Bacterial Infections of the Urinary Tract

Gatermann, Sören

doi:10.1002/9780470688618.taw0026

Cited by 18 publications

(6 citation statements)

References 120 publications

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“…(1) Urinary infections cause fewer complications than nosocomial infections, but they occasionally can cause bacteraemia and death. (2) Urinary Tract Infection (UTI) can be caused by Gramnegative bacteria such as Escherichia coli, Klebsiella pneumoniae, Enterobacter species, Proteus species and gram-positive bacteria like Enterococcus species and Staphylococcus saprophyticus.…”

Section: Introductionmentioning

confidence: 99%

Antibiotic Susceptibility Pattern of Klebsiella Pneumoniae Isolated From Cases of Urinary Tract Infection in a Tertiary Care Setup

Varghese¹,

George²,

Gopalakrishnan³

et al. 2016

jemds

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Urinary Tract Infection (UTI) is second on the ranking of most common infection in community practice. It leads to significant morbidity and a high economic burden for treatment. Klebsiella pneumoniae accounts for 2 nd highest organism isolated from urine samples of UTI patients after Escherichia coli. The management of UTI is complicated by the increasing prevalence of antibiotic resistant strains of Klebsiella pneumonia. Therefore, knowledge of the antibiotic resistance patterns of the pathogen is important not only to provide an appropriate therapy, but also for the prevention of resistance amongst the microbe. OBJECTIVEThe present study was therefore undertaken to determine the antibiotic susceptibility pattern of Klebsiella pneumonia causing UTI in patients admitted to a tertiary care hospital. MATERIAL AND METHODSThe details of Klebsiella pneumonia grown in urine samples received in the Department of Microbiology, MOSC Medical College, were collected from the laboratory registers. These urine samples were then processed using standard methods and antibiotic susceptibility testing was done by Kirby Bauer's disc diffusion method. RESULTDuring the period of 4 months, 35 urine samples yielding Klebsiella pneumonia were processed. These strains showed 100% resistance to Ampicillin, around 70-85% resistance to first, second and third generation Cephalosporins. They showed maximum sensitivity to Imipenem (74.3%), followed by Colistin (77%), Amikacin (65.7%), Meropenem (65.7%) and Piperacillin-Tazobactam (65.7%). CONCLUSIONIn our study, the high rate of resistance to routinely prescribed drugs like Co-trimoxazole, Norfloxacin and Nitrofurantoin could be attributed to the frequent use of these antibiotics. Carbapenems (Imipenem or Meropenem) and Amikacin should be considered as reserved drugs, especially for nosocomial infections.

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Section: Introductionmentioning

confidence: 99%

Antibiotic Susceptibility Pattern of Klebsiella Pneumoniae Isolated From Cases of Urinary Tract Infection in a Tertiary Care Setup

Varghese¹,

George²,

Gopalakrishnan³

et al. 2016

jemds

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“…This study showed that E. coli was the commonest pathogen causing complicated and uncomplicated UTI as described previously [11][12][13] amongst the several organisms known to cause UTI, including P. aeruginosa, S. saprophyticus, S. epidermidis, Enterococcus spp., P. mirabilis, Klebsiella pneumonia etc. as reported by earlier workers [14,15] .…”

Section: Discussionmentioning

confidence: 99%

The Commonest Uropathogens Causing Urinary Tract Infection Among Patients Attending a Tertiary Care Hospital in Eastern Bihar, and Their Antibiogram

Yasmin¹,

Sen²

2013

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“…In this study, only bacterial data was studied as bacteria play major role in spreading HAIs. 10 For the selection criteria of hospital sections, it was kept in mind that one general ward (OPD) and two sensitive areas (ICU and nursery section) to check atmosphere microbial contamination. Sampling time was once early at morning just after disinfection process and the second time was at evening when sections were ex-posed a large number of individuals.…”

Section: Discussionmentioning

confidence: 99%

“…9 Viruses and fungi can cause HAIs but bacteria are the main causative agents involved in nosocomial infections. 10 The bacteria that are most commonly HAIs and types of causative agents may vary with in different sections of the same hospital or from hospital to hospital. 4 Generally, nursery department has more frequent and more severe HAIs as newborn infants are more susceptible to infections and another cause may be their prolong hospital stay.…”

Section: Introductionmentioning

confidence: 99%