NOSOCOMIAL URINARY TRACT INFECTIONS, AND THEIR SUSCEPTIBILITY TO ANTIMICROBIAL AGENTS IN SPINAL CORD INJURY PATIENTS AT A REHABILITATION SETTING

Objective: To identify frequency of nosocomial urinary tract infections along with their antibiotic susceptibility in spinal cord injury patients. Study Design: Cross-sectional study. Place and Duration of Study: Acute Spinal Ward, Armed Forces Institute of Rehabilitation Medicine, Rawalpindi,...

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Autores principales:	Syed Ali Raza Ali Shah, Syeda Sarah Naqvi, Amir Waheed Butt
Formato:	article
Lenguaje:	EN
Publicado:	Army Medical College Rawalpindi 2021
Materias:	antibiotic susceptibility spinal cord injury urinary tract infections Medicine R Medicine (General) R5-920
Acceso en línea:	https://doaj.org/article/b0bdc38e258a415ea27311b93ef6d55a
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spelling	oai:doaj.org-article:b0bdc38e258a415ea27311b93ef6d55a2021-12-02T18:44:47ZNOSOCOMIAL URINARY TRACT INFECTIONS, AND THEIR SUSCEPTIBILITY TO ANTIMICROBIAL AGENTS IN SPINAL CORD INJURY PATIENTS AT A REHABILITATION SETTING0030-96482411-884210.51253/pafmj.v71i2.2937https://doaj.org/article/b0bdc38e258a415ea27311b93ef6d55a2021-04-01T00:00:00Zhttps://pafmj.org/index.php/PAFMJ/article/view/2937https://doaj.org/toc/0030-9648https://doaj.org/toc/2411-8842Objective: To identify frequency of nosocomial urinary tract infections along with their antibiotic susceptibility in spinal cord injury patients. Study Design: Cross-sectional study. Place and Duration of Study: Acute Spinal Ward, Armed Forces Institute of Rehabilitation Medicine, Rawalpindi, Pakistan, from Apr to Oct 2016. Methodology: Total 120 male and female patients of ages (18-70 years) with acute (>6 months) or chronic (>6 months) spinal cord injury admitted for rehabilitation and developing urinary tract infection 48 hours after admissionwere included. Patients whose culture results have polymicrobic bacteriuria samples, immune deficiency disorder and immunosuppressive therapy were excluded. Urine samples of all admitted patients suspected having urinary tract infections were collected and send to Armed Forces Institute of Pathology for culture sensitivity test showing isolated causative microorganisms and their antibiotics susceptibility. Results: About 34.58 ± 12.59 years was mean age, 120 patients were included. In these were 97 (80.80%) male and 23 (19.20%) females with male to female ratio of 4.2:1. Frequency of nosocomial urinary tract infections was found in 83 (69.17%) and no nosocomial urinary tract infections in 37 (30.83%) patients. This study shows the frequency of antibiotic susceptibility in spinal cord injury patients as follows; Amikacin in 111 (92.50%), Gentamicin in 108 (90%), Imipenemin 113 (94.17%), Tazocin in 115 (95.83%), Ceftriaxone in 105 (87.50%), Nitrofurantoin in 89 (74.17%) and Ciprofloxacin in 96 (80.0%) patients. Conclusion: This study shows that frequency of nosocomial urinary tract infections in spinal cord injury patients is high and tazocin and imipenem are the most sensitive antibiotics.Syed Ali Raza Ali ShahSyeda Sarah NaqviAmir Waheed ButtArmy Medical College Rawalpindiarticleantibiotic susceptibilityspinal cord injuryurinary tract infectionsMedicineRMedicine (General)R5-920ENPakistan Armed Forces Medical Journal, Vol 71, Iss 2, Pp 464-68 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	antibiotic susceptibility spinal cord injury urinary tract infections Medicine R Medicine (General) R5-920
