Antibiotic Susceptibility Pattern of Bacteria Causing Urinary Tract Infection at Nepalgunj Medical College

K. Gurung, Rupak Kc, I. Patel, Dhan Raj Neupane, Sandeep Pokhrel, Samjhana Gurung
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Abstract

Introduction: Urinary Tract Infection is one of the most common infectious diseases affecting people of all age groups. Resistance to antibiotics is highly prevalent in bacterial isolates. Aims: This study was carried out to isolate the different microbial agents and evaluate their antibiograms pattern. Methods: Hospital based descriptive cross sectional study was conducted over the period of October 2021 to January 2022 at Nepalgunj Medical College, Kohalpur, Nepal. 292 urine samples were inoculated on cysteine lactose electrolyte deficient agar and incubated at 37 0C in incubator. After overnight growth, Gram positive and Gram negative bacteria were identified on the basis of different biochemical tests. Antibiotic sensitivity test was performed by Kirby-Bauer disk diffusion method. Results: Out of 292 urine samples, 28.76 % showed microbial growth. Majority of isolates were Escherichia coli and Staphylococcus aureus. Most vulnerable age group was 26-50 years. Overall pathogens were sensitive to amikacin, gentamicin, nitrofurantoin but resistant to cefixime. Conclusion: Regular surveillance of the resistance is required among microorganisms to ensure the appropriate therapy of Urinary tract infection.
尼泊尔医学院尿路感染细菌的抗生素敏感性分析
导读:尿路感染是影响所有年龄组人群的最常见的传染病之一。对抗生素的耐药性在细菌分离株中非常普遍。目的:分离不同的微生物制剂并评价其抗菌谱。方法:于2021年10月至2022年1月在尼泊尔科哈尔布尔尼泊尔君医学院进行以医院为基础的描述性横断面研究,将292份尿液样本接种于半胱氨酸乳糖电解质缺乏琼脂上,并在37℃培养箱中培养。培养过夜后,根据不同生化指标鉴定革兰氏阳性菌和革兰氏阴性菌。采用Kirby-Bauer纸片扩散法进行抗生素敏感性试验。结果:292份尿样中有28.76%的尿样有微生物生长。主要分离物为大肠杆菌和金黄色葡萄球菌。最脆弱的年龄组是26-50岁。病原菌对阿米卡星、庆大霉素、呋喃妥因敏感,对头孢克肟耐药。结论:需要定期监测尿路感染微生物的耐药性,以确保适当的治疗。
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