ABSTRACT
Knowledge of antimicrobial susceptibility is a suitable method in empirical use of antimicrobial agents. This study was designed to detect the prevalence and antimicrobial susceptibility patterns of urinary tract infections. This prospective study investigated the positive urine cultures of out-patients and inpatient of Avesina Teaching hospital in Qazvin during 3 months from July to September 2007. The antimicrobial Susceptibility Testing was performed by disk diffusion method. Among 224 urine samples, E coli was the most common species [61.2%] followed by Pseudomonas [10.3%], Kelebsiella [8.9%], and coagulase negative staphylococci [6.3%]. Nitrofurantoin [72.4%] and Amikacin [77%] were shown to be the most effective drugs on E coli species with Amikacin showing the highest efficacy on Pseudomonas species [50%]. E coli was the most common pathogen with maximum susceptibility to Nitrofurantoin. Hence, the administration of this drug in treatment of indoor and uncomplicated forms of UTI is recommended. Intravenously, Amikacin was found to be the most effective agent for such clinical complications
Subject(s)
Humans , Sensitivity and Specificity , Prevalence , Prospective Studies , Urinary Tract Infections/microbiology , Urinary Tract Infections/drug therapy , Urine/microbiology , Escherichia coli/drug effects , Pseudomonas/drug effects , Klebsiella/drug effects , Nitrofurantoin , AmikacinABSTRACT
As a part of a comprehensive programme of tuberculosis [TB] control in the central prison in Qazvin, Islamic Republic of Iran, a programme of active case-finding was carried out from February 2004 to July 2005. From the 768 prisoners examined, 41 [5.3%] were suspected of TB and gave sputum samples. A total of 7 smear-positive TB cases were found, giving a TB prevalence in the prison of 910 per 100 000, 113 times the total TB prevalence in Qazvin province in the same year. From 7 diagnosed and treated patients, 4 were cured with the category 1 standard regimen, 1 completed treatment and 2 failed to complete treatment. Improvements are needed in TB case recognition of prisoners, especially newcomers