Spectrum of Bacterial Pathogen and its Antimicrobial Resistance Pattern in Urinary Tract Infection in Western Gujarat

Background Urinary Tract Infection (UTI) is the most common bacterial infection in human and is one of the most frequently occurring hospital acquired infections. UTIs refer to the presence of microbial pathogens within the urinary tract and it is usually classified by the site of infection as bl...

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Main Authors: Krupali Kothari, Rucha Chavda, Vandana Patel, Hitesh Assudani, Shilpa Supekar, Dolly Solanki
Format: Article
Language:English
Published: Gujarat Adani Institute of Medical Sciences 2022-11-01
Series:GAIMS Journal of Medical Sciences
Subjects:
Online Access:https://gjms.gaims.ac.in/index.php/gjms/article/view/55/54
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author Krupali Kothari
Rucha Chavda
Vandana Patel
Hitesh Assudani
Shilpa Supekar
Dolly Solanki
author_facet Krupali Kothari
Rucha Chavda
Vandana Patel
Hitesh Assudani
Shilpa Supekar
Dolly Solanki
author_sort Krupali Kothari
collection DOAJ
description Background Urinary Tract Infection (UTI) is the most common bacterial infection in human and is one of the most frequently occurring hospital acquired infections. UTIs refer to the presence of microbial pathogens within the urinary tract and it is usually classified by the site of infection as bladder (cystitis), kidney (pyelonephritis) or urine (bacteriuria). Aim of this study was to determine the spectrum of bacteriological pathogens responsible for UTI and to assess the antibiotic resistance pattern of the causative uropathogens. Material & Methods A cross sectional study was performed on 393 urine samples from July 2021 to July 2022 to investigate symptomatic patients of UTI among patients attending Gujarat Adani Institute of Medical Sciences medical college (GAIMS), Bhuj-Kutch, Gujarat, India. All urine samples were processed by standard semi-quantitative culture method and sensitivity by Kirby Bauer disk diffusion method. Results of sensitivity testing were interpreted as per CLSI guidelines. Results Out of 118 positive culture samples, Escherichia coli is the most prevalent organism with 47.45%, followed by Klebsiella pneumoniae (18.64%), Enterococcus spp.(15.25%), Pseudomonas aeruginosa (5.08%), Staphylococcus aureus (3.38%), Proteus mirabilis (5.08%), Acinetobacter spp.(5.08%). Study shows higher resistance towards beta lactam group of drugs however less resistant to aminoglycoside group of drugs. Conclusion Most common organism in this study was E.coli. Current study we observed a generalized drug resistance to commonly used antibiotics. To prevent further drug resistance, strict implementation of antibiotic policy, awareness regarding judicial use of antimicrobial in medical, para medical and general population is a need of the time.
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spelling doaj.art-bdc09f85d37c48628facdd143da008782023-06-05T12:13:17ZengGujarat Adani Institute of Medical SciencesGAIMS Journal of Medical Sciences2583-17632022-11-0122242910.5281/zenodo.7319505Spectrum of Bacterial Pathogen and its Antimicrobial Resistance Pattern in Urinary Tract Infection in Western GujaratKrupali Kothari0Rucha Chavda1Vandana Patel2Hitesh Assudani3Shilpa Supekar4Dolly Solanki5Department of Microbiology, Gujarat Adani Institute of Medical Sciences and GK General Hospital, Bhuj, Kachchh, Gujarat-370001Department of Microbiology, Gujarat Adani Institute of Medical Sciences and GK General Hospital, Bhuj, Kachchh, Gujarat-370001Department of Microbiology, Gujarat Adani Institute of Medical Sciences and GK General Hospital, Bhuj, Kachchh, Gujarat-370001Department of Microbiology, Gujarat Adani Institute of Medical Sciences and GK General Hospital, Bhuj, Kachchh, Gujarat-370001Department of Microbiology, Gujarat Adani Institute of Medical Sciences and GK General Hospital, Bhuj, Kachchh, Gujarat-370001Department of Microbiology, Gujarat Adani Institute of Medical Sciences and GK General Hospital, Bhuj, Kachchh, Gujarat-370001Background Urinary Tract Infection (UTI) is the most common bacterial infection in human and is one of the most frequently occurring hospital acquired infections. UTIs refer to the presence of microbial pathogens within the urinary tract and it is usually classified by the site of infection as bladder (cystitis), kidney (pyelonephritis) or urine (bacteriuria). Aim of this study was to determine the spectrum of bacteriological pathogens responsible for UTI and to assess the antibiotic resistance pattern of the causative uropathogens. Material & Methods A cross sectional study was performed on 393 urine samples from July 2021 to July 2022 to investigate symptomatic patients of UTI among patients attending Gujarat Adani Institute of Medical Sciences medical college (GAIMS), Bhuj-Kutch, Gujarat, India. All urine samples were processed by standard semi-quantitative culture method and sensitivity by Kirby Bauer disk diffusion method. Results of sensitivity testing were interpreted as per CLSI guidelines. Results Out of 118 positive culture samples, Escherichia coli is the most prevalent organism with 47.45%, followed by Klebsiella pneumoniae (18.64%), Enterococcus spp.(15.25%), Pseudomonas aeruginosa (5.08%), Staphylococcus aureus (3.38%), Proteus mirabilis (5.08%), Acinetobacter spp.(5.08%). Study shows higher resistance towards beta lactam group of drugs however less resistant to aminoglycoside group of drugs. Conclusion Most common organism in this study was E.coli. Current study we observed a generalized drug resistance to commonly used antibiotics. To prevent further drug resistance, strict implementation of antibiotic policy, awareness regarding judicial use of antimicrobial in medical, para medical and general population is a need of the time.https://gjms.gaims.ac.in/index.php/gjms/article/view/55/54uti- urinary tract infectionsemi quantitative culture for utispectrum of pathogen in utiantibiogram of pathogens isolated from uti
spellingShingle Krupali Kothari
Rucha Chavda
Vandana Patel
Hitesh Assudani
Shilpa Supekar
Dolly Solanki
Spectrum of Bacterial Pathogen and its Antimicrobial Resistance Pattern in Urinary Tract Infection in Western Gujarat
GAIMS Journal of Medical Sciences
uti- urinary tract infection
semi quantitative culture for uti
spectrum of pathogen in uti
antibiogram of pathogens isolated from uti
title Spectrum of Bacterial Pathogen and its Antimicrobial Resistance Pattern in Urinary Tract Infection in Western Gujarat
title_full Spectrum of Bacterial Pathogen and its Antimicrobial Resistance Pattern in Urinary Tract Infection in Western Gujarat
title_fullStr Spectrum of Bacterial Pathogen and its Antimicrobial Resistance Pattern in Urinary Tract Infection in Western Gujarat
title_full_unstemmed Spectrum of Bacterial Pathogen and its Antimicrobial Resistance Pattern in Urinary Tract Infection in Western Gujarat
title_short Spectrum of Bacterial Pathogen and its Antimicrobial Resistance Pattern in Urinary Tract Infection in Western Gujarat
title_sort spectrum of bacterial pathogen and its antimicrobial resistance pattern in urinary tract infection in western gujarat
topic uti- urinary tract infection
semi quantitative culture for uti
spectrum of pathogen in uti
antibiogram of pathogens isolated from uti
url https://gjms.gaims.ac.in/index.php/gjms/article/view/55/54
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