ABSTRACT
Background: proteus bacilli are more commonly associated with UTIs in those individuals with structural or functional abnormalities, especially ascending infections in patients undergoing urinary catheterization
Aim of the study: to estimate the frequency of proteus infection in patients with I urinary tract infections, detection of sensitivity profile to antibiotics and detection of ESBL
Material and methods: one hundred and fifty five patients with symptoms of urinary tract infection were recruited and urine sample from each patient was collected as well as demographic data and associated I risk factors were recorded. Urine culture, antimicrobial susceptibility test, screening and confirmatory tests for detection of ESBL were done
Results and conclusion: the mean age +/- SD was 45 +/- 17 years, 139 were males and 16 were females. Sixty eight patients were catheterized and 87 patients were non-catheterized. E coli was the highest bacterial organism [35%] detected by urine culture among catheterized patients, while Kpneumoniae was the highest among non-catheterized patients. There was a significantly higher percent of proteus among non-catheterized patients than catheterized patients. Proteus alone or proteus with other bacterial infection was detected in 14.8% in catheterized versus 6.1% in non-catheterized patients. Only 13 cases out of 155 cases [8.4%] had positive culture for proteus organism. All are males and most of them were catheterized and had benign enlarged prostate [8 cases; 61%]. Out of 13 Proteus isolates, nine Proteus isolates showed reduced susceptibility to the Ceftazidime, Cefotaxime, Ceftriaxone, and Cefuroxime and gave the same zone diameter range as adapted by CLSI [2014] document M100 S24 and nine considered potential ESBL producers