• Users Online: 79
  • Print this page
  • Email this page
ORIGINAL ARTICLE
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

Login to access the Email id

Source of Support: None, Conflict of Interest: None


Rights and PermissionsRights and Permissions

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.


[PDF]*
Print this article     Email this article
 Next article
 Previous article
 Table of Contents

 Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
 Related articles
 Citation Manager
 Access Statistics
 Reader Comments
 Email Alert *
 Add to My List *
 * Requires registration (Free)
 

 Article Access Statistics
    Viewed383    
    Printed32    
    Emailed0    
    PDF Downloaded61    
    Comments [Add]    

Recommend this journal