Common uropathogens among diabetic patients with urinary tract infection at Jinja Regional Referral Hospital, Uganda

Between June 2015 and October 2015, 159 mid-stream urine samples from diabetic patients were cultured. The prevalence of urinary tract infection was high at 22% and women were more affected compared with men (P = 0.017). Factors associated with urinary tract infection in these patients were age, sex and high blood glucose levels. Diabetic patients should be screened periodically for urinary tract infection

Etude clinique et bacteriologique de l'infection urinaire dans le service de Medecine Interne a l'Hopital National du Point G (Bamako; Mali)

Il s'agit d'une etude prospective concernant 113 cas d'infection urinaire sur 1191 malades hospitalises de janvier a decembre 1990 dans le service de Medecine Interne de l'Hopital du point G. Le but est de determiner la prevalence de l'infection urinaire; d'identifier les circonstances de decouverte et les germes qui en sont responsables. Il est apparu apres une etude clinique et bacteriologique que la prevalence est de 9;5 pour cent avec une morbidite de 19;5 pour cent chez les diabetiques et 12;5 pour cent chez les sideens. 56 pour cent des malades ont des antecedents de bilharziose. Les differentes formes cliniques sont les suivantes: diabete: 25;67 pour cent; cystite: 24;78 pour cent; bacteriurie asymptomatique: 17;7 pour cent; pyelonephrite: 12;39 pour cent; pathologie de la prostate (4 adenomes; 4 prostatites aigues et 3 prostatites chroniques): 9;73 pour cent et SIDA: 9;73 pour cent. Les formes symptomatiques sont les plus frequentes: 62 pour cent. Les signes fonctionnels et biologiques n'ont pas permis de caracteriser les differentes formes cliniques. Les especes bacteriennes plus frequemment isolees sont: Escherichia coli: 49;80 et Klebsiella pneumoniae: 25;6 pour cent. Un taux de resistance de Escherichia coli a l'ampicilline a ete note dans 78;5 pour cent des cas

Antibiotic susceptibility of escherichia coli isolates from inpatients with urinary tract infections in hospitals in Addis Ababa and Stockholm

A high level of antimicrobial resistance of bacteria has been detected at the Tikur Anbessa Hospital (TAH), Addis Ababa, for many years. In contrast, at the Karolinska Hospital (KH), Stockholm, the level of resistance is low. Reported are the results of an investigation of the correlation between antibiotic usage and the antimicrobial resistance rates of Escherichia coli isolates from patients with urinary tract infections in these hospitals. At TAH the strains of E. coli isolated were considerably more resistant to all seven antibiotics tested. The level of multiresistance was 63% at TAH and 7% at KH. There were no significant differences in the total amount of antibiotics used in the two hospitals, except for antituberculosis agents. The strain biotypes and antibiograms, together with the length of patients' hospitalization before a positive urine culture was obtained, suggest that the majority of the strains from TAH were of nosocomial origin