Pathogens and antimicrobial resistance in communityassociated and healthcareassociated urinary tract infection
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R691.3

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    Abstract:

    ObjectiveTo analyze the difference in constituent  and antimicrobial resistance of pathogens in communityassociated urinary tract infection(CAUTI)  and  healthcareassociated UTI(HAUTI) .  MethodsClinical data and microbial detection of urine specimens of 960 patients with UTI in a hospital between January 2013  and June 2014 were investigated retrospectively, difference in constituent  and antimicrobial resistance of pathogens were analyzed. Results403 cases were CAUTI, and 557 were HAUTI; pathogens in both CAUTI and  HAUTI were gramnegative bacteria, accounting for 78.16% and 66.97% respectively. Constituent of pathogens in CAUTI and HAUTI were significantly different(χ2 =21.68,P<0.001). Resistant rates of Escherichia coli to piperacillin / tazobactam, cefazolin, cefoperazone / sulbactam, aztreonam, meropenem, ertapenem, gentamicin, and compound sulfamethoxazole were all significantly different between CAUTI and HAUTI (all P<0.05); Except aztreonam, resistant rates of Escherichia coli in HAUTI to the other antimicrobial agents were all higher than CAUTI. Resistant rates of Enterococcus faecium in HAUTI to penicillin, ampicillin,  gentamicin, levofloxacin, ciprofloxacin, and moxifloxacin were all higher than CAUTI(all P<0.05). ConclusionConstituent and antimicrobial resistance of pathogens in CAUTI and HAUTI are different, proper antimicrobial agents should be chosen according to constituent features of pathogens and change in antimicrobial resistance, so as to prevent and reduce the emergence of drugresistant strains, and improve therapeutic effectiveness

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韩广营,单可记,陈松婷,等.社区获得性与医院获得性泌尿道感染病原菌及耐药性[J].中国感染控制杂志英文版,2015,14(9):611-613. DOI:10.3969/j. issn.1671-9638.2015.09.009.
HAN Guangying, SHAN Keji, CHEN Songting, et al. Pathogens and antimicrobial resistance in communityassociated and healthcareassociated urinary tract infection[J]. Chin J Infect Control, 2015,14(9):611-613. DOI:10.3969/j. issn.1671-9638.2015.09.009.

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  • Received:November 28,2014
  • Revised:February 12,2015
  • Adopted:
  • Online: September 30,2015
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