2009Zhongguo yiyuan ganranxue zazhiRequires access

Pathogens in Urinary Tract Infection Isolated from Elderly Patients:Analysis of Distribution and Drug Resistance

Yu Zhan

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Abstract

OBJECTIVE To study the distribution and drug resistance of pathogens in urinary tract infection from elderly patients.METHODS A total of 406 strains isolated from urine culture of the elderly patients were identified and their drug resistance was tested by K-B method.RESULTS Among 406 strains the Gram-negative bacilli accounted for 67.0%.The majority of Gram-negative bacilli were Escherichia coli(156 strains),Proteus,Klebsiella pneumoniae,Enterobacter cloacae,Pseudomonas aeruginosa,and Acinetobacter baumannii.Grampositive cocci accounted for 29.1% and Candida albicans accounted for 4.0%,respectively.The resistance rate of the main Gram-negative bacilli to imipenem,cefoperazone/sulbactam and amikacin was relatively low.And all Gram-positive cocci were sensitive to vancomycin.CONCLUSIONS The antimicrobial resistance of pathogens in elderly patients with urinary tract infection is serious.So it is important to monitor the antimicrobial resistance.

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OBJECTIVE To study the distribution and drug resistance of pathogens in urinary tract infection from elderly patients.METHODS A total of 406 strains isolated from urine culture of the elderly patients were identified and their drug resistance was tested by K-B method.RESULTS Among 406 strains the Gram-negative bacilli accounted for 67.0%.The majority of Gram-negative bacilli were Escherichia coli(156 strains),Proteus,Klebsiella pneumoniae,Enterobacter cloacae,Pseudomonas aeruginosa,and Acinetobacter baumannii.Grampositive cocci accounted for 29.1% and Candida albicans accounted for 4.0%,respectively.The resistance rate of the main Gram-negative bacilli to imipenem,cefoperazone/sulbactam and amikacin was relatively low.And all Gram-positive cocci were sensitive to vancomycin.CONCLUSIONS The antimicrobial resistance of pathogens in elderly patients with urinary tract infection is serious.So it is important to monitor the antimicrobial resistance.

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Available abstract

OBJECTIVE To study the distribution and drug resistance of pathogens in urinary tract infection from elderly patients.METHODS A total of 406 strains isolated from urine culture of the elderly patients were identified and their drug resistance was tested by K-B method.RESULTS Among 406 strains the Gram-negative bacilli accounted for 67.0%.The majority of Gram-negative bacilli were Escherichia coli(156 strains),Proteus,Klebsiella pneumoniae,Enterobacter cloacae,Pseudomonas aeruginosa,and Acinetobacter baumannii.Grampositive cocci accounted for 29.1% and Candida albicans accounted for 4.0%,respectively.The resistance rate of the main Gram-negative bacilli to imipenem,cefoperazone/sulbactam and amikacin was relatively low.And all Gram-positive cocci were sensitive to vancomycin.CONCLUSIONS The antimicrobial resistance of pathogens in elderly patients with urinary tract infection is serious.So it is important to monitor the antimicrobial resistance.

Key concepts: Microbiology, Sulbactam, Drug resistance, Imipenem, Acinetobacter baumannii, Amikacin, Cefoperazone, Bacilli

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