Abstract

ANTIBIOTIC RESISTANCE PATTERNS OF BACTERIAL TYPES ISOLATED FROM URINE OF IRAQI PATIENTS WITH RENAL FAILURE

*Mohemid M AL-jebouri and Huda R Al-Alwani

Abstract

Background: Urinary tract infections (UTIs) are common in dialysis patients associate with increased rate of complications, and may be difficult to diagnose due to often subclinical presentation of the presence of pyuria in the urinalysis. Escherichia coli remains the most common pathogen for both outpatients and hospitalized patients. Chemotherapy of infections showed high resistance patterns among pathogens due to long-term use of antibiotics. Methods: Media were prepared and sterilized according to the manufacturer's instruction. The prepared media used for isolation, determination of the viable count, identification and susceptibility testing were carried out after being solidified. Results: The most common organism was Escherichia.coli which was isolated from 17 patients with percent of 44.7%, followed by Proteus mirabilis (13.2%). The most effective antibiotic was imipenem (100%) susceptibility and complete resistance to ampicillin and amoxicillin, whereas amikacin, tobramycin, gentamicin, ceftriaxone, ciprofloxacine, sulphamethoxazole, naldixic acid, nitrofurunation, kanamycin and tetracycline showed different level of action. Conclusions: Urinary tract infection of patients with renal failure was complicated. This indicated by a wide range of bacterial species and these bacterial species were different in their antibiogram patterns.

Keywords: amikacin, tobramycin, gentamicin, ceftriaxone, ciprofloxacine, sulphamethoxazole, naldixic acid, nitrofurunation.