Introduction:
Urinary tract infection (UTI) is one of the most common bacterial human infections encountered in medical practice in developing countries. More than ۱۰۵ colonies of an organism per milliliter of urine samples shows the symptom of UTI. The major UTIs caused by strains of Escherichia coli, Klebsiella pneumoniae, Pseudomonas aeruginosa and Proteus. Antibiotics play an important role in treating infections. Area-specific studies aimed to gain knowledge about the type of pathogens responsible for UTIs and their resistance patterns may help the physician to choose the correct empirical treatment.Therefore, the aim of this study was to determine the distribution and antibiotic resistance patterns of bacterial strains isolated from hospitalized patients of ****from ۲۰۱۱ to ۲۰۱۶
Methods and materials:
This cross sectional study was conducted over a ۵-year period. All data available on all urine samples of hospitalized patients that was submitted to the ****laboratory for urine culture
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Of the total positive samples, ۶۸.۶% were female and ۳۱.۴% were male. The most common pathogens isolated were Escherichia coli (۵۷.۶%), Citrobacter (۱۴.۳%) and Enterobacter (۱۱.۷%). In Antibiotic susceptibility on all obtained data, most sensitivity was related to Amikacin (۴۸.۲%) and most resistance to Ampicillin (۳۲.۸%). in the case study E. coli and Enterobacter showed the highest percentage of resistance to ampicillin (۸۸%) and Nalixic Acid (۶۱%) and Citrobacter to Ampicillin (۷۱.۴%) . however, most isolates of E.Coli were susceptible to Nitrofurantoin (۷۶.۳%), Ceftizoxime (۶۵.۷%), Amicacin (۶۷.۲%) and Enterobacter to Gentamicin (۷۲.۴%), Imipenem (۷۱%), Ciprofloxacin (۶۷.۴%) and Citrobacter to Ciprofloxacin (۷۱.۵%) and Imipenem (۶۶.۷%). Most UTIs samples was observed among CCU hospitalized patients (۴۹.۶%) and then respectively surgery unit (۲۳.۷%), emergency unit (۱۳.۸%), Heart unit (۷.۵%) and ICU
The treatment for having a urinary tract infection is to first treat the infection with antibiotics. Then the physician will order a bacterial sensitivity test. This test will help the physician to determine the most effective type of antibiotic treatment will be effective to fight the infection. Symptoms usually
Many women who developed urinary tract infections after sexual intercourse reported using condoms, spermicide, and diaphragm and these barriers had no effect on the development of the UTI. Studies show that certain contraceptives can irritate delicate tissues and make them more susceptible to infection, by creating an environment where the bacteria can thrive (Sex and the UTI Connection,
people of both sexes and of all ages, it can potentially pose as a serious threat to both the
In this bacterial colonization occurs in lower urinary tract without symptoms. Lower colony counts (_102–103 CFUs/mL) shows the active infections and leads to pyleonephritis in pregnant women.In non-pregnant women the ratio of ASB is 2% to 14%. The pre-disposing factors of ASB are low socioeconomic status, increasing age, sexual behaviour , a history of childhood UTI’s.
A study from the National Center for Health Statistics of infections treated most frequently in American emergency rooms showed Urinary Tract Infections (UTI) account for 8.1 million visits to health-care providers every year. Women are at greater risk because their urethra is a lot shorter than that of a man. This significant length difference allows a greater risk for bacteria to infect the urethra. The risk for a female to contract at least one UTI in her life time is estimated at approximately forty to fifty percent.
A symptomatic bacterial infection that develops in the urinary system is known as a urinary tract infection (UTI). UTI can develop in the upper urinary tract, known as acute pyelonephritis, which is an infection of the kidney and the lower urinary tract, also known as cystitis which is an infection of the bladder. A patient is consider to have asymptomatic bacteriuria if their urine cultures showing >100 000 cfu/mL urine without the symptoms of UTI. UTI that occurs in pregnant women, men, diabetics, the immunosuppressed, patients with history of pyelonephritis and those with urinary tract structural abnormalities is classified as complicated UTI.
