Pattern of Bacterial Pathogens Causing Urinary Tract Infection and Their Antibiotic Sensitivity: A Tertiary Care Hospital Experience

Authors

  • Raziur Rahman Associate Professor, Internal Medicine, BIRDEM, Dhaka
  • Muhammad Abdur Rahim Assistant Professor, Nephrology, BIRDEM, Dhaka
  • Samira Rahat Afroze Registrar, Internal Medicine, BIRDEM, Dhaka
  • Palash Mitra Assistant Registrar, Nephrology and Dialysis Unit, BIRDEM, Dhaka
  • Tabassum Samad Registrar, Nephrology, BIRDEM, Dhaka
  • Ashfaqe Tareqe Assistant Registrar, Internal Medicine, BIRDEM, Dhaka
  • Jamal Uddin Ahmed Assistant Professor, Internal Medicine, BIRDEM, Dhaka
  • AKM Musa Khwaja Nazim Uddin, FCPS (Medicine), Professor, Internal Medicine, BIRDEM, Dhaka
  • Farhana Afroz Registrar, Internal Medicine, BIRDEM, Dhaka
  • Hasna Fahmima Haque Registrar, Internal Medicine, BIRDEM, Dhaka
  • Mehruba Alam Ananna Assistant Professor, Nephrology, BIRDEM, Dhaka
  • AKM Shaheen Ahmed Associate Professor, Internal Medicine, BIRDEM, Dhaka
  • Md Delwar Hossain Associate Professor, Internal Medicine, BIRDEM, Dhaka

DOI:

https://doi.org/10.3329/birdem.v5i1.28369

Keywords:

antibiotics, resistance, sensitivity, urinary tract infection

Abstract

Background and Aims: Urinary tract infection (UTI) is a common illness. The spectrum of bacteria causing UTI and their antibiotic sensitivity is not uniform. This study was designed to describe the bacteriological spectrum causing UTI and their antibiotic sensitivity.

Methods: This cross-sectional study was done in the Department of Internal Medicine, BIRDEM General Hospital from January to June, 2013.

Results: Total number of patients was 103 with females predominance (F:M ratio 2:1). Mean age was 57.5 years. Most (91.3%) of the study population were diabetic with poor glycaemic control (mean HbA1c 9.9%). Common symptoms were fever, dysuria, increased urinary frequency, suprapubic pain, vomiting and loin pain. Neutrophilic leukocytosis was common (94.2%). E. coli (79.6%) was the commonest aetiological agent followed by Klebsiella (9.7%), Citrobacter (3.9%), Acinetobacter (1.9%), Enterobacter (1.9%), Enterococcus (1.9%) and Pseudomonas (0.9%). Imipenem (100%), aminoglycosides e.g. amikacin and gentamycin and nitrofurantoin were among the most sensitive antibiotics.

Conclusion: E. coli is the commonest organism causing UTI and imipenem, amikacin and nitrofurantoin are the most sensitive antibiotics.

Birdem Med J 2015; 5(1): 20-23

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Author Biography

Raziur Rahman, Associate Professor, Internal Medicine, BIRDEM, Dhaka



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Published

2016-06-25

How to Cite

Rahman, R., Rahim, M. A., Afroze, S. R., Mitra, P., Samad, T., Tareqe, A., Ahmed, J. U., Musa, A., Afroz, F., Haque, H. F., Ananna, M. A., Ahmed, A. S., & Hossain, M. D. (2016). Pattern of Bacterial Pathogens Causing Urinary Tract Infection and Their Antibiotic Sensitivity: A Tertiary Care Hospital Experience. BIRDEM Medical Journal, 5(1), 20–23. https://doi.org/10.3329/birdem.v5i1.28369

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Original Articles