A Prospective, Open Label, Observational Study to Evaluate Management of Urinary Tract Infections- Appropriateness of Antibiotics
Volume 4 ; Issue 1 ; in Month : Jan-Jun (2020) Article No : 129
Kazim SM, Khan MS, Saulat H, et al.
Abstract
Background: Urinary tract infections are the second most common form of bacterial infections characterised by dysuria and urinary frequency. Most of the UTIs are caused by bacteria and in few cases by fungi and virus. UTIs usually occur due to poor personal hygiene or other predisposing factors. Accordingly, treatment of bacteriuria depending upon individuals and bacterial sensitivity should be followed. Objective: To evaluate the prevalence, the common bacterial infections, the patient’s socio-economic status, the evaluation of management, prescribing pattern and patient counselling of urinary tract infections in the nephrology and urology department patients. Methodology: An observational study involving analysis of prescriptions of nephrology and urology patients diagnosed and treated for urinary tract infections using patient data collection form and patient interview for a study period of 6 months. Results: Of the total 201 patients, prevalence of male (61%) was found to be higher compared to female (39%) patients along with greater prevalence of complicated UTI cases (54.2%). The prevalence of UTI was the second (17.47%) most common disease in patients of nephrology and urology departments. The majority of bacterial isolates were Escherichia coli (58.09%) and the highest numbers of patients were of poor socioeconomic status (30%). The most commonly prescribed antibiotic were third generation Cephalosporins (55.42%, cefoperazone and ceftriaxone). Conclusion: The study demonstrates that for the management of UTI highly sensitive and prophylactic regimen of antibiotics was prescribed keeping in consideration of the patient’s state, severity and extent of disease. Patient counselling and information leaflets distribution about the disease can help to prevent and improve the knowledge of patients so as to minimize the risk and recurrence of the infection.
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