ABSTRACT
Urinary tract infection (UTI) is commonly diagnosed and may require antibiotic treatment. To identify micro-organisms found in suspected UTI and micro-organism sensitivity to antibiotics; a study was conducted on 792 consecutive urine samples collected in hospitals and clinics in Seychelles. Among the 792 samples; 70.8 per cent showed no growth and only 6.3 per cent showed growth for specific organisms; while the remaining 22.9 per cent showed mixed growth (likely to indicate contamination). E.coli was the micro-organism most often identified while Klebsiella; Proteus and Pseudomonas were found in a few cases. As much as 78.6 per cent of coliform organisms were resistant to Ampicillin and 54.8 per cent were resistant to Septrin while 75 per cent were sensitive to Gentamicin; Nitrofurantoin and Nalidixic acid. Results of this study suggest that routine urine culture on suspicion of uncomplicated UTI is unnecessary (however clinical practice requires that urine culture is done in complicated or recurrent UTI). A test to detect leucocytes in a midstream sample of urine (e.g.; Combur 9) is an alternative; simple and inexpensive way to identify the presence of bacteriuria in patients with uncomplicated UTI. In patients testing positive for leucocytes (and in all patients with complicated UTI); culture and antibiotic sensitivity should be carried out and a Nalidixic acid course can be a first choice treatment
Subject(s)
Drug Resistance , Urinary Tract Infections/diagnosis , Urinary Tract Infections/drug therapyABSTRACT
The appropriate management of upper respiratory tract infections is a problem faced every day by community doctors in Seychelles. A workload survey has shown that it is the commonest reason for consulting these doctors with 12 per cent of their consultations accounted for by the spectrum of disease comprising pharyngitis; tonsillitis and rhinitis. Indeed; the problem is one of the commonest reasons for consulting primary health care workers worldwide