Incidence and Antibiotic Resistance Pattern of Uropathogens Isolated from Suspected Cases of Urinary Tract Infection
Journal Title: International Journal of Medical Research Professionals - Year 2018, Vol 4, Issue 4
Abstract
Background: Urinary tract infections are most common and frequently occur in both the community and hospital settings as well. The complications of urinary tract infections causing longer hospital stay, increased expenses in patient care and mortality. Aim: Aetiology of UTI and their antibiotic resistance patterns may vary from time to time and place to place. This retrospective study was conducted in Department of Microbiology, GMC, Raigarh, CG, from January 2015 to December 2015 with the aim to know about the uropathogens and their antibiotic susceptibility pattern of this region. Methods and Results: All suspected cases of urinary tract infection (UTI) were included in the study those who attended the hospital during the period from January 2015 to December 2015. A total of 278 urine specimens were collected from patients suspected of having UTI, out of which only 115 urine samples showed significant growth with 8 Candida spp. and the rests were bacteria i.e., 107 grown. The most common etiological organisms isolated were Escherichia coli (32.8%), K. pneumoniae (18.2%), K. oxytoca (4.6%), P. aeruginosa (7.4%),A. baumanii (5.6%), Morganella morganii (1.8%), Citrobacter spp. (5.6%) and Enterobacter spp. (2.8%) however the gram positive bacteria includes Staphylococcus aureus (10.2%), Coagulase negative Staphylococci (CoNS) (5.6%) and Enterococcus spp. (3.7%) isolated at low percentage. Antibiogram study shows, most of the gram negative bacilli found resistance to aminopenicillins less often fluoroquinolones but shows more sensitivity to aminoglycosides group of antibiotics, whereas gram positive cocci shows maximum sensitivity to glycopeptide group of antibiotics. Conclusion: Present study shows most of the organisms isolated from urine samples shown resistance to multiple drugs which is of great concern. A strict antibiotic policy and infection control practice is the need of the hour.
Authors and Affiliations
Abhishek Gaur, Rakesh Kumar, Prashant Panda, Mihir Kumar Pattanayak
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