Academic Overview of the Medical College Hospital.

Title : Urinary Tract Infection in Adults: A Prospective Study

Published by -Jalalabad Medical Journal PDF Page : 29-34

Urinary tract infection (UTI) remains the common infection in hospitalized patients. Current knowledge on UTI is essential for appropriate therapy. The aim of this prospective study was to evaluate the demographic characteristics, causative agents and antimicrobial sensitivity pattern of urinary tract infection patients. For this purpose 216 symptomatic adult UTI patients of both sexes, admitted in the Medicine Department of Jalalabad Ragib-Rabeya Medical College Hospital (JRRMCH) in between January 2018 to December 2018 were enrolled in the study by convenient sampling technique. The results showed that, UTI was common in female (80.6%) and in married persons (88.9%). Rural population occupied 75% of UTI cases. Middle class (79.6%) and lower class (14.8%) suffered UTI more. It was also common in illiterate (29.6%) and in primary education completed group (36.1%). Among blood group, B+ve patients had highest (36.1%) number of UTI. Among 32.4% recurrent UTI cases female were predominant (80%). In the study, 99.1% patient had significant pyuria and 75% had growth in their urine culture report. Escherichia coli was most common (74.1%) causative microorganism of UTI and type-2 diabetes mellitus (DM) was most common co-morbid disease. The order of antibiotic sensitivity pattern in our study was nitrofurantoin >amikacin >imipenem >meropenem. So, we recommend nitrofurantoin as an excellent oral drug as well as amikacin, imipenem and meropenem as parenteral drugs for UTI treatment.

Keywords: UTI, Antibiotic sensitivity.