Urinary tract infections and antibiotic susceptibility among the patients attending B & D hospital of Lalitpur, Nepal

Authors

  • Yadav Prasad Joshi PhD Researcher, Department of Social and Preventive Medicine, School of Medicine, Sungkyunkwan University, the Republic of Korea http://orcid.org/0000-0002-1578-9775
  • Shreejeet Shrestha Principal, Asian College for Advanced Studies, Lalitpur, Nepal http://orcid.org/0000-0003-2501-4604
  • Russell Kabir Senior Lecturer, Department for Allied and Public Health, Anglia Ruskin University, Chelmsford, UK http://orcid.org/0000-0001-9257-2775
  • Anita Thapa Medical Officer, Department of Gynaecology and Obstetrics, KIST Medical College & Teaching Hospital, Imadol, Lalitpur, Nepal
  • Parbati Upreti Research Officer, Global Institute for Policy Studies (GIPS), Kathmandu, Nepal
  • Sanjit Shrestha Microbiologist, Department of Pathology, B & B Hospital, Lalitpur, Nepal

DOI:

https://doi.org/10.3126/ajms.v7i5.14908

Keywords:

Urinary tract infection, Antibiotic susceptibility, Kathmandu, Nepal

Abstract

Background:

Urinary tract infection is the most common bacterial infections in humans and serious health problem in many parts of the world. It has become more complicated in treatment due to different pathogens and increasing resistant to antimicrobial agents. This study aims to investigate the prevalence of urinary tract infection and antibiotic susceptibility patterns of pathogens among the patients attending in B & B hospital Nepal.

Materials and Methods:

A hospital based cross sectional study was conducted in between April 2010 to March 2011. Urine samples were collected from clinically suspected patients and tested bacteriologically using standard procedures. Antimicrobial susceptibility test was performed for isolated pathogen using the Kirby-Bauer disk diffusion method according to Clinical and Laboratory Standards Institute guidelines.

Results:

Out of 1260 examined specimens 25.24 % were positive and majority 61.64% were females.  The most common pathogens isolated were Escherichia coli (66.67%), Enterococcus (7.55%) and Staphylococcus (6.60 %). The drug resistant among the positive cases were reported. The highest resistant of positive cases was found with Cefexime (87.88%) and Enterococcus with Ampicillin (66.67%) and Staphyllococcus with Cloxacillin (66.67%). The highest susceptibility was for Vancomycin and Ampicillin i.e. 33.33% in each.

Conclusion:

The findings showed that E. coli isolates were the predominant pathogen and the presence of bacterial isolates with very high resistance to the commonly prescribed drugs. As drug resistance among bacterial pathogens is an evolving process and serious issue. Therefore, routine surveillance and monitoring studies should be conducted to provide physicians knowledge on the updated and most effective empirical treatment of UTIs.

 Asian Journal of Medical Sciences Vol.7(5) 2016 47-51

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Author Biography

Russell Kabir, Senior Lecturer, Department for Allied and Public Health, Anglia Ruskin University, Chelmsford, UK

Senior Lecturer and Course Leader, Healthcare

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Published

2016-08-31

How to Cite

Joshi, Y. P., Shrestha, S., Kabir, R., Thapa, A., Upreti, P., & Shrestha, S. (2016). Urinary tract infections and antibiotic susceptibility among the patients attending B & D hospital of Lalitpur, Nepal. Asian Journal of Medical Sciences, 7(5), 47–51. https://doi.org/10.3126/ajms.v7i5.14908

Issue

Vol. 7 No. 5 (2016)

Section

Original Articles

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