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Year : 2018  |  Volume : 6  |  Issue : 3  |  Page : 9-14

Emergence and control of multidrug resistant organisms, from urinary tract infections in Shivamogga, a tier 2 city of Karnataka

1 Microbiologist
2 Pathologist

Correspondence Address:
Pavaman V Bhat
Microbiologist Malnad Hi-tech diagnostic centre, Shimoga-577201

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Source of Support: None, Conflict of Interest: None

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Context: Urinary tract infections (UTIs) is one of the most common bacterial infections in general practice. Antimicrobial resistance in urinary pathogens, particularly the most common being Escherichia coli, is directly associated with prescribing in primary care. Diagnosis of UTI requires laboratory examination of urine sample in addition to clinical evaluation, which may lead to higher cost of treatment, but the proper treatment of the case that will lead to complete recovery with no recurrence episodes far outweigh the cost issue of microbiological investigation. Even though UTIs are a very common diagnosis, management of this condition is not consistent in general practice. This study was conducted in an effort to see the extent of presence of multi drug resistant organisms in local set up. Aim: To describe the common urine isolates observed in Shivamogga, Karnataka and also to test for drug resistance among them. Materials and Methods: A retrospective review was conducted of Gram negative bacilli and Gram positive cocci isolated from the clinical urine samples collected from patients of various hospitals and private clinics in Shivamogga City, Karnataka. The study period was between July 2017-December 2017. Result: A total of 803 urine samples were included in the study. Escherichia coli was the most commonly isolated organism with 62.39% of total isolates and Pseudomonas aeruginosa was the least isolated with 0.87%. It was seen that 46.45% of the total isolated organisms were multidrug resistant (MDR). 52.49% of Escherichia coli isolates were MDR. Conclusion: Only with the combined efforts of the local laboratories and clinicians, the looming threat of the pandrug resistant organisms in small cities can be avoided. However, more such studies are required from both clinicians and laboratory health care professionals in order to arrive at a common consensus, and uniformity can be brought about in the community regarding prescription practices.

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