尿路感染门诊患者细菌学特征及抗生素敏感性分析。

Veena Krishnamurthy, Lorembam Sanjoy Singh
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引用次数: 0

摘要

导读:尿路感染(UTI)是人类细菌感染最常见的原因。各种微生物与尿路感染有关,无论它们是社区获得的还是医院获得的。目的和目的:本研究的目的是确定在门诊就诊的患者中引起尿路感染的微生物的细菌学特征和抗生素敏感性模式。材料与方法:本研究于2017年1月至2017年3月在图马库鲁Sri Siddhartha医学院微生物学系进行。对所有尿路感染疑似病例进行尿液培养,评估细菌学特征和抗生素敏感性。结果:共收集临床疑似尿路感染病例392例,年龄不限,性别不限。在392个样本中,有154个样本生长显著,其中女性110个(71.42%),男性44个(28.57%)。培养阳性病例以21 ~ 40岁年龄组最多,占52.59%。革兰氏阴性杆菌中分离出最多的病原菌是大肠杆菌(29.22%),其次是sps克雷伯菌(18.18%),革兰氏阳性球菌中分离出最多的金黄色葡萄球菌(10.38%)。大肠杆菌对呋喃妥因、阿米卡星和亚胺培南均100%敏感。革兰氏阴性菌中广谱β -内酰胺酶(ESBL)的分离率为2.5%。金黄色葡萄球菌对万古霉素和利奈唑胺敏感(100%),所有分离株均为甲氧西林敏感金黄色葡萄球菌(MSSA)。结论:尿路感染在女性中最常见,大肠杆菌是最常见的尿路病原体。培养结果和抗生素谱有助于特异性治疗和明智地使用抗生素以预防耐药性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Bacteriological Profile and Antibiotic Sensitivity Pattern in Patients Attending Out Patient Departments with Urinary Tract Infections.
Introduction: Urinary tract infections (UTI) are the most common cause of bacterial infections in humans. A variety of organisms are associated with UTI irrespective of whether they are community or hospital acquired. Aim and Objective: The aim of the study was to determine the bacteriological profile and antibiotic sensitivity pattern of organisms causing UTI in patients attending OPD. Materials and Methods: This study was conducted in the Department of Microbiology, Sri Siddhartha Medical College, Tumakuru from Jan 2017 Mar 2017. All suspected cases of UTI sent for urine culture were tested, bacteriological profile and antibiotic sensitivity pattern was evaluated. Results: A total of 392 clinically suspected cases of UTI of all ages and both sexes were studied. Among the 392 samples, 154 samples yielded significant growth, among these110 (71.42%) were of females and 44 (28.57%) were of males. Culture positive cases in the age group 21-40 years (52.59%) were the highest. Escherichia coli (29.22%) was the most common organism isolated followed by Klebsiella sps (18.18%) among gram negative bacilli and Staphylococcus aureus (10.38%) among gram positive cocci. Escherichia coli was 100% sensitive to nitrofurantoin, amikacin and imipenem. The isolation of Extended Spectrum Beta Lactamase (ESBL) among gram negative bacterial isolates was 2.5%. Staphylococcus aureus was sensitive to vancomycin and linezolid (100%)and all the isolates were Methicillin Sensitive Staphylococcus aureus (MSSA) Conclusion: UTI is most common in females and E.coli was the most common uropathogen isolated. Culture results and antibiogram help in the specific treatment and judicious antibiotic usage to prevent drug resistance.
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