Kars Bölgesindeki İdrar Yolu Enfeksiyonlarının Epidemiyolojisi ve Antibiyotik Dirençleri.

Aim: In this study, it was aimed to determine the epidemology, agents and antibiotical sensitivity of urinary tract infections in the Kars region. Material and Method: Between January 2015 and January 2016, (438 patients) in the policlinics and services of Kafkas University Medical Faculty Health Research Hospital with positive urine culture from the were evaluated. Patients were questioned in terms of age, gender, underlying diseases and complicating factors (pregnancy, urethral catheter etc.). Results: The most isolated agent from the urine cultures was Escherichia Coli(E.coli) with the rate of 66,4%.It is identified that policlinic patients, who E.coli has been found in their urine have high resistance to ciprofloxacin(22,1%), and cephalosporins(cefepime 23,5%, ceftazidime 22,5% ceftriaxone 26,3%), however they have lowest resistance to nitrofurantoin (4,7%) or amoxicillin clavunat (16,4%). In hospitalized patients, it is detected that there is a hight resistance to ceftriaxone (48,7%) and ciprofloxacin (48,7%) on the other hand there is low resistance againts the s antibiotics such as amikacin (7,7%), gentamicin (10,3%) or carbapenem (imipenem 2,6%, meropenem 1,3%). Conclusion: Local resistance rates should be known when ampirical treatment is given in the community acqurired urinary tract infection patients. Besides, differences in the rates of antibiotic resistance between hospitalized patients and outpatients should be taken into consideration. Antibiotic treatment should not be initiated without indications, especially if there is no indication, asymptomatic bacteriuria should not be treated. [ABSTRACT FROM AUTHOR]