Özet:

Purpose: Urinary system infections (USE) are the most common in the clinic community-based bacterial infections. This study aims to investigate the conditions of resistance of the Escherichia coli juices, which are most often isolated from the community-based ACE factors, especially against antibiotics that are often used in empiric therapy. Tools and methods: Urine cultures taken in appropriate conditions from patients diagnosed with a community-based USE have been sent to the Infectious Diseases Laboratory of the University Hospital of Fırat. In the last year, 222 E. coli juices, which were isolated as an infection agent, were included in the study. The urine samples were planted in 5% cattle blood agar and Eosin methylene blue agar foods and incubated at 37°C for 18-24 hours. Reproduction in the urine >105 cfu/mL was considered a positive result. Conventional methods were used in the identification of the crimes. The antibiotic sensitivity of isolates was studied by the Kirby-Bauer disc diffusion method according to the Clinical and Laboratory Standards Institute criteria. Results: The study found the most effective antibiotics against E. coli juices, respectively; phosphomycin, nitrofurantoin and amikasin. The highest resistance rates were, respectively, ampisilin, trimetoprim-sulfametoxazole and seftriaksone. The result: When choosing antibiotics to be used in empiric treatment in community-based infections, it is necessary that we know well the resistance rates in our country and even in our region. For this, it is important to investigate the local sensitivities of microorganisms, especially frequently encountered factors, in certain periods.

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