非医院医学实验室尿路感染的回顾性横断面调查

H. Sadeghi, N. Gheibi, F. Karimi Dermani, Saeideh Gholamzadeh Khoei
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引用次数: 0

摘要

背景和目的:每年影响数百万人的尿路感染(UTIs)仍然是社区和医院中最常见的感染之一。本研究旨在调查2017年至2019年伊朗西北部卡兹温省患者尿路感染的患病率及其抗生素耐药性。材料和方法:本研究对2017年4月至2019年1月期间转诊至非医院医学实验室(Mehr)的3521名患者的尿液样本进行了研究。立即采集并处理样本进行实验室分析。生化试验进行细菌鉴定,并用Kirby-Bauer纸片扩散法测定分离菌株的抗生素敏感性。结果与结论:3521份尿样中347份有明显菌尿,检出率为9.9%。大肠杆菌的出现频率更高(54.4%),而铜绿假单胞菌的出现频率最低(1.4%)。呋喃妥因和阿米卡星分别是对革兰氏阴性和阳性最有效的抗生素。这项研究表明,尿路感染的细菌耐药性仍然是一个大问题,需要定期监测耐药性。
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A Retrospective Cross-sectional Survey on Urinary Tract Infections in a Non-hospital Medical Laboratory
Background and Aim: Urinary tract infections (UTIs) that influence millions of humans yearly are still among the most common infections in the community and hospitals. This study aimed to investigate the prevalence of UTIs and their antibiotic resistance susceptibility in patients in Qazvin province, northwest Iran, from 2017 to 2019. Materials and Methods: This study was conducted on 3521 urine samples of patients referred to a non-hospital medical laboratory (Mehr) between April 2017 and January 2019. Samples were collected and processed immediately for laboratory analysis. Biochemical tests were conducted the bacteria identification, and the antibiotic susceptibility test of the bacterial isolates was determined using Kirby-Bauer disc diffusion. Results & Conclusion: 347 of the 3521 urine samples had significant bacteriuria, with a prevalence of 9.9 %. Escherichia coli occurred more frequently (54.4 %), while Pseudomonas aeruginosa had the lowest frequency of occurrence (1.4 %) in the samples. Nitrofurantoin and Amikacin were the most effective antibiotics against gram-negative and positive, respectively. This study revealed that bacterial resistance in UTIs continues to be a great problem and needs drug resistance surveillance periodically.
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来源期刊
Iranian Journal of Medical Microbiology
Iranian Journal of Medical Microbiology Medicine-Infectious Diseases
CiteScore
1.60
自引率
0.00%
发文量
70
审稿时长
8 weeks
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