STUDY OF THE INCIDENCE OF PATHOGENS AND THEIR DRUG SUSCEPTIBILITY PATTERN AMONG UTI PATIENTS IN BANGLADESH

This retrospective study was conducted from July to September, 2013 with a view to find out incidence of UTI patients with aiming to testing antimicrobial drug susceptibility. In order to conduct this study, consecutive urine samples of 614 of total population of both sexes and various age groups were taken in a hospital setting of both outdoor and indoor patients. There was marked gender variations is all age groups, which comprised 0-85 years of age of the member of urine sample requested for examination Only 20.03% of specimens yielded positive culture. UTI was found more prevalent in female then in male. The most common isolates in the Gram negative organisms were E. coli (46.34%) followed by Klebsiella sp. (13%) and Candida sp. (10.56%). In the Gram positive group, non hemolytic Streptococci comprised 8.94%. Prevalence of UTI cases was caused by 85% of Gram negative and 15% of Grams positive organisms. The study also reveals that patients of UTI cases were associated with abnormal count of pus cells, albumin and sugar. In this study the organisms are resistant to common antibiotics (Cotrimoxazole, Nitrofurantion, Nalidixic Acid). E. coli were found sensitive to Colistin (Polimyxin E) and Carbepenem ranging from 82-89% followed by Amikacin and Nitrfurantion from 63-72%. On the other hand highly resistance was revealed against Cefepime and Nalidixic acid from 63-72%.