Two urine samples were tested in lab, one from a patient known to have a urinary tract infection and the other was of the researcher’s urine. These samples were plated on a MacConkey’s agar plate (which only allows for the growth of Gram negative bacteria) and on TSA plates (which allow the growth of both Gram positive and Gram negative bacterium). Colony counts for each plate were recorded and the number of colony forming units per millilitre (CFU/mL) was calculated by multiplying the number of colonies by the dilution factor. A value greater than or equal to 105 CFU/mL is indicative of a urinary tract infection (d’Entremont and Maynard, 2014). The bacterial colonies isolated during the experiment were also exposed to the Cytochrome Oxidase test. This test reveals whether or not the bacteria produce the enzyme Cytochrome Oxidase, this enzyme is important in the electron transport chains of aerobic bacteria. The isolated bacterial colonies were run on an API
A review of his medical record indicates that he suffers chronic urinary tract infection with retention. He has a suprapubic catheter in place. On 1/8/17 he was ordered UA, C&S due to hematuria. He has new onset depression and was started on Cymbalta by his PCP in December. He suffers from chronic pain due to his arthritis and osteoporosis. He also suffers from co-morbidities of HTN-chronic and stable, anemia-chronic, Rheumatoid arthritis which is chronic and CHF-chronic.
Pyelonephritis is the inflammation of the kidney that is mostly caused by a bacterial infection, which leads to scarring of the kidney. It is a form of a urinary tract infection (UTI) one instance may lead to substantial renal damage, kidney failure, abscess formation, sepsis, septic shock, and the failure of multiple organs. The infection typically begins in the urethra or bladder and travels up into the kidneys, where it could potentially harm the organs and even the life of the infected individual. Although bacteria usually reach the kidney by rising from the lower urinary tract, it may also reach the kidney through the bloodstream.
Urinary tract infections (UTIs) are the second most common type of infection in the body, sending more than eight million people to their health care providers every year in the US alone.
The reporting party (RP) disclosed former resident Rebecca Nicolich DOB: 11/9/54 lived at the facility from 7/1/16 to 8/11/16. During the resident's stay she developed a Urinary Tract Infection (UTI). According to the RP the resident was consistently wet. There were occasions when the resident didn't receive her medications. According to the RP she would prepare the resident's medications weekly and place them in a plastic pill organizer to be dispensed by the facility. Upon retrieving the pill organizer to prepare the following week medications; medications were observed in the pill dispenser. The RP revealed the resident suffered from a frontal lobe injury and required observation every 15 minutes. Subsequently the resident was to be supervised
The authors in Pediatrics in April of 2014, Glissmeyer et al, concluded that “a urine dipstick may be an adequate stand-alone screen for UTI febrile children while awaiting a urine culture.” Another objective was to determine if following an algorithm for febrile urinary tract infections would impact the direction of providers care. Another objective was to see if modifying an algorithm would aide early detection (Schroeder, A., 2011). Ultimately, according to IOM and IHI reports, working together, collaborating and early identification of areas for improvement for clients care will decrease cost. (Hamric, A.
Medical professionals are often faced with the task of determining what type of microorganisms are causing infection in their patients. In order to isolate different types of bacteria in a patient sample, different tests must be performed. Bacteria can be differentiated based on characteristics such as whether or not they ferment lactose, are motile, or produce urease. It is important to know which tests to run so the minimum amount can be used to identify the causative agent. This helps reduce expenses and yields quicker results so treatment can be administered if necessary.
Antibiotics have been an important instrument in public health since 1928, saving the lives of people around the world. According to the Centers for Disease Control and Prevention (2015), about half of antibiotics used in human and animals are unnecessarily and inappropriately prescribed, leading to the emergence of drug resistance in bacteria (CDC, 2015). The CDC estimates that drug-resistant bacteria cause two million illnesses and approximately 23,000 deaths each year in the United States alone (2015).
Approximately 75% of hospital-acquired UTIs are caused by a catheter which is drainage tube that is inserted into the urinary bladder through the urethra and connected to a closed collection system. Indwelling catheters are medical intervention to relieve urinary retention and urinary incontinence. Due to the frequent and unnecessary use of catheters during hospitalization, significant numbers of patients are placed at risk for complications associated with the use of catheters (Jacobsen et al, 2008). A catheter-associated