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Časopis Clinical urology – Článok Changes of uropathogen’s spectrum and antimicrobial sensitivity at entrance examination of patients admitted to the hospital

Clinical urology

Postgraduate scientific medical journal. Magazine Slovak Association of Urology.
Period 3x per year
1336-7579
The journal is indexed in the Slovak National Bibliography, Bibliographiia Medica Slovaca (BMS) and listed to citation database CiBaMed. All articles are reviewed. The publisher does not bear any responsibility for data and opinions of particular authors of the articles or advertisements. The articles on grey pages are company promotions or non reviewed information, an author is responsible for the content. Any reproduction of the content is allowed only with direct consent of the editorial office.
Predplatné
Clinical urology
Clinical urology
Postgraduate scientific medical journal. Magazine Slovak Association of Urology.
Period 3x per year
Predplatné
Téma: 

Changes of uropathogen’s spectrum and antimicrobial sensitivity at entrance examination of patients admitted to the hospital

Jaroslav Beck, Ladislav Valanský

Objective: The aim of the study was to find out the possible changes of antibiotic susceptibility, in patients with community urinary tract infections in the time of admission to the urologic clinic. We have compared actual results with data, collected 12 years earlier. Evaluation of the antibiotic resistance and the actual local spectrum of uropathogens are necessary for the appropriate and sufficient empirical treatment of urinary tract infection, in patients admitted to the urology department. Material and methods: We have retrospectively analyzed 374 positive first urine cultures in 350 patients with significant bacteriuria, admitted to the department of urology in two periods. The first one was during the years 1996, 1997 and the second one in the year 2009. The antimicrobial susceptibility was determined according to the Clinical and Laboratory Standards Institute protocol and it was statistically evaluated by using of Chi quadrat test. Results: The most frequent uropatogen in the year 2009 was Escherichia Coli, with prevalence of 71,2 %, and it was followed by Klebsiella (8,2 %), Enteroccocus (7,3 %), Pseudomonas (3,7 %) and the others (9,6 %). Analysis of Escherichia coli antimicrobial susceptibility showed, that nitrofurantoin had very low rates of resistance in first as well as in the second period (5,9 % and 5,1 %, respectively). We have noticed triple as high resistance to ciprofloxacin in the year 2009 than in the years 1996 and 1997 (p < 0,001). Resistance to co-trimoxazole decreased, but remains still high, in the level of 25,8 %. Cefuroxim together with cefotaxime show high antimicrobial activity with resistance of 10,1 % and 5,1 % in 2009, respectively. Meropenem, piperacilin, gentamicine and colistine are very effective in parenteral form of antimicrobial therapy. Conclusions: Massive use (misuse) of some types of antibiotics, like fluorochinolons in the past years, can lead to their high levels of microbial resistance. We have noticed threefold resistance increase of Escherichia coli to ciprofloxacine. It is necessary to continuously monitor actual levels of local uropathogens resistance, to achieve effective therapy and prophylaxis of uroinfetions. Nitrofurantoin and cefuroxim seem to be one of the possibilities of appropriate antimicrobial therapy nowadays.

uropathogens, antimicrobial susceptibility, ciprofloxacin
Klin. urol. 2011; 7 (1): 11-14

Ročník 2011  Témy časopisu Clinical urology 1 / 2011

Stanislav Žiaran, Frederico Manuel Goncalves, Peter Bujdák, Tomáš Málek, Ján Breza

Jaroslav Beck, Ladislav Valanský

Ján Breza ml., Zuzana Žilinská, Martin Chrastina, Branislav Trebatický, Peter Bujdák, Zuzana Kizeková, Ján Breza st.

Magdaléna Hagovská1, Oliver Dzvoník2

Martina Takáčová1,2, Mária Bartošová1, Miriam Zaťovičová1, Lucia Škvarková1, Jaromír Pastorek1, Silvia Pastoreková1, Ján Breza3
Ivan Kron1, Patrik Jalč1, Ladislav Valanský2, Vincent Nagy2, Ľubomír Lachváč2, Ivan Andrašina3
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Period 3x per year
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The journal is indexed in the Slovak National Bibliography, Bibliographiia Medica Slovaca (BMS) and listed to citation database CiBaMed. All articles are reviewed. The publisher does not bear any responsibility for data and opinions of particular authors of the articles or advertisements. The articles on grey pages are company promotions or non reviewed information, an author is responsible for the content. Any reproduction of the content is allowed only with direct consent of the editorial office.
Predplatné
Clinical urology
Clinical urology
Postgraduate scientific medical journal. Magazine Slovak Association of Urology.
Period 3x per year
Predplatné