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PRINT ISSN : 2319-7692
Online ISSN : 2319-7706 Issues : 12 per year Publisher : Excellent Publishers Email : editorijcmas@gmail.com / submit@ijcmas.com Editor-in-chief: Dr.M.Prakash Index Copernicus ICV 2018: 95.39 NAAS RATING 2020: 5.38 |
This study was conducted to identify and isolate the bacterial pathogens causing uncomplicated urinary tract infections and their antimicrobial susceptibility patterns in a tertiary care hospital, Trichy. Clean catch midstream urine samples were collected from symptomatic patients and cultured under aerobic conditions on Cysteine Lactose Electrolyte Deficient (CLED) agar. Samples having significant growth (>10^5 cfu /ml) and significant number of pus cells in direct smear were processed further by standard microbiological techniques. Antimicrobial susceptibility pattern was evaluated by Kirby – Bauer disk diffusion method according to CLSI guidelines. Out of 3408 urine samples processed, 663 samples showed significant growth on culture. The prevalence of UTI in study population was 20%. Escherichia coli was the commonest isolate (59.8%), Klebsiella spp (18%), Enterococcus spp (15%), Acinetobacter baumanni (4%), Pseudomonas aeruginosa (3%), Proteus spp (0.75%). Among these isolates gram negative bacilli showed high susceptibility to Nitrofurantoin, Cotrimoxazole and gram positive organisms to Nitrofurantoin and Ampicillin. This study has shown Nitrofurantoin, Cotrimoxazole and Ampicillin are the most effective drugs for the empirical therapy of UTI in our region. The study of antimicrobial susceptibility pattern of organisms causing UTI in particular area can help the clinicians to choose the antibiotic so that misuse of antibiotics can be prevented.
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Anonymous. (2018) Five-day nitrofurantoin is better than single-dose fosfomycin at resolving UTI symptoms. Drug Ther Bull. 2018 Nov;56(11):131. https://doi.org/10.1136/dtb.2018.11.000039
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Long B, Koyfman A. The Emergency Department Diagnosis and Management of Urinary Tract Infection. Emerg Med Clin North Am. 2018 Nov;36(4):685-710. https://doi.org/10.1016/j.emc.2018.06.003
Martha Medina and Edgardo Castillo-Pino. An introduction to the epidemiology and burden of urinary tract infections TherAdvUrol 2019 May 2:11:1756287219832172. https://doi.org/10.1177/1756287219832172
Michael J. Bono; Stephen W. Leslie; Wanda C. Reygaert. Uncomplicated Urinary Tract Infections. n: StatPearls (Internet). Treasure Island (FL): StatPearls Publishing; 2024 Jan.2023 Nov 13.(PubMed).
Oscar Storme, José Tirán Saucedo, Arturo Garcia-Mora, Manuel Dehesa-Dávila, and Kurt G. Naber. Risk factors and predisposing conditions for urinary tract infection. Ther. Adv Urol. 2019. https://doi.org/10.1177/1756287218814382
Tang M, Quanstrom K, Jin C, Suskind A M. Recurrent Urinary Tract Infections are Associated With Frailty in Older Adults. Urology. 2019 Jan;123:24-27.
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