Prevalence and antibiogram of bacteria causing urinary tract infection among patients with chronic kidney disease

Author:

Thapa Tika Bahadur12,Pokhrel Sushant1,Lamichhane Anit12,Singh Vinay Kumar2,Shrestha Ojaswee2,Sapkota Manisha1,Khanal Puspa Raj2

Affiliation:

1. Department of Laboratory Medicine, Manmohan Memorial Institute of Health Sciences , Soalteemode , Kathmandu , Nepal

2. Department of Pathology, Sumeru Hospital Pvt Ltd , Dhapakhel , Lalitpur , Nepal

Abstract

Abstract Identifying and appropriately managing urinary tract infections (UTIs) among chronic kidney disease (CKD) patients are essential to reduce further disease complications and economic burden. Hence, this study aims to determine the prevalence of UTIs among CKD patients and study the antibiogram of the bacterial isolates. Four hundred eighty-two clean catch midstream urine samples were collected from CKD patients during the study period. The samples were cultured, and bacteria were isolated using standard microbiological techniques. Antibiotic susceptibility testing was performed by the Kirby–Bauer disc diffusion method following the Clinical and Laboratory Standards Institute guidelines. Of the 482 CKD patients, 15.8% were culture positive, and the majority was elderly aged group population. Most bacterial isolates were Escherichia coli 50%, followed by Pseudomonas aeruginosa 15.80%, Enterococcus species 15.80%, and Klebsiella pneumoniae 11.84%. The majority of bacteria were found to be resistant to beta-lactam antibiotics, ampicillin (94.67%), ceftriaxone (89.04%), cefotaxime (87.5%), and ceftazidime (84.0%), while polymyxin, colistin, vancomycin, meropenem, and imipenem were the most sensitive antibiotics. In our study, higher levels of antibiotic resistance were observed among urinary isolates. Therefore, our findings suggest clinicians to choose better antibiotic options to treat UTIs among CKD patients.

Publisher

Walter de Gruyter GmbH

Subject

General Medicine

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