Antibiotic Use Evaluation in Genitourinary Tract Infections in Female Patients at a Tertiary Care Hospital

Abstract

A B S T R A C T BACKGROUNDGenitourinary tract infections are some of the most common infections in females. These problems are a challenge in terms of diagnosis and treatment. The present study was conducted to evaluate the prescribing pattern in three of the most common types of female genitourinary tract infections. METHODSA prospective and observational study was conducted on genitourinary tract infections in female patients at the gynaecology outpatient department in a tertiary care university hospital. RESULTSMajority of the infected female patients were in 26 -35 years age group (31.8%) followed by 36 -45 years age group (25.9%). The common infection noticed was urinary tract infection (42.2%), followed by pelvic inflammatory disease (32.2%) and vaginitis (25.5%) in infected female patients. The types of antibiotics prescribed for urinary tract infection were aminoglycosides, fluoroquinolones, cephalosporins and penicillins. The commonly prescribed antibiotics for pelvic inflammatory disease were tetracyclines, azoles, fluoroquinolones and cephalosporins, and for vaginitis azoles and aminoglycosides. The most commonly prescribed class of antibiotics for urinary tract infection, pelvic inflammatory disease and vaginitis were fluoroquinolones (11.8%), azoles (11.8%) and aminoglycosides (15.7%), respectively. Oral route was the preferred mode of administration (71%), followed by rectal (suppositories, 17.2%) and topical (cream, 11.8%). CONCLUSIONSYoung married women in this urban Indian community have a high prevalence of genitourinary tract infections but seldom seek treatment. Education and outreach are needed to reduce the stigma, embarrassment and lack of knowledge related to genitourinary tract infections.

Distribution of asymptomatic bacteriuria among women use Intrauterine Devices (IUDs) according sociodemographic characteristics factores in Takrit, Iraq

“…This finding, which is backed up by previous research, shows that genitourinary tract infections are more common in young married women aged 26 to 35 years old (31.8%). 23 The average age of patients who used an IUD was 31.9 ± 4.25 years, which is similar to our result. 16 Also, according to a 2014 study conducted in Hilla, positive cultures of vaginal swab are prevalent among women aged 20 to 40 years.…”

“…22 While the prevalence of ASB among women of normal weight was higher in those who used IUCD (55.3%) than in those who did not (44.7%), the effect of IUCD appears to play a role in infection, which explains why the ABU was higher in those who used IUCD. 23,24 In the current study, the ASB were most common in the 25-35 year old age group, with (46.3%) of them using IUCD. This finding, which is backed up by previous research, shows that genitourinary tract infections are more common in young married women aged 26 to 35 years old (31.8%).…”

“…Our findings are supported by a previous study that found that the majority of females with genitourinary tract infections (72.1%) were housewives. 23 Another study conducted in 2004 at An-Najah University found that the majority of the women in the study were housewives (85.5%). 16 According to the duration of IUCD, ASB is more common in women who have had their IUCD for two years or less (92.7%).…”

“…16,17,26 On the other hand, there are those who support our results. The majority of IUD users were in the 20 s and 30 s. [20][21][22][23][24][25][26][27][28][29][30] This reflects the MOH's FP program's national policy, which does not prefer to use the IUD on young women or nulli-para women. 27 In a recent study, ASB cases in secondary school were about the same for those who had IUDs and those who didn't (50%).…”

A Study on The Antibiotic Use Pattern Among Patients with Urinary Tract Infections at a County Referral Hospital in Kenya

“…Similarly, the mortality rate has risen by 1240.2%, from 98,590 in 1990 to 236,279 in 2019 [2]. UTIs are ranked as the second most common infections globally, causing a health burden of more than $6 billion annually [4]. Appropriately prescribing antibiotics for UTIs reduces the chances of resistance, recurrence, complications and cost [5].…”