几内亚科纳克里CHU Ignace Deen国立医院患者尿路致病菌的流行病学和抗生素敏感性

Taliby Dos Camara, A. Makanéra, Mounaida Rachid, Mory Camara
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引用次数: 0

摘要

导读:尿路感染是由于微生物在尿路各器官中定植而引起的。目的:了解尿路感染分离菌的抗生素敏感性,为尿路感染患者的护理提供依据。方法:这是一项前瞻性,横断面描述性研究,从2022年2月2日到5月2日进行了三个月。结果:细菌鉴定结果显示,大肠杆菌(E. coli)占52%,其次是肺炎克雷伯菌(K. pneumoniae)占13%,肠球菌(enteroccoccus spp)占9%,阴沟复合肠杆菌(E. cloacae)和金黄色葡萄球菌(S. aureus)各占8%。其他细菌的表现很弱。抗生素谱显示某些抗生素对大多数菌株有活性,包括亚胺培南(75%)、头孢西丁(65%)、厄他培南(64%)、阿米卡星(61%)。所有年龄组均有尿路感染,51岁及以上年龄组占多数(54%),25 - 50岁年龄组在我们的研究中最具代表性,分别占54%和28%。《婚姻状况》显示,已婚人群易受尿路感染,患病率为78%。从社会职业特征的分布来看,家庭主妇的比例最高(30%)。大多数感染患者来自拉托马公社(35%)。结论:尿路感染是一个重大的公共卫生问题,其健康管理必须包括抗生素摄影和可能的血液学参数监测。
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Epidemiology and Sensitivity to Antibiotics of Uropathogenic Bacteria in Patients at the CHU Ignace Deen National Hospital in Conakry, Guinea
Introduction: Urinary tract infections are caused by the colonisation of the various organs of the urinary tract by microorganisms. Objective: The aim of this study was to determine the antibiotic sensitivity of bacteria isolated from urinary tract infections and improve the health care of patients with urinary tract infections. Methods: This is a prospective, cross-sectional descriptive study that took place over three months, from 2 February to 2 May 2022. Results: Bacterial identifications showed a predominance of Escherichia coli (E. coli) with 52%, followed by Klebsiella pneumoniae (K. pneumoniae) with 13%, Enteroccus spp., with 9%, Enterobacter cloacae complex (E. cloacae) and Staphylococcus aureus (S. aureus) with 8% each. and the other germs are weakly represented. The antibiogram showed that certain antibiotics were active on the majority of strains, including imipenem (75%), cefoxitin (65%) and ertapenem (64%), amikacin (61%). All age groups were affected by urinary tract infections with a predominance in the age group of 51 years and over (54%), and 25 to 50 years are the most represented in our study with respectively 54% and 28%. The Marital Status shows that Married people were mostly exposed to urinary tract infections with a prevalence of 78%. The distribution according to socio-professional characteristics showed that Housewives were the most represented (30%). The majority of infected patients came from the Commune of Ratoma (35%). Conclusion: Urinary tract infections are a major public health problem whose health management necessarily involves an antibiogram and possibly the monitoring of hematological parameters.
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