Knezević Jasna, Jarza-Davila Neda, Anusić Maja, Mlinarić-Dzepina Ana, Vranes Jasmina
Sluzba za mikrobiologiju, Zavod za javno zdravstvo "Dr. Andrija Stampar", Mirogojska 16, 10 000 Zagreb, Hrvatska.
Med Glas (Zenica). 2010 Feb;7(1):83-6.
During the two years period the prevalence of uropathogens responsible for catheter-associated urinary tract infection (CAUTI) in outpatients was investigated including their differences in antimicrobial susceptibility according to the age and gender. Indwelling urinary catheter (IUC) constitutes 0.3% of all processed urine samples. Significant bacteriuria was found in 92.5% of IUC, and polimicrobial ethiology in 63.2%. The most CAUTI (79.3%) was found in elderly male patients (> 65 years). The most frequently isolated uropathogens were Esherichia coli and other Enterobacteriaceae, Pseudomonas aeruginosa, and enterococci. The very high resistance of all Enterobacteriaceae to beta-lactams, fluoroquinolones, and co-trimoxazole was observed with significantly much higher fluoroquinolone (p < 0.01) and co-trimoxazole (p < 0.05) resistance in elderly male patients as compared with younger ones.
在两年期间,对门诊患者中引起导管相关尿路感染(CAUTI)的尿路病原体患病率进行了调查,包括其根据年龄和性别的抗菌药物敏感性差异。留置导尿管(IUC)占所有处理过的尿液样本的0.3%。在92.5%的IUC中发现显著菌尿,63.2%为多种微生物病因。大多数CAUTI(79.3%)见于老年男性患者(>65岁)。最常分离出的尿路病原体是大肠埃希菌和其他肠杆菌科细菌、铜绿假单胞菌和肠球菌。观察到所有肠杆菌科细菌对β-内酰胺类、氟喹诺酮类和复方新诺明具有很高的耐药性,与年轻患者相比,老年男性患者对氟喹诺酮类(p<0.01)和复方新诺明(p<0.05)的耐药性显著更高。