ANTIBIOTIC SUSCEPTIBILITY OF BACTERIAL STRAINS, WITH SPECIAL REFERENCE TO ESCHERICHIA COLI ISOLATED FROM URINARY TRACT INFECTIONS IN RURAL MAHARASHTRA
DOI:
https://doi.org/10.22159/ajpcr.2017.v10i1.14871Abstract
Objective: The objective of this study was to find out the etiology of urinary tract infections (UTIs) in patients attending B.K.L. Walawalkar Hospital, Dervan and to determine their antibiotic sensitivity pattern to currently used antimicrobial agents.
Methods:  A  cross-sectional  study  was  conducted  in  a  rural  hospital  of  Konkan  Maharashtra,  and  urine  samples  were  collected  from368 clinically - suspected cases of UTIs using the mid-stream clean catch†method and was tested and cultured using standard procedures. Antimicrobial susceptibility test (AST) was performed for the isolated pathogens according to the Clinical and Laboratory Standards Institute guidelines.
Results: Escherichia coli (54.84%) was the most prevalent uropathogen. 76.47% of the isolated E. coli were found to be extended spectrum beta lactamase producers. A higher prevalence rate of resistance was seen among E. coli to the commonly prescribed antibiotic agents. 32 (94.11%) of34 E. coli isolates recovered had multiple antibiotic resistance (MAR), with 16 isolates (50%) possessing MAR indices of 0.6.
Conclusion: The study indicates the isolated microorganisms in UTI showed very high resistance to the commonly prescribed antimicrobial drugs. This suggests the monitoring and rational use of the antimicrobial agents.
Keywords: Mid-stream, Culture, Uropathogen, Resistance, Multiple antibiotic resistance.
Downloads
References
Levi ME, Redington J, Barth L. The patient with urinary tract infection. Manual of Nephrology. 6th ed., Vol. 7. Philadelphia, PA: Lippincott Williams & Wilkins; 2005. p. 91.
Nicolle LE. Uncomplicated urinary tract infection in adults including uncomplicated pyelonephritis. Urol Clin North Am 2008;35(1):1-12.
Wilson ML, Gaido L. Laboratory diagnosis of urinary tract infections in adult patients. Clin Infect Dis 2004;38(8):1150-8.
Bonadio M, Meini M, Spetaleri P, Gilgi C. Current microbiological and clinical aspects of urinary tract infections. Eur J Urol 2001;40(4):439-45.
National Committee for Clinical Laboratory Standards. Performance Standards for Antimicrobial Disc Susceptibility Tests, M2-A7. 7th ed. Wayne, Pennsylvania, USA: NCCLS; 2000.
Grude N, Tveten Y, Kristiansen BE. Urinary tract infections in Norway: Bacterial etiology and susceptibility, a retrospective study of clinical isolates. Clin Microbiol Infect 2001;7(10):543-7.
Kripke C. Duration of therapy for women with uncomplicated UTI. Am
Fam Physician 2005;72(11):2219.
Collee JG, Duguid JP, Fraser AG, Marmion BP, Simmons A. Laboratory diagnosis of infective syndromes. Mackie and McCartney Practical Medical Microbiology. 14th ed. Edinburgh: Churchill-Livingstone; 1996. p. 53-64.
Sambrook J, Frish EF, Maniatis T. Molecular cloning. A Laboratory Manual. 2nd ed. Cold Spring Harbor, NY: Cold Spring Harbor Laboratory Press; 1982.
CLSI, editor. Performance Standards for Antimicrobial Susceptibility Testing, 7th Informational Supplement. Approved Standard, M100-S17, WUSA. Wayne, PA: Clinical and Laboratory Standards Institute; 2007.
Scholes D, Hooton TM, Roberts PL, Gupta K, Stapleton AE, Stamm WE. Risk factors associated with acute pyelonephritis in healthy women. Ann Intern Med 2005;142(1):20-7.
Carson C, Naber KG. Role of fluoroquinolones in the treatment of serious bacterial urinary tract infections. Drugs 2004;64(12):1359-73.
Assefa A, Asrat D, Woldeamanuel Y, G/Hiwot Y, Abdella A, Melesse T.
