Abstract:A retrospective study was conducted among out-patient and in-patient in Kathmandu medical collegeTeaching hospital of one month from the duration 2060-11-15 to 2060-12 -15. Mid-stream urine [MSU] of300 patient were cultured. Out of these, 75 patients’ urine were found to have significant bacterial growth.Total of five species of bacterial species isolated were viz.E.coli 37(33.3%), Proteus species 25(27.7%),Klebsiella species 15(16.6%), Staphylococcus aureus 8(8.8%) and Pseudomonas aureginosa 1(1.1%).Regarding… Show more
“…coli was the most common organism isolated (64.66%) in our study which is consistent with fi ndings of previous literature of 62.88% 14 and 67.5% 15 and some studies also reported higher incidence of E. coli 87 % and 92% respectively in their study 17,18 . Klebsiella isolated (12.78%) in present study is lower than other studies where incidence varied from 15.7 to 22% 12,15,19,20 .…”
Background: Urinary tract infection is common in children and is an important cause of morbidity. Urinary tract infection at young age can lead to renal injury and scarring, and ultimately lead to end stage renal disease in adulthood. Objectives: The purpose of study was to identify the different species of microorganisms, along with their antimicrobial susceptibility pattern, causing urinary tract infection in paediatric patients presenting with urinary tract infection at KIST Medical College, Imadol, Lalitpur, Nepal. Methods: This retrospective study examined microbiological and antimicrobial susceptibility pattern for urine samples collected at KIST Medical College, Imadol, Lalitpur from December 2010 to November 2013. A urine sample was included in our dataset if it demonstrated pure growth of a single organism and accompanying antimicrobial susceptibility and subject demographic data were available. Results: Escherichia coli was the most common organism isolated, followed by Klebsiella species, Staphylococcus species and then by Proteus species, Enterococcus species and Citrobacter species being equal in number. Microorganisms were most susceptible to amikacin and nitrofurantoin and most resistant to ampicillin and nalidixic acid. Conclusion: Though various microorganisms are responsible for urinary tract infection in children, Escherichia coli is the most common causative agent. Antimicrobial resistance has already emerged against many antibiotics, making empiric treatment of these infections challenging. DOI: http://dx.doi.org/10.3126/jkmc.v3i1.10919Journal of Kathmandu Medical CollegeVol. 3, No. 1, Issue 7, Jan.-Mar., 2014, Page: 21-25
“…coli was the most common organism isolated (64.66%) in our study which is consistent with fi ndings of previous literature of 62.88% 14 and 67.5% 15 and some studies also reported higher incidence of E. coli 87 % and 92% respectively in their study 17,18 . Klebsiella isolated (12.78%) in present study is lower than other studies where incidence varied from 15.7 to 22% 12,15,19,20 .…”
Background: Urinary tract infection is common in children and is an important cause of morbidity. Urinary tract infection at young age can lead to renal injury and scarring, and ultimately lead to end stage renal disease in adulthood. Objectives: The purpose of study was to identify the different species of microorganisms, along with their antimicrobial susceptibility pattern, causing urinary tract infection in paediatric patients presenting with urinary tract infection at KIST Medical College, Imadol, Lalitpur, Nepal. Methods: This retrospective study examined microbiological and antimicrobial susceptibility pattern for urine samples collected at KIST Medical College, Imadol, Lalitpur from December 2010 to November 2013. A urine sample was included in our dataset if it demonstrated pure growth of a single organism and accompanying antimicrobial susceptibility and subject demographic data were available. Results: Escherichia coli was the most common organism isolated, followed by Klebsiella species, Staphylococcus species and then by Proteus species, Enterococcus species and Citrobacter species being equal in number. Microorganisms were most susceptible to amikacin and nitrofurantoin and most resistant to ampicillin and nalidixic acid. Conclusion: Though various microorganisms are responsible for urinary tract infection in children, Escherichia coli is the most common causative agent. Antimicrobial resistance has already emerged against many antibiotics, making empiric treatment of these infections challenging. DOI: http://dx.doi.org/10.3126/jkmc.v3i1.10919Journal of Kathmandu Medical CollegeVol. 3, No. 1, Issue 7, Jan.-Mar., 2014, Page: 21-25
