Antibiogram of Urinary Pathogens in Patients with Diabetes Mellitus - Experience from a Tertiary Care Hospital

Rashmi, B.K.; Venkatesha, D

doi:10.20546/ijcmas.2017.610.451

Int.J.Curr.Microbiol.App.Sci

2017

DOI: 10.20546/ijcmas.2017.610.451

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Antibiogram of Urinary Pathogens in Patients with Diabetes Mellitus - Experience from a Tertiary Care Hospital

B.K. Rashmi¹,

D Venkatesha²

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Cited by 2 publications

References 9 publications

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Prevalence and Sensitivity of Bacterial Urinary Tract Infection among Adult Diabetic Patients in Misan Province, Iraq

Al-Tulaibawi¹

2019

J Pure Appl Microbiol

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Urinary tract infections and their complications causing serious health problems especially in diabetic patients in Misan province, it is essential to determine the causative agent for appropriate treatment of this disease. One hundred and fifty urine samples were taken from adult patients with diabetes. The microbial growth appeared in 106 (70.6%) samples. Axenic culture was 83% versus 17% mixed growth. UTI prevalence was 65% with females comparing 35% of males and it was 56.6% in age group 35-49 years. Furthermore, UTIs were more incident in patients without antibiotics use and diabetic period 5-10 years (82% and 64%) respectively. Escherichia coli was identified as the most common causative agent of UTIs (52.9%), followed by Klebsiella pneumoniae and Enterococcus faecalis (9,1% and 6.6%, respectively). Streptococcus agalactiae and Klebsiella aerugenes were (4.2%, for each). Moreover, Pseudomonas aeruginosa, Klebsiella oxytoca and Staphylococcus haemolyticus were 2.48% for each. Additionally, the frequency of Proteus mirablis, Staphylococcus aureus, Streptococcus pyogenes, Serratia marcessens, Staphylococcus epidermidis and Staphylococcus warnerii was 1.65% for each, while Acinetobacter baumani and Bacillus subtilis were 0.82% for each. Most bacterial isolates had a high sensitivity to imipenem (78.8%) followed by amikacin (61.9%), but low sensitivity to ceftriaxone, tetracycline and Co-trimaxazole (36.4%, 29.7% and 26.3%, respectively) whereas, highly resistance to ampiclox and nitrofurantoin (98.3% and 87.3%, respectively). High rate of multidrug resistance observed among bacterial isolates.

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Prevalence and Sensitivity of Bacterial Urinary Tract Infection among Adult Diabetic Patients in Misan Province, Iraq

Al-Tulaibawi¹

2019

J Pure Appl Microbiol

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Recent Trend in the Antimicrobial Resistance Pattern of Urinary Pathogens in a Tertiary Care Hospital

Astha

Singh

2022

Medical Journal of Dr. D.Y. Patil Vidyapeeth

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Introduction: Antibiotic resistance is a worldwide problem. Organisms are developing resistance not only to commonly used antibiotics but also to high end and less commonly used antibiotics. Aim: The present study has been designed to find out the recent trend of antibiotic resistance profile of uropathogens as urinary tract infection is one of the commonest infections among outdoor and indoor patients. This will help clinicians to select most appropriate antibiotics to treat their patients empirically. This will also help in not only preventing the development but also reducing the spread of antibiotic resistance. Material and Methods: The study was conducted in the Microbiology Department, F.H. Medical College, Etmadpur, Agra, India, from March 2019 to August 2019. Mid-stream urine samples were collected from patients and transported within an hour and were inoculated on blood agar and MacConkey agar. After incubation at 37°C for 24 h, organisms were identified and sensitivity test was done by Kirby Bauer's disc diffusion method using Mueller Hinton Agar. Results: Members of the Enterobacteriaceae family showed resistance to almost all groups of antibiotics except piperacillin-tazobactam, imipenem, and nitrofurantoin while gram-positive organisms were found to be sensitive only to vancomycin, teicoplanin, linezolid, and nitrofurantoin. Situation with nonfermenters (Pseudomonas aeruginosa and Acinetobacter spp.) was alarming as they were found resistant to ceftazidime, cefepime, piperacillin, gentamicin and ciprofloxacin, and also significant resistance with imipenem was seen. Only colistin, polymyxin B and piperacillin-tazobactam showed satisfactory results and could be considered for use in empirical treatment. Conclusion: Present study shows how serious the problem of increasing antibiotic resistance is and emphasizes the need of continuous surveillance of antibiotic susceptibility of uropathogens that will help to formulate an effective antibiotic policy to guide the clinicians.

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Antibiogram of Urinary Pathogens in Patients with Diabetes Mellitus - Experience from a Tertiary Care Hospital

Cited by 2 publications

References 9 publications

Prevalence and Sensitivity of Bacterial Urinary Tract Infection among Adult Diabetic Patients in Misan Province, Iraq

Prevalence and Sensitivity of Bacterial Urinary Tract Infection among Adult Diabetic Patients in Misan Province, Iraq

Recent Trend in the Antimicrobial Resistance Pattern of Urinary Pathogens in a Tertiary Care Hospital

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