|Antibiotic Resistant Pattern and Risk Factors Associated with Urinary Tract Infections with Pseudomonas aeruginosa among Women in North West of Iran|
|Samaneh Rouhi1,2, Rashid Ramazanzadeh2,3|
|1Student Research Committee, Kurdistan University of Medical Sciences, Sanandaj, Iran
2Cellular and Molecular Research Center, Research Institute for Health Development, Kurdistan University of Medical Sciences, Sanandaj, Iran, 3 Department of Microbiology, Kurdistan University of Medical Sciences, Sanandaj, Iran
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Keywords : Antibiotic Resistant Pattern, Risk Factors, Urinary Tract Infections, Pseudomonas aeruginosa, Women
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Objectives: Urinary tract infections (UTIs) are related to female anatomy, sexual activity and menopause. Aim of present study is survey of antibiotic resistant pattern and some risk factors that are associated with UTIs with (Pseudomonas aeruginosa) P. aeruginosa.
Materials and Methods: In this case-control study, 26 women patients with P. aeruginosa UTIs in case and 21 patients women without UTIs in control group (December 2015 to August 2017) were considered in North West of Iran. P. aeruginosa was detected in urine samples using phonotypic test and PCR. Risk factors including; diabetes, kidney failure, pregnancy, residence, hospitalized, ICU stay, ventilator support, nosocomial infection, antibiotic use in the past 14 days and age were considered. Disk diffusion method was used to investigate the antimicrobial resistance pattern. Data were analyzed with Fisher’s exact test and SPSS 16 (95% CI, p-values ≤0.05).
Results: In both phenotypic test and PCR, 26 P. aeruginosa strains were detected. Significant relationship was observed between diabetes, hospitalization, pregnancy, kidney failure, residence and nosocomial infections with UTIs (p≤0.005). Highest and lowest rate of antibiotic resistance was to cefpodoxime and trimethoprim/sulfamethoxazole (each one with 92.30%) and imipenem (19.23%).
Conclusions: UTIs and antibiotic resistant related to P. aeruginosa was observed among women. Diabetes and hospitalization were detected as potential risk factors. According to geographic location of this province, evaluating the risk factors and periodic reports on antibiotic resistance for UTIs can be more effective in controlling and treating of it in this area.
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