尼日利亚翁多州两个地缘政治地区与尿路感染相关的多重耐药大肠杆菌和其他细菌种类的发生

Ogunyemi Tm, T. O. Adejumo, F. Olajubu, Titilayo Modupe Waire
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摘要

尿路感染(UTI)是一种常见的细菌感染,已知会影响男性和女性尿路的不同部位。大肠杆菌已被发现导致80%到90%的感染。开展了一项调查,以确定细菌的流行,特别是与尿路感染有关的大肠杆菌,并确定其抗生素敏感性模式。在2016年3月至7月期间,从研究地点的5家主要医院收集了250名年龄在18至60岁之间的患者的清晨中流尿液样本。采用标准微生物学方法对分离菌株进行鉴定,并用10种抗生素进行药敏试验。结果检出大肠杆菌65株(30.7%);铜绿假单胞菌45株(21.2%)、肺炎克雷伯菌42株(19.8%)、金黄色葡萄球菌32株(15.1%)、神奇变形杆菌28株(13.2%)。大肠杆菌对抗菌药物的耐药率依次为氯霉素(64.9%)、斯帕沙星(59.5%)、环丙沙星(73.0%)、septrin(73.0%)、阿莫西林(91.9%)、augmentin(83.8%)、庆大霉素(48.7%)、过氟沙星(40.5%)、氧氟沙星(40.5%)、链霉素(54.1%)。提倡卫生管理系统需要持续进行抗菌药物敏感性监测,以帮助临床医生提供安全有效的治疗。
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Occurrence of Multidrug Resistance Escherichia coli and Other Bacteria Species Associated with Urinary Tract Infection in Two Geopolitical Zones of Ondo State, Nigeria
Urinary tract infection (UTI) is a common bacterial infection known to affect different parts of the urinary tract of both male and female. Escherichia coli have been found to be responsible for causing 80% to 90% of the infection. An investigation was carried out to determine the prevalence of bacteria, especially E. coli implicated in UTI, and to ascertain their antibiotics susceptibility pattern. Early morning mid-stream urine samples were collected from 250 patients aged 18 to 60 years, between March and July of 2016 from 5 major Hospitals in the study location. The isolates were identified using standard microbiological methods and susceptibility tests were carried out using ten antibiotics. Results Showed that 65 (30.7%) of the isolates were E. coli. Pseudomonas aeruginosa 45 (21.2%), Klebsiella pneumoniae 42 (19.8%), Staphylococcus aureus 32 (15.1%) and Proteus mirabilis 28 (13.2%). The percentages of resistance of E. coli isolates to antimicrobial agents were chloramphenicol (64.9%), sparfloxacin (59.5%), ciprofloxacin (73.0%), septrin (73.0%), amoxacillin (91.9%), augmentin (83.8%), gentamycin (48.7%), perfloxacin (40.5%), ofloxacin (40.5%) and streptomycin (54.1%). The need for constant antimicrobial susceptibility surveillance by health managements system that will help clinicians to provide safe and effective therapy is advocated.
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