| Hou Jun,Ma Yushan,Zhang Jing,Kang Yuexi,Li Yang,Zhang Renfei,Analysis of the distribution and drug resistance of pathogenic bacteria causing urinary tract infections of psychiatric patients in a hospital in Sichuan Province[J].SICHUAN MENTAL HEALTH,2019,32(5):427-430 |
| Analysis of the distribution and drug resistance of pathogenic bacteria causing urinary tract infections of psychiatric patients in a hospital in Sichuan Province |
DOI：10.11886/j.issn.1007-3256.2019.05.009 |
| English keywords:Psychiatric department Urinary tract infection Pathogenic bacteria Antibiotic resistance |
| Fund projects:绵阳市第三人民医院2019年一般孵化科研项目（201908） |
| Author Name | Affiliation | Postcode | | Hou Jun | The Third Hospital of Mianyang·Sichuan Mental Health Center, Mianyang 621000, China | 621000 | | Ma Yushan | The Third Hospital of Mianyang·Sichuan Mental Health Center, Mianyang 621000, China | 621000 | | Zhang Jing | The Third Hospital of Mianyang·Sichuan Mental Health Center, Mianyang 621000, China | 621000 | | Kang Yuexi | The Third Hospital of Mianyang·Sichuan Mental Health Center, Mianyang 621000, China | 621000 | | Li Yang | The Third Hospital of Mianyang·Sichuan Mental Health Center, Mianyang 621000, China | 621000 | | Zhang Renfei | The Third Hospital of Mianyang·Sichuan Mental Health Center, Mianyang 621000, China | 621000 |
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| Objective To analyze the distribution of pathogens and bacterial resistance in psychiatric patients with urinary tract infection, and to provide references for clinical anti-infection treatment.Methods A total of 171 cases of psychiatric inpatients with urinary tract infections in Sichuan Mental Health between 2016 and 2018 were enrolled. Bacterial isolation and culture were carried out on the urine specimens, and the bacteria were identified by MALDI-TOF-MS and Vitek 2 Compact automatic microbial analysis system. The broth microdilution method was used for antimicrobial susceptibility test in vitro, and the results of the test were analyzed with WHONET 5.6.Results Among the psychiatric inpatients with urinary tract infections, 106 (61.99%) were female and 65 (38.01%) were male. A total of 171 strains of pathogenic bacterium were isolated, and the most common pathogens were Escherichia coli [96 strains (56.14%)], followed with Klebsiella pneumoniae [16 strains (9.36%)] and Morganella [9 strains (5.26%)]. The sensitivity of Escherichia coli to ampicillin, piperacillin, gentamicin, ciprofloxacin, levofloxacin and compound xinnoxamine were all lower than 50%, while the sensitivity to piperacillin/tazobactam, cefoxitin, imipenem, fosfomycin and nitrofurantoin were higher than 90%. One case of Escherichia coli was detected, while was not sensitive to imipenem, moreover, no meropenem- or amikacin-resistant strains were found.Conclusion Urinary tract infections in psychiatric inpatients are more common in female, and the common pathogens include Escherichia coli, Klebsiella pneumoniae and Morganella, among which Escherichia coli has more serious drug resistance. |
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