2015, Number 1
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Rev Cubana Med Gen Integr 2015; 31 (1)
Urinary tract infection and antimicrobial resistance in the community
Marrero EJL, Leyva TM, Castellanos HJE
Language: Spanish
References: 11
Page: 78-84
PDF size: 125.04 Kb.
ABSTRACT
Introduction: urinary tract infections are a common problem in primary health care.
Objective: update the prevalence and susceptibility to available antibiotics in our
environment.
Method: a retrospective study was carried out on the isolation of uropathogenic
bacteria and antibiotic susceptibility of the most common organism in 2912 ambulatory patients with symptoms suggesting urinary tract infection. The sample
was 484 patients with positive urine cultures and susceptibility study performed in
Banes municipality, Holguin, from November 2012 to October 2013. Kirby and Bauer
diffusion method was used.
Results: Escherichia coli were the most common pathogen, affecting females. This
pathogen showed higher resistance to Ampicillin (83.7%), Cefazolin (74.5%), nalidixic
acid (72.1%), Co-trimoxazole (57.3%), about (50.0%) of ciprofloxacin resistance,
kanamycin and Ceftaxidima; and better sensitivity to gentamicin, cefotaxime, and
ceftriaxone.
Conclusions: treatment options for first-line empiric treatment of urinary tract
infections are gentamicin, cefotaxime, and ceftriaxone.
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