Prevalence and comparative likelihood of urinary tract infection (UTI) among female out patients in BSMMU

Khanum, Hamida; Munir, Fahmida; Shafiullah, A. Z. M.; Muznebin, Farhana

doi:10.3329/bjz.v40i2.14317

Cited by 5 publications

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References 5 publications

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“…11 Excessive use of antibiotics, false diagnosis, deficiency of productive research, lack of awareness, and self-medication may cause bacterial resistance due to the development of new genetic variants, resulting from treatment failure either in developed or under developing countries and leading to increased morbidity. 12 , 13 In uropathogenic bacteria, the abundance of virulence genes is coding to different virulence factors, eg FimH: adherence factor produced by uropathogenic Escherichia coli (UPEC) 14 and associated underlying mechanisms making it difficult to treat these infectious diseases. 15 , 16 Bacteria-harboring genetic variants, eg hlyA, Utah, cnf1, ibeA and cdtB in UPEC leading to antibiotic resistance have been increased remarkably and globally become a serious challenge for medical treatment.…”

Section: Introductionmentioning

confidence: 99%

A Cross-Sectional Study to Evaluate Antimicrobial Susceptibility of Uropathogens from South Punjab, Pakistan

Idrees¹,

Rasool²,

Imran³

et al. 2022

IDR

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Background Urinary tract infections (UTIs) are a common infection caused by uropathogenic bacteria. Drug resistance against common antibiotics is a leading cause of treatment failure in UTIs. Objective This study was conducted to check the prevalence of antimicrobial susceptibility against uropathogens and identify the best treatment option against UTIs. Methods In this cross-sectional study, urine samples (n = 1000) were collected and cultured for pure bacterial growth by using cysteine–lactose–electrolyte-deficient (CLED) media. After physical and biochemical characterization, antibacterial susceptibility was performed by the Kirby–Bauer disk diffusion method. Results Uropathogenic bacteria were successfully isolated in 57% (n = 572) of total tested samples (n = 1000). Escherichia coli 51.2% (n = 293/572), Klebsiella species 15.4% (n = 88/572), Enterococcus species 15.4% (n = 88/572), Pseudomonas species 9.4% (n = 54/572), Staphylococcus aureus 3.2% (n = 18/572), coagulase-negative Staphylococci (CoNS) 3.0% (n = 17/572) and Proteus species 2.4% (n = 14/572) were the most prevalent organism in UTIs. Prevalence of Gram-negative rods (GNRs) was 78.5% (n = 449/572) among UTI patients as compared to Gram-positive cocci (GPCs) 21.5% (n = 123/572). Escherichia coli 65.3% (n = 293/449), Klebsiella species 19.6% (n = 88/449), Pseudomonas species 12.0% (54/449) and Proteus species 3.1% (n = 14/449) were the most prevalent GNRs in UTIs, while Enterococcus species 71.5% (n = 88/123), Staphylococcus aureus 14.6% (n = 18/123) and coagulase-negative Staphylococci (CoNS) 13.8% (17/123) were the most prevalent GPCs in UTIs. The majority of isolated uropathogens showed resistance against routinely used antibiotics. However, teicoplanin and linezolid were the most effective drugs against GPCs and piperacillin/tazobactam, meropenem and imipenem were the most effective drugs against GNRs. Nitrofurantoin and fosfomycin were shown to be most effective against both GNRs and GPCs. Conclusion In conclusion, Escherichia coli (GNRs) and Enterococcus species (GPCs) are the most prevalent organisms among UTIs patients, which are shown to be antibiotic-resistant to the most commonly used antibiotics. However, nitrofurantoin and fosfomycin are the most effective drugs against uropathogens in UTIs.

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Section: Introductionmentioning

confidence: 99%

A Cross-Sectional Study to Evaluate Antimicrobial Susceptibility of Uropathogens from South Punjab, Pakistan

Idrees¹,

Rasool²,

Imran³

et al. 2022

IDR

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“…The probable cause could be the high temperature in summer season which causes more sweating than in winter, therefore urine production becomes less and concentrated which provides the opportunity for bacterial multiplication. On the contrary, during winter season, less sweating causes more diluted urine production which washes away any multiplying bacteria (Khanum 2013). Simmering et al (2017) found that the seasonal intensity (summer peaks and winter troughs) increased over time among women while decreasing among men.…”

Section: Resultsmentioning

confidence: 99%

Urinary tract infection among the outpatients of a diagnostic center in Dhaka, Bangladesh

Rustom

Zaman

Barua

et al. 2021

Bangladesh J. Zool.

