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.
Keywords
Antibiotic resistance
mecA
OprM
Pregnant.
UTIs