BACTERIOLOGICAL PROFILE AND ANTIMICROBIAL RESISTANCE OF URINE CULTURE ISOLATES
Author(s):
SADHVI PALIWAL, MANOJ KUMAR MISHRA, KALPANA SHARMA
Keywords:
Urinary tract infection, bacterial infection, antibiotics, antimicrobial susceptibility pattern.
Abstract
Urinary tract infection (UTI) is an important cause of mortality and morbidity and among the most common health-care associated infections. In this study we described the frequency of occurrence and antimicrobial susceptibility patterns of nosocomial and community-acquired UTI isolates from a Novus Path Labs, India and Nepal and its Associates Hospitals. All patients with a positive urine culture were enrolled. Antimicrobial susceptibility testing was performed with disk diffusion and E-test MIC. During the study period, 456 isolates were obtained from urine cultures, from a total of 8818 collected sets, among which 291 were felt to represent true bacteremia and 98 were nosocomial. Acinetobacter spp. were the most frequently isolated agents in the hospital and community acquired UTIs (32%), followed by Escherichia coli (13.7%) and KleUTIella spp. (12%). The most effective antibiotics for gram-negative and gram-positive bacteria were ciprofloxacin (13% resistance rate) and vancomycin and oxacillin (with 13% resistance rate), respectively. Analysis of antibiotic resistance pattern showed that 20.43% of Acinetobacter spp. and 15.4% of Pseudomonas aeruginosa were multi drug resistant (MDR), while 48.7% of KleUTIella spp were ESBL-producing isolates and 15% of Staphylococcus aureus were oxacillin-resistant. Not observe any vancomycin-resistant strains among isolates of S. aureus.
Article Details
Unique Paper ID: 152984

Publication Volume & Issue: Volume 8, Issue 5

Page(s): 694 - 699
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