Title: Fosfomycin: Current Scenario and Susceptibility Pattern in Urinary Isolates of a Teaching Hospital

Author: Siddiqui AH

 DOI:  https://dx.doi.org/10.18535/jmscr/v6i6.70

Abstract

The increasing resistance among Gram Negative organisms has demanded the implementation of alternative treatment strategies. With no other options in the near future we are re-evaluating the older antibiotics which at that point of time were discontinued because of the associated side effects. This study was undertaken to know the susceptibility pattern of urinary isolates in our hospital.

Material and Methods: This study was done on all the urinary isolates obtained from January 2017 to June 2017. Samples were processed and interpretated as per CLSI guideline. The isolates included for this study are, E coli, Klebsiellasp and Pseudomonas sp.

Results: A total of 230 significant isolates were obtained from 1732 urine samples. The most common isolate obtained was E coli with a sensitivity of 85%. Isolates obtained from admitted patients had lesser sensitivity.

Conclusion: This study shows that fosfomycin could be used as an alternative treatment modality. Combination therapy if used can help in reducing development of resistance.

Keywords:  Multi drug resistance organisms, fosfomycin, Urinary Tract infection.

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