Trend of Sensitivity Pattern of Uropathogenic Escherichia coli: Five Year Experience at a Tertiary Care Hospital in Dhaka

Abstract

Background: Urinary tract infections are among the most common bacterial infections caused by pathogens with a decreasing susceptibility to several classes of antimicrobials. Objective: The purpose of the present study was to see the trend of sensitivity pattern of Escherichia coli (E. coli) isolated from the urinary tract patients. Methodology: This retrospective study was conducted at Uttara Adhunik Medical College Hospital, Dhaka from 2008 to 2012 for a period of 5(five) years. All patients were within ages 1 month to 80 years, comprising of both male and female, either out or in patients were included as study population. Urine sample was collected and Escherichia coli was isolated and identified as well as the antimicrobial susceptibility patterns was determined. Results: A total number of 16,666 urine samples were collected. No significant changes of susceptibility pattern of Escherichia coli was found to ciprofloxacin, cephradine, ceftriaxone, levofloxacin, nalidixic acid, imipenem and meropenem; however, significant change was detected to amoxicillin, amoxiclav, cefixime, trimethoprim-sulfamethoxazole, amikacin, ceftazidime and mecillinam between 2008 and 2012. Conclusion: Trend of sensitivity pattern of Escherichia coli is changing to few important antibiotics. [J Shaheed Suhrawardy Med Coll, 2013;5(2):103-105]

Assessment of licensed indigenous midwives’ knowledge concerning prevention and management of postpartum hemorrhage in Baghdad city

“…The highest percentage (44%) of study sample practiced midwifery at their house, and (37%) of them practiced midwifery at mother's house as shown in table (3). This finding is consistent with McCormick and Begum reported that the traditional birth attendants must go to the home of full term women, demonstrate and discuss the preparation of the delivery room with sufficient light in the delivery room and many births in developing countries occur in the home because of cultural preferences, economic reasons, poor quality services, or services that are difficult to access (11)(12) .…”

“…This table shows that (53%) of study sample have experiences in midwifery between (11)(12)(13)(14)(15)(16)(17)(18)(19)(20) 3) shows the highest percentage (96%) of study sample attended deliveries at the same area of midwives' house within their boundaries. The same table shows that (44%) of them conducted the deliveries at their houses while 37% of them conducted delivery at mother's house.…”

Prevalent Bacteria and Their Sensitivity and Resistance Pattern to Antibiotics: A Study in Dhaka Medical College Hospital

“…Gradual decrease of susceptibility pattern of mecillinam was found. 58 In our study, Klebsiella was 100% sensitive to flucloxacillin, colistin, vancomycin, tigecycline, linezolid and 100% resistant to nalidixic acid. Begum et.al.…”

“…analyzed 16,666 urine samples to see the trend of sensitivity pattern of uropathogenic Escherichia coli at Uttara Adhunik Medical College Hospital, in Dhaka. 58 They found that A total number of 16, 666 reports of urine samples were collected from the microbiology laboratory data base of which 3,000(18%) reports showed presence of E. coli. E. coli were mostly susceptible to meropenem from the year 2008 to 2012 (100%) except 2010 (98.58%) followed by amikacin (81.20%-100%) and imipenem (78.66%-100%).…”