A Study on Epidemiological Profile of Urinary Tract Infections in Perspective of Diabetic Status among Patients Attending Tertiary Care Hospital, Ahmedabad
Journal Title: National Journal of Community Medicine - Year 2018, Vol 9, Issue 8
Abstract
Background Urinary Tract Infection (UTI) is common illness involving all age groups. Diabetics tend to have more episodes of illness as compared to non diabetics. Present study compared various epidemio-logical aspects of UTI among diabet-ic and non diabetic patients. Methods: A hospital based study was conducted among 300 cases (200 non diabetics and 100 diabet-ics) of UTI attending one of the ter-tiary care hospitals of Ahmedabad city. Bacterial Isolation and antimi-crobial sensitivity was tested in urine samples of all cases. Z test, Chi-square test with Cramers’ V and Phi correlation were applied for testing the statistical significance. Result: Mean age of diabetics and non-diabetics was 55.6 ± 12.1 years and 33.7 ± 21.9 years, respective-ly.UTI cases with positive urinary culture were 92% and 67% in dia-betic and non-diabetic groups, re-spectively. Most common organism isolated among both the groups was E coli. In both groups E coli and Klebsiella had high antimicrobial sensitivity for Imipenam, Gentamy-cin and Nitrofurantoin. Among di-abetics, the duration of diabetes, regularity of medication and type of treatment has significant effect on number of episodes of UTI in a year. Conclusion: Escherichia coli were universally common isolate. Ami-noglycoside and Nitrofurantoin can still be used empirically to treat UTI irrespective of diabetic status. Screening of urine samples for an-timicrobial sensitivity while initiat-ing the course of treatment among all UTI cases is recommended to check for and prevent resistance.
Authors and Affiliations
Viral R Dave, Venu R Shah, K N Sonaliya, Shruti D Shah, Aniruddha R Gohel
Keywords
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