Clinico-Microbial Assessment Of Urinary Tract Infections In A Tertiary Care Hospital

Abstract

Background and objectives Urinary tract infections encompasses a wide array of infections, accounting for a vast number of community as well as hospital acquired infections. This study was undertaken to evaluate the changing clinical presentations and risk factors of urinary tract infections and the etiological agents in complicated and uncomplicated urinary tract infections. Methodology This one year cross sectional study was comprised of 500 patients with signs and symptoms of urinary tract infection and/or with urinary tract infection confirmed by urine culture in the admitted in the Department of Medicine and Nephrology, KLES Dr. Prabhakar Kore Hospital and Medical Research Centre, Belagavi. Results Most of the patients (59.00%) of the patients were males and the male female ratio was 1.43:1. The most common age group was 51 to 60 years comprised of 25.40% of the patients and the mean age was 53.60 ±17.55 years. Majority of the patients (76.80%) had complicated type of UTI. Most of the patients had fever with chills (65.60%), followed by pain abdomen (47.00%), Majority of the patients (88.20%) had community acquired infection while 8.40% and 3.40% of the patients had catheter related nosocomial infection and non catheter nosocomial infection respectively. Overall, Escherichia coli was the most common organism (56.40%), isolated and it was the most common organism isolated in patients with nosocomial catheter related infections as well as non catheter related nosocomial infections. Also escherachia coli was the most common organism isolated in patients with complicated (57.03%) and uncomplicated UTI (55.17%). The most common risk factor was type 2 diabetes mellitus (40%) followed by CKD (19.2%). Conclusion and interpretation The most common clinical presentations of UTI are fever with chills. Type 2 diabetes mellitus, is the important risk factors of UTI. E. coli is the predominant causative agent in all the UTIs.