Role of Urine Bacteriology Assessment in Patients with Benign Prostatic Hyperplasia
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2018, Vol 17, Issue 3
Abstract
Background:Benign prostatic hyperplasia is very common in old ages. In India,few only present with symptoms . Few were detected to have the benign enlargement when they were screened prior to surgery for inquinal hernia or so. Bacteriuria and urinary tract infections are common sequelae of benign prostatic hyperplasia(BPH). Thus, the knowledge of urine bacteriology in men with symptomatic BPH in our environment may play acomplementary role in management. Objectives: To determine the incidence of bacteriuria and the antibioticsensitivity pattern of bacterial isolates in cultured urine samples of men with symptomatic and asymptomatic BPH. Material andMethods: This was a prospective study conducted over one year in our institute . All patients who presented with lower urinary tract symptoms dueto BPH and who met the inclusion criteria were studied.and also all the old patients admitted for direct inquinal hernia surgery without clinical symptoms of BHP but whose ultrasound examination showed prostate enlargement with significant residual urine volume were included. Urine samples were obtained from the patients for microscopy, culture, and sensitivity following standard protocol. Results: Sixty two patients were studied.out of which 38 patients had symptoms of BPH and24 patients were belonging to the asymptomatic group. The age range was 53-80 years with a mean of 65.5 . Bacterial isolates were noted in 28 (45.1%) patients. Escherichia coli noted in 20 out of this 28 patients(71.4%).klebsiella and other organisms were isolated in the rest.27 out of 38 symptomatic patients(71%) and one out of 24 asymptomatic patients(4%) had bactriuria . The bacterial isolates were mostly sensitive to imipenem, meropenem, and nitrofurantoin, but showed greater resistance to cefuroxime, gentamicin, and ofloxacin. There was no significant difference between the means for age (, duration of symptoms , and prostate size in the patients with andthose withoutbactriuria. Conclusion: In patientswith BPH ,71% of them have urinary infection with bactriuria in our setting . The bacterial isolates showed high level of resistance to oralcephalosporins and fluoroquinolones. There is a need to update guidelines in empiric use of antibiotics in this group of patients.
Authors and Affiliations
Dr s r krishnamurthy, Dr. Ragul chinnasamy
Keywords
Related Articles
- EP ID EP369063
- DOI 10.9790/0853-1703045558.
- Views 67
- Downloads 0
Five-Year Analysis of Mandible Fracture and its Associated Factors
This retrospective study evaluated the mandibular fracture in patients who presented our center between January Year 2011 to December Year 2015. A total of 222 patients with 368 mandibular fractures were analysed. The ag...
A Study of Changes in Liver Enzymes (ALT & AST) with Antitubercular Treatment in Newly Diagnosed Sputum Smear Positive Patients At Rims, Ranchi
Introduction: Tuberculosis is caused by mycobacterium tuberculosis complex.India is the country with the highest burden of T.B. Objective: To analyse changes in liver enzymes( ALT& AST) with anti tubercular treatment in...
A Clinical Study of Prognostic Determinants And Outcomes of Acute Respiratory Distress Syndrome
Acute Respiratory Distress Syndrome occur in response to a variety of insults and are characterised by the development of non cardiogenic pulmonary edema, impaired gas exchange and bilateral infiltrates on the chest radi...
Clinicopathological Study of Non-Alcoholic Fatty Liver Disease in Patients with Type 2 Diabetes Mellitus
Introduction: NAFLD is a group of conditions that have in common the presence of hepatic steatosis (fatty liver), in individuals who do not consume alcohol. It has become the most common cause of chronic liver disease in...
Maternal and perinatal outcome in oligohydramnios at and after 34 weeks of gestation.
Background: Oligohydramnios is a serious complication that is associated with low birth weight, Meconium aspiration syndrome, severe birth asphyxia, low APGAR score, and also maternal morbidity due to Caesarean section,...