伊拉克纳西里耶市尿路感染妇女临床菌株的微生物检测和抗生素敏感性模式

Muna Jihad, Manal Salih
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摘要

女性尿路感染(UTI)是影响不同年龄段人群的最常见疾病之一。本研究旨在调查尿路感染妇女的尿路病原体,并测试她们对抗生素的敏感性模式。在 2022 年 12 月至 2023 年 3 月期间,从伊拉克南部济加尔省的女性患者和健康人身上共收集了 150 份尿液样本。从每位参与研究的女性身上收集尿液样本并在培养基上进行培养,然后通过不同的实验室方法进行鉴定,如培养基上菌落的特征、革兰氏染色、生化测试和 Hi UTI 发色琼脂上的形态发色特性,并通过 API 20E 系统进行确认。大多数女性患者(44%)的年龄在 25 至 34 岁之间,其次是 15 至 24 岁的患者(34%)。细菌种类的抗生素敏感性测试采用 Kirby Bauer 盘扩散技术进行。经微生物培养后,在尿液样本中发现了 136 个明显生长的不同分离菌株,其中细菌菌株占 63.24%,高于念珠菌菌株(36.76%)。最常见的细菌是葡萄球菌(40.69%),其次是大肠杆菌(18.60%)。这些细菌对抗生素具有极强的耐药性。革兰氏阳性分离菌对阿莫西林-克拉维酸酯(100%)、氨苄西林(100%)、氧西林(100%)和甲氧苄啶(91.66%)的耐药性最高,另一方面,革兰氏阴性菌对阿莫西林-克拉维酸酯(100%)、哌拉西林(100%)以及头孢他啶和硝基呋喃妥因(86.36%)的耐药性也最高。其他抗生素在不同的细菌种类中表现出不同的结果。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Microbial Detection and Antibiotic  Susceptibility patterns  of Clinical Isolates from Women With Urinary Tract Infection in AL-Nasiriyah City/Iraq
Urinary tract infections (UTIs) in women are one of the most common diseases affecting at different ages of the life. This study was aimed to investigate the uropathogenes in women with UTI and to test their antibiotic susceptibility pattern. A total of 150 urine samples were collected from patients women and healthy in Thi-Qar Province, southern Iraq, between December 2022 and March 2023.Urine samples were collected from each participant women and cultured on media, then identified by different laboratory methods such as characteristic of colony on culture media, Gram stain, biochemical tests and morphologic chromatic properties on Hi UTI chromogenic agar and confirmed by API 20E system. The majority of females (44%) were the age groups 25 to 34 years followed by the (34%) patients were age group from 15 to 24 years. Antibiotic susceptibility testing for bacteria species was performed using the Kirby,Bauer disc, diffusion technique. Out of 136 different isolates with noticeable growth were found in the urine sample after microbiological cultures were performed, bacteria species was represented (63.24%) more than Candida species which was (36.76%). The most frequent bacterium was Staphylococcus species (40.69%) followed by Escherichia coli (18.60%). These bacterial exhibited extremely resistance to antibiotics. Gram positive isolates showed the highest resistant against Amoxicillin-clavulanate (100%), Ampicillin (100%), Oxacillin (100%), and Trimethoprim (91.66%), on the other hand Gram negative bacteria also showed the highest resistance against Amoxicillin-clavulanate (100%), Piperacillin (100 %), and  both Ceftazidime and Nitrofurantoin (86.36 %). Other antibiotics showed different results by different bacterial species.
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