Lee Seung-Ju, Lee Sang Don, Cho In Rae, Sim Bong Suck, Lee Jeong Gu, Kim Chul Sung, Kim Min Eui, Cho Yong-Hyun, Woo Young Nam
Department of Urology, St. Mary's Hospital, Catholic University, 62 Yeouido-dong, Yeongdeungpo-gu, Seoul 150-713, South Korea.
Int J Antimicrob Agents. 2004 Sep;24 Suppl 1:S61-4. doi: 10.1016/j.ijantimicag.2004.02.012.
The objective of this study was to obtain data on the susceptibility of pathogens responsible for acute uncomplicated cystitis in South Korea to currently used antimicrobial agents. A total of 239 isolates were obtained from female outpatients with acute uncomplicated cystitis. The most prevalent causative organism was Escherichia coli (79.9%), followed by coagulase-negative staphylococci (CNS) (4.2%) and Enterobacteriaceae (8.2%). The mean rates of susceptibility to commonly prescribed drugs are ampicillin 35.5%, cefazolin 89.1%, ciprofloxacin 85.7%, and trimethoprim/sulphamethoxazole (TMP/SMX) 62.1%. Regionally, resistance to TMP/SMX among E. coli now exceeds 30% in all regions. The high prevalence of resistance among uropathogens requires on going surveillance to ensure the provision of effective empirical therapy for acute uncomplicated cystitis.
本研究的目的是获取有关韩国急性单纯性膀胱炎病原体对当前使用的抗菌药物敏感性的数据。共从患有急性单纯性膀胱炎的女性门诊患者中分离出239株菌株。最常见的病原体是大肠埃希菌(79.9%),其次是凝固酶阴性葡萄球菌(CNS)(4.2%)和肠杆菌科(8.2%)。对常用药物的平均敏感率分别为氨苄西林35.5%、头孢唑林89.1%、环丙沙星85.7%和甲氧苄啶/磺胺甲恶唑(TMP/SMX)62.1%。在各地区,大肠埃希菌对TMP/SMX的耐药率目前在所有地区均超过30%。尿路病原体的高耐药率需要持续监测,以确保为急性单纯性膀胱炎提供有效的经验性治疗。