Prevalence and Antimicrobial Susceptibility Profile of Uropathogens in Children Attending Tertiary Health Care Centre in Enugu, Nigeria

2020 ◽  
pp. 76-84
Author(s):  
C. Uzoamaka Maduakor ◽  
E. Martin Ohanu ◽  
P. Iniekong Udoh ◽  
E. Adaeze Onyebueke ◽  
N. Innocent Okonkwo ◽  
...  
Keyword(s):  
Health Care ◽  
Urinary Tract Infection ◽  
Urinary Tract ◽  
Tract Infection ◽  
Antimicrobial Susceptibility ◽  
Bacterial Infections ◽  
Urine Samples ◽  
Care Centre ◽  
Health Care Centre ◽  
Antimicrobial Susceptibility Profile

Infections of the urinary tract are one of the most prevalent bacterial infections in developing countries. It is a challenge that is most often encountered in pediatrics. Uncontrolled use of antimicrobial drugs has led to the development of drug-resistant organisms. Hence, this study was aimed at isolating, characterizing, and identifying the pathogens associated with urinary tract infection (UTI) in children attending Tertiary Health Care Centre in Enugu metropolis and to determine their antimicrobial susceptibility profiles. Urine samples were collected from 260 patients with signs and symptoms suggestive of urinary tract infection (UTI). The children were seen in children out-patients, children emergency departments of the hospital, and pediatric ward. Their ages ranged from 0-17 years. The urine samples were analyzed in the laboratory using standard bacteriological methods. Antibiotic sensitivity of the isolates was determined by the Kirby-Bauer disc diffusion technique. Of the 260 urine samples, significant bacterial agents were recorded in 98(37.7%). Escherichia coli ranked highest with 30(32.6%) followed by Klebsiella spp. 17(18.5%) and the least was Enterococcus fecalis 1(1.1%). Gender distribution showed a higher prevalence in females (p <0.05). The highest positive result was obtained from children between 0-5years. Most of the isolates were sensitive to Imipenem, Nitrofurantoin, Ceftriaxone, and Ciprofloxacin but resistant to Augmentin and Amoxicillin. There is a need to regularly monitor the antimicrobial susceptibility profile of these etiological agents to keep track of the effectiveness of certain therapeutic agents.  

scholarly journals Antimicrobial Sensitivity Pattern of Bacterial Pathogens Associated with Urinary Tract Infection

2017 ◽  
Vol 5 (2) ◽  
pp. 57-62 ◽  
Author(s):  
Nayareen Akhtar ◽  
Rezwanur Rahman ◽  
Shahin Sultana ◽  
Md Rezwanur Rahman
Keyword(s):  
Urinary Tract Infection ◽  
Urinary Tract ◽  
Tract Infection ◽  
Antimicrobial Susceptibility ◽  
Bacterial Infections ◽  
Urine Samples ◽  
Antimicrobial Sensitivity ◽  
Sensitivity Pattern ◽  
The Common ◽  
A Prospective Study

Correction: On 10th August 2017 due to typographical errors, the period of the study was changed from May 2016 to June 2017 and the caption of the red segment in Figure 1 was changed from No UTI, 41% to UTI, 59%Background: Urinary tract infection (UTI) is one of the common bacterial infections in mankind. The changing antimicrobial sensitivity in UTI demands use of appropriate antibiotics.Objective: This study was conducted to determine the distribution and antimicrobial susceptibility of uropathogens.Materials and method: This was a prospective study conducted in Bangladesh Medical College & Hospital, Dhaka, Bangladesh between May 2016 and June 2017 to identify the organisms causing UTI and their antibiotic susceptibility. Clean catch midstream urine samples were collected from 95 patients presenting with symptoms of UTI. Antimicrobial susceptibility was performed by disc diffusion method.Results: Out of 95 urine samples, 56 (58.9%) were found positive. The prevalence was significantly higher in females than in males (females: 58.9%; males: 41%). Age group of >48 years showed higher prevalence of UTI. The most common organisms isolated were Escherichia coli, Klebsiella, Pseudomonas, Proteus and Staphylococcus aureus. These represented 44.6%, 21.4%, 14.3%, 12.5%, and 7.14% of isolates respectively. Imipenem and Meropenem were found the most susceptible drug against isolated uropathogens.Conclusion: Most powerful antibiotics in our study were imipenem and meropenem. In conclusion, one can truly affirm that the choice of drugs in the treatment of UTI is becoming quite narrow today due to the wide scale resistance that the common UTI pathogens show to drugs which have been used previously.Delta Med Col J. Jul 2017 5(2): 57-62

