ĐÁNH GIÁ KẾT QUẢ ĐIỀU TRỊ NHIỄM KHUẨN ĐƯỜNG TIẾT NIỆU DO VI KHUẨN ĐA KHÁNG THUỐC TẠI BỆNH VIỆN NHÂN DÂN GIA ĐỊNH

Abstract

Background: Urinary tract infections (UTIs) are still a matter of concern for the health sector in our country as well as in many countries around the world. The antibiotics of last resort in the treatment of urinary tract infections are carbapenems with increasing resistance, leading to treatment difficulties and increased mortality in patients with UTIs caused by multi-drug resistant bacteria. The study was conducted with the aim of evaluating the treatment results of urinary tract infections caused by multi-drug resistant bacteria. Methods: We retrospectively assessed patients who diagnosed with urinary tract infections resistant to three groups of antibiotics treated at the Urology Department of Gia Dinh People's Hospital in the period from January 2019 to February 2021. Results: There were 189 patients eligible to participate in the study. The study recorded a treatment success rate of 95.8%. After the results of antibiogram, the rate of appropriate empiric antibiotic use was 32.3%. The number of patients with indications for surgical intervention is 125, for patients with large-scale and all-resistant bacteria, there are 12 patients with surgical intervention, most of which are related to catheters. Conclusion: The treatment success rate in the study was 95.8%. We should not be subjective and need to adjust antibiotics empirically to suit the current situation of antibiotic resistance of bacteria.