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Paper Title:
Prevalence of Bacterial Urinary Tract Infections in Patients Attending a Tertiary Health Center in Cameroon and Antimicrobial Susceptibility of Isolates
Authors Name:
Jean Paul Dzoyem
, Alfred Itor Ekpo , Jacqueline Nadia Mandeng , Glwadys Djoyim , Roussel Yannick Tchatchoua Youbi
Urinary tract infections are globally a public health problem. This involved the colonization of the urinary system by the micro-organisms. Several studies have demonstrated that 95% of urinary tract infections are caused by bacteria. Over the years, bacteria have developed antibiotic resistance mechanisms which may sometimes lead to therapeutic failures. Hence, the antibiotics option depends on the adequate diagnostic tool of urinary tract infections to reduce false results that may predispose the patients to treatment failures. This study has as objective to determine the prevalence of bacteriuria and antimicrobial profile of urinary tract infections-suspected patients. A descriptive and cross-sectional study was conducted from April to June 2023. A total of 59 urine samples were collected for the isolation and identification of bacteria based on the standard protocol. The antimicrobial susceptibility test was done by the Kirby-Bauer disk diffusion method on Muller-Hinton agar for all the isolates recovered. The variables were statistically analyzed using the Chi-square test of independent and SPSS (Version 20), where, the p-value ˂0.05 was considered statistically significant. Out of the 59 participants, 53(89.83%) participants yielded positive bacteriuria on culture. Seven species of bacteria were isolated and Gram-negative bacteria are the leading uropathogen (71.43%) against 28.57% of Gram-positive bacteria. Among the Gram-negative bacteria isolated, the most prevalent was E. coli (55.1%), followed by Pseudomonas aeruginosa (14.29%), Proteus mirabilis (14.29%), Citrobacter freundii (10.2%) and Klebsiella pneumoniae (6.12%). Gram-negative bacteria isolates demonstrated a high sensitivity to nitrofurantoin (87.8%), imipenem (81.6%), fosfomycin (79.5%), and gentamicin (75.5%). On the contrary, a high level of resistance to cefotaxime (95.9%), levofloxacin (85.7%), nalidixic acid (81.6%), and cotrimoxazole (75.5%). Gram-positive bacteria showed high resistance to nitrofurantoin, levofloxacin, and cotrimoxazole (100%). This study has shown that urinary tract infections are not to be neglected. Thus regular monitoring of the patients and continuous adaptation of first-line treatment protocols is necessary in order to improve the management of patients presenting with a urinary tract infection.
"Prevalence of Bacterial Urinary Tract Infections in Patients Attending a Tertiary Health Center in Cameroon and Antimicrobial Susceptibility of Isolates ", International Journal of Science & Engineering Development Research (www.ijrti.org), ISSN:2455-2631, Vol.8, Issue 9, page no.361 - 367, September-2023, Available :http://www.ijrti.org/papers/IJRTI2309047.pdf
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ISSN:
2456-3315 | IMPACT FACTOR: 8.14 Calculated By Google Scholar| ESTD YEAR: 2016
An International Scholarly Open Access Journal, Peer-Reviewed, Refereed Journal Impact Factor 8.14 Calculate by Google Scholar and Semantic Scholar | AI-Powered Research Tool, Multidisciplinary, Monthly, Multilanguage Journal Indexing in All Major Database & Metadata, Citation Generator