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Outline
Frequency and antimicrobial resistance pattern of pathogens implicated in urinary tract infection at a hospital in Tehran
Authors
Najmeh Lashgari1,*, Ali Noroozi-Aghideh2, Katayoon Goharimoghaddam3, Leila Goudarzi4, Samira Bahmani5
1Department of Microbiology, School of Medicine, AJA University of Medical Sciences, Tehran, Iran., Andorra
2Department of Hematology, School of Paramedicine, AJA University of Medical Sciences, Tehran, Iran, Andorra
3Department of Pathology, School of Medicine, AJA University of Medical Sciences, Tehran, Iran, Andorra
4Department of Microbiology,, Alzahra University, Tehran, Iran, Andorra
5Department of Nursing, Bandar Abbas Branch, Islamic Azad University , Bandar Abbas, Iran, Andorra
*Corresponding Author: Corresponding author: Najmeh Lashgari, Department of Microbiology, School of Medicine, AJA University of Medical Sciences, Tehran, Iran., Andorra Email: lashgari.najmeh@yahoo.com
Published online:Mar 18, 2015
Article type:Research Article
Received:Jan 14, 2015
Accepted:Feb 05, 2015
How to Cite:Lashgari N, Noroozi-Aghideh A, Goharimoghaddam K, Goudarzi L, Bahmani S. Frequency and antimicrobial resistance pattern of pathogens implicated in urinary tract infection at a hospital in Tehran. Ann Mil Health Sci Res. 2015;13(2):e62597. doi:
Abstract
Materials and Methods: This study was conducted on the patients with urinary tract infectionat a hospital in Tehran from March 2010 to March 2013.Mid-stream urine samples were collected in sterile disposable containers. Then, specimens weretransferred to 5%blood agar and Eosine- Methylene Blue (EMB).Identification of uropathogens was done on the basis of gram reaction, morphologyand biochemical features. Antimicrobial susceptibility test was performed according to Clinical and Laboratory Standards Institute (CLSI) guidelines.
Results: A total of 8200 urine samples (545 inpatients and 850 outpatients) were collected and 1395 uropathogens wererecovered from them. Most of the pathogens were more prevalent in women. Gram-negative bacteria (81.8%) were the main cause of urinary tract infection. Escherichia coli (60.5%) was the predominant pathogen associated with urinary tract infection, while pseudomonas aeruginosa(0.3%)had the least occurrence.Escherichia coli isolatesshowed high resistance to Ceftriaxone, Amoxicillin and Ciprofloxacin and high sensitivity to Nitrofurantoin, Amikacin and Gentamicin.
Conclusion: Antimicrobial resistance is becoming a big challenge for the public health with significant morbidity and health costs. Therefore it seems that a periodic monitoring of etiologic agents of urinary tract infection and their susceptibility pattern in the community is necessary.
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Copyright
© 2015, Annals of Military and Health Sciences Research. This open-access article is available under the Creative Commons Attribution-NonCommercial 4.0 (CC BY-NC 4.0) International License (https://creativecommons.org/licenses/by-nc/4.0/), which allows for the copying and redistribution of the material only for noncommercial purposes, provided that the original work is properly cited.
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