Affiliation:
1. Consultant, Department of Medicine Tata Main Hospital, Jamshedpur, Jharkhand
2. Senior Consultant, Department of Medicine Tata Main Hospital, Jamshedpur, Jharkhand
3. Head consultant and HOD, Department of Medicine Tata Main Hospital, Jamshedpur, Jharkhand
Abstract
Introduction: As there is rise in the elderly population, there is increase in the geriatric illnesses, urinary tract infection
is one of the commonly seen among them. There is increasing prevalence of antibiotic resistance in the elderly patients.
Aim: Study was conducted to look for the difference in antibiotic susceptibility in nonelderly compared to elderly
patients. We took 100 cases with 50 elderly and 50 nonelderly with E.coli grown in urine Material and methods:
samples with features of urinary tract infection. There was no significant difference in the antibi Results: otic
susceptibility in both the groups except for the cefepime being good choice in nonelderly amongst cephalosporins.
Amongst oral antibiotics to choose empirically are Nitrofurantoin, Cotrimoxazole and Amoxycillin in both the groups
with no significant differences. We can use all the groups of antibiotics empirically especially inj Conclusions: ectables
like Cephalosporins, Piperacillin, Aminoglycosides and Carbapenems as and when indicated in both groups with
almost equal results. But we need to take a prospective study with larger number of cases to arrive at a more definitive
conclusion.
Subject
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