High antimicrobial resistance and isolated pathogens in outpatient elderly population with urinary tract symptom
Yükleniyor...
Tarih
2012
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Drunpp-Sarajevo
Erişim Hakkı
info:eu-repo/semantics/closedAccess
Özet
Background: In this study, antibiotic sensitivities and uropathogens isolated from elderly outpatients to have least one urinary tract symptom were evaluated. Methods: The yielded bacteria of 344 urine samples were evaluated. Isolated pathogens were identified with classical methods and authomatized systems. Antibiotic susceptibilities were done by disc diffusion method. If need, authomatize system was used. Results: The ages of the patients were from 60 to 92, and mean age was 73.02. The male/female ratio was 147/197. The most common isolated 3 pathogens were Escherichia coli (80.52 %), Coagulase negative staphylococcus, and Enterococcus spp. In this study, the sensitivities to the antibiotics of E. coli were 59.92 %, 70.30 %, 64.98, 63.78, 86.44 % and 90.48 % for amoxicillin-clavulanate, cefuroxime-axetil, trimethoprim-sulphamethoxazole, ciprofloxa-cine, ceftizoxime and nitrofrontein, respectively. The sensitivities of amoxicillin-clavulanate, cefuroxime-axetil, trimethoprim-sulphamethoxazole, ciprofloxa-cine, ceftizoxime and nitrofrontein for male and female were 55.17-66.12,54.08-78.12, 50.00-73.29, 55.04-69.70, 76.00-91.56 and 80.00-91.71, respectively. The susceptibility rates of amikacin, gentamycin and ceftriaxone were 90.16 %, 78.94 % and 81.99 % as 89.21, 70.64 and 66.67 in male patients and 90.30, 70.64 and 88.52 in female patients. Conclusion: In the elderly outpatients, E. coli was the most common pathogen in the urine. The resistant rates in our region are higher from reported in literature. Nitrofrontein and amikacine can be started empirically for both gender. However, cefuroxime, ceftriaxone, ceftizoxime, cephazoline, and gentamycine for the female patients can be used empirically. We think that the male elderly patients should be treated with hospitalized.
Açıklama
Anahtar Kelimeler
Antibiotics, Geriatrics, Infection, Urinary Tract
Kaynak
Healthmed
WoS Q Değeri
N/A
Scopus Q Değeri
N/A
Cilt
6
Sayı
7
