Abstract
UTIs are one of the common illness in the worldwide, affecting people of all ages, with females having the highest prevalance. The study investigate the drug resistance profile of the uropathogenic bacterial isolate from study region antibiotic. The study aims to describe guidelines for empiric UTI treatment in the current context, when antibiotic resistance patterns are shifting.
Aim: The Aim of this study is to identify gram negative pathogen associated with UTI in certain districts of UP and Bihar with the help of retrospective data from referral lab in the districts having no or very low microbiological lab facilities.
Method: This study was carried out in the department of microbiology's bacteriology laboratory from January 2019 to December 2020. (Pathkind, NABL Accrediated lab).To attain the stated goals, the investigation employed a retrospective study design. All urine cultures are included in the research. Use SPSS software to analysis data. Urine cultured positive, organism isolates and their antibiotic resistance profile for UTI included as variables
Results: Overall, 19546 urine samples were received in 2019 and 29785 samples received in 2020.Out of which 2521 urine samples were isolates in 2019.Out of which 202 sample were gram positive whereas 2319 samples were gram negative Among the bacterial isolates all were gram-negative. The most common bacteria isolated were E.coli
Conclusion: Antibiotic therapy for infections should be based on local experience of sensitivity and resistance patterns since bacterial resistance to specific antibiotics evolves over time and in various regions. Antibiotic resistance is prevalent, especially to ampicillin, cefuroxime, ampicillin sulbactam, and cefuroxime.
Keyword: Uropathogens; antibiotic resistance.
References
- Dash M, Padhi S, Mohanty I, Panda P, Parida B. Antimicrobial resistance in pathogens causing urinary tract infections in a rural community of Odisha, India. Journal of family & community medicine. 2013 Jan; 20(1):20
- Ahmed SS, Shariq A, Alsalloom AA, Babikir IH, Alhomoud BN. Uropathogens and their antimicrobial resistance patterns: Relationship with urinary tract infections. International journal of health sciences. 2019 Mar; 13(2):48.
- Foxman B, Gillespie B, Koopman J, Zhang L, Palin K, Tallman P, Marsh JV, Spear S, Sobel JD, Marty MJ, Marrs CF. Risk factors for second urinary tract infection among college women. American journal of epidemiology. 2000 Jun 15; 151(12):1194-205.
- Najar MS, Saldanha CL, Banday KA. Approach to urinary tract infections. Indian journal of nephrology. 2009 Oct; 19(4):129.
- Mehrishi P, Faujdar SS, Kumar S, Solanki S, Sharma A. Antibiotic susceptibility profile of uropathogens in rural population of Himachal Pradesh, India: Where We are heading?. Biomedical and Biotechnology Research Journal (BBRJ). 2019 Jul 1;3(3):171.
- Nguyen HT. Smith's General Urology.16th ed. New York (USA): Mcgraw-Hill Medical; 2004. Bacterial Infections of the Genitourinary Tract; p. 220. [Google Scholar] [Ref list]
- Singhal A, Sharma R, Jain M, Vyas L. Hospital and community isolates of uropathogens and their antibiotic sensitivity pattern from a tertiary care hospital in North West India. Annals of medical and health sciences research. 2014;4(1):51-6.
- Gupta V, Yadav A, Joshi RM. Antibiotic resistance pattern in uropathogens. Indian journal of medical microbiology. 2002 Apr 1;20(2):96.
- Cherian SS, Jacob J, Rakesh PS, Immanuel R. Antibiograms of community-acquired uropathogens from a secondary care rural hospital in Southern India. Int J Ther Appl 2013;13:24-9
- Deshpande KD, Pichare AP, Suryawanshi NM, Davane MS. Antibiogram of gram negative uropathogens in hospitalized patients. Int J Recent Trends Sci Technol 2011;1:56-60
- Apurba S Sastry,Sandhya bhat Essentials of MEDICAL MICROBIOLOGY 2nd edition
- https://harrogateurology.co.uk/whats-the-difference-between-a-lower-and-upper-urinary-tract-infection/
- Sood S, Gupta R. Antibiotic resistance pattern of community acquired uropathogens at a tertiary care hospital in Jaipur, Rajasthan. Indian journal of community medicine: official publication of Indian Association of Preventive & Social Medicine. 2012 Jan; 37(1):39.
Corresponding Author
Ishrat