Stručni rad

Antimicrobial Resistance of Etiologic Agents in Adult Patients with Community-Acquired Urinary Tract Infections Hospitalized at the Clinic for Infectious Diseases in Tuzla

Dilista Piljić ; Klinika za infektivne bolesti, Javna zdravstvena ustanova, Univerzitetski klinički centar Tuzla, Tuzla, BiH
Sead Ahmetagić ; Klinika za infektivne bolesti, Javna zdravstvena ustanova, Univerzitetski klinički centar Tuzla, Tuzla, BiH
Dragan Piljić ; Klinika za kardiovaskularne bolesti, Javna zdravstvena ustanova, Univerzitetski klinički centar Tuzla, Tuzla, BiH
Vildana Stojić ; Klinika za infektivne bolesti, Javna zdravstvena ustanova, Univerzitetski klinički centar Tuzla, Tuzla, BiH
Jasminka Petrović ; Klinika za infektivne bolesti, Javna zdravstvena ustanova, Univerzitetski klinički centar Tuzla, Tuzla, BiH

Sažetak

The new investigations show that antimicrobial resistance of etiologic agents in urinary tract infections (UTI) is increasing and that it has a geographical and time variability. For empiric antimicrobial therapy in UTI it is necessary to monitor the antimicrobial resistance in certain region. The purpose of our investigation was to determine antimicrobial resistance of the most common etiologic agents in 200 adult patients with community-aquired UTI hospitalized at the Clinic for Infectious Diseases in Tuzla during 2007–2008. The most common etiologic agents were Escherichia coli (73.5%), Klebsiella spp. (8.5%), Proteus mirabilis (5.5%), Pseudomonas aeruginosa (4%) and Enterococcus faecalis (3%). Escherichia coli showed high percentage of antimicrobial resistance to ampicillin, amoxicillin, amoxicillin/clavulanic acid and trimethoprimsulphametoxazole, but low percentage of antimicrobial resistance to ceftazidim, cefotaxim, ceftriaxon, gentamycin, nitrofurantoin, norfloxacin, pipemidin acid and ciprofloxacin. Klebsiella spp., Pseudomonas aeruginosa and Proteus mirabilis showed high percentage of antimicrobial resistance to all antimicrobial agents except imipenem and meropenem. Enterococcus faecalis showed high percentage of antimicrobial resistance to amoxicillin/clavulanic acid, norfloxacin, erythromycin, gentamycin and trimethoprim/sulphametoxazole and low antimicrobial resistance to vancomycin, ampicillin, amoxicillin, ciprofloxacin, doxycyclin and nitrofurantoin.

Ključne riječi

etiologic agents; urinary tract infections; antimicrobial resistance

Hrčak ID:

43775

URI

https://hrcak.srce.hr/43775

Datum izdavanja:

3.3.2009.

Podaci na drugim jezicima: hrvatski

Posjeta: 2.709 *