2015年大不里士儿童医院尿路感染患儿尿中分离克雷伯肺炎菌的药敏及耐药性分析

Sevda Leisy-Azar, A. Ebadi
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引用次数: 9

摘要

背景与目的:肺炎克雷伯菌是泌尿系感染的主要原因。肺炎克雷伯菌的耐药菌株,特别是对几种不同药物类别的抗生素的耐药菌株,已经变得非常普遍。在大多数情况下,这种抵抗会导致疾病恶化。本研究的目的是评估肺炎克雷伯菌对尿路感染中分离的一些抗生素的敏感性和耐药模式。材料与方法:在本横断面研究中,我们从尿路感染(UTI)患者中收集了198株肺炎克雷伯菌。最初,我们使用标准的实验室和微生物学方法以及在特定培养基中培养来选择这些菌株。采用无菌棉签在培养基上进行Muller Hinton琼脂三个方向培养,评价菌株的药敏规律,采用Kirby-Bauer纸片扩散法进行抗生素谱测定。结果:肺炎克雷伯菌分离株对庆大霉素(32.83%)和四环素(27.78%)的耐药程度最高,对阿米卡星(98.98%)和亚胺培南(98.96%)的敏感程度最高。结论:考虑到抗生素耐药的高发,早期及时发现耐药菌株,选择合适的治疗方案,防止耐药性的蔓延是必要的。
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Examining the Pattern of Susceptibility and Antibiotic Resistance in Klebsiellapneumoniae Strains Isolated from Urine Samples of Children with Urinary TractInfections from the Children's Hospital of Tabriz in 2015
Background and Purpose: Klebsiella pneumonia is the most important causes of urinary tract infections in patients. Resistant strains of K. pneumoniae, especially to several antibiotics of different drug classes, have become very prevalent. In most cases, this resistance is such that causes illness exacerbation. The aim of this study is to evaluate the pattern of susceptibility and resistance of K. pneumoniae to some antibiotics isolated from urinary tract infections. Materials and Method: In this cross-sectional study, we collected 198 strains of K. pneumoniae from patients with urinary tract infections (UTI). Initially, we selected these strains using standard laboratory and microbiology methods as well as culture in specific media. Muller Hinton agar was cultured on the medium by sterile cotton swab in three directions to evaluate the antibiotic susceptibility patterns of the strains, and Kirby-Bauer disk diffusion method was used for antibiogram. Results: The highest degree of resistance of K. pneumoniae isolates were, respectively, to gentamicin (32.83%) and tetracycline (27.78%) antibiotics, and the highest susceptibility was to amikacin (98.98%) and imipenem (98.96%) antibiotics. Conclusion: Considering the high prevalence of resistance to antibiotics, early and timely detection of resistant strains seems necessary to select appropriate treatment options and to prevent the spread of resistance.
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