Bacterial profile and antibiotic susceptibility pattern of uropathogens causing urinary tract infection in the eastern part of Northern India.

Autor:	Bhargava K; Amity Institute of Microbial Technology, Amity University Rajasthan, Jaipur, India.; Department of Microbiology, Institute of Medical Sciences (IMS), Banaras Hindu University, Varanasi, India., Nath G; Department of Microbiology, Institute of Medical Sciences (IMS), Banaras Hindu University, Varanasi, India., Bhargava A; Department of Medicine, Hayes Memorial Hospital, Sam Higginbottom University of Agriculture, Technology and Sciences (SHUATS), Allahabad, India., Kumari R; Department of Microbiology, Institute of Medical Sciences (IMS), Banaras Hindu University, Varanasi, India., Aseri GK; Amity Institute of Microbial Technology, Amity University Rajasthan, Jaipur, India., Jain N; Amity Institute of Biotechnology, Amity University Rajasthan, Jaipur, India.
Jazyk:	angličtina
Zdroj:	Frontiers in microbiology [Front Microbiol] 2022 Aug 09; Vol. 13, pp. 965053. Date of Electronic Publication: 2022 Aug 09 (Print Publication: 2022).
DOI:	10.3389/fmicb.2022.965053
Abstrakt:	Urinary tract infection (UTI) is a common infectious disease that affects men and women. It is a significant health concern due to multidrug-resistant (MDR) organisms. Therefore, it is necessary to have a current understanding of the antibiotic susceptibility (AS) pattern of uropathogens to manage UTI effectively. Since the bacterial pathogen causing UTI and its AS vary with time and place, the prevailing AS pattern of the causative agents are essential for empirical antibiotic therapy. This study aims to determine the prevalence and AS of uropathogens isolated from UTI patients in the eastern part of Northern India. The study was carried out between November 2018 and December 2019. Clean catch midstream urine samples were collected and processed using standard guidelines for microbiological procedures. Positive microbiological cultures were found in 333 of the 427 patients, where 287 were gram-negative bacteria (GNB), and 46 were gram-positive bacteria (GPB). Females had a higher prevalence of UTI (60.7%) than males (39.3%) ( p = 0.00024). The most susceptible age group in females was 18-50 years as compared to males, whereas at the age of 51-80 years and >80 years males were more susceptible than females ( p = 0.053). The most prevalent pathogen identified were Escherichia coli (55.0%), followed by Proteus sp. (6.9%), Klebsiella pneumoniae (6.6%), Pseudomonas aeruginosa (6.3%), of which 96.0% were MDR bacteria. The susceptibility pattern of our study also revealed that amikacin, gentamycin and imipenem were the most effective drugs against GNB. In contrast, nitrofurantoin, vancomycin, and chloramphenicol were the most effective drugs against GPB. According tothe findings, MDR pathogens are very much prevalent. Since UTI is one of the most frequent bacterial diseases, proper management necessitates extensive investigation and implementation of antibiotic policy based on AS patterns for a particular region. Competing Interests: The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest. (Copyright © 2022 Bhargava, Nath, Bhargava, Kumari, Aseri and Jain.)
Databáze:	MEDLINE
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