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INTERNATIONAL JOURNAL OF PHARMACEUTICAL RESEARCH

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Published by : Advanced Scientific Research
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0975-2366
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IJPR 9[3] July - September 2017 Special Issue

July - September 9[3] 2017

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Study of the antimicrobial susceptibility and resistance pattern of different uropathogens in an Iranian hospitalv

Author: MARYAM MAGHBOOL, AFSANEH GHASEMI, ALI DAVOODI, ZOHREH MAKOOLATI
Abstract: Background: Urinary tract infection (UTI) is one of the most common nosocomial infections with increasing rate of antibiotic resistance. Therefore, it is necessary to choose highly effective antibiotic with low resistance and it is only possible by obtaining local and national guidelines for empirical therapy. This study aimed to detect the antimicrobial susceptibility and resistance pattern of different uropathogens in Fasa hospital, in the south of Iran, from March 2016 to March 2017. Methods: A total of 780 consecutive urine samples were cultured. The pathogens isolated were recognized using standard methods and antibiotic susceptibility was performed by Kirby Bauer disk diffusion method. This crosssectional study analyzed the prevalence and antibiotic resistance patterns for uropathogens based on sex, age, OPD versus admitted patients, admitted ward and months of year. Results: Frequency of UTI was 29% in man and 71% in woman. Outpatients were 59/9% versus 40/1% for admitted cases. UTI was more common in teen age, Adult emergency ward and June-July months. The most common urinary pathogen identified in all ages, sexes, wards and months were E.coli that was the most and least sensitive to ciprofloxacin and erythromycin, respectively. The best activity in women was achieved with clindamycin and cephalexin and in men with ciprofloxacin. Uropathogens were more resistance to cefalothin in female and to cephalexin in male. Conclusion: Females were nearly twice more susceptible to UTI. E. coli was the most common uropathogen. Clindamycin and cephalexin were appropriate empirical therapy in female and ciprofloxacin in male. Cephalexin and cefalothin were so weak for empirical choice. So, empirical treatment protocol must be based on local and national guideline of susceptibility rates.
Keyword: antimicrobial, susceptibility, resistance, uropathogens.
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