ĐẶC ĐIỂM LÂM SÀNG, CẬN LÂM SÀNG VÀ CĂN NGUYÊN VI SINH GÂY NHIỄM TRÙNG TIẾT NIỆU TẠI KHOA NỘI II – BỆNH VIỆN XANH PÔN

Abstract

Background: The aim of this study was to describe clinical, paraclinical, microbiological causes urinary tract infections and antibiotic sensitivity of them. Patients and methods: Retrospective, descriptive study on patients diagnosed with urinary tract infections inpatient treatment at Noi II Department - Saint Paul Hospital. Results: The study was included 120 patients, the male propotion was 34,4% (n=41) and the female was 65,6% (n=79). The average age of patients was 61,7 ± 18,3 from 19 to 93 years old. Common clinical symptoms: fever 67.5%, dysuria 70.0%, urgency 59.2%, suprapubic pain 35.8%, costovertebral angle pain 25%. The rate of positive urine culture was 40.8%, of which bacteria accounted for 97.7% (Gram (+) 13.6%, Gram (-) 86.4%). E.coli accounts for 80% of Gram (-) pathogens, 64.3% has the ability to produce ESBL. E.coli has high sensitivity to Carbapenem, Amikacin, Fosfomicin and Piperacilin/Tazobactam. Resistance to Quinolone from 53.6 to 60.7%, Cotrimoxazol 66.7%, Gentamycin 39.3%, Tobramycin 42.8%. E.coli ESBL (+) is very resistant to Cephalosporin group, especially Cefuroxime, Ceftriaxon and Cefotaxime (100%), while ESBL (-) has very low resistance to Cephalosporin. Conclusions: E.coli leads the cause of urinary tract infections with a high rate of antibiotic resistance, especially in strains capable of producing ESBL.