某三级保健中心尿液样本中临床重要分离株的流行率和抗生素敏感性模式研究

Aakash Kapoor Pal
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摘要

尿路感染是一种常见的细菌感染。革兰氏阴性杆菌经常被分离出来作为尿路感染的致病菌,通常使用抗生素治疗。然而,抗生素的过度使用已经导致一些泌尿系统病原体产生耐药性。目的:在某三级医疗中心的尿液样本中发现具有临床意义的分离株的流行率和抗菌药物敏感性模式。新鲜中游尿液标本在无菌容器中无菌采集。样品分别接种于5%羊血琼脂和麦康基琼脂上。采用生化试验/Vitek 2 compact对分离菌株进行种级鉴定。共检查了5847个标本,发现有明显的细菌尿,其中1160个标本在尿液培养中发现细菌生长。最常见的分离病原菌分别为(57.67%)和(18.63%)。抗生素氨基糖苷类(84%)、碳青霉烯类(79%)和呋喃妥因类(63%)对这些病原体表现出很高的敏感性。由于细菌病原体的药物敏感性随时间的变化,定期监测和监测是必要的,为医生提供最新的信息,以最有效地治疗尿路感染。
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Study of the prevalence and antibiotics susceptibility patterns in clinically significant isolates among urine sample in a tertiary care centre
Urinary tract infections (UTIs) are prevalent bacterial infections. Gram-negative bacilli are frequently isolated as the causative pathogens in UTIs, and antibiotics are commonly used to treat them. However, the overuse of antibiotics has led to the development of resistance in some uropathogens. : To find the prevalence and antimicrobial susceptibility patterns in clinically significant isolates among urine sample in a tertiary care centre. : Fresh mid-stream urine samples were collected aseptically in sterile containers. The samples were inoculated on 5% sheep blood agar and MacConkey agar. The isolates were identified to the species level using biochemical tests/Vitek 2 compact. : A total of 5847 specimens were examined for significant bacteriuria, out of which 1160 showed bacterial growth in urine cultures. The most commonly isolated pathogens were (57.67%) and (18.63%). The antibiotics aminoglycosides (84%), carbapenems (79%), and nitrofurantoin (63%) displayed a high rate of sensitivity against these pathogens. : Due to the variability of drug sensitivity among bacterial pathogens over time, regular surveillance and monitoring are essential to provide physicians with updated information for the most effective empirical treatment of UTIs.
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