Prevalence of Uropathogenic Escherichia coli in Al-Hashymia district of Babylon Province

Abstract

Urinary tract infections (UTIs) are considered the most common bacterial infections, bacteria are the major causative agent and are responsible for more than 95% of UTIs cases. This study was designed to investigate the prevalence of uropathogenic E. coli isolated from patients with UTIs and evaluate its in-vitro susceptibility patterns to commonly used antimicrobial agent. Seventy six random urine samples were collected from inpatients and outpatients from July to September 2013, and the samples were routinely processed by cultivation on the ordinary media, as well as the susceptibility test of used antibiotics (Tetracycline, Ciprofloxacin, Tobramycin, Amikacin) according to Kirbey – Bauer technique. Incidence of UTIs in different age groups varied from one age group to another, but the highest value was recorded in the age group (10 – 19), it was (30.26%) while the lowest percentage was detected in the age group (50 – 59) years old (1.32%), also results of this study demonstrate significant variation between the rates and types of the bacterial percentages that cause inflammation of the urinary tract. Staphylococcus aureus records the highest proportion it records (45.45%), (69.57%) and (50%) for (1 – 9), (10 – 19) and (20 – 29) years old respectively, while E. coli enrolled the top most ratio, it scores (53.33%), and (50%) for (30 – 39) and (60-69) years old respectively, susceptibility pattern reveals that amikacin is the ideal antibiotic used against E. coli isolates due to the top value (88.5%) of effectiveness. Depending on the previous results we recommend to conduct research including an annual check-ups of antibiotics sensitivity, also we advise the use of molecular biological techniques for the diagnosis, in addition to determine ownership of the resistance gene.