Antibiotic Sensitivity Pattern of Uropathogens in Diabetic Women with Asymptomatic Bacteriuria

Nadeem Islam Sheikh; Ambreen Zahoor; Mehreen Baber; Zaidan Idrees Choudhary

doi:10.35787/jimdc.v9i2.469

Nadeem Islam Sheikh Professor, Department of Medicine, HBS Medical & Dental College, Islamabad, Pakistan
Ambreen Zahoor Assistant Professor, Department of Medicine, HBS Medical & Dental College, Islamabad, Pakistan
Mehreen Baber Assistant Professor, Department of ENT, HBS Medical & Dental College, Islamabad, Pakistan
Zaidan Idrees Choudhary Assistant Professor, Department of Psychiatry, HBS Medical & Dental College, Islamabad, Pakistan

DOI: https://doi.org/10.35787/jimdc.v9i2.469

Keywords: Asymptomatic bacteriuria, Diabetes mellitus, E. coli, Urinary tract infection

Abstract

Background: More than 150 million people around the globe are diagnosed with urinary tract infections every year. Failure to treat these infections with proper antibiotics can lead to serious complications. The objective of this study was to investigate antibiotic sensitivity and resistance pattern of urinary isolates in type-2 diabetic women with asymptomatic bacteriuria.

Material and Methods: This cross-sectional descriptive study was conducted at the HBS General Hospital, Islamabad, from March 2017 to August 2019. A total of 270 females with the diagnosis of type-2 diabetes mellitus were included in the study. Uropathogens were isolated from urine samples and antibiotic sensitivity testing was conducted. Demographic and clinical information was recorded on a pre-designed proforma. The data was analyzed using SPSS version 20.

Results: The mean age of the study sample was 50 years (SD ± 5.5) while the mean HbA1c levels were 8.98 g/dL (SD ± 0.8 g/dl). Uropathogens were found in the urine cultures of 106 (39.3%) patients. Extended Spectrum Beta-Lactamase producing (ESBL) Escherichia coli (E. coli) was the most common organism (n=46, 43.4%) which was sensitive to tazobactam, tazocin and co-trimoxazole. Nitrofurantoin was the most effective antibiotic with 62.5% isolates sensitive to it. All of the pathogens were resistant to ciprofloxacin.

Conclusions: Asymptomatic bacteriuria is common in type-2 diabetic women with ESBL E. Coli being the most common organism isolated from urine cultures. There is a significant resistance to antibiotics among the uropathogens isolated from these patients.