Title: Bacteriological Profile of Urinary Tract Infections in General Medicine Ward in a Tertiary Care Hospital and its Antibiotic Sensitivity
Authors: Ananta Kumar Datta, Sattik Siddhanta, Rajeev Ranjan
DOI: https://dx.doi.org/10.18535/jmscr/v6i3.152
Abstract
Urinary tract infections(UTI) is the most common bacterial infection prevalent in both males and females and contribute to second most common nosocomial infection raising the hospital stay, morbidity and mortality. Urethral catheters serve as a niche for proliferation and multiplication of bacteria and biofilm produced by them provide resistance to antimicrobials and they spread elsewhere. This cross sectional study was conducted among 1008 adult patients admitted to general medicine ward in Kolkata. The age of patients ranged from 14 to 102 years. Our study revealed that among the 1008 patients, the prevalence rate of UTI was 23.4 percent. Among total uropathogens isolated Escherichia coli was most prevalent in both sex and all age groups independent of risk factors, followed by Klebsiella, Enterobacter and Citrobacter .Gram negative organisms were 87.7% and Gram positives were 12.29%. The antibiotics sensitive to gram negative organisms were Imipenem (20.3%), Piperacillin-Tazobactum (12.8%), Amikacin (12.6%), Polymyxin (10.4%) and Nitrofurantoin(8%). Gram positive organisms showed maximum sensitivity to Vancomycin (25.24%), followed by Linezolid (21.3%) and Teicoplanin (21.3%). Although the results show the development of UTI does not rely solely on health professionals’ practices, the authors conclude these professionals can have an important role in the prevention of UTI reducing the number of risk factors.
Keywords: Bacteria, catheterization, Escherichia coli, urinary tract infection, antibiotics.
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