来自三级医疗医院的尿路病原体和抗生素谱:将COVID专用中心转换为非COVID专用中心后的2个月研究

IF 0.2 Q4 MEDICINE, GENERAL & INTERNAL

Indian Journal of Medical Specialities Pub Date : 2022-07-01 DOI:10.4103/injms.injms_145_21

B. Kashyap, N. Singh, K. Nirmal, M. Meena

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引用次数: 0

摘要

背景:尿路感染(uti)是人类最常见的细菌感染之一，无论是在社区还是在医院环境中。引起尿路感染的微生物药敏数据的分布随时间和地点的不同而不同。区域微生物实验室提供的药敏数据有助于选择经验性抗菌药物治疗尿路感染。目的和目的:了解某三级医院泌尿系细菌性病原菌的流行情况及抗菌药物敏感性。材料和方法:在德里东部一家三级医院微生物科进行了为期两个月(2021年1月至2月)的回顾性分析。这两个月是在该设施从专用的COVID中心转换为非COVID中心之后立即发生的。对研究期间收集的尿样培养结果进行分析。样品按标准准则处理。将数据输入到microsoftexcel中进行分析。结果:回顾性分析1650例疑似尿路感染患者尿液标本，进行细菌分离鉴定和药敏试验。271株(16.4%)有显著的真菌等微生物生长。在男性和女性患者中，大肠杆菌(n = 46, 17%)是最常见的分离微生物，其次是葡萄球菌(n = 45, 16%)。尿路病原菌对复方新诺明(60%)、呋喃妥英(50%)、环丙沙星(50%)、四环素(45%)、亚胺培南和头孢噻肟(35%)的分离耐药率最高。结论:尿路感染是临床医生最常处理的感染性疾病之一。尿路感染中尿路病原体的抗菌素耐药性增加是一个值得关注的问题。建议定期监测病因和药物敏感性。

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Uropathogens and the antibiogram profile from a tertiary care hospital: A 2-month study post conversion of a COVID dedicated center to a non-COVID one

Background: Urinary tract infections (UTIs) are one of the most common bacterial infections in humans, both in the community and the hospital settings. The distribution of antimicrobial susceptibility data of UTI-causing microorganisms changes from time to time and from place to place. The susceptibility data provided by regional microbiology laboratories helps to choose the empirical antimicrobials to treat UTI. Aim and Objectives: To determine the prevalence and antimicrobial drug susceptibility pattern of the bacterial uropathogens isolated from a tertiary care hospital. Material and Methods: A retrospective analysis over a period of two months (Jan-Feb 2021) was performed in the Department of Microbiology of a tertiary care hospital, East part of Delhi. These two months were immediately following conversion of this facility to a non COVID centre from a dedicated COVID centre. Culture results of the urine samples received during the study period were analyzed. The samples were processed according to standard guidelines. The data were entered into micro soft excel for analysis. Results: A total of 1650 urine samples from suspected UTIs were analyzed retrospectively for isolation and identification of bacteria and antimicrobial susceptibility testing. 271 (16.4%) grew significant microorganisms including fungus. In both male and female patients E. coli (n = 46, 17%) was the most commonly isolated microorganism, followed by Staphylococcus spp. (n = 45, 16%). Isolated resistance to uropathogens was common with Cotrimoxazole (60%), Nitrofurantoin (50%), ciprofloxacin (50%), tetracycline (45%), Imipenem and cefotaxime (35%) Conclusions: UTI is one of the most common infectious diseases that clinicians are dealing with. Increasing antimicrobial resistance among uropathogens implicated in UTI is a matter of concern. Periodic monitoring of etiology and drug susceptibility is recommended.

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来源期刊

Indian Journal of Medical Specialities MEDICINE, GENERAL & INTERNAL-

自引率

16.70%

发文量

期刊介绍： The Indian Journal of Medical Specialities is an all-encompassing peer-reviewed quarterly journal. The journal publishes scholarly articles, reviews, case reports and original research papers from medical specialities specially pertaining to clinical patterns and epidemiological profile of diseases. An important highlight is the emphasis on undergraduate and postgraduate medical education including various aspects of scientific paper-writing. The journal gives priority to research originating from the developing world, including from the tropical regions of the world. The journal also publishes special issues on health topics of current interest. The Indian Journal of Medical Specialities is one of the very few quality multispeciality scientific medical journals.