Correlation of Demographic Profile and Antibiotic Resistance in Patients with Urinary Tract Infection Attending a Teaching Hospital in Kolkata
Journal Title: Journal of Medical Science And clinical Research - Year 2014, Vol 2, Issue 11
Abstract
The aim of this study was to determine the bacterial aetiology of Urinary Tract Infection (UTI) with their resistance to commonly used antimicrobial drugs and their correlation with age, sex and marital status of the patient. A total of 303 urine specimens, collected from suspected cases of UTI were processed and 77 significant monomicrobial cultures were obtained. E.coli was the most common uropathogen isolated, which constituted 37.6% of the total samples followed by Klebsiella (16.8%), Enterococcus (15.6%), Staphylococcus aureus (12.98%), Acinetobactor spp. (6.49%), Proteus spp.(5.19%), Streptococcus spp.(3.89%) & Pseudomonas spp.(1.29%). Females (52.48%) were found more vulnerable to UTI compared to males (47.52%).The percentage of resistance seen in different uropathogens to various antimicrobial agents were: 84.4% to Nalidixic Acid(NA), 83.1% to Cefpodoxim(CPD), 77.9% to Cefdinir(CDR), 75.3% to Augmentin(Amoxy-clav,AG), 53.2% to Piperacillin(PC), 48.0 to Ciprofloxacin(RC), 46.7% to Norfloxacin(NX), 36.4% to Furadantin(FD), 18.2% to Netilmycin(NT) and 15.6% to Polymyxin-B(PB). The percentage of antimicrobial resistance among different uropathogens varied between 84.4% and 15.6%. Maximum resistance to Nalidixic acid was offered by E. coli irrespective of any age group. E.coli showed resistance to majority of antibiotics (except Nalixdic acid and Norfloxacin) in male. The resistance pattern of E.coli against each antimicrobial agent in relation to marital status showed that majority of the antimicrobial agents (except Furadantin, Polymyxin-B and Augmentin) were not effective in controlling infection in married www.jmscr.igmpublication.org Impact Factor 3.79 ISSN (e)-2347-176x JMSCR Volume||2||Issue||11||Page 2806-2816||November-2014 2014 Nilay Chatterjee et al JMSCR Volume 2 Issue 11 November 2014 Page 2807 JMSCR Volume||2||Issue||11||Page 2806-2816||November-2014 2014 persons. Thus E. coli was found as the commonest etiological agent of urinary tract infection in both sexes. This study also revealed the strong association between demographic profile of the patient with occurrence of UTI and resistance to antibiotics in uropathogens
Authors and Affiliations
Dr. Reena Ray (Ghosh)
Keywords
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