Trends in Antibiotic Susceptibility Pattern of Community-Acquired Uropathogens in the Nashik Division of Maharashtra
Journal Title: Urology, Nephrology and Andrology International - Year 2017, Vol 2, Issue 1
Abstract
Background: Antibiotic resistance of urinary tract pathogens has increased worldwide. Knowledge of the antibiotic resistance patterns of uropathogens in specific geographical locations is an important factor for choosing an appropriate empirical antimicrobial treatment. The aim of this study is to provide information regarding local resistance patterns of urinary pathogens to the commonly used antibiotics in Nashik division of Maharashtra, India. Methodology: Urine samples collected and submitted to microbiology laboratories in Tambe hospital, Sangamner and SMBT IMSRC, Igatpuri, Nashik were identified by conventional methods over a period from August 2016 to March 2017. Antimicrobial resistance testing was performed by the standard technique in accordance with the recommendations of the Clinical and Laboratory Standards Institute. Results: Of the total 1575 midstream urine samples collected from suspected cases of urinary tract infection, 750 (47.61%) were positive for pathogenic bacteria. Escherichia coli (E. coli) was the most common isolate (68.8%) followed by Proteus spp. (13.7%), and Klebsiella spp. (7.46%). E. coli isolates were mostly susceptible to imipenem,meropenem(99.5%), followed by amikacin(92%), flouroquinolones(7989%) ,nitrofurantoin (82%); however, only 69% of E. coli isolates were susceptible to trimethoprimsulfamethoxazole and around 50% were susceptible to third generation cephalosporins. Conclusion: Nitrofurantoin and flouroquinolones may be considered as a firstline empiric antibacterial agent for urinary tract infections in outpatients in Nashik division of Maharashtra, India.
Authors and Affiliations
Amrapali D. Gosavi
Keywords
Related Articles
- EP ID EP502539
- DOI -
- Views 97
- Downloads 0
Ureteropelvic Junction Obstruction in an Ectopic Pelvic Kidney
Introduction: The most common type of ectopic kidney is the pelvic kidney, whereby the organ remains in the pelvic cavity. In many patients the condition of renal ectopic remains undiagnosed throughout their life. UPJO i...
Urodynamic Assessment in Benign Prostate Hyperplasia Evaluation
Objective: Detrusor Overactivity (DO) was evaluated in patients with lower urinary tract symptoms due to benign prostatic hyperplasia with storage symptoms. Materials and Methods: A total of 258 men with a mean age 60.4±...
Nondiabetic Renal Disease (NDRD) in Type 2 Diabetes Mellitus (T2DM)
Background: The prevalence of nondiabetic renal disease (NDRD) in those with type 2 diabetes mellitus (T2DM) is common worldwide, however, data from India is limited. Methods: This study included subjects of T2DM who und...
Outcomes of Initial Management and Follow-Up Procedure in Urethral Stricture Disease
ackground: Urethral Stricture Disease is a disease affecting middle-aged men. The causes of urethral stricturecan be categorized as congenital, traumatic, inflammatory, malignant, ischaemicand degenerative. The aim of th...
Arteriovenous Fistula after Transradial Coronary Intervention
The transradial approach is by far the commonest route nowadays for performing percutaneous coronary intervention (PCI), as it is associated with a fewer local complications. Arteriovenous fistula (AVF) is a wellrecogniz...