R.A.N.Ranathunga
Base Hospital, Sri Lanka
Title: Prevalence of urinary tract infection among suspected patients in a base hospital of Sri Lanka
Biography
Biography: R.A.N.Ranathunga
Abstract
Urinary Ttract Infection (UTI) is one of the common bacterial infections worldwide. Management is mainly with antibiotics and the initial choice of antibiotics is mainly decided according to recommended guidelines or by personal preference and experience. The main objective was to determine the prevalence of UTI in suspected patients, common pathogen and antibiotic sensitivity pattern, at the medical wards in Base hospital Kuliyapitiya, Sri Lanka. This study was conducted for 6 months. Each and every patient with clinically suspected UTI was recruited and samples collected for full report and culture just after the recruitment. The initial step of the study was conducted in Base Hospital Kuliyapitiya. Total of 94 subjects were recruited and the prevalence of UTI among suspected patents was 68.5% with 37.7% positive culture reports. More than the half (54.1%) got at least one co- morbidity and diabetes mellitus is leading the list. The commonest pathogen was Escherichia coli (80.6%). The commonest empirical antibiotic given was Co-amoxyclave and its sensitivity is 61.9%, followed by ciprofloxacin which is sensitive only in 25% of the cultured samples. The most sensitive antibiotic was Nitrofurantoin which was found to be sensitive in 83.9% of the cases which are culture positive. In conclusion, clinical suspicion was accurate in 68.5% of cases with UTI. The commonest pathogen causing community acquired UTI in Base Hospital Kuliyapitiya is Escherichia coli and the most sensitive drug is Nitrofurantoin. Ciprofloxacin which is commonly prescribed as empirical therapy is sensitive on in 25% of cases.