成人疑似尿路感染患者在一家三级护理中心内科就诊时的阳性细菌培养。
Positive Bacterial Culture among Adults with Suspected Urinary Tract Infections Presenting to the Department of Medicine of a Tertiary Care Centre.
机构信息
Department of Medicine, Manipal College of Medical Sciences, Pokhara, Kaski, Nepal.
出版信息
JNMA J Nepal Med Assoc. 2024 Feb 24;62(270):89-91. doi: 10.31729/jnma.8438.
INTRODUCTION
Urinary tract infections are the most common infections encountered in clinical practice. Treatment needs to take into account the likely organism, comorbidities and local antibiotic sensitivity pattern. This study aimed to find the prevalence of positive bacterial culture among adults with suspected urinary tract infections presenting to the department of medicine of a tertiary care centre.
METHODS
A descriptive cross-sectional study was conducted among adults with suspected urinary tract infections. Data was collected between 1 July 2022 to 31 December 2022 after obtaining ethical approval from the Institutional Review Committee. Individuals with symptomatic urinary tract infections were included in the study. The antibiotic susceptibility tests of the isolates were done. A convenience sampling method was used. The point estimate was calculated at a 95% Confidence Interval.
RESULTS
Among 355 patients, positive cultures were obtained in 148 (41.69%) (36.56-46.82, 95% Confidence Interval). Escherichia coli 120 (81.08%) was the predominant organism cultured among the positive bacterial culture cases.
CONCLUSIONS
The prevalence of positive bacterial culture was found to be higher than other studies done in similar settings.
KEYWORDS
aminoglycosides; Escherichia coli; prevalence; urinary tract infections.
简介
尿路感染是临床实践中最常见的感染。治疗需要考虑可能的病原体、合并症和当地抗生素敏感性模式。本研究旨在调查在一家三级保健中心内科就诊的疑似尿路感染成人中阳性细菌培养的流行率。
方法
对疑似尿路感染的成年人进行描述性横断面研究。在获得机构审查委员会的伦理批准后，于 2022 年 7 月 1 日至 2022 年 12 月 31 日期间收集数据。将有症状的尿路感染患者纳入研究。对分离物进行抗生素敏感性试验。采用便利抽样法。点估计值在 95%置信区间计算。
结果
在 355 名患者中，148 名（41.69%）（36.56-46.82，95%置信区间）获得了阳性培养。在阳性细菌培养病例中，大肠埃希菌 120 株（81.08%）是主要培养的病原体。
结论
与在类似环境中进行的其他研究相比，阳性细菌培养的流行率较高。
关键词
氨基糖苷类；大肠埃希菌；流行率；尿路感染。
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