ĐẶC ĐIỂM LÂM SÀNG, CẬN LÂM SÀNG VÀ CĂN NGUYÊN VI SINH Ở NGƯỜI BỆNH NHIỄM KHUẨN TIẾT NIỆU TẠI TRUNG TÂM THẬN TIẾT NIỆU VÀ LỌC MÁU BỆNH VIỆN BẠCH MAI NĂM 2024-2025

Abstract

Objective: Describe the clinical, subclinical characteristics, some favorable factors, microbiological etiology and antibiotic sensitivity of the causative agent of urinary tract infections in inpatients treated at the Center for Nephrology - Urology and Dialysis, Bach Mai Hospital in 2024-2025. The study included 155 patients diagnosed with urinary tract infections who were treated at the Center of Nephro – Urology and Dialysis, Bach Mai Hospital from August 2024 to May 2025. Research method: a cross-sectional descriptive study. Results: Average age 60,4 ± 17,27. Female/male ratio = 1.3/1. Pyelonephritis 68.4%, cystitis 26.5%, prostatitis 3.9%, urethritis 1.3%. Fever ≥ 38.5 degrees Celsius accounted for 36.1%, back pain (54.8%), painful urination (34.2%). Urinary stones, urinary tract interventions, diabetes are the most common risk factors. Gram-negative bacteria 75.5%, of which E. coli accounts for 58.5%, Gram (+) bacteria Enterococcus spp 9.4%, Pseudomonas auginosa 7.5% and fungi 7.5%. E. coli is also highly sensitive to carbapenem antibiotics, fosfomycin, piperacillin/tazobactam, amikacine, highly resistant to amoxicillin/clavulanic acid, quinolones, third-generation cephalosporins. Enterococcus spp is also sensitive to many antibiotics vancomycin, linezolide, daptomycin. K. pneumoniae, Pseudomonas auginosa has a high resistance rate to all antibiotics