Enterococcal urinary tract infections: eight years experience at a regional hospital in Trinidad, We

来源 :中华医学杂志(英文版) | 被引量 : 0次 | 上传用户:wzmuyelan
下载到本地 , 更方便阅读
声明 : 本文档内容版权归属内容提供方 , 如果您对本文有版权争议 , 可与客服联系进行内容授权或下架
论文部分内容阅读
Objective To investigate the prevalence of significant enterococcal isolates from urine and determine what factors are associated with the increased prevalence, with particular reference to antibiotic susceptibilities. rnMethods Retrospective analysis over an 8-year period of hospital laboratory records of urinary isolates of enterococci was done. Species were identified via colony morphology, growth in 6.5% sodium chloride and their ability to hydrolyze esculin in the presence of 40% bile salts. Susceptibility testing via the disc diffusion technique with 9 commonly used antibiotics was also done as defined by the National Committee for Clinical Laboratory Standards.rnResults From 39?881 urine specimens, 9116 (22.9%) were culture positive. Of this 9116, 1001 (11.0%) were enterococci, the 4th most common urinary isolate. E. coli was the most common (36.2%). Most enterococci were from pediatric patients (28.4%) and the urology unit (24.5%). All enterococci were fully sensitive to ampicillin and augmentin (amoxicillin-clavulanic acid). Sensitivity to gentamicin decreased significantly from 79% in 1990 to 58% in 1997 (P<0.005). Sensitivity to the cephalosporins and nitrofuratoin were relatively stable, but sensitivity to nalidixic acid varied. No resistance to vancomycin was detected during the study, and no cases of bacteremia complicated bacteriuria were seen.rnConclusion Isolation of enterococci was relatively stable during the 8-year period, and all isolates were fully sensitive to the older β-lactams, ampicillin, cefaclor and augmentin, but displayed varying degrees of multi-resistance to other commonly used urinary agents such as nalidixic acid and co-trimoxazole (trimethoprim-sulfamethoxazole). Because of the emergence of multi-resistant enterococci in many countries, and the high cost of drugs in our society, it is imperative that vigilance be maintained in monitoring enterococcal infections in hospitals.
其他文献
逍客的原型车Qashqai于2007年在EuroNCAP碰撞测试中以有史以来最高分数获得5星级评价,可谓轰动一时.那么逍客在C-NCAP测试中会有怎样的表现呢?会否创造一个C-NCAP的最高成绩?
可调谐多波长布里渊掺铒光纤激光器将光纤中的SBS非线性放大同掺铒光纤的线性放大相结合得到室温稳定的多波长输出,具有波长间隔一致、线宽窄、功率谱相对平坦等优点。设计了
目的 探讨妇科疾病腹腔镜手术期的护理.方法 对鹤壁煤业集团总医院近2年来206例妇科腹腔镜手术进行回顾性分析.结果 全组手术无一例死亡,镜下完成手术202例(98%),中转开腹4例
期刊
该文从挂篮荷载计算、施工流程、支座及临时固结施工、挂篮安装及试验、合拢段施工、模板制作安装、钢筋安装、混凝土的浇筑及养生、测量监控等方面人手,介绍了S226海滨大桥
木质素是由苯丙烷单元通过C-C键和醚键连接而成的天然高分子材料,结构中含有大量的芳香基以及甲氧基、酚羟基、醇羟基、羰基、醛基等基团,是自然界唯一能提供可再生芳香化合
槲皮素广泛分布于植物、食物和饮料中,具有多种生理活性,如:抗氧化、抗癌、预防和治疗心脑血管疾病等。流行病学和营养学家认为:槲皮素是一种最有希望应用于疾病预防和治疗的
随着高科技领域的发展,耐高温环氧胶黏剂的应用越来越广泛,同时也对其耐热性能提出了更高的要求。综述了耐高温环氧胶黏剂的应用和发展现状,对耐高温环氧胶黏剂的性能和改性