scholarly journals Oxacillin Resistance and Antimicrobial Susceptibility Profile ofStaphylococcussaprophyticusand Other Staphylococci Isolated from Patients with Urinary Tract Infection

Chemotherapy ◽  
2012 ◽  
Vol 58 (6) ◽  
pp. 482-491 ◽  
Author(s):  
Adriano M. Ferreira ◽  
Mariana F. Bonesso ◽  
Alessandro L. Mondelli ◽  
Carlos H. Camargo ◽  
Maria de Lourdes R.S. Cunha
Keyword(s):  
Urinary Tract Infection ◽  
Urinary Tract ◽  
Tract Infection ◽  
Antimicrobial Susceptibility ◽  
Oxacillin Resistance ◽  
Antimicrobial Susceptibility Profile

scholarly journals A clinical study of uropathogens causing urinary tract infection in children and adolescents in a tertiary care hospital

2020 ◽  
Vol 9 (10) ◽  
pp. 1549
Author(s):  
R. Abisha Rezia ◽  
R. Vijendra ◽  
Anjana Gopi
Keyword(s):  
Urinary Tract Infection ◽  
Urinary Tract ◽  
Tract Infection ◽  
Children And Adolescents ◽  
Antimicrobial Susceptibility ◽  
Urine Samples ◽  
Diffusion Method ◽  
Care Hospital ◽  
E Coli ◽  
The Common

Background: Urinary Tract Infection (UTI) is one of the common infections in children. Incidence varies with age, race and gender. UTIs have become difficult to treat due to development of resistance among uropathogens. Regional data regarding the common uropathogens and their antimicrobial susceptibility pattern is required to guide the clinicians to start empirical therapy while treating UTIs.Aims: This study is aimed to study the profile of uropathogens causing UTI in children and adolescents, assess their antimicrobial susceptibility, the clinical course and outcome.Methods: All subjects with suspected UTI whose urine samples grew a positive culture of uropathogens were included in this prospective observational study. The study was done in the Department of Microbiology from July 2019 to December 2019. The urine samples were processed by standard methods (using 5% sheep blood agar and MacConkey agar) and antimicrobial susceptibility was performed using the Kirby-Bauer disk diffusion method. The details of the pathogens grown, and their antimicrobial sensitivity and resistance patterns were recorded, and the subjects were followed up during their course in the hospital.Results: A total of 109 urine samples from paediatric and adolescent subjects showed positive cultures (97.32%). UTI was common among toddlers (46.7%). E. coli contributed to 40.3% of the cases, followed by Enterococcus and Klebsiella pneumonaie. E. coli was resistant to amoxicillin + clavulanic acid, cephalosporins and ciprofloxacin. The organisms were sensitive to meropenem, amikacin and piperacillin + tazobactam.Conclusion: Incidence of UTI and the uropathogens causing UTI varies with age. Different uropathogens and their resistance to commonly used antimicrobials is a concern for future treatment options in UTI.

