Journal of the Ceylon College of Physicians ~ Ceylon College of Physicians | |
Management of patients with clinically suspected pyelonephritis in a resource poor setting | |
T. Welgamage1  N. Ranasinghe1  K. Premarathna1  T.M. Wijesuriya2  N. Fernando2  M. Weerasekera2  | |
[1]Base Hospital, Tangalle | |
[2]Faculty of Medical Sciences, University of Sri Jayewardenepura | |
关键词: pyelonephritis; gentamicin; uropathogens; Sri Lanka; | |
DOI : 10.4038/jccp.v46i1-2.7739 | |
学科分类:医学(综合) | |
来源: Journal of the Ceylon College of Physicians Ceylon College of Physicians | |
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【 摘 要 】
Background: This study aimed to determine the aetiology, antimicrobial susceptibility pattern and the clinical response to antibiotics in pyelonephritis.
Methods: Bacterial culture and ABST, clinical response and onset of renal failure were analyzed in 240 clinically suspected pyelonephritis patients admitted to Medical Units at Base Hospital, Tangalle.
Results: Of the 240 patients 61% had culture positive UTI mainly due to E. Coli (94%). Pathogens were 100% sensitive to meropenem, imipenem and amikacin while it showed 96%, 93%, 85%, 81%, 60%, 36%, 13% sensitivity for nitrofurantoin netilmicin, gentamicin, co amoxiclav, ceftriaxone, ciprofloxacin and ampicillin. The average duration of fever in days after administration of IV antibiotic was: gentamicin 1.66, co amoxiclav 1.98, ceftriaxone 2.14, and ciprofloxacin 2.34.
Conclusion: Gentamicin was the most clinically effective antibiotic from the antibiotics used for the treatment of pyelonephritis in the selected patient population.
【 授权许可】
CC BY
【 预 览 】
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