Evaluation of uropathogens isolated in the outpatient department of a tertiary care hospital in south India

G. Manderwad, Farhat Subhaana Chilakapati, Sandeep Kumar Tipparthi, Ravi Shankar Reddy A, Raj Kumar H.R.V, Pradeep Kumar Reddy Sripathi
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Abstract

: Urinary tract infections constitute a large percentage of cases encountered in outpatient departments at tertiary care hospitals. These infections have been associated with a rise in antimicrobial resistance, leading to high morbidity and mortality. This rise in drug resistance has been linked to an increase in unauthorized, unregularized use of higher generations of antibiotics, leading to the prevalence of multi drug resistant organisms in the community.: The aim of this study is to analyze the prevalence of various uropathogens in the general population, along with their antibiotic susceptibility patterns. : The study has been carried out for a period of six months, during which a total of 872 urine samples were collected from the outpatient department at Kamineni Academy of Medical Sciences and Research Center, Hyderabad. Urine samples were subjected to bacterial culture and significant bacterial growth was identified using the colony count method. Identification and antimicrobial susceptibility testing was done using an automated VITEK 2 compact system. A total of 236 cases (27.1%) showed significant growth of uropathogens. The common organisms isolated were These organisms were seen more commonly in females. Multidrug resistance has been noted in multiple uropathogens, especially to fluoroquinolones and cephalosporins. This study documented an increase in antimicrobial resistance of the uropathogens isolated at the outpatient department. Judicious use of antibiotics may aid in prevention of spread of antimicrobial drug resistance in the general population.
评估尿路病原体分离在门诊的三级护理医院在印度南部
尿路感染在三级保健医院门诊部遇到的病例中占很大比例。这些感染与抗菌素耐药性上升有关,导致高发病率和死亡率。耐药性的上升与未经授权、不规范地使用更高代抗生素的情况增加有关,导致社区中普遍存在多重耐药生物。本研究的目的是分析普通人群中各种尿路病原体的患病率,以及它们的抗生素敏感性模式。该研究进行了六个月,在此期间,从海德拉巴Kamineni医学科学和研究中心门诊部共收集了872份尿液样本。尿液样本进行细菌培养,用菌落计数法鉴定出显著的细菌生长。使用自动VITEK 2紧凑型系统进行鉴定和抗菌药敏试验。236例(27.1%)尿路病原菌明显生长。分离出的常见微生物为:这些微生物在雌性中更为常见。多药耐药已在多种尿路病原体中被注意到,特别是对氟喹诺酮类药物和头孢菌素。这项研究记录了在门诊分离的尿路病原体的抗微生物药物耐药性增加。明智地使用抗生素可能有助于预防抗菌素耐药性在一般人群中蔓延。
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