检测从尿路感染中分离出来的革兰氏阴性细菌的抗生素耐药性

Aya Talib Jawad, Hanan Saadon, Sarah Ghalib Khudhur, Hussein Adnan Obaid, Hamzah Shakir, Noor Abd, Alkhudhur Salman, Hayat Asa’ad Al-Ali
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引用次数: 0

摘要

这项研究表明,所有分离出的细菌都是通过形态学、生物化学和 API20E 检验等多种检验方法进行鉴定的,结果证实,在 2023 年 6 月和 7 月至 2024 年 6 月期间,济加尔政府中的革兰氏阴性细菌。为检测革兰氏阴性菌,共收集并检查了 60 份不重复的患者尿液样本。结果显示,在 60 份尿液样本中,有 35 份(58.33%)样本的革兰氏阴性菌生长呈阳性。根据检测结果进行细菌诊断的结果显示,导致尿毒症的细菌病原体的频率如下:大肠埃希菌 15 例(42.85%)、泄殖腔肠杆菌 7 例(20.0%)、肺炎克雷伯菌 5 例(14.28%)、奇异变形杆菌和铜绿假单胞菌各 3 例(8.57%)、枸橼酸杆菌 2 例(4.76%)。抗生素分为三类(核酸、蛋白质抑制和细菌细胞壁合成),三类抗生素相互比较,得出结论:哪类抗生素更有效,消灭细菌的效果更好,结果如下:革兰氏阴性菌对氨苄西林的耐药性为 91.42%,对阿米卡星的耐药性为 85.7%,对左氧氟沙星的耐药性为 65.71%,对诺氟沙星的耐药性为 45.71%,对阿奇霉素的耐药性为 31.42%,对环丙沙星的耐药性为 13.37%。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Detection of Antibiotic Resistance among Gram-Negative Bacteria Isolated from Urinary Tract Infections
This study showed all isolates of bacteria are identified by many testes , such as morphological, biochemical, and API20E testes, as,  the results confirmed that the Gram-negative bacteria in Thi-Qar government during the period of June and July 2023-2024. A total of 60 non-duplicate urine samples from patients are collected and examined for detection of Gram-negative bacteria. The results show that out of 60 urine samples 35(58.33%) samples are positive for bacterial growth of Gram negative. The results of bacterial diagnosis depending on testing showed that the frequency of bacterial pathogens thatause UTI as the following 15 (42.85%) are Escherichia coli,7 (20.0%) Enterobacter cloacae, 5 (14.28%) Klebsiella pneumonia, 3 (8.57 %) are from each of Proteus mirabilis and Pseudomonas aeruginosa, and 2 (4.76%) are Citrobacter spp.  Antibiotics were divided into three categories that work on (nucleic acid, protein inhibition ,and bacterial cell wall synthesis) and the three groups were compared with each other .It was concluded which of them was more effective and performed better in eliminating bacteria and the results appeared as follows: Gram negative bacteria showed 91.42 % resistance to ampicillin 85.7% resistance to amikacin, 65.71% resistance to levofloxacin, 45.71% resistance to Norfloxacin, 31.42 % resistance to azithromycin and 13.37% resistance to ciprofloxacin.
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