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Revista Cubana de Medicina General Integral

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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
Full text How to cite this article

Language: Spanish
References: 11
Page: 78-84
PDF size: 125.04 Kb.


Key words:

community UTI, Escherichia coli, antibiotic sensitivity.

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.


REFERENCES

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Rev Cubana Med Gen Integr. 2015;31