Identification, Antimicrobial Resistance Patterns and Factors Associated With Urinary Tract Infections In A Tertiary Care Teaching Hospital of Rural Gujarat-India
Identification, Antimicrobial Resistance Patterns and Factors Associated With Urinary Tract Infections
Keywords:
Urinary tract infection, Antimicrobial resistance, PrevalenceAbstract
Background & objectives: Urinary tract infection is a common clinical condition affecting neonates to geriatric patients. Present study was undertaken to identify and characterize different uropathogens, to assess antimicrobial resistance pattern and, to find out factors associated with urinary tract infections. Methods: Observational study was carried out during February-2015 to January-2016 in a tertiary care teaching hospital. Relevant demographic and clinical details were collected. Identification and antimicrobial susceptibility testing of uropathogens was done by using VITEK®2-Compact microbiology systems. Results: From the 1,167 urine samples analyzed, 192 (16.5%) were positive for bacterial and fungal infections. UTIs were more frequent in males 109 (56.8%) and its incidence varied with age affecting the elderly patients more i.e. 57 (29.7%). E. coli was the most common pathogen implicated in UTI i.e. 82 (42.7%). Distribution of sample from intensive care units and various wards were similar i.e. 96 (50%) each. 112 (58.3%) patients had a urinary catheter; majority of the patients had 8-29 days of catheterization i.e. 46.4%. Resistance to antimicrobials was common but highly variable in our study. Predominant clinical conditions in the catheterized patients were cardio vascular failure followed by respiratory ailments. Interpretation & conclusion: E. coli was the most common etiological agent of UTI. Distribution of urine sample from intensive care units and various wards were similar. Majority of the patients were catheterized in ICU. [Disha S NJIRM 2017; 8(5):13-18]
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