Title: Causative Agent and Susceptibility Pattern of Pathogenic Bacteria in Urinary Tract Infection at Combined Military Hospital (CMH) Rangpur, Bangladesh

Authors: Col Md. Golam Ferdous, Lt Col Jamal Pasha Chowdhury

 DOI: https://dx.doi.org/10.18535/jmscr/v8i9.38

Abstract

Background: The distribution of urinary pathogens and their resistance pattern to antimicrobial drugs vary regionally and even in the same region. The purpose of this study was to determine the prevalence of bacteriological pattern that causes of urinary tract infections (UTIs) and to assess their sensitivity to commonly used antimicrobial agents at Combined Military Hospital (CMH), Rangpur cantonment.

Materials & Methods: This retrospective cross sectional study was conducted by gaining the required information from 144 patients records for 3 months from September 2019 to November 2019 to find out the causative pathogens & their antibiotic sensitivity pattern of UTIs patients. Mid-stream urine samples were processed for microscopy and culture; the organisms were identified by standard methods. Antimicrobial sensitivity was carried out by Kirby- Bauer disk diffusion method according to clinical and laboratory standards institute guidelines.

Results: Out of total 144 mid-stream urine samples collected from suspected cases of UTIs of which total 32(22.22%) samples were positive for urine culture. Out of 32 culture positive samples 31(96.87%) were males and 1(3.12%) were females indicating that prevalence of UTIs is higher in male than female in Combined Military Hospital (CMH), Rangpur cantonment.

Conclusion: Escherichia coli is still the most common uropathogen& the choice of drugs in the treatment of UTIs is quite narrow today due to wide range of resistance of commonly used drugs which have been used previously.

Keywords: Bacteria, antibiotics.

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Corresponding Author

Col Md. Golam Ferdous

Combined Military Hospital (CMH), Rangpur, Bangladesh