Diarrheal Diseases among Home Displaced Persons in Khartoum State; Investigation on Bacterial Causative Agents

Abstract

This study is concentrated toward internally home displaced persons (IDPs), those who are forced to migrate from their original residence, these migrations had resulted in extremely high rates of mortality, morbidity, and malnutrition .IDPs number in Sudan is more than 3millions, and they live in difficult situations, these situations placed diarrheal disease as one of their major problems. The study was conducted during the period from November 2008 to April 2009 in Dar-alsalam and Jabel awlia camps for IDPs, both located at Khartoum boundaries. Their main residents come from southern of Sudan. The objective of this study was to study the causative bacterial agents of diarrhea among them and to evaluate antimicrobial agents pattern against isolated pathogens. A total of one hundred diarrheal specimens were collected from both camps, transported in transport media and inoculated into a variety of selective media, the bacteria were identified latter using API 20E,biochemical tests and slide agglutination test as a serotyping method . The results showed that Escherichia coli represent 72%, Shigella species represented 8% , Shigella sonnei alone represented 5% of them and was sensitive to Tetracycline , Gentamicin and Ciprofloxacin while the rest was Shigella dysentraie which was sensitive to Ciprofloxacin, Tetracycline,Gentamicin and Cotrimoxazol. Salmonella paratyphi C represent only 1% and showed sensitivity to Chloramphenicol, Gentamicin and Ciprofloxacin, Yersinia enterocolitica also have 1% and showed sensitivity to Ciprofloxacin , Tetracycline , Gentamicin and Chloramphenicol, while Campylobacter species compose 4% and was sensitive to Erythromycin , Ciprofloxacin and tetracycline .