ANALYSIS AND COMPARISON OF ESCHERICHIA COLI IN URINARY TRACT INFECTION BETWEEN OUTPATIENTS AND INPATIENTS

Objective To understand the characteristics of drug resistance in E.coli-the most common pathogenic bacteria seen in patients with urinary tract infection in our hospital-and provide reference for a rational therapy. Methods From Jan.2008to Dec.2012,602patients with urinary tract infection caused by E.coli were confirmed in our hospital,of whom,368were hospitalized,and 234treated as outpatients.The resistance of E.coli and the detection rate of ESBLs were compared. Results The resistant to vast majority of antibiotics in hospitalized patients was higher than that of outpatients;and the detection of E.coli ESBLs was higher as well.The lower drug resistant rates of E.coli,over the years,to antibiotics were in order of carbapenem,amikacin,penicillinase-fast penicillin and cephalosporin cefoxitin. Conclusion The differences between inpatients and outpatients were significant in terms of drug resistant rate of E.coli and detection rate of ESBLs.The analysis of drug sensitivity of this paper has provided a reference for clinical therapy.