulation in infant mice. CHO cell
assays demonstrated the elaboration of heat-labile cytotonic,
cytotoxic or both factors from most isolates when grown under
optimal culture conditions. These factors were not neutralized
by anti-cholera toxin serum. Also genetic studies performed on
9 vibrio isolates using a DNA hybridization probe failed to
detect gene sequences homologous with cholera toxin. ELISA
assays recognized six isolates which produced a
cell-associated substance which immunologically cross-reacted
with cholera toxin. Enzymatic profiles of the vibrio isolates
did not correlate with the production of any toxic factor. The
results indicate that mainly heat-labile and cell-associated
cytotonic and cytotoxic factors appear to influence the
enterotoxigenic potential of this heterogenous group of non-O1
vibrios. « Less
Whole
cultures, but not culture supernatant fluids, of 21 isolates
of non-O1 V. cholerae from patients with diarrhea were shown
to induce positive fluid accumulation... More »
Bacteriology and composition of infected stones.
(PMID:6836819)
Find
all citations by this author (default).
Or
filter
your current search
Dajani AM,
Find
all citations by this author (default).
Or
filter
your current search
Shehabi AA
Find
all citations in this journal (default).
Or
filter
your current search
Urology
[1983, 21(4):351-3]
One
hundred forty-two stones from 106 male and 36 female patients
were investigated bacteriologically and chemically. Twenty
(14%) of these stones were infected; 65 per cent were
associated with infected urine. In 45 per cent of these
infected stones an identical bacteria species was isolated
from urine and stone of the same patient. Most of the infected
stones were of the oxalate type (II), followed by uric acid/urate
(5) and calcium phosphate (4) types. Only one stone grew a
definite urea-splitting organism. « Less
One
hundred forty-two stones from 106 male and 36 female patients
were investigated bacteriologically and chemically. Twenty
(14%) of these stones were infected; 65 per... More »
The value of a single Widal test in the diagnosis of acute typhoid
fever.
(PMID:7281209)
Find
all citations by this author (default).
Or
filter
your current search
Shehabi AA
Find
all citations in this journal (default).
Or
filter
your current search
Tropical
and Geographical Medicine [1981,
33(2):113-6]
During
an outbreak of typhoid fever in A1-Salt town, Jordan a study
was made to correlate patient's positive blood culture for
Salmonella typhi with a single Widal agglutination test during
the acute stage of the disease. 24/26 (92%) of the patients
with positive blood culture developed TO, TH or both
agglutinin titres of 1/80 and more. This study indicates that
a single Widal test is probably highly diagnostic in acute
cases of typhoid fever. « Less
During
an outbreak of typhoid fever in A1-Salt town, Jordan a study
was made to correlate patient's positive blood culture for
Salmonella typhi with a single Widal agglutination... |