spellingShingle	antibiotic susceptibility spinal cord injury urinary tract infections Medicine R Medicine (General) R5-920 Syed Ali Raza Ali Shah Syeda Sarah Naqvi Amir Waheed Butt NOSOCOMIAL URINARY TRACT INFECTIONS, AND THEIR SUSCEPTIBILITY TO ANTIMICROBIAL AGENTS IN SPINAL CORD INJURY PATIENTS AT A REHABILITATION SETTING
description	Objective: To identify frequency of nosocomial urinary tract infections along with their antibiotic susceptibility in spinal cord injury patients. Study Design: Cross-sectional study. Place and Duration of Study: Acute Spinal Ward, Armed Forces Institute of Rehabilitation Medicine, Rawalpindi, Pakistan, from Apr to Oct 2016. Methodology: Total 120 male and female patients of ages (18-70 years) with acute (>6 months) or chronic (>6 months) spinal cord injury admitted for rehabilitation and developing urinary tract infection 48 hours after admissionwere included. Patients whose culture results have polymicrobic bacteriuria samples, immune deficiency disorder and immunosuppressive therapy were excluded. Urine samples of all admitted patients suspected having urinary tract infections were collected and send to Armed Forces Institute of Pathology for culture sensitivity test showing isolated causative microorganisms and their antibiotics susceptibility. Results: About 34.58 ± 12.59 years was mean age, 120 patients were included. In these were 97 (80.80%) male and 23 (19.20%) females with male to female ratio of 4.2:1. Frequency of nosocomial urinary tract infections was found in 83 (69.17%) and no nosocomial urinary tract infections in 37 (30.83%) patients. This study shows the frequency of antibiotic susceptibility in spinal cord injury patients as follows; Amikacin in 111 (92.50%), Gentamicin in 108 (90%), Imipenemin 113 (94.17%), Tazocin in 115 (95.83%), Ceftriaxone in 105 (87.50%), Nitrofurantoin in 89 (74.17%) and Ciprofloxacin in 96 (80.0%) patients. Conclusion: This study shows that frequency of nosocomial urinary tract infections in spinal cord injury patients is high and tazocin and imipenem are the most sensitive antibiotics.
format	article
author	Syed Ali Raza Ali Shah Syeda Sarah Naqvi Amir Waheed Butt
author_facet	Syed Ali Raza Ali Shah Syeda Sarah Naqvi Amir Waheed Butt
author_sort	Syed Ali Raza Ali Shah
title	NOSOCOMIAL URINARY TRACT INFECTIONS, AND THEIR SUSCEPTIBILITY TO ANTIMICROBIAL AGENTS IN SPINAL CORD INJURY PATIENTS AT A REHABILITATION SETTING
title_short	NOSOCOMIAL URINARY TRACT INFECTIONS, AND THEIR SUSCEPTIBILITY TO ANTIMICROBIAL AGENTS IN SPINAL CORD INJURY PATIENTS AT A REHABILITATION SETTING
title_full	NOSOCOMIAL URINARY TRACT INFECTIONS, AND THEIR SUSCEPTIBILITY TO ANTIMICROBIAL AGENTS IN SPINAL CORD INJURY PATIENTS AT A REHABILITATION SETTING
title_fullStr	NOSOCOMIAL URINARY TRACT INFECTIONS, AND THEIR SUSCEPTIBILITY TO ANTIMICROBIAL AGENTS IN SPINAL CORD INJURY PATIENTS AT A REHABILITATION SETTING
title_full_unstemmed	NOSOCOMIAL URINARY TRACT INFECTIONS, AND THEIR SUSCEPTIBILITY TO ANTIMICROBIAL AGENTS IN SPINAL CORD INJURY PATIENTS AT A REHABILITATION SETTING
title_sort	nosocomial urinary tract infections, and their susceptibility to antimicrobial agents in spinal cord injury patients at a rehabilitation setting
publisher	Army Medical College Rawalpindi
publishDate	2021
url	https://doaj.org/article/b0bdc38e258a415ea27311b93ef6d55a
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NOSOCOMIAL URINARY TRACT INFECTIONS, AND THEIR SUSCEPTIBILITY TO ANTIMICROBIAL AGENTS IN SPINAL CORD INJURY PATIENTS AT A REHABILITATION SETTING

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