FREQUENCY OF COMMON BACTERIA AND THEIR ANTIBIOTIC SENSITIVITY IN COMPLICATED URINARY TRACT INFECTION

Abstract

BACKGROUND: Urinary tract infection (UTI) is the second most common infectious complaint in geriatric clinics overall, and the most common outpatient complaint caused by bacteria. Studies have found that the elderly do not lack a febrile response; that an elevated temperature was the most common initial symptom, a marker for a serious infection, and the most important clinical indicator for antibiotic treatment. Study objective was to determine the frequency of common bacteria with their antibiotic sensitivity among elderly male patients presenting with complicated urinary tract infection.
METHODS: Descriptive cross sectional study from Feb 2015 to Feb 2016. The study will be carried out in the outpatient department of Urology, Institute of Kidney Diseases (IKD), Hayatabad Medical Complex, Peshawar.Sample size was 193 using 8.8%18 of Klebsiella Pnumoniae among elderly patients with UTI, 95% confidence interval and 4% margin of error under WHO sample size estimation software.
RESULTS: In this study, 193 male patients were observed. Average age was 70.76 years + 4.48SD. Distribution of common bacteria shows that Escherichia Coli was found in majority of cases which is 77(39.90%), followed by psedudomonas aereginosa in 73(73.8%), klebsiella was observed in 66(34.2%) patients while 69(64.2%) patients have enterobacter.
CONCLUSION: High prevalence of drug-resistant urinary tract pathogens, particularly to Ciprofloxcin, Ceftriaxone and Gentamycin suggests cautious use of antibiotic therapy for the treatment.

KEY WORDS: Urinary tract infection, Antibiotics, Common Bacteria, sensitivity.