RUDN Journal of Medicine (Dec 2012)
Clinical and microbiological characteristic permanent urinary tract infections among people of giving age in the conditions of north
Abstract
For the purpose of increasing of the efficiency of antibioticotherapy of urinary tract infections (UTI) among people of giving age in the conditions of High North were analyzed results of permanent checkup and treatment of 1109 patients. Chronic pyelonephritis combined with concomitant urolithiasis prevail among these people in the structure of permanent UTI. Acute and uncomplicated chronic pyelonephritis, acute and chronic cystitis among female prevail more than 2 times. Main agents of permanent UTI among men are S. epidermidis , S. saprophyticus , S. aureus ; main agents with women in uncomplicated UTI are E. coli , S. epidermidis , S. saprophyticus and S. aureus ; main agents of complicated UTI are E. coli , S. saprophyticus , S. epidermidis . Main uropathogens in vitro are more sensitive to gentamicin, ofloxacin, they are less sensitive to cefotaxime, ceftriaxone and ciprofloxacin. The largest share of resistant strains was indentified in vitro to traditionally used antibiotics for treatment of UTI among E. coli , the smallest share was indentified with S. aureus .