Prevalence of uropathogens in various age groups & their resistance pattern in a Tertiary Care Hospital in Central India.

Background: The prevalence of multidrug resistance among uropathogens in rapidly increasing. Analysis of the prevalence in various age groups and the common antimicrobial co-resistance pattern of uropathogens isolated from patients in a tertiary care hospital would have important implication for patient care. Methods: A total of 1383 urine samples received during year 2010 were processed. Urine microscopy & culture was done using standard microbiological techniques. Organisms were identified by standard microbiological techniques. Antimicrobial susceptibility testing was done as per CLSI guidelines.Results: A total of 426 uropathogens were isolated. E coli were seen in 65.96 % (most common) followed by Klebsiella spp. 12.44%. Enterococcus was the commonest Gram positive isolate (5.86%). Urinary tract infection (UTI) was seen in 59.86% females as compared to 40.14% males. Average antimicrobial resistance for E.coli 75.74%, Klebsiella spp. 47.45%, Proteus 65.54%, Pseudomonas 75.89%, Enterococci 66.54%, Staphylococcus aureus 39.28%, Staphylococcus saprophyticus 47.79%.

Streptomyces septicaemia in a neonate.

Streptomyces species has been commonly reported as a cause of mycetoma. Invasive streptomyces infections are rare. We report a case of late onset neonatal septicemia caused by Streptomyces annulatus in a home delivered baby, which was identified based on morphology and biochemical characteristics. Invasive streptomyces infections may be more common than these isolated case reports.