达卡萨瓦尔伊纳姆医学院和医院肾内科尿路感染患者的细菌学特征及其药敏模式

Q4 Medicine
Md Shamimur Rahman, M. U. Ahmed, Bhuiyan Mohammad Mahtab Uddin, R. K. Chowdhury, Harun Ur Rasid, A. Begum
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引用次数: 0

摘要

导读:尿路感染(UTI)是临床医生在临床实践中常见的细菌感染之一。引起尿路感染的病原体的分布和易感性随时间和地点而变化。对特定地区进行研究,以了解病原体的类型及其耐药模式,这可能有助于临床医生选择适当的抗菌素进行经验性治疗。目的:了解泌尿系病原菌的分布及药敏情况。材料与方法:本研究于2021年1月至2021年6月在达卡萨瓦尔的伊纳姆医学院和医院进行,以确定引起UTI的微生物及其抗生素敏感性。从476名临床疑似尿路感染患者中收集了干净的中游尿液样本,并使用标准程序进行细菌学检测。采用Kirby-Bauer纸片扩散法进行药敏试验。结果:女性尿路感染患病率高于男性。在170株培养阳性细菌中,大肠杆菌最常见,占51.76%,其次是金黄色葡萄球菌28.82%,腐生葡萄球菌11.17%,克雷伯氏菌8.23%,肠球菌4.70%。最敏感药物为美罗培南(100%),其次为亚胺培南(92.86% ~ 100%)。而甲氧苄啶-磺胺甲恶唑和头孢定对分离的泌尿病原菌最耐药。结论:细菌耐药是一个不断演变的过程,应开展常规监测和监测研究,为医生提供最新和最有效的经验治疗尿路感染的知识。今日医学2022 Vol.34(1): 51-56
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 Their Antimicrobial Susceptibility Pattern of Urinary Tract Infection Patients Attending at the Nephrology Department of Enam Medical College and Hospital, Savar, Dhaka.
Introduction: Urinary tract infection (UTI) is one of the common bacterial infections encountered by clinicians in clinical practice. Distribution and susceptibility of UTI-causing pathogens change according to time and place. Area-specific studies to gain knowledge about the type of pathogens and their resistance patterns may help the clinician to choose the proper antimicrobials for empirical treatment. Objective: This study was conducted to determine the distribution and antimicrobial susceptibility of uropathogens. Materials and Methods: This study was conducted in the Enam Medical College & Hospital, savar, Dhaka between January 2021 to June 2021 to identify the organisms causing UTI and their antibiotic susceptibility. Clean catch midstream urine samples were collected from 476 clinically suspected UTI patients and tested bacteriologically using standard procedures. Antimicrobial susceptibility test was performed by Kirby-Bauer disk diffusion method. Results: The prevalence of UTI was higher in females than in males. Out of the 170 culture positive bacterial isolates Escherichia coli was the most common 51.76% organism, followed by Staphylococcus aureus 28.82%, Staphylococcus saprophyticus 11.17%, Klebsiellaspp 8.23 % and Enterococcusspp 4.70%. Meropenem (100%) followed by Imipenem (92.86% to 100%) were found most susceptible drugs. While Trimethoprim-sulfamethoxazole and Cephradine were the most resistant drug against the isolated uropathogens. Conclusion: As bacterial drug resistance is an evolving process, routine surveillance and monitoring studies should be conducted to provide physicians knowledge on the updated and most effective empirical treatment of UTIs. Medicine Today 2022 Vol.34(1): 51-56
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来源期刊
Medicine Today
Medicine Today Medicine-Medicine (all)
CiteScore
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