Antibiotic Use Evaluation in Genitourinary Tract Infections in Female Patients at a Tertiary Care Hospital.

Genitourinary tract infections are some of the most common infections in females. These problems are a challenge in terms of diagnosis and treatment. The present study was conducted to evaluate the prescribing pattern in three of the most common types of female genitourinary tract infections.METHODSA prospective and observational study was conducted on genitourinary tract infections in female patients at the gynaecology outpatient department in a tertiary care university hospital.RESULTSMajority of the infected female patients were in 26 - 35 years age group (31.8%) followed by 36 - 45 years age group (25.9%). The common infection noticed was urinary tract infection (42.2%), followed by pelvic inflammatory disease (32.2%) and vaginitis (25.5%) in infected female patients. The types of antibiotics prescribed for urinary tract infection were aminoglycosides, fluoroquinolones, cephalosporins and penicillins. The commonly prescribed antibiotics for pelvic inflammatory disease were tetracyclines, azoles, fluoroquinolones and cephalosporins, and for vaginitis azoles and aminoglycosides. The most commonly prescribed class of antibiotics for urinary tract infection, pelvic inflammatory disease and vaginitis were fluoroquinolones (11.8%), azoles (11.8%) and aminoglycosides (15.7%), respectively. Oral route was the preferred mode of administration (71%), followed by rectal (suppositories, 17.2%) and topical (cream, 11.8%).CONCLUSIONSYoung married women in this urban Indian community have a high prevalence of genitourinary tract infections but seldom seek treatment. Education and outreach are needed to reduce the stigma, embarrassment and lack of knowledge related to genitourinary tract infections

Preliminary correlation analysis between human serum vitamin D level and Chlamydia trachomatis genitourinary tract infection / 中华微生物学和免疫学杂志

Objective To investigate the correlation between serum vitamin D level in human body and Chlamydia trachomatis (Ct) genitourinary tract infection. Methods This study enrolled 174 outpa-tients (male: 95, female: 79, 20-49 years) infected with Ct and 380 healthy subjects (male: 211, female:169, 20-49 years) in Tianjin from November 1, 2016 to March 15, 2017. Blood samples were collected from all subjects after fasting overnight and the time points for sample collection in the Ct infection group were before and after a course of antibiotic treatment. Serum 25-hydroxyvitamin D [25-(OH)D] levels were measured with enzyme-linked immunosorbent assay (ELISA). PCR assay was used to assess the recovery in those patients one month after a course of treatment. Two case-control studies were respectively conducted, in which 161 patients and 161 healthy subjects as well as 41 uncured patients and 41 cured patients were randomly selected and matched for gender and age. Statistical analysis was performed using SPSS19. 0. Re-sults The two case-control studies showed that vitamin D deficiency was a risk factor for both Ct genital tract infection and poor efficacy, of which the adjusted ORs were 2. 281 (95％ CI: 1. 438, 3. 619) and 7. 266 (95％ CI: 2. 551, 21. 036). Among all subjects aged 20-39, male patients had lower 25-(OH)D level in serum than healthy men [(40. 10±17. 93) nmol/ L vs (53. 72±18. 00) nmol/ L, P< 0. 01] and fe-male patients also had lower 25-(OH)D level in serum than healthy women [(35. 71±19. 99) nmol/ L vs (45. 42±16. 08) nmol/ L, P<0. 01]. The levels of 25-(OH)D in uncured male and female patients were re-spectively lower than those in cured male and female patients [(30. 50±14. 53) nmol/ L vs (41. 32±17. 24) nmol/ L; (29. 47±16. 66) nmol/ L vs (41. 37±21. 03) nmol/ L; both P<0. 05]. Conclusion Vitamin D deficiency related to Ct infection in human genitourinary tract and poor prognosis. Lower serum vitamin D levels might increase the risk of Ct genitourinary tract infection and reduce the efficacy of treatment.

Drug Monitoring Analysis of Mycoplasma Isolated from Female Genitourinary Tract / 中华医院感染学杂志

OBJECTIVE To investigate the infection status and drug-resistance of Ureaplasma urealyticum(Uu) and Mycoplasma hominis(Mh) isolated from female genitourinary tract.METHODS A total of 1890 female genitourinary tract specimens were collected from Jan 2003 to Dec 2006.The results of mycoplasma cultivation and susceptibility test were analyzed retrospectively.RESULTS Among 1890 specimens,there were 756 with positive mycoplasma cultivation and the positive rate was 40.0%.The positive ratio was the highest at the age of 21 to 40.From 12 commonly used antibiotics,the sensitivity to tetracyclines was the highest,and then was to macrolides.Four quinolones all showed the higher resistance,and their sensitivity rates were all below 50%.CONCLUSIONS The drug-resistance of mycoplasma in female genitourinary tract is greatly severe.The clinical doctors should think highly of it.

Clinical Observation of Genitourinary Tract Infection Treated with Bactrim / 대한비뇨기과학회지

In spite of highly developed antibiotics and chemotherapeutics, genitourinary tract infection still remains as troublesome subjects for urologists. New bactericidal agent, Bactrim (trimethoprim-sulfamethoxazole) was administered in 18 cases of genitourinary tact infection, which were resistant to most antibiotics and following results were obtained. 1) Among 9 cases of non-gonococcal urethritis. 5 cases were cured completely, 4 cases were improved. 2) Among 7 cases of chronic prostatitis, one case was cured but only mild improvement were noted in remaining 6 cases. 3) 2 cases of pyelonephritis showed improvement in both clinically and bacteriologically.

Clinical Experience with Altacyn in Genitnourinary Infection / 대한비뇨기과학회지

Altacyn was administered to 22 cases of genito-urinary tract infection. Excellent result was obtained in 7 cases which were mainly acute and chronic non-gonococcal urethritis, acute cystitis and epididymitis, Some improvement was seen in II cases. Altacyn was most sensitive in sensitivity test for bacteria, and Altacyn. 90.6%; kanamycin 87.5 %; chloramphenicol 62.5% ; erythromycin. 56.3%; sigmamycin, 50%; terramycin, 50%; streptomycin, 40.6%; and penicillin (28.2%) were the results of sensitivity. Eighty two percent of clinical effect was obtained in genito-urinary tract infection. Slight side reaction was observed in 7 cases out of 22 cases. It is our belief that altacyn is an effective drug for genito-urinary tract infection.