Bacterial profile and drug susceptibility pattern of urinary tract infection in pregnant women at tikur anbessa specialized hospital Addis ababa, Ethiopia. Ethiop Med J 2008;46(3):227-35.
Farajnia S, Alikhani MY, Ghotaslou R, Naghili B, Nakhlband A.
Causative agents and antimicrobial susceptibilities of urinary tract infections in the northwest of Iran. Int J Infect Dis 2009;13(2):140-4.
Arjunan M, Al-Salamah AA, Amuthan M. Prevalence and antibiotic susceptibility of uropathogens in petients from a rural environment, Tamil Nadu. Am J Infect Dis 2010;6(2):29-33.
Manjunath GN, Prakash R, Vamseedhar A, Shetty K. Changing trends in the spectrum of antimicrobial drug resistance pattern of uropathogens isolated from hospital and community patients with urinary tract infections in Tumkur and Bangalore. Int J Biol Med Res 2011;2(2):504-7.
Acharya A, Gautam R, Subedee L. Uropathogens and their antimicrobial susceptibility pattern in Bharatpur. Nepal Med Coll J 2011;13(1):30-3.
Foxman B, Barlow R, D’Arcy H, Gillespie B, Sobel JD. Urinary tract infection: Self-reported incidence and associated costs. Ann Epidemiol 2000;10(8):509-15.
McNulty CA, Richards J, Livermore DM, Little P, Charlett A, Freeman E, et al. Clinical relevance of laboratory-reported antibiotic resistance in acute uncomplicated urinary tract infection in primary care. J Antimicrob Chemother 2006;58(5):1000-8.
Oluremi B, Idowu A, Olaniyi J. Antibiotic susceptibility of common bacterial pathogens in urinary tract infections in a teaching hospital in South-Western Nigeria. Afr J Microbiol Res 2011;5(22):3658-63.
Hasan AS, Nair D, Kaur J, Baweja G, Deb M, Aggarwal P. Resistance patterns of urinary isolates in a tertiary Indian hospital. J Ayub Med Coll Abbottabad 2007;19(1):39-41.
Kothari A, Sagar V. Antibiotic resistance in pathogens causing community-acquired urinary tract infections in India: A multicenter study. J Infect Dev Ctries 2008;2(5):354-8.
Akram M, Shahid M, Khan AU. Etiology and antibiotic resistance patterns of community acquired urinary tract infections in JNMC hospital Aligrah, India. Ann Clin Microbiol Antimicrob 2007;6:4.
Das RN, Chandrashekhar TS, Joshi HS, Gurung M, Shrestha N, Shivananda PG. Frequency and susceptibility profile of pathogens causing urinary tract infections at a tertiary care hospital in Western Nepal. Singapore Med J 2006;47(4):281-5.
Yilmaz K, Nilay C, Aysegül G. Co-trimoxazole and quinolone resistance in Escherichia coli isolated from urinary tract infections over the last 10 years. Int J Antimicrb Agents 2005;26(1):75-7.
Ehinmidu JO. Antibiotics susceptibility patterns of urine bacterial isolates in Zaria, Nigeria. Trop J Pharm Res 2005;2(2):223-8.
Saleh AA, Ahmed SS, Ahmed M, Sattar AN, Miah MR. Changing trends in uropathogens and their antimicrobial sensitivity pattern. Bangladesh J Med Microbiol 2009;3(1):9-12.
Miller LG, Tang AW. Treatment of uncomplicated urinary tract infections in an era of increasing antimicrobial resistance. Mayo Clin Proc 2004;79(8):1048-54.
Nicolle, L, Anderson PA, Conly J, Mainprize TC, Meuser J, Nickel JC, et al. Uncomplicated urinary tract infection in women. Can Fam Physician 2006;52(5):612-8.
Mathai E, Chandy S, Thomas K, Antoniswamy B, Joseph I, Mathai M. Antimicrobial resistance surveillance among commensal Escherichia coli in rural and urban areas in Southern India. Trop Med Int Health 2008;13(1):41-5.
Published
How to Cite
Issue
Section
The publication is licensed under CC By and is open access. Copyright is with author and allowed to retain publishing rights without restrictions.