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塔马利教学医院育龄女性尿液中革兰氏阴性菌的患病率及抗菌药物敏感性

Prevalence and antimicrobial susceptibility of gram-negative bacteria in the urine of females in their reproductive ages in the Tamale Teaching Hospital.

作者信息

Ibrahim Rashida, Duwiejuah Abudu Ballu, Osei Kennedy Mensah

机构信息

Department of Biotechnology and Molecular Biology, Faculty of Biosciences, University for Development Studies, Tamale, Ghana.

Laboratory Department, Tamale Teaching Hospital, Tamale, Ghana.

出版信息

J Health Popul Nutr. 2025 Aug 4;44(1):276. doi: 10.1186/s41043-025-00853-y.

Abstract

Regardless of where the illness occurs in the urinary tract, a urinary tract infection (UTI) is defined as the presence of substantial bacteria in urine. The objective was to determine the prevalence of UTIs among females in their reproductive age group (15-45 years) in Tamale Teaching Hospital. A total of 132 samples were collected for urine culture and sensitivity from January to April 2022. The urine samples were analysed using biochemical methods. The isolated bacterial pathogens were identified using standard bacteriological methods. In the 132 urine samples analysed, a higher frequency of bacteria was observed in the age group 21-25 years, followed by the age group 26-30 years, and then 15-20 years. Klebsiella spp had a prevalence rate of 30.95% followed by E. coli (23.81%), Klebsiella oxytoca (14.29%), Acinetobacter baumannii (7.14%), Citrobacter freudii (2.38%), Pseudomonas aeruginosa (2.38%) and the other gram-positive organisms put together had 19.05%. Klebsiella spp was the most dominant bacteria pathogen causing UTIs among females. The isolated bacterial pathogens were most sensitive to Meropenem (MRP) and Levofloxacin (LVX). Acinetobacter baumannii was the only isolated bacteria pathogen resistant to MRP. Based on the study's outcomes, LVX and MRP are suggested as first-line treatments for UTIs whilst doctors wait for culture and sensitivity test results from the lab.

摘要

无论疾病发生在尿路的哪个部位,尿路感染(UTI)都被定义为尿液中存在大量细菌。目的是确定塔马利教学医院15至45岁育龄女性中尿路感染的患病率。2022年1月至4月共采集了132份尿液样本进行培养和药敏试验。采用生化方法对尿液样本进行分析。使用标准细菌学方法鉴定分离出的细菌病原体。在分析的132份尿液样本中,21至25岁年龄组的细菌检出频率较高,其次是26至30岁年龄组,然后是15至20岁年龄组。克雷伯菌属的患病率为30.95%,其次是大肠杆菌(23.81%)、产酸克雷伯菌(14.29%)、鲍曼不动杆菌(7.14%)、弗氏柠檬酸杆菌(2.38%)、铜绿假单胞菌(2.38%),其他革兰氏阳性菌合计占19.05%。克雷伯菌属是导致女性尿路感染的最主要细菌病原体。分离出的细菌病原体对美罗培南(MRP)和左氧氟沙星(LVX)最敏感。鲍曼不动杆菌是唯一对美罗培南耐药的分离细菌病原体。根据研究结果,在医生等待实验室培养和药敏试验结果期间,建议将左氧氟沙星和美罗培南作为尿路感染的一线治疗药物。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2417/12320360/1881aee9baa2/41043_2025_853_Fig1_HTML.jpg

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