Recurrent urinary tract infection in female patients

ABSTRACT

One hundred and fifty female patients suffering from recurrent urinary tract infection presented to El-Minia University Hospital in a period of 1.5 years were included in this study. All cases were randomly selected and divided into 6 groups; 42 pregnant, 24 pregnant diabetics, 56 middle aged, 18 diabetic middle aged, 10 unmarried females and 15 cases non - symptomatized were investigated as control. Mid-stream urine samples were taken from every patient and examined for biochemical reactions, microscopic examination, bacterial culture and sensitivity. We found significant bacteriaria in 42.7 percent of cases with bacterial count above 10[5] organisms per ml,., 52 percent of cases with bacterial count less than 10[5], while in 5.3 percent of cases the results of the cultures showed no growth although they were presented with urinary tract infection [U.T.I.]. Escherichia coli, staphylococcus aureus, streptococcus pyogenes and staphylococcus albus were the commonest organisms isolated from the diabetic pregnant females. While E. coli, Klebsiella, proteus and staphylococcus aureus were the commonest organisms isolated from the non - pregnant females. The most effective types of antibiotics used were Norfloxacin, Ofloxacin, Cefotaxim, and Cefoperazone. Short term therapy with these agents gave good results in uncomplicated upper U. T. I. with stones, abnormalities and other pathologies. Pseudomonas followed by E. Coli, staph. aureus and Klebsiella were the strongest [beta- lactamase producing organisms. Significant bacteriuria may be present in the absence of pyuria and vice versa