在 COVID 19 大流行前、大流行中和大流行后,罗安达/安哥拉国家健康研究所通过尿培养诊断泌尿感染时发现的病原体的敏感性概况

Wind Duarte Augusto, Joana Paula Mendes da Paixão, Miguel Viveiros, Santos de Morais Nicolau
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摘要

尿路感染(UTI)是一种影响泌尿系统任何部位(包括肾脏、输尿管、膀胱和尿道)的传染病。抗菌药耐药性(AMR)是当前的一个公共卫生问题。目的:了解 2016-2022 年(大流行前、大流行中和大流行后)罗安达/安哥拉微生物学参考实验室从尿液样本中分离的微生物的抗生素敏感性概况。 研究方法:根据疑似尿路感染诊断患者的尿培养结果,利用二手数据调查开展了一项描述性、定量、文献研究。共有 2800 人(50.99%)接受了研究(n=5491),并确认患有尿毒症。从 2016 年到 2019 年,有 2060 例被确诊;2020 年,调查了 51 例,有 24 例(0.86%)被确诊。2022 年,即 COVID-19 大流行后的时期,共有 246 名患者(8.78%)确诊为尿路感染。总体而言,在所有时期,最敏感的药物是阿米卡星、磷霉素、诺氟沙星、纳利西酸、妥布霉素、阿卡霉素和头孢他啶。女性和大肠杆菌菌株的发病率最高,其次是普通变形杆菌和奇异变形杆菌,20-29 岁和 30-39 岁年龄组的发病率最高。
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Sensitivity profile of pathogens identified in the diagnosis of urinary infection by uroculture carried out at the National Institute for Health Research, Luanda/Angola, during the pre - pandemic, intra - pandemic and post - pandemic of COVID 19
Urinary tract infection (UTI) is an infectious disease that affects any part of the urinary system, including the kidneys, ureters, bladder, and urethra. Antimicrobial resistance (AMR) is currently a public health problem. To understand the antibiotic susceptibility profile of microorganisms isolated in urine samples at the reference microbiology laboratory in Luanda/Angola from 2016-2022 (pre-pandemic, pandemic, and post-pandemic).  Methodology: A descriptive, quantitative, documentary study was carried out using a survey of secondary data, based on the results of urocultures from patients with a suspected diagnosis of UTI. A total of 2,800 (50.99%) were studied (n=5,491) and confirmed as having a UTI. From 2016 to 2019, 2,060 were confirmed; in 2020, 51 cases were investigated and 24 (0.86%) were confirmed. In 2022, corresponding to the period after the COVID-19 pandemic, a total of 246 patients (8.78%) had a confirmed urinary tract infection. In general, in all periods, the most sensitive drugs were amikacin, fosfomycin, norfloxacin, nalidixic acid, tobramycin, akanamycin and cefotaxime. Females and the E. coli strain followed by proteus vulgaris and mirabilis and the 20-29 and 30-39 age groups were the most prevalent.
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