Prevalence of urinary tract infection in both outpatient department and in patient department at a medical college setting of Bangladesh
Paper Details
Prevalence of urinary tract infection in both outpatient department and in patient department at a medical college setting of Bangladesh
Abstract
Urinary tract infection remains one of the most common infections, both in the community and in the hospital. The causative pathogen profile varies from region to region, but Escherichia coli (E. coli) remain the most common causative pathogen. Organism responsible for the hospital acquired infection may have tendency to develop multiple drug resistance. This study was carried out to identify the causative organism for UTI among outpatient department (OPD) and inpatient department (IPD) patients of Anwer Khan Modern Medical College and Hospital, Dhaka, Bangladesh and also to see the antibiotic sensitivity pattern of the isolate according to age and sex. A total of 376 urine specimens received over the six months study period, 79.5 % (299) of the urine samples were culture positive. The female was more prone to UTI which was 79% (239) rather than male follows 21% (60). IPD patients showed 55.5% (166) positive culture compared to as OPD patients as 44.5 % (133). The age variation according to sex was found for causing UTI. Therefore, 21-30 years aged female group showed 48.5% and 41-50 years aged male group had 46.7% UTI. The most common bacterial isolate was E. coli 46.8% (140) followed by Enterococcus faecalis 25.9% (77) Pseudomonas aeruginosa 11.4% (34), Staphylococcus saprophyticus 8% (24). E. coli was highly sensitive to Piperacillin (89.24%), Amikacin (85.24%) followed by Imipenem (80.27%). It was also observed that the samples responded effectively to Ampicillin, Amikacin, Gentamycin, Ciprofloxacin, Vancomycin and Linezolid. High degree of resistance was shown for Cefriaxone, Cefepime, Cefrioxne, Norfloxacin, and Cefoxitin on the basis of microbial species. The aim of this study was to raise awareness of UTIs and to expand services for prevention and treatment for UTI. To do this effectively, however, it may be necessary to improve the quality of health care provided at the community-level.
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Arunima Moue, Syed A.Q.M. Aktaruzzaman, Nasrin Ferdous, Md. Rabiul Karim, M.M.R. Khalil, Ashish Kumar Das (2015), Prevalence of urinary tract infection in both outpatient department and in patient department at a medical college setting of Bangladesh; IJB, V7, N5, November, P146-152
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