ĐẶC ĐIỂM BỆNH NHÂN NHIỄM KHUẨN TIẾT NIỆU PHỨC TẠP TẠI BỆNH VIỆN BẠCH MAI

Abstract

Aim: Description of clinical, laboratory and bacteriological characteristics of patients with complicated urinary tract infections (UTIs). Subjects and methods: Cross – sectional description of 155 patients diagnosed with complicated UTI at Bach Mai Hospital from August 2020 to June 2022. Result: The mean age of patients was 50 ±17,9 with 38,7% of patients from 20 to 45 years old, female 62,5%. 72,3% of patients with dysuria, 48,4% with flank pain and 43% of patients presented with fever. Most common risk facctors is kidney and urinary tract stones 38,1% and urological interventions about 80%. Urine culture:78% were postive for Gram – negative bacteria of which E.coli  accounted for51,6%. E.coli is highly sensitive to fosfomycin (92,3%), meropemem (>95%), amikacin( 93,5%)%) and  piperacillin + tazobactam (88%); resistant to>50% of fluoroquinolone antibiotics and cephalosporin generations. Gram - postive bacteria isolated two strains were Enteroccocus  spp (14%) và Staphylococcus spp (12%).  Conclusion: Complicated UTIs are commom in patients who from 20 to 45 years old. Most common risk facctors is kidney stone, urinary tract stones and urological interventions. Commom clinical symtoms are urinary disturbances, flank pain and fever. The common bacterial cause of complicated UTIs is E.coli. Many bacteria have high rates of resistance to antibiotics being used to treat UTIs in the hospital.