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在白沙瓦的三级护理医院评估尿路感染的抗生素敏感性模式和相关危险因素。

The evaluation of antibiotic susceptibility pattern and associated risk factors of UTI in tertiary care hospital of Peshawar.

机构信息

Department of Microbiology, University of Swabi, Swabi, KP, Pakistan.

Department of Microbiology, Hazara University Mansehra, KP, Pakistan.

出版信息

Pak J Pharm Sci. 2022 May;35(3(Special)):897-903.

Abstract

UTIs are majorly caused by species of bacteria in patients of almost all ages. The study was aimed to determine the prevalence rate of uropathogens, its antibiotic susceptibility pattern and associated risk factors. Urine samples were collected from n=470 participants using sterilized containers and were inoculated on culture media. The isolates were identified via gram-staining and biochemical characterization. A total of 43.20% samples were positive. Female contributed the highest prevalence rate, 78.82% as compared to male, 21.18%. The highest prevalence 40.90% was observed in the age-group 31-45, followed by 16-30 with 36.90%. Escherichia coli (47.80%) was the most prevalent, followed by Klebsiella pneumoniae (18.2%), Enterococcus faecalis (12.80%), Pseudomonas aeruginosa (10.30%) and Proteus mirabilis (7.40%). Staphylococcus aureus showed high sensitivity (100%) to amikacin, meropenem, imipenem, fosfomycin, vancomycin, clindamycin and linezolid while in case of E. faecalis, vancomycin and linezolid were highly potent. Amikacin and meropenem showed the highest (100%) potency followed by imipenem While Fosfomycin was highly potent to E. coli, K. pneumoniae, P. mirabilis and P. aeruginosa with potency rate 89.97%, 92.31%, 100% and 100% respectively. In the current study, the positivity rate was highly observed in female. E. coli and K. pneumoniae were found the most ubiquitous for UTI.

摘要

尿路感染主要由几乎所有年龄段患者的细菌引起。本研究旨在确定尿病原体的流行率、其抗生素敏感性模式和相关危险因素。使用无菌容器从 n=470 名参与者中采集尿液样本,并将其接种于培养基上。通过革兰氏染色和生化特征鉴定分离株。总共有 43.20%的样本呈阳性。女性的患病率最高,为 78.82%,而男性为 21.18%。31-45 岁年龄组的患病率最高,为 40.90%,其次是 16-30 岁年龄组,为 36.90%。大肠杆菌(47.80%)最为普遍,其次是肺炎克雷伯菌(18.2%)、粪肠球菌(12.80%)、铜绿假单胞菌(10.30%)和奇异变形杆菌(7.40%)。金黄色葡萄球菌对阿米卡星、美罗培南、亚胺培南、磷霉素、万古霉素、克林霉素和利奈唑胺具有高敏感性(100%),而粪肠球菌对万古霉素和利奈唑胺的敏感性较高。阿米卡星和美罗培南显示出最高的(100%)效力,其次是亚胺培南,而磷霉素对大肠杆菌、肺炎克雷伯菌、奇异变形杆菌和铜绿假单胞菌具有高度效力,效力率分别为 89.97%、92.31%、100%和 100%。在本研究中,女性的阳性率较高。大肠杆菌和肺炎克雷伯菌被发现是最常见的尿路感染病原体。

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