Dissertation > Excellent graduate degree dissertation topics show

Analysis of Pathogen Distribution and Microbial Sensitivity of Urinary System Infection after Percutaneous Nephrolithotomy

Author: WangFangMing
Tutor: SunLiJiang
School: Qingdao University
Course: Surgery
Keywords: Bacterial culture Microbial sentitivity tests PNL
CLC: R446.5
Type: Master's thesis
Year: 2012
Downloads: 36
Quote: 0
Read: Download Dissertation

Abstract


Objective To understand pathogen distribution and drug resistance of urinary system infection after percutaneous nephrolithotomy (PNL), then help the clinic to use antibiotics rationally after PNL.Methods Clinical data of535patients who underwent PNL between September,2006and December,2011in our department were analyzed retrospectively. According to certain standard,461patients were selected as objects of study,Both blood and urine samples were cultured for those patients whose body temperatures were over38℃after PNL,only urine samples were cultured for those patients whose body temperatures were between37.3℃and38℃lasting beyond3days, strain identification and microbial sentitivity tests were further performed to those culture positive samples. Results There were64patients whose body temperatures were over38℃after PNL,18types and78strains of pathogen were cultured,pathogens presented in22(34.38%) blood samples and56(87.50%) urine samples. The blood culture showed that Escherichia coli,pseudomonas aeruginosa,Klebsiella and Staphylococcus were the predominant bacteria, accounted for31.82%(7/22),22.73%(5/22),13.64%(3/22),31.82%(7/22), respectively. The urine culture showed that the above bacterials were also the predominant bacteria, accounted for28.57%(16/56),21.43%(12/56),7.14%(4/56),19.64%(11/56), respectively. There were51patients whose body temperatures were between37.3℃and38℃lasting beyond3days.13types and29strains of pathogen were cultured,pathogens presented in29(56.86%) arine samples. The urine culture showed that the above bacterials accounted for20.69%(6/29),24.14%(7/29),6.9%(2/29),27.59%(8/29), respectively.Microbial sentitivity tests demonstrated that Gram negative bacilli were sensitive to imipenem、meropenem、panipenem/betamipron、cefoperazone and sulbactam/piperacillin sodium.Gram positive coccus were sensitive to tigecycline、 linezolid、nitrofurantoin、teicoplanin、compound sulfamethoxazole and vancomycinConclusions The outcome of the culture was similar:Bacterial’s distribution are multiple, and the majority pathogen is Gram negative bacteria, Escherichia coli and pseudomonas aeruginosa were the predominant bacteria,staphylococcus was the main type of Gram positive bacteria.A big variant resistance is found among different bacterium.

Related Dissertations

  1. Aspiration pneumonia clinical analysis of 110 cases,R563.1
  2. The Effect of Far Infrared Therapy on Burn Wound,R644
  3. The Process Improvement Study of PNL-WCVD Gap Filling,TN305
  4. Bacteriology of Nasal Lavage in Acute/chronic Rhinosinusitis,R765
  5. The Comparison of Four Methods in Diagnosis and 10-day Sequential Therapy in Clinical Research of Helicobacter Pylori Infection in Children,R725.7
  6. Comparation Loop-mediated Isothermal Amplification Method and Conventional Bacterial Culture for Analysising the Pathogens Distribution of 104 Cases Pulmonary Infection Patients of Lanzhou Area,R446.5
  7. Characterization of Marine Bacterial Diversity and Their Seasonal Variations in Xiangshan Bay Shellfish Culture Areas,S917.1
  8. Study of Antibiotics and Conjunctival Sac Wash Before Cataract Surgery,R779.66
  9. The Analysis Study of Components and Clinical Data of Staghorn Calculi,R691.4
  10. The Investigation of Tricholoma Matsutake and Cordyceps Militaris Co-cultivating and the Activities of Polysaccharides,S567.3
  11. The Study on the Associativity between Staphylococcal Superantigens with the Development and Recurrence of Chronic Rhinosinusitis with Nasal Polyps,R765
  12. Chronic Osteomyelitis in Our Hospital Pathogen Distribution and Drug Resistance Analysis,R681.2
  13. Biological research demulsifier,TE869
  14. Clinical Application Research of Two-dimensional Reconstruction CT in PNL Guiding Accurate PunCTre Target Calyces,R699.2
  15. Clinical Significance of PCNL Intraoperative Renal Pelvis Urine and Calculi Bacteria Culture for Prevention and Treatment of Postoperative Infection,R699.2
  16. Detection of Neisser ia Gonorrhoeae by the Culture and the Real-time Fluorescence Quantitative Polymerase Chain Reaction,R446.5
  17. Observation of the Influence of Inert Gases on Experimental Puluent Endophthalmitis,R771.3
  18. The Reasonable Apply of Antibiotic during the Period of Chronic Nasosinusitis Operation,R765.4
  19. Research for Risk Factors and Mechanism of Nasosinusitis after Radiotherapy of Nasopharyngeal Carcinoma,R739.63
  20. The Study of Analysis and Influential Factors on Sperm Morphology,R321
  21. Study on the Influence of Disinfection Methods on the Properties of Stone Models and the Disinfection Effect,R780.1

CLC: > Medicine, health > Clinical > Diagnostics > Laboratory diagnosis > Microbiological examination of
© 2012 www.DissertationTopic.Net  Mobile