Antimicrobial Resistance Pattern of Uropathogens with Special Reference to Escherichia Coli, among Patients with Urinary Tract Infection in a Tertiary Care Hospital in South India
Journal Title: Scholars Journal of Applied Medical Sciences - Year 2016, Vol 4, Issue 9
Abstract
Increasing antimicrobial resistance among uropathogens is of great concern at present. The present scenario may be due to irrational use of antibiotics to treat urinary tract infections. Objective of the study is to know the antimicrobial resistance pattern of uropathogens among patients with Urinary Tract Infection(UTI). Clean Catch Midstream urinary samples were collected from 756 patients clinically suspected to have UTI , by standard methods processed and isolates identified by standard biochemical reactions. The antibiotic susceptibility testing was done by Kirby- Bauer Disc diffusion method according to CLSI guidelines. Escherichia coli was the commonest isolate followed by Klebsiella spp, Pseudomonas aeruginosa,,Proteus spp, Candida spp, Acinetobacter spp, Staphylococcus aureus and Enterococcus faecalis and Citrobacter koseri. Most of the bacteria exhibited resistance to quinolones, gentamicin, cephalosporins and trimethoprin sulphamethoxazole. E.coli was sensitive to amikacin and imipenem. Uropathogens are becoming resistant to commonly used antibiotics. Urine culture sensitivity should be done in patients with UTI before starting antibiotics and irrational use of antibiotics should be abandoned. Keywords: Escherichia coli, Urinary Tract Infection, uropathogens, antimicrobial resistance.
Authors and Affiliations
Dr. J. Padma Kumari, Dr. A. Vijayalakshmi
Keywords
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