Study of Bacterial Pathogens in Urinary Tract Infection and their Antimicrobial Sensitivity Pattern

2018 ◽  
Vol 4 (2) ◽  
pp. 40-44
Author(s):  
Rezina Parveen ◽  
Ina Rahim
Keyword(s):  
Escherichia Coli ◽  
Urinary Tract Infection ◽  
Urinary Tract ◽  
Tract Infection ◽  
Antimicrobial Susceptibility ◽  
Urine Samples ◽  
College Hospital ◽  
Antimicrobial Sensitivity ◽  
Sensitivity Pattern ◽  
Patient Department

Background: Urinary tract infection (UTI) is one of the most common bacterial infections in Bangladesh. Antimicrobial agents are used for its treatment. The increase in antibiotic resistance among uropathogens is a global problem.Objective: This study was designed to find out the prevalence of UTI, its causative agents and their antimicrobial susceptibility patterns among suspected patients of UTI attending Dhaka Dental College Hospital, Dhaka.Methodology: This cross-sectional study was carried out in Dhaka Dental College Hospital, Dhaka during the period of November 2014 to May 2017. Clinically diagnosed cases of UTI irrespective of age and sex from out-patient department and in-patient department were selected for the purpose of the study. For culture, the urine samples were inoculated on 5% sheep blood agar and MacConkey’s agar media using calibrated loop following standard bacteriological technique. After the incubation period, the plate were examined for bacterial pathogen. The disk diffusion method (Kirby Bauer’s) was used to determine the antimicrobial susceptibility of isolates. Standard inoculums were inoculated on Mueller-Hinton agar and incubated at 37oC for 24 hours.Result: Ninety three urine samples were studied. Among the 93 samples most of them were in the age group of 21 to 30 years. Out of 93 samples, 26 (27.95%) samples were found culture positive. Escherichia coli (92.30%) was found to be the predominant organism.  Regarding antimicrobial sensitivity pattern Esch. coli was found to be most sensitive to Imipenem (100%), Amikacin (87.5%), and Nitrofurantoin (83.33%).Conclusion: In conclusion young aged female are commonly suffering from UTI and Escherichia coli is the most common isolated bacteria.Bangladesh Journal of Infectious Diseases, December 2017;4(2):40-44

scholarly journals Monitoring Antimicrobial Susceptibility in bacterial isolates causing Urinary Tract Infections in a Tertiary Hospital in Kathmandu

2020 ◽  
Vol 19 (1) ◽  
pp. 133-141
Author(s):  
Vivek Kumar Singh ◽  
Mahesh Kumar Chaudhary ◽  
Megha Raj Banjara ◽  
Reshma Tuladhar
Keyword(s):  
Urinary Tract Infection ◽  
Urinary Tract ◽  
Tract Infection ◽  
Antimicrobial Susceptibility ◽  
Susceptibility Testing ◽  
Tertiary Care ◽  
Urine Samples ◽  
Care Hospital ◽  
Biochemical Tests ◽  
Tract Infections

   Urinary tract infection is the most common infection in females worldwide. One in three women experiences at least one episode of urinary tract infection during their lifetime. The objective of this study was to determine the etiology and antimicrobial profile of urinary tract infection. A cross-sectional study was conducted at a tertiary care hospital in Nepal. Thirteen hundred clean catch mid-stream urine samples were tested through standard microbiological techniques. The isolates from urine samples were identified from biochemical tests. Antibiotic susceptibility testing was performed through the Kirby-Bauer disc diffusion technique following CLSI guidelines. The prevalence of urinary tract infection was found at 24.23%. Escherichia Coli was a predominant etiological agent followed by Staphylococcus aureus. The majority of the infection was found between the age group 21-40, with females mostly infected. Most of the microorganisms were isolated from emtergency, obstetrics-gynecology, and nephrology wards. Most of the isolates were resistant to ampicillin, whereas the majority of the gram-positive isolates were resistant to penicillin.A large number of isolates were found to be sensitive to Gentamycin and nitrofurantoin. Routine antimicrobial susceptibility testing of the isolates causing urinary tract infection is recommended to reduce antimicrobial resistance and for the  proper treatment of infection.

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