Abstract

URINARY TRACT INFECTION IN FEMALE IN KIRKUK CITY, IRAQ: CAUSATIVE AGENTS AND ANTIBIOGRAM.

Abdulghani Mohamed Alsamarai* and Shler Ali

ABSTRACT

Background: Urinary tract infection form the common community acquired and healthcare- associated infection in Iraq. Aim: To determine the microbial aetiology of urinary tract infections in women in Kirkuk city and their antibiogram. Patients and methods: A prospective cross-sectional study conducted during the period from 1st of June 2015 to the end of January 2016. The population included in the study are 563 women, of them 425were outpatients, and 138 were inpatients. Their age range between 18 and 80 years. Bacterial isolation, identification and antibiotics susceptibility performed according to conventional methods. Results: Of the total 563 urine samples, 234 [41.6%] were culture positive and E. coli was the predominantly [57.7%] isolated bacteria, followed by Staph. aureus [17.5%], Klebsiella [14.5%], and Proteus [10.3%]. The mean pus cell scale was significantly [P=0.000] higher in women with culture positive urine as compared to culture negative urine. All the isolated bacteria demonstrated a high resistant rate to the most of tested antibiotics, with the exception of imipenem, amikacin [excluding K. pneumonias], and nitrofurantoin. Conclusion: E. coli, Staphylococcus and Klebsiella pneumonia and Proteus were with high rate of resistance to the tested antibiotics; however, Proteus resistance rate was lower than other bacteria.

Keywords: imipenem, amikacin [excluding K. pneumonias], and nitrofurantoin.