Abstract：Objective To discuss the distribution and drug resistance of pathogens causing urinary tract infections in primary hospitals. Methods Totally 451 patients with urinary tract infection were selected from January 2015 to December 2017 in our Hospital. All patients were given pathogenic bacteria urine culture, the distribution and drug resistance of pathogens in urine culture positive patients were statistically analyzed.Results 68 cases of urine culture were positive in 451 patients with urinary tract infection. Among them, 49 cases were with gram negative bacilli (72.06%), 4 with gram-positive cocci (5.88%), and 15 with fungi (22.06%). The most common factors were diabetes, urinary calculi or hydronephrosis, indwelling urethral catheterization and benign prostatic hyperplasia. Gram negative bacilli were mainly Escherichia coli (71.43%). Gram positive cocci were mainly Enterococcus faecium (75%), and fungi were mainly Candida albicans (33.33%). Escherichia coli in Gram-negative bacilli was resistant mainly to ampicillin and other drugs. The Enterococcus faecium in gram positive cocci was resistant mainly to penicillin G and ampicillin. Candida tropicalis was resistant to a variety of antimicrobial agents in fungi. However, none of the other fungi showed serious resistance to various antibiotics. Conclusion There are many kinds of pathogens causing urinary tract infections in primary hospitals. Among them, Escherichia coli is the main drug and its drug resistance is different. Rational drugs should be used to treat different pathogens, and emphasis should be put on the intervention of diabetes, urinary tract stones or hydrops, indwelling catheterization,and hyperplasia of prostate and so on.
陈景丹. 某基层医院泌尿道感染致病菌分布及耐药性分析[J]. 中国医院统计, 2018, 25(5): 395-398.
Chen Jingdan. Distribution and drug resistance of pathogens causing urinary tract infections in a primary hospital. journal1, 2018, 25(5): 395-398.
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