“…As a result this study was confined to 100 adult patients (21.8%) with ages ranged between 18-75 years old (mean ± SD 44± 15.244). The low rate of growth positivity which is also observed by other researchers [16,17] may due to the presence of either slow growing organisms or organisms that cannot be grow on the ordinary media. There were 76 females and 24 males.…”
This study was done to assess the bacterial profile and antibiotic susceptibility pattern of urinary tract infections (UTIs) pathogens. For proper identification of causative microbial agents, mid stream urine samples from 459 patients with clinical symptoms suspected to be UTI were collected, cultured and subjected to appropriate biochemical tests. These samples were collected from Teaching Laboratories Center in Baghdad during the study period (1 st January 2009-1 st July 2009). The antimicrobial sensitivity test was carried out by disc diffusion technique using Muller-Hinton agar. 100 urine samples were cultured positive with a colony count equal or more than 10 5 /ml while 359 cases were excluded as they were culture negative or exhibited mixed infections. Overall males to females ratio was 1:3.2. The most prevalence isolates were Escherichia coli with frequency rate of 50% followed by Enterobacter spp.(12%). Whereas, Klebsiella spp., Pseudomonas aeruginosa and Enterococcus faecalis showed frequency rate of 9% for each. Howevere, Proteus spp., Staphylococcus aureus, Staphylococcus epidermidis and Acinetobacter spp.showed frequency rate less than 5%. The majority of isolates were sensitive to imipenem (96%) followed by amikacin(89%) and nitrofurantion(69%) whereas, high level resistance was seen to cotrimoxazole, ampicillin and trimethoprim followed by cefoxitin, nalidixic acid, gentamicin and cefotaxime in decreasing order of frequency.
“…Previous studies also reported low prevalence of UTI. 3,10,18 Low positivity might be due to the urine samples obtained from the patients from under treatment cases. The slow growing organisms and infection from them cannot able to grow on the routinely used media.…”
Section: Discussionmentioning
confidence: 99%
“…They are always vulnerable to infections by various organisms. 10 Microbial resistance to nearly all classes of antimicrobials continues to rise despite increasing awareness and concern worldwide. 11 In Nepal, Isolated pathogen frequency and antimicrobial resistant rates can vary dramatically even within the same nation.…”
Section: Urinary Tract Infections and Antibiotic Susceptibility Amongmentioning
Background:Urinary tract infection is the most common bacterial infections in humans and serious health problem in many parts of the world. It has become more complicated in treatment due to different pathogens and increasing resistant to antimicrobial agents. This study aims to investigate the prevalence of urinary tract infection and antibiotic susceptibility patterns of pathogens among the patients attending in B & B hospital Nepal.Materials and Methods:A hospital based cross sectional study was conducted in between April 2010 to March 2011. Urine samples were collected from clinically suspected patients and tested bacteriologically using standard procedures. Antimicrobial susceptibility test was performed for isolated pathogen using the Kirby-Bauer disk diffusion method according to Clinical and Laboratory Standards Institute guidelines.Results:Out of 1260 examined specimens 25.24 % were positive and majority 61.64% were females. The most common pathogens isolated were Escherichia coli (66.67%), Enterococcus (7.55%) and Staphylococcus (6.60 %). The drug resistant among the positive cases were reported. The highest resistant of positive cases was found with Cefexime (87.88%) and Enterococcus with Ampicillin (66.67%) and Staphyllococcus with Cloxacillin (66.67%). The highest susceptibility was for Vancomycin and Ampicillin i.e. 33.33% in each.Conclusion:The findings showed that E. coli isolates were the predominant pathogen and the presence of bacterial isolates with very high resistance to the commonly prescribed drugs. As drug resistance among bacterial pathogens is an evolving process and serious issue. Therefore, routine surveillance and monitoring studies should be conducted to provide physicians knowledge on the updated and most effective empirical treatment of UTIs. Asian Journal of Medical Sciences Vol.7(5) 2016 47-51
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