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Bacteriology and antibiotic sensitivity patterns of urinary tract infections in a tertiary hospital in Bangladesh.
Mymensingh Med J. 2014 Jan; 23(1):99-104.MM

Abstract

Urinary tract infection (UTI) is common bacterial infection in mankind. The changing antimicrobial sensitivity in UTI demands use of appropriate antibiotics. This prospective study was performed in Comilla Medical Collage during the period of January 2011 to December 2011. Five hundred and fifty one urine specimens from clinically suspected UTI patients were examined by Semi quantitative culture method and their antimicrobial sensitivity patterns were determined by disc diffusion technique. The study was designed to isolate and identify the nature of bacteria in UTI with their sensitivity pattern to common antibiotics. Of the 551 tested sample 131 samples showed growth of pathogens among which the most prevalent were E. coli 98(75%) followed by Klebsiella pneumonia 14(10.7%) and Enterococcus 8(6%). The majority 96(73.3%) of the isolates were from female while the remaining were from male and this sex difference was statistically significant (p<0.001). Imipenem, meropenem, amikacin, nitrofurantoin, gentamycin, mecillinum and amoxyclav are found to be effective against 76-100% of the uropathogens. Most powerful antibiotics in our study were imipenem, meropenem, amikacin and nitrofurantoin which show their efficacy against 91-100% isolates. In more than 60% case shows their resistance against amoxycillin, nalidexic acid, cefixime, ciprofloxacin, cotrimoxazole and cephalosporins which raises the question regarding rationality to empirically use of these antibiotics in UTI with out culture and sensitivity reports.

Authors+Show Affiliations

Majumder MI
Professor Dr Md Mahabubul Islam Majumder, Professor, Department of Medicine, Comilla Medical College, Comilla, Bangladesh; E-mail: mahabubmazumder@yahoo.com.
Ahmed T
No affiliation info available
Hossain D
No affiliation info available
Begum SA
No affiliation info available

MeSH

Anti-Bacterial AgentsBangladeshFemaleHumansMaleMicrobial Sensitivity TestsProspective StudiesTertiary HealthcareUrinalysisUrinary Tract Infections

Pub Type(s)

Journal Article

Language

eng

PubMed ID

24584381

Citation

Majumder, M I., et al. "Bacteriology and Antibiotic Sensitivity Patterns of Urinary Tract Infections in a Tertiary Hospital in Bangladesh." Mymensingh Medical Journal : MMJ, vol. 23, no. 1, 2014, pp. 99-104.
Majumder MI, Ahmed T, Hossain D, et al. Bacteriology and antibiotic sensitivity patterns of urinary tract infections in a tertiary hospital in Bangladesh. Mymensingh Med J. 2014;23(1):99-104.
Majumder, M. I., Ahmed, T., Hossain, D., & Begum, S. A. (2014). Bacteriology and antibiotic sensitivity patterns of urinary tract infections in a tertiary hospital in Bangladesh. Mymensingh Medical Journal : MMJ, 23(1), 99-104.
Majumder MI, et al. Bacteriology and Antibiotic Sensitivity Patterns of Urinary Tract Infections in a Tertiary Hospital in Bangladesh. Mymensingh Med J. 2014;23(1):99-104. PubMed PMID: 24584381.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Bacteriology and antibiotic sensitivity patterns of urinary tract infections in a tertiary hospital in Bangladesh. AU - Majumder,M I, AU - Ahmed,T, AU - Hossain,D, AU - Begum,S A, PY - 2014/3/4/entrez PY - 2014/3/4/pubmed PY - 2014/5/21/medline SP - 99 EP - 104 JF - Mymensingh medical journal : MMJ JO - Mymensingh Med J VL - 23 IS - 1 N2 - Urinary tract infection (UTI) is common bacterial infection in mankind. The changing antimicrobial sensitivity in UTI demands use of appropriate antibiotics. This prospective study was performed in Comilla Medical Collage during the period of January 2011 to December 2011. Five hundred and fifty one urine specimens from clinically suspected UTI patients were examined by Semi quantitative culture method and their antimicrobial sensitivity patterns were determined by disc diffusion technique. The study was designed to isolate and identify the nature of bacteria in UTI with their sensitivity pattern to common antibiotics. Of the 551 tested sample 131 samples showed growth of pathogens among which the most prevalent were E. coli 98(75%) followed by Klebsiella pneumonia 14(10.7%) and Enterococcus 8(6%). The majority 96(73.3%) of the isolates were from female while the remaining were from male and this sex difference was statistically significant (p<0.001). Imipenem, meropenem, amikacin, nitrofurantoin, gentamycin, mecillinum and amoxyclav are found to be effective against 76-100% of the uropathogens. Most powerful antibiotics in our study were imipenem, meropenem, amikacin and nitrofurantoin which show their efficacy against 91-100% isolates. In more than 60% case shows their resistance against amoxycillin, nalidexic acid, cefixime, ciprofloxacin, cotrimoxazole and cephalosporins which raises the question regarding rationality to empirically use of these antibiotics in UTI with out culture and sensitivity reports. SN - 1022-4742 UR - https://www.unboundmedicine.com/medline/citation/24584381/Bacteriology_and_antibiotic_sensitivity_patterns_of_urinary_tract_infections_in_a_tertiary_hospital_in_Bangladesh_ L2 - https://medlineplus.gov/urinarytractinfections.html DB - PRIME DP - Unbound Medicine ER -