Antimicrobial Resistance of E Coli Causing Urinary Tract Infection in Bangladesh.

Rapid spread of multidrug resistant microorganisms is a matter of great concern throughout the glove including Bangladesh. The objective was to identify the causative organisms for urinary tract infection (UTI) and their sensitivity patterns to antibiotics. This descriptive cross-sectional study was conducted on patients admitted with UTI (n=60) at a tertiary level hospital in Dhaka, Bangladesh from March 2019 to September 2019. Data were collected through clinical record reviews. Data of all these 60 cases were analyzed for socio-demographic characteristics. Of the 60 patients, culture and sensitivity report was available for 42 patients. Therefore, data were further analyzed for these 42 cases. Median age of patients was 35 years and 80% were female. The main organisms isolated from urine culture of UTI patients were E. coli (64%), Klebsiella (12%) and Enterococci species (10%). Susceptibility to antibiotics was analyzed only for E. coli (n=27) since the number of isolates of other organisms were small. E. coli was found to be resistant to most of the first- and second-line antibiotics, such as Amoxicillin (100%), Amoxyclav (72%), Co-trimoxazole (89%), Nalidixic acid (78%), Ceftazidim (94%), Ceftriaxone (73%), Cefuroxime (100%), Ciprofloxacin (59%), Cephotaxime (80%), Cefixime (100%) and Moxifloxacin (100%). E. coli was the predominant organism responsible for UTI and was resistant to most of the first- and second-line antibiotics. Immediate action is needed to develop empirical guideline for empirical management of UTI and establish surveillance system for monitoring.

Crystal structure of 1,2-bis-((benzyl-sulfan-yl){2-[1-(2-hy-droxy-phen-yl)ethyl-idene]hydrazin-1-yl-idene}meth-yl)disulfane.

The title compound, C32H30N4O2S4, consists of two Schiff base moieties, namely two S-benzyl-ß-N-(2-hy-droxy-phenyl-ethyl-idene)di-thio-carbazate groups, which are connected through an S-S single bond. These two moieties are twisted with respect to each other, with a dihedral angle of 87.88 (4)° between the S2C=N planes. A bifurcated intra-molecular O-H⋯(N,S) hydrogen bond is observed in each moiety. In the crystal, mol-ecules are linked by pairs of C-H⋯O hydrogen bonds into inversion dimers. The dimers are further stacked in a column along the b axis through weak C-H⋯π inter-actions.