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Occurrence of urinary tract infection in adolescent and adult women of shanty town in Dhaka City, Bangladesh.
Ethiop J Health Sci. 2014 Apr; 24(2):145-52.EJ

Abstract

BACKGROUND

Urinary tract infection (UTI) is commonly experienced by women of various age groups especially elderly ones. We planned to find out the prevalent microbial strains causing UTI in slum inhabitant adolescent and adult women in Dhaka City, Bangladesh.

METHODS AND MATERIALS

Urine sample was collected from 462 UTI suspected female subjects. Pathogenic bacteria were identified using standard microbiological tests, and antimicrobial sensitivity profiles of the pathogens were determined.

RESULTS

Bacteriuria was present in 9% of the subjects. A higher incidence (16.8%) of UTI was noted among adult women aged above 19 years. Escherichia coli (69%), Streptococcus spp. (15%) and Pseudomonas aeruginosa (7%) were more frequently isolated from the urine samples compared to Enterococcus faecalis (3%), Staphylococcus aureus (2%), Klebsiella pneumoniae (2%) and Hafnia alvei (2%). The E. coli isolates showed complete resistance to commonly used drugs, and 58% of these isolates were multidrug resistant (MDR). Minimum Inhibitory Concentration (MIC) values for ciprofloxacin ranged between 64µg/ml and 512µg/ml, and the Minimum Bactericidal Concentration (MBC) values against the isolates were 128µg/ml or above. Isolated strains of E. coli exhibited equal extent of ciprofloxacin resistance irrespective of the presence or absence of plasmid in them.

CONCLUSION

The extent of drug resistance among the uropathogens if ignored may render them uncontrollable. This study suggests regular monitoring of drug resistance phenotype of the UTI pathogens to reduce the morbidity of female UTI patients and offer better treatment strategy in the healthcare sectors of Bangladesh.

Authors+Show Affiliations

Department of Microbiology, University of Dhaka, Dhaka, Bangladesh.Department of Microbiology, Jahangirnagar University, Savar, Dhaka, Bangladesh.Department of Zoology, University of Dhaka, Dhaka, Bangladesh.

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

24795516

Citation

Rahman, Sabita Rezwana, et al. "Occurrence of Urinary Tract Infection in Adolescent and Adult Women of Shanty Town in Dhaka City, Bangladesh." Ethiopian Journal of Health Sciences, vol. 24, no. 2, 2014, pp. 145-52.
Rahman SR, Ahmed MF, Begum A. Occurrence of urinary tract infection in adolescent and adult women of shanty town in Dhaka City, Bangladesh. Ethiop J Health Sci. 2014;24(2):145-52.
Rahman, S. R., Ahmed, M. F., & Begum, A. (2014). Occurrence of urinary tract infection in adolescent and adult women of shanty town in Dhaka City, Bangladesh. Ethiopian Journal of Health Sciences, 24(2), 145-52.
Rahman SR, Ahmed MF, Begum A. Occurrence of Urinary Tract Infection in Adolescent and Adult Women of Shanty Town in Dhaka City, Bangladesh. Ethiop J Health Sci. 2014;24(2):145-52. PubMed PMID: 24795516.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Occurrence of urinary tract infection in adolescent and adult women of shanty town in Dhaka City, Bangladesh. AU - Rahman,Sabita Rezwana, AU - Ahmed,M Firoz, AU - Begum,Aleya, PY - 2014/5/6/entrez PY - 2014/5/6/pubmed PY - 2015/1/13/medline KW - Adolescent women KW - Multidrug resistance (MDR) KW - Urinary tract infection (UTI) SP - 145 EP - 52 JF - Ethiopian journal of health sciences JO - Ethiop J Health Sci VL - 24 IS - 2 N2 - BACKGROUND: Urinary tract infection (UTI) is commonly experienced by women of various age groups especially elderly ones. We planned to find out the prevalent microbial strains causing UTI in slum inhabitant adolescent and adult women in Dhaka City, Bangladesh. METHODS AND MATERIALS: Urine sample was collected from 462 UTI suspected female subjects. Pathogenic bacteria were identified using standard microbiological tests, and antimicrobial sensitivity profiles of the pathogens were determined. RESULTS: Bacteriuria was present in 9% of the subjects. A higher incidence (16.8%) of UTI was noted among adult women aged above 19 years. Escherichia coli (69%), Streptococcus spp. (15%) and Pseudomonas aeruginosa (7%) were more frequently isolated from the urine samples compared to Enterococcus faecalis (3%), Staphylococcus aureus (2%), Klebsiella pneumoniae (2%) and Hafnia alvei (2%). The E. coli isolates showed complete resistance to commonly used drugs, and 58% of these isolates were multidrug resistant (MDR). Minimum Inhibitory Concentration (MIC) values for ciprofloxacin ranged between 64µg/ml and 512µg/ml, and the Minimum Bactericidal Concentration (MBC) values against the isolates were 128µg/ml or above. Isolated strains of E. coli exhibited equal extent of ciprofloxacin resistance irrespective of the presence or absence of plasmid in them. CONCLUSION: The extent of drug resistance among the uropathogens if ignored may render them uncontrollable. This study suggests regular monitoring of drug resistance phenotype of the UTI pathogens to reduce the morbidity of female UTI patients and offer better treatment strategy in the healthcare sectors of Bangladesh. SN - 2413-7170 UR - https://www.unboundmedicine.com/medline/citation/24795516/Occurrence_of_urinary_tract_infection_in_adolescent_and_adult_women_of_shanty_town_in_Dhaka_City_Bangladesh_ L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=linkout&SEARCH=24795516.ui DB - PRIME DP - Unbound Medicine ER -