Microbiologic profile and clinical practices in urinary tract infections in a tertiary care center in Southern India.

Antibiotic sensitivity diabetes mellitus empirical treatment urinary tract infections

Journal

Journal of family medicine and primary care
ISSN: 2249-4863
Titre abrégé: J Family Med Prim Care
Pays: India
ID NLM: 101610082

Informations de publication

Date de publication:
Sep 2019
Historique:
received: 28 04 2019
revised: 29 04 2019
accepted: 10 06 2019
entrez: 5 11 2019
pubmed: 5 11 2019
medline: 5 11 2019
Statut: epublish

Résumé

Studies reported differences in clinical profiles of urinary tract infections (UTIs) in patients with and without type 2 diabetes mellitus (T2DM). Studies on the impact of the pattern of antibiotic resistance of organisms causing UTI on actual clinical practice are lacking. 1. To study the clinical and microbiologic profiles of UTIs. 2. To compare treatment given with the prevailing antimicrobial sensitivity. This is a cross-sectional study conducted in a tertiary care hospital. Retrospective chart review of inpatients with UTI (N = 200, 100 each of patients with and without T2DM), aged >18 years with a positive urine culture. We used the statistical package SPSS version 17. The categorical variables were analyzed by the Chi-square test. Data were considered significant if Similar to previous Indian studies, T2DM patients with UTI had significantly more asymptomatic bacteriuria, asymptomatic bacteriuria (32% vs. 6%), previous history of UTI (25% vs. 2%), and prior catheterization (16% vs. 1%). Escherichia coli ( Ceftriaxone is the most common empirical therapy given in spite the prevailing low sensitivity of E. coli to it. Cases of ASB were treated unlike recommendations.

Identifiants

pubmed: 31681661
doi: 10.4103/jfmpc.jfmpc_346_19
pii: JFMPC-8-2888
pmc: PMC6820372
doi:

Types de publication

Journal Article

Langues

eng

Pagination

2888-2892

Informations de copyright

Copyright: © 2019 Journal of Family Medicine and Primary Care.

Déclaration de conflit d'intérêts

There are no conflicts of interest.

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Auteurs

Keithellakpam Kiranmala (K)

Department of General Medicine, St. John's Medical College, Bengaluru, Karnataka, India.

Reuben Johnson (R)

Department of Orhopedics, St. John's Medical College, Bengaluru, Karnataka, India.

Jayanthi Savio (J)

Department of Microbiology, St. John's Medical College, Bengaluru, Karnataka, India.

Jyothi Idiculla (J)

Department of General Medicine, St. John's Medical College, Bengaluru, Karnataka, India.

Classifications MeSH