Title: Microbiological Significance in Catheter Associated Urinary Tract Infections of Traumatic Spinal Cord Injury Patients
Authors: Mohan Raj Manjalavil, Vasudevan T.K, Sooraj Rajagopal, Sreedevi Menon Parappil
DOI: https://dx.doi.org/10.18535/jmscr/v5i3.81
Abstract
Background: Symptomatic urinary tract infections are one of the common causes of morbidity in spinal cord injury patients. In hospital acquired infections, bacteria reach the bladder either through urine present in the tube or from the extension of bowel flora. The organisms like Klebsiella, Pseudomonas, etc assume increasing importance apart from E. coli.
Objectives
1. To study the prevalence of micro pathogens like Klebsiella, Pseudomonas, Proteus etc. in catheter associated urinary tract infections.
2. To study sensitivity of micro pathogens to the antibiotics in patients with spinal cord injury.
Materials And Methods: 100 patients with traumatic spinal cord injury are selected for this study. Blood routine, urine routine, blood urea, serum creatinine, blood sugar (fasting & postprandial) and ultrasound Kidney Ureter Bladder are done to assess the present condition and detect any complications. Urine culture and sensitivity tests are also performed and the results are analysed.
Setting and design: Cross sectional study in a tertiary level multispecialty hospital.
Results: The main age group affected are between 31- 40 yrs. The commonest organism seen in urine culture and sensitivity are E. coli (42%), Klebsiella (28%), Pseudomonas (16%), Staphylococcus (8%), Enterococcus (6%) etc. There is increase in resistance to the drugs like ampicillin, ciprofloxacin and norfloxacin.
Conclusion: It was found that, in catheter associated UTIs the prevalence of Klebsiella, Pseudomonas and staphylococcus are much more than in community acquired UTIs. Multiple drug resistance are also found to be increased.
Keywords: Spinal cord injury, Catheter, Urinary Tract Infections, Culture and sensitivity, Antibiotics.
