microbial culture of urine. The dip stick method used in many centres serves only as a screening method but culture is needed for final diagnosis 7 . In almost all cases of nosocomial UTI, there is a need to start treatment before the final microbiological results are available. knowledge about the types of pathogens responsible for UTIs and their resistance pattern may help the clinician to choose the correct empirical treatment.Studies from India, Bangladesh and Nepal have reported an increased resistance of the urinary pathogens to commonly used antibiotics [8][9][10] .