TÌNH TRẠNG NHIỄM KHUẨN TIẾT NIỆU VÀ KHÁNG KHÁNG SINH TẠI BỆNH VIỆN ĐA KHOA TỈNH KIÊN GIANG NĂM 2021

Abstract

Background: Urinary tract infection is one of the infectious diseases caused by bacteria, accounting for a significantly high incidence of hospital-acquired infections. Monitoring for early detection and prevention of UTIs is very important for clinicians for effective diagnosis and treatment. Objectives: To survey bacteria causing urinary tract infections, to determine the level of antibiotic resistance of each isolated bacterial strain. Methods: A cross-sectional descriptive study of inpatients with a clinical diagnosis of urinary tract infection, assigned to a positive urine culture (>100,000 bacteria/mL) and performed antibiotic chart. Results: E. coli had the highest rate of 54.5%, followed by K. pneumoniae 15.6%, Pseudomonas spp 9.9%, Enterococcus faecalis 6.0%. Regarding the rate of antibiotic resistance, E. coli has a high rate of resistance to Cefazolin (100%), Ampicillin (97.9%), and Ciprofloxacin (91.7%). K. pneumoniae was quite resistant to Ampicillin, Cefazolin (100%), Ciprofloxacin (96.4%), Ampicillin/sulbactam (92.7%), Ceftazidime (90.9%). Pseudomonas spp has a high rate of resistance to Nitrofurantoin (91.2%), Ceftazidime, Ciprofloxacin (88.6%), Meropenem (85.7%). Enterococcus faecalis was resistant to Tetracycline (81.0%), Levofloxacin (71.4%), and resistance to Vancomycin, Nitrofurantoin, and Linezolid has not been detected. Staphylococcus spp has antibiotic resistance rate with Ampicillin, Penicillin G (100%), Gentamicin (90%), Oxacillin (80%), Ciprofloxacin (70%), resistance to Nitrofurantoin, Vancomycin has not been detected. Conclusion: E. coli is the most common cause of urinary tract infections. Antibiotic resistance of bacteria is increasing in hospitals.