Property | Value |
Name | Community acquired male urinary tract infection – Changing trends in uropathogens |
Description | Original article:- Khadanga Sagar 1* & T. Karuna2
Affiliation:- 1Department of Medicine, M.K.C.G Medical college & hospital; Berhampur, Odisha, India. 2Department of Microbiology Hi-Tech Medical college & hospital ; Block 3,flat 1,Pandara, Rasulgarh, Bhubaneswar ,Odisha, India.
Abstract:- Background: According to standard textbooks the diagnosis of UTI in male is questionable in the absence of anatomical abnormalities, instrumentation or rectal intercourse. But in our clinical practice we come across male UTI in the age group of 15-50. We wanted to study this aspect of male UTI and their sensitivity pattern. Material & methods: We conducted a prospective interventional type of hospital based study. A predesigned questioner was designed. Midstream clean catch urine samples were collected from 217 patients after carefully considering the inclusion and exclusion criteria. The samples were transported and processed within 1 hr. The urine samples were then processed by semi quantitative culture methods. Results: Sterile pyuria was found in 68.6% (149/217) cases. Among 68 culture positive cases the most common organism isolated was E.coli in 36.7% (25/68) cases. Non E.coli GNB was isolated in 42.6% (29 /68) cases. GPC were isolated in 16.1% (11/68) cases. Mycobacteriuria was found in 7 out of 149 sterile pyuria cases. Nitrofurantoin was the most sensitive oral drug followed by ciprofloxacin for GNB. Almost all GPC were sensitive to Linezolid and Vancomycin. . Conclusion: Though E.coli was the most common uropathogen, non-E.coli GNB related UTI is definitely increasing. GPC related UTI once rare in males, are not uncommon these days. Linezolid should be added to Nitrofurantoin/Quinolones in non resolving UTI as empirical therapy. Genitourinary tuberculosis should be suspected in non resolving symptomatic sterile pyuria cases. Key Words:-Acid fast bacilli (AFB), Coagulase-negative Staphylococci (CONS), Escherichia coli (E. coli), Gram-negative bacilli (GNB) ,Gram-positive cocci (GPC), urinary tract infection (UTI).
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Copyright © 2013 Khadanga Sagar & T. Karuna. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
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