Prevalence of Uropathogens and their Antibiotic susceptibility pattern among Diabetic group in a Tertiary care hospital, Tirupathi
Journal Title: Indian Journal of Microbiology Research - Year 2017, Vol 4, Issue 2
Abstract
Introduction & Objective: Urinary tract infections are most common infections occurred and cause adverse effect in diabetic mellitus patients. Impairment in the immune system, poor metabolism control and incomplete bladder emptying due to autonomic neuropathy may contribute to enhanced risk of urinary tract infection in diabetic patients. The study was undergone to find out the prevalence and incidence of urinary tract infection among diabetic patients according to sex, age and antibiotic sensitivity pattern of isolates obtained. Materials and Method: Total cases of 250 diabetic patients were studied over a period of 6 months from November to April 2015. Diagnosis of diabetes was made based on the WHO Criteria. Mid stream samples were collected under aseptic precautions and were processed by using standard microbiological procedures. Urine samples were inoculated on Blood agar, MacConkey agar and Nutrient agar and growth characteristics were studies after 24 hrs of incubation. All culture positive isolates were subjected to antibiotic sensitivity by modifies Kirby-Bauers method. Results & Interpretation: Among 250 samples 100 samples yielded growth. The isolates obtained were Escherichia coli (53%) the dominant isolate followed by Enterococcus faecalis (19%), Staphylococcus epidermidis (10%), Klebsiella Pneumoniae (7%), Pseudomonas aeruginosa (4%), Staphylococcus aureus (3%), Proteus vulgaris (2%) Acinetobacter species (2%). The isolates were highly sensitive to, Amikacin, Imipenem, Nitrofurantoin and Pipercillin -Tazobactum. Conclusions: Diabetic patients are at high risk of development of UTI. Continued surveillance of resistance rates among uropathogens is needed to ensure appropriate recommendation for the treatment of these infections.
Authors and Affiliations
Praveen Kumar Saginela, Suguneswari Giddi, Ramana BV, Hyma Pratyusha
Detection of oxacillanase and metallobetalactamase in carbapenem resistant isolates of Acinetobacter spp., from various clinical samples by phenotypic and genotypic methods in a tertiary care hospital
Background: Non fermenting Gram Negative Bacilli (NFGNB) once considered as contaminants, now emerged as a major cause of life threatening nosocomial infections and as multidrug resistant pathogens. Acinetobacter species...
Antibiotic susceptibility pattern among clinical isolates of staphylococcus aureus with special reference to vancomycin
Introduction: Staphylococcus is a major pathogen of community and hospital acquired infections. Vancomycin is used in MRSA caused infections. Emergence of VISA and VRSA has been of great concern in clinical aspects. Mate...
Role of semi-quantitative bacteriological culture in management of chronic wound infections
Introduction: The role of quantitative microbiology in the management of wound infections is very crucial. In this study semi-quantitative swab technique is used as a simple procedure for assessing the bacterial load of...
Prevalence and Resistance pattern of Staphylococcus aureus isolated from a Tertiary Care Centre in Pudhucherry
Objectives: To study the prevalence and resistance pattern of Staphylococcus aureus isolated from abscesses from a tertiary care centre. Materials and Method: A retrospective study was done at Department of Microbiology,...
Management of Tuberculous meningitis – A review
Tuberculous Meningitis (TBM) is one of the leading causes of deaths and disabilities in the developing nations like India. Rapid diagnosis of the cases is essential to minimise the mortality and morbidity. Although clini...