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[尿路感染:对撒丁岛萨萨里省19021名住院患者的观察]

[Urinary tract infections: observations on 19,021 patients hospitalized in Sassari Province].

作者信息

Muresu E, Pechmann A, Manca E, Cappai M, Demontis L M, Valca D

机构信息

Istituto di Igiene e Medicina Preventiva P. Marginesu, Università, Sassari.

出版信息

Quad Sclavo Diagn. 1986 Dec;22(4):369-87.

PMID:3671668
Abstract

We report the results of a study carried out upon samples of urine from 19,021 patients in various departments of medical school in Sassari and in the hospitals of Alghero and Ozieri. The 34.7% of samples examined proved to be positive. Among these we isolated Escherichia coli (32%), Proteus spp. (24%), Staphylococcus (12%), Klebsiella-Enterobacter-Serratia (KES) spp. (9%), Pseudomonas spp. (5%). We found microbic associations in 11% of cases. We also studied the sensitivity of microorganisms to various chemoantibiotics, and the efficacy of therapy on 964 patients. In the various checks made, the results point out a persisting positivity (53%). E. coli strains show a major sensitivity to the various antibiotics (aminoglycosides, quinolones, cephalosporins, etc.); Proteus spp. and KES are less sensitive; Pseudomonas spp. strains are very resistant and respond mainly to norfloxacin and ceftazidime.

摘要

我们报告了一项对来自萨萨里医学院各科室以及阿尔盖罗和奥齐耶里医院的19021名患者的尿液样本进行的研究结果。34.7%的检测样本结果呈阳性。在这些样本中,我们分离出了大肠杆菌(32%)、变形杆菌属(24%)、葡萄球菌(12%)、克雷伯菌-肠杆菌-沙雷菌(KES)属(9%)、假单胞菌属(5%)。我们在11%的病例中发现了微生物组合。我们还研究了微生物对各种化学抗生素的敏感性,以及对964名患者的治疗效果。在进行的各种检查中,结果显示持续阳性率为53%。大肠杆菌菌株对各种抗生素(氨基糖苷类、喹诺酮类、头孢菌素类等)表现出较高的敏感性;变形杆菌属和KES的敏感性较低;假单胞菌属菌株具有很强的耐药性,主要对诺氟沙星和头孢他啶有反应。

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