Saudi Journal of Pathology and Microbiology (SJPM)
Volume-3 | Issue-12 | 488-492
Original Research Article
Bacteria Isolated From Urinary Tract Infection among Patients and Determination of the Antibiotic Susceptibility Patterns of the Gram Negative Bacteria in Tertiary Care Hospital
Solanki Manoj, Surani Chandani, Mehta Krunal, Mullan Summaiya
Published : Dec. 30, 2018
Abstract
Urinary tract infections (UTIs) are the most common bacterial infections
encountered in clinical practice, which cause morbidity in both hospitalized and out
patients. Increasing antimicrobial resistance among bacterial uro-pathogens is a
significant health concern. Approximately 1 in 3 women will require antimicrobial
treatment for a Urinary Tract Infection (UTI) before age 24, and 40% to 50% of
women will have a UTI during their lifetime. UTIs in male patients are considered
complicated. Escherichia coli are the most common cause of UTIs. To determine
spectrum of microorganisms responsible for UTIs and their antimicrobial sensitive
pattern. Clean-Catch midstream urine of the patients was collected. Urine samples
received in microbiology laboratory for culture from 881 patients clinically suspected
of having urinary tract infection during the study period were processed according to
standard protocol. Isolates were identified by conventional phenotypic methods and
antibiotic sensitivity determined by standard Kirby Bauer disc diffusion method and
follow Clinical and Laboratory Standards Institute (CLSI) guidelines. In this study 191
(21.68 %) patients out of 881 were shown to be urine culture positive out of them 122
(63.87%) females and 69 (36.13%) males. The most isolated bacterium was E. coli
with frequency rate of 126 (65.97%). The other bacteria were Klebsiella spp.
35(18.32%), Pseudomonas spp. 18 (9.43%), and Acinetobacter spp. 12 (6.28%). It is
concluded that Gram-negative bacilli were responsible for UTI infections in our
patients. The most common isolated bacteria from urinary tract infections were E. coli
followed by Klebsiella pneumoniae. The most effective antimicrobial agent was
Imipenam and the least effective one was cephalexin.