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Urinary tract infection (UTI) is one of the common bacterial infections occurring in the community and in hospitals of Bangladesh. A total of 300 urine samples were tested for UTI among which 100 were from children (age 1-15 years), 100 from adult female (16-75 years) and 100 from adult male (16-75 years). Out of 300, 126 samples were found positive for UTI (42%). The highest prevalence was observed among adult female (64%) followed by male and children (31% each). According to age groups, the highest prevalence was observed in female aged 16-35 years (70.73%) followed by female of 36-55 years (62.5%) and 56-75 years (52.63%). The highest prevalence for children was observed in age group 11-15 years (33.33%) and for adult male, it was 16-35 years (34.88%). The highest prevalence for adult female and male was observed in summer (66.67% and 38% respectively). The current study confirmed that Bangladeshi women and children are more vulnerable to UTI than Bangladeshi men. Regardless of age, women were more prone to UTI and the prevalence was highest in summer. Bangladesh J. Zool. 48(2): 347-356, 2020

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“…In Bangladesh it is also one of the most important causes of morbidity at both outdoor and indoor setting. Lack of proper research, faulty diagnostic procedures, abuse of chemotherapeutic agents and little or no preventive measures are all common attributing factors 4 .…”

Section: Introductionmentioning

confidence: 99%

Clinical and Bacteriological Profile of UTI Patients in Medicine Department in a Teaching Hospital of Bangladesh

Ahmmed

Hossain

Hossain³

et al. 2021

J. Bangladesh Coll. Phys.

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Introduction: Urinary tract infections (UTIs) encompass a wide array of infections, accounting for a vast number of community as well as hospital acquired infections. This study was undertaken to evaluate the clinical presentations and bacteriological profile of UTI patients in indoor setting. Methods: This 6 months cross-sectional study enrolled 100 patients admitted in Medicine department of Sylhet MAG Osmani Medical College Hospital with symptoms and signs of UTI subsequently confirmed by compatible investigations including urine culture. Results: Among 100 patients of UTI, maximum were females (67%) and the male female ratio was 0.49: 1. The most common age group was 46–60 years (34%). Majority (68%) of the patients had upper UTI while lower UTI constitutes 32%.66% of the patients had complicated while 34% have uncomplicated UTI.18% of the patients had recurrent UTI. Most of the patients had fever (55%), followed by loin pain (37%) as their presenting symptoms. The most common risk factor was loss of host defense 38% (diabetes mellitus/ use of immunosuppressive drugs).Out of 100, 60 urine samples were positive for pathogenic organisms. Escherichia coli was isolated in 41 (68.3%) of the positive samples, followed by Klebsiella sp 13 (21.6%), Pseudomonas sp 3 (5%) Proteus sp 2 (3.3%) Staph. Aureus 1(1.66%). Conclusion: The most common clinical presentations of UTI in admitted UTI patients are fever and loin pain. Diabetes mellitus is the most important risk factor. Mainly Gram negative bacilli were found to be responsible for UTI and most frequent isolated bacteria was E-coli. J Bangladesh Coll Phys Surg 2021; 39(2): 106-113

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Prevalence and comparative likelihood of urinary tract infection (UTI) among female out patients in BSMMU

Cited by 5 publications

References 5 publications

A Cross-Sectional Study to Evaluate Antimicrobial Susceptibility of Uropathogens from South Punjab, Pakistan

A Cross-Sectional Study to Evaluate Antimicrobial Susceptibility of Uropathogens from South Punjab, Pakistan

Urinary tract infection among the outpatients of a diagnostic center in Dhaka, Bangladesh

Clinical and Bacteriological Profile of UTI Patients in Medicine Department in a Teaching Hospital of Bangladesh

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