|
Medicina
Croatian Medical Association - Rijeka branch
ISSN: 0025-7729
Vol. 43, No. 1, 2007, pp. 65-71
|
Bioline Code: me07009
Full paper language: Croatian
Document type: Research Article
Document available free of charge
|
|
Medicina, Vol. 43, No. 1, 2007, pp. 65-71
en |
The Resistance Of Outpatient’s Urinary Tract Isolates From Family Enterobacteriaceae On Antibacterial Agents - Situation In Primorsko-Goranska County
Rukavina, Tomislav & Tićac, Brigita
Abstract
Urinary tract infections are very frequent and often caused by bacterial agents. Therefore, they are one of the most common reasons for antbacterial agents prescribing. In everyday’s practise the introduction of empiric antibiotic therapy is almost inevitable. The empiric therapy should be based on data regarding susceptibility/resistance of the most common causal bacterial agents against antibacterial drugs on certain area. During 2004, Recommendations for antimicrobial therapy and prophylaxis of urinary tract infections in Croatia were published. Present paper presents the results of antimicrobial susceptibility testing of the most important bacterial agents of urinary tract infections belonging to the family Enterobacteriaceae performed in Teaching Public Health Institute of Primorsko-Goranska County. The main goal of this paper was to determine the resistance rates against selected antimicrobials during the three year period (2004 - 2006) and comparison of these results with previously mentioned Recommendations after their publishing and results from the rest of Croatia. The total number of 15.076 isolates were analysed. The ratio of resistant isolates was lowest against ceftibuten (3%), followed by co-amoxiclav (5%), cephuroxim, gentamycin (6%), ciprofloxacin and norfloxacin (7% and 8% respectively). Cephasoline and nitrofurantoin were not active against 13% of analysed strains while the highest ratios of resistant strains were recorded against co-trimoxasole (26%) and amoxicillin (44%).
Keywords
Enterobacteriaceae; urinary tract infections; empiric therapy; antibacterial agents
|
|
hr |
Otpornost Izvanbolničkih Mokraćnih Izolata Iz Porodice Enterobacteriaceae Na Antibakterijske Lijekove - Stanje U Primorsko-Goranskoj Županiji
Rukavina, Tomislav & Tićac, Brigita
Infekcije mokraćnoga sustava ubrajaju se među najčešće
bakterijske infekcije, i jedan su od najučestalijih razloga
primjene antibakterijskih lijekova. Iako bi bilo optimalno
zasnivati liječenje na nalazima laboratorijskoga testiranja
osjetljivosti, to u praksi često puta nije moguće.
Stoga se liječenje najčešće započinje empirijski, na osnovi
poznavanja osjetljivosti, odnosno otpornosti
najvažnijih uzročnika infekcija prema antibakterijskim
lijekovima na određenu području. Godine 2004. u
Republici Hrvatskoj dogovorene su smjernice antimikrobnoga
liječenja i profilakse infekcija mokraćnoga sustava.
U ovome su radu prikazani rezultati ispitivanja
osjetljivosti najvažnijih uzročnika mokraćnih infekcija -
bakterija iz porodice Enterobacteriaceae - provedenih u
Nastavnome zavodu za javno zdravstvo Primorsko-
-goranske županije. Cilj je rada bio analiza stanja otpornosti
najučestalijih izolata iz te porodice u trogodišnjem
razdoblju (2004. - 2006.), usporedba dobivenih rezultata
s preporukama danim u sklopu Smjernica antimikrobnoga
liječenja nakon njihova objavljivanja, te
usporedba s podacima iz drugih dijelova Hrvatske.
Analizom je obuhvaćeno ukupno 15.076 izolata. Prema dobivenim rezultatima, udio otpornih izolata bakterija
najniži je prema ceftibutenu (3%), potom slijede koamoksiklav
(5%), cefuroksim i gentamicin (6%), te
ciprofloksacin i norfloksacin (7% i 8%). Dok su na
osnovi naših rezultata cefazolin i nitrofurantoin bili
nedjelotvorni prema 13% obuhvaćenih sojeva, stupanj
otpornosti bio je najviši prema ko-trimoksazolu (26%) i
amoksicilinu (44%).
Enterobacteriaceae; mokraćne infekcije; empirijska terapija; antibakterijski lijekovi
|
|
© © 2007 - Croatian Medical Association - Rijeka branch Alternative site location: http://hrcak.srce.hr/medicina
|
|