Urinary tract infection: study of bacterial sensitivity and resistance in hospitalized patients
DOI:
https://doi.org/10.11606/issn.1679-9836.v101i1e-171057Keywords:
Urinary tract infection, Microbial resistance, Antibiotic, AntibiogramAbstract
Urinary tract infection (UTI) is a bacterial disease that mainly affects females, with a higher prevalence in children and the elderly. Antibiotics have the ability to inhibit growth and destroy bacteria that cause UTI. The use of antibiotics without conducting antibiograms increased the number of resistant isolates. The focus of this study was to investigate the incidence and antibiotic resistance of bacteria that cause UTIs in Colatina hospitals. Uroculture reports of patients hospitalized between 2015 and 2019 were investigated. Statistical evaluation was performed using Origin 8.0 at p <0.05. The results showed a higher incidence of UTI in children and the elderly, with a greater number of female patients (56%). Klebsiella pneumoniae (31%), Escherichia coli (29%), Enterococcus sp. (20%), Pseudomonas aeruginosa (7%), Proteus (7%), and Staphylococcus sp. (6%) were the most prevalent. Klebsiella pneumoniae was resistant to 41% of the antibiotics administered. The other bacteria showed 38% resistance to Staphylococcus sp., 30% to Pseudomonas aeruginosa, 29% to Proteus, 21% to Escherichia coli, and 19% to Enterococcus sp. Amikacin, gentamicin, imipenem, and vancomycin were the most effective antibiotics for the treatment of UTIs. Patients admitted to Colatina hospitals with UTI showed a bacterial resistance of approximately 40% for most antibiotics administered. Therefore, it is necessary to use antibiograms to avoid increasing bacterial resistance in hospital environments in Colatina, ES.
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