Nosocomial uropathogens and their antibiotic susceptibilities in a Turkish Military Hospital: A prospective and microbiological study


Saracli M., BAYSALLAR M., Gun H.

Turkish Journal of Medical Sciences, cilt.29, sa.2, ss.165-168, 1999 (Scopus, TRDizin)

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 29 Sayı: 2
  • Basım Tarihi: 1999
  • Dergi Adı: Turkish Journal of Medical Sciences
  • Derginin Tarandığı İndeksler: Scopus, TR DİZİN (ULAKBİM)
  • Sayfa Sayıları: ss.165-168
  • Anahtar Kelimeler: Antibiotic susceptibility, Microorganisms, Nosocomial urinary tract infection
  • Sağlık Bilimleri Üniversitesi Adresli: Evet

Özet

In this prospective study, we found that 21.80% (29/133) of nosocomial urinary tract infections (NUTIs) were caused by Escherichia coli, 12.78% (17/133) by Pseudomonas aeruginosa and 10.53% (14/133) by Klebsiella pneumoniae whereas 16.54% (22/133) were caused by coagulase negative staphylococci. The highest susceptibility rate was determined with imipenem among gram negatives (21/28 for non-fermentatives and 65/66 for others): and with vancomycin (30/30) and pristinamycin (29/30) among gram positives. On the other hand, the lowest susceptibilities were to amoxicilin (7/66), amoxicilin clavulonat (18/66) and cotrimoxazole (27/66) among gram negatives other than non-fermentatives. All of the non-fermentative gram negative isolates were resistant to gentamicin (30/30). Most of the P. aeruginosa strains (15/17) were isolated from samples of catheterized patients. Because of their poor susceptibility rates, cotrimoxazole, penicilins and gentamicin shouldn't be administered empirically, especially to catheterized patients with NUTIs.