尿路感染相关细菌病原菌的抗菌药物敏感性模式

N. Akhtar, Rezwanur Rahman, S. Sultana
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引用次数: 12

摘要

更正:2017年8月10日,由于印刷错误,研究期限从2016年5月改为2017年6月,图1中红色部分的标题从无尿路感染(41%)改为尿路感染,59%背景:尿路感染是人类常见的细菌感染之一。UTI抗菌敏感性的变化要求使用适当的抗生素。目的:探讨尿路病原体的分布及耐药性。材料和方法:这是一项前瞻性研究,于2016年5月至2017年6月在孟加拉国达卡的孟加拉国医学院和医院进行,旨在确定引起尿路感染的生物体及其抗生素易感性。从95名出现尿路感染症状的患者身上采集了干净的中游尿液样本。采用纸片扩散法进行药敏试验。结果:在95份尿液样本中,56份(58.9%)呈阳性。女性的患病率明显高于男性(女性:58.9%;男性:41%)。年龄>48岁的组UTI患病率较高。分离出的最常见的生物体是大肠杆菌、克雷伯菌、假单胞菌、变形菌和金黄色葡萄球菌。它们分别占分离株的44.6%、21.4%、14.3%、12.5%和7.14%。亚胺培南和美罗培南被发现是对分离的尿路病原体最敏感的药物。结论:在我们的研究中,最强的抗生素是亚胺培南和美罗培南。总之,我们可以真正肯定的是,由于常见的尿路感染病原体对以前使用过的药物表现出广泛的耐药性,今天治疗尿路感染的药物选择变得相当狭窄。德尔塔医学杂志2017年7月5(2):57-62
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Antimicrobial Sensitivity Pattern of Bacterial Pathogens Associated with Urinary Tract Infection
Correction: On 10th August 2017 due to typographical errors, the period of the study was changed from May 2016 to June 2017 and the caption of the red segment in Figure 1 was changed from No UTI, 41% to UTI, 59% Background: Urinary tract infection (UTI) is one of the common bacterial infections in mankind. The changing antimicrobial sensitivity in UTI demands use of appropriate antibiotics. Objective: This study was conducted to determine the distribution and antimicrobial susceptibility of uropathogens. Materials and method: This was a prospective study conducted in Bangladesh Medical College & Hospital, Dhaka, Bangladesh between May 2016 and June 2017 to identify the organisms causing UTI and their antibiotic susceptibility. Clean catch midstream urine samples were collected from 95 patients presenting with symptoms of UTI. Antimicrobial susceptibility was performed by disc diffusion method. Results: Out of 95 urine samples, 56 (58.9%) were found positive. The prevalence was significantly higher in females than in males (females: 58.9%; males: 41%). Age group of >48 years showed higher prevalence of UTI. The most common organisms isolated were Escherichia coli, Klebsiella, Pseudomonas, Proteus and Staphylococcus aureus. These represented 44.6%, 21.4%, 14.3%, 12.5%, and 7.14% of isolates respectively. Imipenem and Meropenem were found the most susceptible drug against isolated uropathogens. Conclusion: Most powerful antibiotics in our study were imipenem and meropenem. In conclusion, one can truly affirm that the choice of drugs in the treatment of UTI is becoming quite narrow today due to the wide scale resistance that the common UTI pathogens show to drugs which have been used previously. Delta Med Col J. Jul 2017 5(2): 57-62
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