THE CLINICAL AND ETIOLOGICAL PROFILE OF URINARY TRACT INFECTION

Objectives: To study clinical profile of urinary tract infection (UTI) and to document the common microorganisms causing UTI in admitted patients and to test their sensitivity pattern. Material and Methods: We did a hospital based descriptive study in the department of Medicine Khyber Teaching Hospital, Peshawar from December, 2005 to July, 2006. The data of total 50 patients above 13 years of age with signs and symptoms suggestive of UTI was collected on a structured proforma. The clinical presentation, the common causative organisms and their sensitivity pattern was documented. The results were compared with other national and international studies. Results: In this study 47/50 (94%) cases were culture positive with a colony count >105/ml. Overall male to female ratio was 1:2 table.1. Among the culture positive cases, the commonest pathogens found were E. coli in 25 cases (53.1%) followed by citrobacter in 8 cases (17.02%). The commonest organisms E.coli and citrobacter showed maximum sensitivity to Amikacin, ofloxacin, ciprofloxacin and ceftriaxones, in decreasing order of frequency. The most common symptom found in all age groups was fever while the commonest sign was anaemia. Conclusion: UTI should be considered in any patient with fever without focus beyond three days. E Coli is the commonest organisms and amikacin is the drug of choice.