Urinary Tract Infections in Patients Admitted to the Nephrology Department

Abstract

Urinary infections (UI) remain among the most frequent problems faced by the clinician and occupy a prominent place in nephrological pathology due to their frequency and severity. The aim of this work is to study the aspect of UI in the nephrology service. Materials and methods: This is a prospective study over a periodof 5 months (July 2016 -December 2016). Results: 115 patients had benefited from cytobacterioligical urine exam. The prevalence of UI was 31%. The mean age of patients was 38 years with a female predominance. Renal failure was found in 33% of patients followedby nephrotic syndrome (25%) and kidney transplant (11%). Chronic renal insufficiency was foundin25% of patients and 23% receivedan Endoxanbolus. The mostincri minatedspecies were Enterobacteriae (81%) with the predominance of E. coli (44%) followed by Klebsiella pneumoniae (31%) Enterobacter cloacae (3%) resistance to C3G by production of Betalactamases with extended spectrum was found in 24% of Enterobacteriaceae. Resistance to amoxicillin-clavulanic acidwas 72%, fluoroquinolones (34%) and gentamicin (14%). Thefirst-lineantibioticwas Ciprofloxacinin (62%) and a third generation cephalosporin in 28% of cases. Conclusion: Area soned use of antibiotic sisnecessaryin order to prevent the extension of bacterial resistance.

Assessment of drugs pressure on Escherichia coli and Klebsiella spp. uropathogens in patients attending Abobo-Avocatier Hospital, North of Abidjan (Cte dIvoire)

“…It allowed to reveal metabolic, hepatic and renal disorders, such as urogenital infections by the significant presence of leukocytes and nitrite (Hay et al, 2016). Microscopic examination of the fresh urine was performed to confirm the results of the urine dipstick test by counting leukocytes, erythrocytes, urothelial cells and crystals (Ikhlas et al, 2018). The urine culture was systematically performed if at least a criterion of the dipstick test was positive or significant leucocyturia was observed (10 leucocytes / field) (Ekwealor et al, 2016).…”