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Vrednotenje rezultatov hemokultur [Elektronski vir]Grmek-Košnik, Irena ; Dermota, UrškaTeoretična izhodišča: Predpogoj za pravilen rezultat mikrobiološke diagnostike okužbe sečil so pravilen odvzem, hranjenje in transport urina. Zaradi nepravilnega odvzema urina je urin pogosto ... kontaminiran z bakterijami normalne mikrobne flore, ki so prisotne v spodnjem delu sečnice. Metoda: Vzorec urina smo v Laboratoriju za okužbe sečil Oddelka za medicinsko mikrobiologijo Kranj (OMM Kranj), Nacionalnega laboratorija za zdravje, okolje in hrano (NLZOH) nacepili po metodi Sanford. Po 24 urni inkubaciji smo na gojišču URI opredelili število poraslih bakterijskih ali glivnih kolonij na mililiter urina (CFU/ml). Rezultate nacepljenih urinov smo zbrali s pomočjo mikrobiološkega računalniškega programa MBL. Rezultati: V obdobju od 1.1.2010 do 31.12.2014 smo v Laboratoriju za okužbe sečil OMM Kranj, NLZOH preiskali 19836 urinov. Pozitivnih je bilo 10610 (53,5 %) urinov, negativnih 3919 (19,8 %), sterilnih 4843 (24,4 %) in 464 (2,3 %) kontaminiranih urinov. Eno bakterijsko vrsto smo osamili pri 7729 (38,9 %) urinih, dve različni bakterijski vrsti pri 2240 (11,3 %), tri različne bakterijske vrste pri 468 (2,4 %), štiri različne bakterijske vrste pri 64 (0,3 %), pet različnih bakterijskih vrst pri 9 urinih, šest in sedem različnih bakterijskih vrst pa pri 1 urinu. Razprava: Najpogosteje so kontaminirani urini, odvzeti bolnikom s stalnim urinskim katetrom zaradi dolgotrajne kateterizacije, urini, odvzeti bolnikom s katetrom, kjer urin najpogosteje kontaminiramo s bakterijami normalne mikrobne flore ob uvajanju katetra, urini, odvzeti po metodi srednjega curka urini, odvzeti z vrečko MOB pri majhnih otrocih in uritesti/urikulti pa najpogosteje zaradi neupoštevanja postopka pravilnega odvzema urina.Type of material - conference contributionPublish date - 2015Language - slovenianCOBISS.SI-ID - 83048705
Author
Grmek-Košnik, Irena |
Dermota, Urška
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Grmek-Košnik, Irena | 27968 |
Dermota, Urška | 27973 |
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