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Bacterial profile and antimicrobial susceptibility pattern of urinary tract infection in Khartoum, Sudan

Author: 
Omar Bashir Ahmed
Subject Area: 
Life Sciences
Abstract: 

The traditional uropathogens are changing many of their features, particularly because of antimicrobial resistance. The present study aimed to provide etiology and antibiotics sensitivity about UTI among patients attending Khartoum Hospitals. The study was carried out using 332 urinary bacterial isolates collected from different hospitals in Khartoum State. All isolates were identified and tested for their antimicrobial resistance to various antibiotics in vitro by the Kirby-Baur disk diffusion method. High rate of UTIs was caused by E. coli (47.3%) followed by S. saprophyticus (28.6%) while less rate was caused by Enterobacter spp (1%). E. coli was mostly isolated from female patients (102 out of 157) and from age group 11- 49 years old (80 out of 157). The maximum sensitivity was seen for piperacillin/tazobactum (91.8%) followed by imipenem (90.7%) and norofloxacin (86%). The maximum resistance was seen against tetracycyline (61.7%) followed by nitrofrontoin (54.2%) and azithromycin (36.1%). In conclusion, E. coli was the main UTI pathogen in Sudan followed by S. saprophyticus with an increasing incidence rate of S. aureus. Piperacillin/ tazobactum was the most active drug for UTIs treatment. Regular monitoring of antimicrobial drugs resistance is necessary to improve the guidelines for empirical antibiotic therapy.

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