کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
3475180 1233184 2015 10 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Surveillance of acute community acquired urinary tract bacterial infections
ترجمه فارسی عنوان
نظارت بر جامعه حاد عفونت های باکتریایی دستگاه ادراری را به دست آورد
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی پزشکی و دندانپزشکی (عمومی)
چکیده انگلیسی

ObjectiveTo record the antibiotic resistance of community acquired uropathogens over a period of 24 months (May 2011–April 2012).MethodsUrine samples from patients of outpatient department (OPD) were used for isolating urinary tract infection (UTI)-causing bacteria that were cultured on suitable selective media and identified by biochemical tests. Their antibiograms were ascertained by Kirby–Bauer's disc diffusion method, using 17 antibiotics of 5 different classes.ResultsFrom 2 137 urine samples 1 332 strains of pathogenic bacteria belonging to 11 species were isolated. Two Gram-positives, Staphylococcus aureus and Enterococcus faecalis and nine Gram-negatives, Acinetobacter baumannii, Citrobacter sp., Escherichia coli, Enterobacter aerogenes, Klebsiella oxytoca, Klebsiella pneumoniae, Proteus mirabilis, Proteus vulgaris and Pseudomonas aeruginosa were isolated. Both Staphylococcus aureus and Enterococcus faecalis were vancomycin resistant, and resistant-strains of all pathogens increased in each 6-month period of study. Particularly, all Gram-negatives were resistant to nitrofurantoin and co-trimoxazole, the most preferred antibiotics of empiric therapy for UTI, but were moderately resistant to gentamicin, ampicillin, amoxyclav, ofloxacin and gatifloxacin. Most Gram-negatives produced extended spectrum β-lactamase.ConclusionsIt was concluded that periodic surveillance of pathogens is an essential corollary in effective health management in any country, as empiric therapy is a common/essential practice in effective clinical management.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Journal of Acute Disease - Volume 4, Issue 3, August 2015, Pages 186–195
نویسندگان
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