Introduction: Chronic granulomatous disease (CGD) is a rare inherited primary immune deficiency disease with prevalence of 1 in 250,000 worldwide. It is caused by mutations in the genes that encode the NADPH oxidase enzyme components responsible for the production of super oxide and other free radicals. These mutations lead to the absence or decrease of the microbicidal activity of the phagocytic cells. arabic 10 English 72
Muna Hamed Othman Elramli, Ahmed Zaid(1-2015)

Every organism has deoxyribonucleic acid (DNA) within their cells. DNA is a complex molecule that contains all of the information needed to build and maintain living organisms. Extraction of deoxyribonucleic acid (DNA) is one of the most basic and critical steps affecting molecular-based techniques in the study of DNA that allow vast advances in genetic, molecular biology, biotechnology, forensic, and bioinformatics laboratories. Therefore, researchers have been used different modified and optimized protocols for efficient genomic DNA extraction from biological samples. Due to the high amount of genetic material in whole blood samples so it's one of the main sources used to obtain DNA and there are many different protocols available in this issue. In the present study, we optimized, evaluated by comparison to phenol-chloroform (traditional method) and silica column (QIAamp DNA Blood Mini Kit) DNA extraction procedures. The extracted DNA by these protocols was analyzed according to their time consuming, quality, quantity, cost and toxicity. Extracted DNA with current protocol was qualified using gel electrophoresis, Nanodrop spectrophotometric analysis. Our results showed that there are not significantly differences between these methods about DNA Purity (A260/A280) and DNA yield (ng DNA/μl). In addition, phenol/chloroform (traditional method) was the most toxic method; it takes more time but cheaper than other method; it yielded reasonably good quantities of good quality DNA and would be suitable for large-scale genotyping of blood samples. The silica column method (QIAamp DNA Blood Mini Kit) was the most expensive among the other method but the least extraction time was required and it was the safest method. arabic 11 English 69
Ghada Salem, Ahmed Zaid(1-2018)

Abstract Introduction: Extended-spectrum β-lactamases (ESBLs), AmpC type, carbapenem resistant Enterobacteriaceae (CRE), are important mechanisms of resistance among Enterobacteriaceae. The aim of this study was to investigate the prevalence of ESBL, AmpC and CRE among Enterobacteriaceae isolates recovered from pediatric patients in Tripoli, Libya. Methods: This cross-sectional study was carried out in Tripoli Children Hospital (TCH), a total of 915 Gram negative bacteria isolates were evaluated for susceptibility to a panel of antimicrobials and were analyzed phenotypically for the ESBL, AmpC type and CRE using chromagen media, E-test and combination disc test. Results: The predominant organisms were Escherichia coli (56.8%) and Klebsiella spp. (21.4%). The overall prevalence of ESBL producing Enterobacteriaceae was 24.5% (224/915). Out of 224, Enterobacteriaceae proved ESBL producer, Klebsiella spp. (54%) and E. coli (34.4%) were the leading ESBL producers. ESBL-producers were more often resistant to major classes of antibiotics compared with non-ESBL producers, significantly high resistance rates (P < 0.001) were observed for ceftriaxone, cefepime, and ceftazidime (87.5 - 95.9%) among ESBL producers compared to non-ESBL producers (7.2 - 13.5%). MDR was documented for 50/224 (22.3%) of ESBL producers and was significantly higher (P < 0.0001) among ESBLs compared with non-ESBL producer isolates. Phenotypic detection of AmpC revealed 60/915 (6.6%) isolates as potential AmpC β-lactamase producers, E. coli exhibited a lower level of AmpC (8.3%) compared with Klebsiella spp. (56.6%). The overall prevalence of CRE was 9% (83/915). Carbapenemase-producing organisms in this study were as follows: Klebsiella spp. (44.6%); Acinetobacter spp. (24%); Pseudomonas spp. (9.6%). Conclusion: This study revealed that the prevalence of ESBL, AmpC, CRE and MDR Enterobacteriaceae isolates in Children hospital was within acceptable frequency. arabic 11 English 91
Abdulaziz Zorgani, Abdulla Bashein, (1-2017)