Title: Study on Uropathogens with Antimicrobial Susceptibility Pattern in the Elderly at a Tertiary Care Hospital- Mangadu, South Chennai India

Authors: Dhevahi Elumalei, Sumathi.G., Sambandan A.P, Natrajan.V.S, Dinakaran.N

 DOI:  http://dx.doi.org/10.18535/jmscr/v4i4.11

Abstract

 Urinary tract infections (UTI) second most common cause of infectious disease  among  65 yr older the elderly population (>65years) 1.  Usually over diagnosed, treated on the basis of nonspecific clinical signs and symptoms. Elderly diagnosis  always require the presence of new urinary symptoms, with or without systemic symptoms.

Aim:  Our study aims to  describe  the uropahogens, antimicrobial  resistance rates among elderly patients attending our hospital  near Mangadu South of Chennai.

Study Subjects & Results: A total of 468 urine specimens were analysed from elderly patients above sixty years of age. 343 were culture positive.   Antibiotic susceptibility pattern of these patients were analysed.  Our study shows among the GNB the  E.Coli as  the commonest, followed by Klebsiella.  Staphylococus aureus was seen in many of the elderly population among the cocci group.  Amikacin, Levofloxacin, Gentamycin and Nitrofurantoin were effective for treatment of UTI. Evidence showed resistance to Ampicilliin, Co-trimoxazole,  cephalosporins.

Conclusion: study was able to standardize the  pattern of antibiotic  treatment within the elderly group after the analysis of antibiogram sensitivity.

Keywords: urinary tract infection, elderly, Bacterial agents, Antimicrobial susceptibility

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