European Journal of Molecular & Clinical Medicine

Abstract

Aims & objectives:
To determine the incidence of urinary tract infections in catheterized patients admitted in the hospital and to identify uropathogens and their antibiotic sensitivity patterns in our hospital.
 
Methodology:
This is a prospective study on patients with Foley’s catheter more than 48 hours in situ. Urine sample is collected from the catheter following CDC urine sampling guidelines, cultured, antibiotic sensitivity is identified. The results are analyzed and susceptibility patterns are observed.
 
Inclusion Criteria: Patients of ages 14 to 80 years are included. Patients with catheter in situ for more than 48 hours. No prior history of urinary tract infections before insertion of catheter. Patients who are catheterized in the hospital.
Exclusion Criteria: Patients on prolonged antibiotics usage. Patients denied consent for study. Chronic and prolonged catheterized patients.
 
Results: Total of 745 patients are analyzed, 525 patients showed sterile cultures despite having symptoms suggestive of UTIs. 220 patients developed positive cultures confirming urinary tract infection. The most common isolate is E.coli followed by Klebsiella, Enterobacterecia and Pseudomonas. S.aureus, Acinitobacter, candida are uncommon pathogens isolated. E.coli, Klebsiella showed resistance to Fluroquinolones, Beta lactam group and sensitivity to 3rd and 4th generation Cephalosporin, Imipenem group and Colistin. Pseudomonas showed maximum resistance to all higher antibiotics with susceptibility to Aminoglycosides group of antibiotics.
 
Conclusion: The study showed the incidence of infections in catheterized patients despite adhering to sterile procedure. It is of utmost importance to maintain strict aseptic conditions, early diagnosis and appropriate diagnosis and proper antibiotic regimen to effectively control UTIs. Empirical antibiotics and non-judicious usage leads to multi drug resistance and can pose a serious threat to the patient’s recovery and lead to emergence of resistant strains which may pose a threat in near future.