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Bacterial uropathogens and susceptibility testing among patients diagnosed with urinary tract infections at Hiwot Fana Specialized University Hospital, Eastern Ethiopia.埃塞俄比亚东部希沃特·法纳专科医院被诊断为尿路感染的患者中的尿路致病性细菌及药敏试验。
SAGE Open Med. 2021 Mar 16;9:20503121211001162. doi: 10.1177/20503121211001162. eCollection 2021.
2
Uropathogenic in the high vaginal swab samples of fertile and infertile women: virulence factors, O-serogroups, and phenotyping and genotyping characterization of antibiotic resistance.育龄和不孕妇女高阴道拭子样本中的尿路致病性:毒力因子、O血清群以及抗生素耐药性的表型和基因分型特征
New Microbes New Infect. 2020 Nov 24;38:100824. doi: 10.1016/j.nmni.2020.100824. eCollection 2020 Nov.
3
Current Antibiotic Resistance Trends of Uropathogens in Central Europe: Survey from a Tertiary Hospital Urology Department 2011-2019.中欧地区尿路病原体当前的抗生素耐药趋势:来自一家三级医院泌尿外科2011 - 2019年的调查
Antibiotics (Basel). 2020 Sep 22;9(9):630. doi: 10.3390/antibiotics9090630.
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Virulence and Resistance Determinants of Uropathogenic Strains Isolated from Pregnant and Non-Pregnant Women from Two States in Mexico.从墨西哥两个州的孕妇和非孕妇中分离出的尿路致病性菌株的毒力和耐药性决定因素
Infect Drug Resist. 2020 Jan 30;13:295-310. doi: 10.2147/IDR.S226215. eCollection 2020.
5
Prevalence of and Its Antimicrobial Susceptibility Profiles among Patients with UTI at Mulago Hospital, Kampala, Uganda.乌干达坎帕拉穆拉戈医院尿路感染患者中[病原体名称]的流行情况及其药敏谱
Interdiscip Perspect Infect Dis. 2020 Feb 1;2020:8042540. doi: 10.1155/2020/8042540. eCollection 2020.
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Urinary tract infections: microbial pathogenesis, host-pathogen interactions and new treatment strategies.尿路感染:微生物发病机制、宿主-病原体相互作用和新的治疗策略。
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7
Distribution of virulence genes and phylogenetics of uropathogenic Escherichia coli among urinary tract infection patients in Addis Ababa, Ethiopia.埃塞俄比亚亚的斯亚贝巴尿路感染患者中产脲原性大肠埃希菌的毒力基因分布和系统发育分析。
BMC Infect Dis. 2020 Feb 7;20(1):108. doi: 10.1186/s12879-020-4844-z.
8
Antibiotic Resistance Among Uropathogenic .尿路致病性. 的抗生素耐药性
Pol J Microbiol. 2019 Dec;68(4):403-415. doi: 10.33073/pjm-2019-048. Epub 2019 Dec 5.
9
Urinary tract infection in pediatrics: an overview.小儿尿路感染概述
J Pediatr (Rio J). 2020 Mar-Apr;96 Suppl 1(Suppl 1):65-79. doi: 10.1016/j.jped.2019.10.006. Epub 2019 Nov 26.
10
Virulence factors of uropathogenic Escherichia coli (UPEC) and correlation with antimicrobial resistance.尿路致病性大肠杆菌(UPEC)的毒力因子与抗菌药物耐药性的相关性。
BMC Microbiol. 2019 Sep 2;19(1):204. doi: 10.1186/s12866-019-1587-3.

小儿尿路感染的尿路致病性毒力特征和抗菌药物耐药性。

Uropathogenic virulence characteristics and antimicrobial resistance amongst pediatric urinary tract infections.

机构信息

Department of Pharmacology, College of Medicine, University of Kerbala, Kerbala, Iraq.

Department of Pediatrics, College of Medicine, Aliraqia University, Baghdad, Iraq.

出版信息

J Med Life. 2022 May;15(5):650-654. doi: 10.25122/jml-2021-0148.

DOI:10.25122/jml-2021-0148
PMID:35815089
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9262263/
Abstract

Uropathogenic (UPEC) harbors virulence factors responsible for bacterial adhesion and invasion. In addition, the bacterium is accountable for the occurrence of pediatric urinary tract infections globally and is becoming problematic due to the emergence of antimicrobial resistance. The current research investigated UPEC prevalence, virulence characteristics, and antimicrobial resistance in pediatric urinary tract infection (UTI). 200 urine specimens were taken from hospitalized pediatric patients who suffered from UTIs. was recovered from urine specimens using the microbial culture. Disc diffusion method was used to assess antimicrobial resistance and polymerase chain reaction (PCR) to assess the virulence factors distribution amongst the UPEC bacteria. Seventy-five out of 250 (30.00%) urine samples were positive for the UPEC bacteria. The UPEC prevalence amongst pediatric patients was 25.83% and 33.84%, respectively. UPEC bacteria harbored the maximum resistance toward gentamicin (45.33%), ampicillin (44.00%), and ciprofloxacin (40.00%). Cytotoxic necrotizing factor 1 ( (53.33%) and pyelonephritis-associated pil ( (42.66%) were the most frequently identified virulence factors amongst the UPEC bacteria. The high prevalence of UPEC isolates harboring antimicrobial resistance and virulence factors suggest that diseases caused by them need more expansive healthcare monitoring with essential demand for novel antimicrobials.

摘要

尿路致病性大肠杆菌(UPEC)携带的毒力因子与细菌黏附和侵袭有关。此外,这种细菌是导致全球儿童尿路感染的罪魁祸首,并且由于抗菌药物耐药性的出现,问题变得更加严重。本研究调查了儿童尿路感染(UTI)中 UPEC 的流行率、毒力特征和抗菌药物耐药性。从患有 UTI 的住院儿科患者中采集了 200 份尿液标本。使用微生物培养从尿液标本中分离出 UPEC。采用纸片扩散法评估抗菌药物耐药性,聚合酶链反应(PCR)评估 UPEC 细菌毒力因子分布。250 份尿液样本中有 75 份(30.00%)为 UPEC 阳性。儿科患者中 UPEC 的流行率分别为 25.83%和 33.84%。UPEC 细菌对庆大霉素(45.33%)、氨苄西林(44.00%)和环丙沙星(40.00%)的耐药性最高。细胞毒性坏死因子 1((53.33%)和肾盂肾炎相关菌毛((42.66%)是 UPEC 细菌中最常鉴定到的毒力因子。携带抗菌药物耐药性和毒力因子的 UPEC 分离株的高流行率表明,由它们引起的疾病需要更广泛的医疗保健监测,并迫切需要新型抗菌药物。