Clinical, Etiology and Antibiotic Susceptibility Profiles of Community-Acquired Urinary Tract Infection in a Baghdad HospitalHussein NS*
Department of Urology, Al-Karamh teaching hospital, Baghdad, Iraq
- *Corresponding Author:
- Hussein NS
FEBU Senior Urologist, Al-Karamh teaching hospital
Post Office: 7 Abkar Box No.26047, Baghdad, Iraq
Tel: 964 77098 39 409
E-mail: [email protected]
Received date : April 29, 2014; Accepted date : June 23, 2014; Published date : June 29, 2014
Citation: Hussein NS (2014) Clinical, Etiology and Antibiotic Susceptibility Profiles of Community- Acquired Urinary Tract Infection in a Baghdad Hospital. Med Surg Urol 3:136. doi:10.4172/2168-9857.1000136
Copyright: © 2014 Hussein NS. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
Objective of the study: To analyze clinical presentation, etiology and antibiotic sensitivity of bacteria causing Community Acquired Urinary Tract Infection (CA-UTI) among our patients to provide data that could guide empiric treatment.
Material and Methods: Outpatients urine cultures and clinical presentations were collected from April 2012 to October 2012. A positive urine culture was defined as growth of a single bacterium with colony count of more than 100,000 CFU/ml and disk diffusion technique according to Clinical and laboratory standards institute (CLSI) was performed to determine antibiotics susceptibility of isolated bacteria species. Clinical symptoms, causative uropathogens and their antibiotic sensitivity were recorded.
Results: Of 299 urine cultures processed, a positive urine culture was detected in 100 subjects. Dysuria and bladder irritability (frequency and urgency) were the most common clinical presentation, but were no specific in predicted CA-UTI. Escherichia coli (39%) and Staphylococcus strains (30%) were the most organisms causing CAUTI s. The isolated organisms showed a substantial sensitivity reduction to most of test antibiotics.
Conclusion: Clinical presentation had a minor in diagnosis of CA-UTI and this study revealed that E.coli and Staphylococcus strains were the most prevalent isolated uropathogens among our population. Susceptibility test showed there was a high sensitivity to nitrofurantoin, amikacin and imipenem with reduction sensitivity to other commonly used antibiotics brings a concern for future studies to guidance empirical treatment.