Welcome to International Network for Natural Sciences | INNSpub

Prevalence of urinary tract infection in both outpatient department and in patient department at a medical college setting of Bangladesh

Research Paper | November 1, 2015

| Download 2

Arunima Moue, Syed A.Q.M. Aktaruzzaman, Nasrin Ferdous, Md. Rabiul Karim, M.M.R. Khalil, Ashish Kumar Das

Key Words:

Int. J. Biosci.7( 5), 146-152, November 2015

DOI: http://dx.doi.org/10.12692/ijb/7.5.146-152


IJB 2015 [Generate Certificate]


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.


Copyright © 2015
By Authors and International Network for
Natural Sciences (INNSPUB)
This article is published under the terms of the Creative
Commons Attribution Liscense 4.0

Prevalence of urinary tract infection in both outpatient department and in patient department at a medical college setting of Bangladesh

Anton Peleg Y, David Hooper C. 2010. Hospital-Acquired Infections Due to Gram-Negative Bacteria . New England Journal of Medicine 362, 1804-13.

Aypak C, Altunsoy A, Düzgün N. 2009. Empiric antibiotic therapy in acute uncomplicated urinary tract infections and fluoroquinolone resistance: A prospective observational study. Annals of Clinical Microbiology and Antimicrobials 8, 27.

Biswas D, Gupta P, Prasad R, Singh V, Arya M, Kumar A. 2006. Choice of antibiotic for empirical therapy of acute cystitis in a setting of high antimicrobial resistance. Indian Journal of Medical Sciences 60(2), 53-8.

Durgesh D. 2012. Prevalence and antibacterial susceptibility pattern of Urinary Tract Infection causing Human Pathogenic Bacteria. Asian Journal of Biomedical and Pharmaceutical Sciences 2(15), 1-3.

DrAlka Nerurkar. 2012. Bacterial pathogens in urinary tract infection and antibiotic susceptibility pattern. Journal of Pharmaceutical and Biomedical Sciences 21(12).

Gonzalez CM, Schaeffer AJ. 1999. Treatment of urinary tract infection: what’s old, what’s new, and what works. World Journal of Urology 6, 372-382.

Gupta K, Hooten TM, Stamm WE. 2001. Increasing antimicrobial resistance and the management of uncomplicated community-acquired urinary tract infections. Annals of Internal Medicine. 135, 41–50.

Goldstein FW. 2000. Antibiotic susceptibility of bacterial strains isolated from patients with community-acquired urinary tract infections in France. Multicentre Study Group. European Journal of Clinical Microbiology and Infectious Diseases 19, 112-117.

Gupta V, Yadav A, Joshi RM. 2002. Antibiotic resistance patterns in uropathogens. Indian Journal of Medical Microbiology 20, 96–8.

Hari Kattel P. 2008. Bcteriology of Urrinary Tract Infection among patients attending Tribuvan University Teaching Hospital Kathmandu, Nepal. Journal of Nepal association for Medical Laboratory Sciences 9(1), 25-29.

Kumar MS, Lakshmi V, Rajagopalan R. Related Articles. 2006. Occurrence of extended spectrum beta-lactamases among Enterobacteriaceae spp. isolated at a tertiary care institute. Indian Journal of Medical Microbiology 24(3), 208-11.

Kamat US, Fereirra A, Amonkar D, Motghare DD, Kulkarni MS. 2009. Epidemiology of hospital acquired urinary tract infections in a medical college hospital in Goa. Indian Journal of Urology (25), 76– 80.

Momoh ARM. 2011. The antibiogram types of Escherichia coli isolated from suspected urinary tract infection samples. Journal of Microbiology and Biotechnology Research 1(3), 57-65.

Mohamed Shaaban T, Hassan Ghozlan A, Marwa Maghraby ME. 2012. Susceptibility of Bacteria Infecting Urinary Tract to Some Antibiotics and Essential Oils. Journal of Applied Pharmaceutical Sciences 02(04), 90-98.

Nicolle LE. 2001. Epidemiology of urinary tract infection.European Journal of Clinical Microbiology and Infectious Diseases 18, 153–166.

Razak SK, Gurushanthappa V. 2012. Bacteriology of urinary tract infections and antibiotic susceptibility pattern in a tertiary care hospital in South India. International Journal of Medical Science and Public Health 1, 109-112.

Banerjee S. 2009. The study of urinary tract infections and antibiogram of uropathogens in and around Ahmadnagar, Maharashtra. The Inrernet Journal of Infectious Diseases 9(1).

Schaeffer AJ. 2002. The expanding role of fluoroquinolones. American Journal of Medicine 113 (1A), 45S-54S.

Shanthi J. 2012. Incidence, distribution and antibiogram of uropathogens isolated from patients with urinary tract infections. Advanced Applied Science Research 3(6), 3410-3414.

Stamm WE, Norrby SR. 2001. Urinary tract infections: disease panorama and challenges. Journal of Infectious Diseases 183(1), S1-S4.

Tankhiwale SS, Jalgaonkar SV, Ahamad S, Hassani U. 2004. Evaluation of extended spectrum beta lactamase in urinary isolates. Indian Journal of Medical Research 120, 553-556.

Uwaezuoke JC, Ogbulie JN. 2006. Antibiotic sensitivity pattern of urinary tract pathogens in port-Harcourt, Nigeria. Journal of Applied Sciences and Environmental Management 10, 103–7.

Warren JW, Abrutyn E, Hebel JR, Johnson JR, Schaeffer AJ, Stamm WE. 1999. Guidelines for antimicrobial treatment of uncomplicated acute bacterial cystitis and acute pyelonephritis in women. Journal of Clinical Infectious Diseases 29, 745–75.