FREQUENCY AND SENSITIVITY OF PROTEUS SPP, PSEUDOMONAS SPP, AND STAPHYLOCOCCUS SPP IN URINE CULTURES
Abstract
Background; Urinary tract infections are common diseases, especially among women, and are caused by various types of bacteria, such as Proteus spp, Pseudomonas spp, and Staphylococcus spp. Study the extent of the spread of this bacterium in samples taken from patients in Thi-Qar Governorate plays an important role in knowing the causes of infection and methods of treatment for the purpose of reducing the incidence of infection and disease. There are various risk factors that can lead to the occurrence of urinary tract infections, such as the use of catheters, a lack of personal hygiene, or excessive use of antibiotics without consulting a doctor, which leads to antibiotic resistance problems in the future. Aims of the study: Providing healthcare and medical professionals with information about the spread of bacteria and the causes of therapeutic resistance in order to guide the most effective antibiotic treatment. Methodology: A retrospective study was conducted from April 10, 2023, to October 6, 2023, and a total of one thousand urine samples were collected. The samples were distributed equitably, with 500 urine samples collected for males and 500 urine samples collected for females. Age, nutritional status, and antibiotic usage were recorded without seeking medical consultation. The aforementioned samples underwent culture on blood agar and MacConkey agar. Various chemical tests were employed to identify and isolate bacteria, in addition to conducting a drug sensitivity test. utilizing an assortment of antibiotics under sterile conditions in the laboratory of Al-Habbobi Teaching Hospital. Results: The result show the Frequency and Percent of Pseudomonas Spp was Hight than Proteus spp and Staphylococcus spp. The frequency of AK was (173.0) was the higher Frequency among others antibiotics, And The frequency of AMS was (46.0), So the frequency of ATM was (44.0). And the result shows the frequency of AZM, CN, CRO, IMP, LEV and MEM was (41.0), CAZ, CTX, E, FBE (47.0), CIP, F (46.0), DO (62.0), FOX (87.0) and PRL (62.0). The result show the frequency of Pseudomonas Spp was higher in female than male (300.0 vs 200.0) respectively. While the frequency of Proteus spp and Staphylococcus spp was higher in male than female (150.0 vs 100.0). The frequency of AK was higher in male than female (89.0 vs 84.0). And the Frequency of AMS and F was 24.0 in female and 22.0 in male. And the frequency of ATM was equal in male and female (22.0). And the Frequency of AZM, CN, CRO, IMP, LEV and MEM was higher in male than female (21.0 vs 20.0). The result shows the frequency of CAZ, CTX, E and FEP was higher in female than male (24.0 vs 23.0), While CIP was similar in frequency in male and female (22.0). The frequency of DO and PRL was 32.0 in female and 30.0 in male. While the frequency of FOX was higher in male than female (44.0 vs 43.0). Conclusions: The results showed that the frequency of Pseudomonas ssp. was 500 (50%) and the frequency of Proteus spp. and Staphylococcus spp. was 250 (25.0%) for a total of 1000 urine samples. The results also showed that the frequency of amikacin (AK) was the highest among all antibiotics, followed by Fox at a percentage of 7.8%. The statistical results also showed that the frequency of Pseudomonas spp. was higher in women compared to men. On the contrary, the frequency of Proteus spp. and Staphylococcus spp. was higher in men than in women. When comparing drug sensitivity in men and women, the results showed that the frequency of amikacin (AK) and FOX in men is higher than in women.
References
2. Jamil, Radia T., Lisa A. Foris, and Jessica Snowden. "Proteus mirabilis infections." (2017).
3. Kerr KG, Snelling AM. Pseudomonas aeruginosa: a formidable and ever-present adversary. J Hosp Infect. 2009 Dec;73(4):338-44.
4. Mulcahy LR, Isabella VM, Lewis K. Pseudomonas aeruginosa biofilms in disease. Microb Ecol. 2014 Jul;68(1):1-12.
5. Argemi X, Hansmann Y, Prola K, Prévost G. Coagulase-Negative Staphylococci Pathogenomics. Int J Mol Sci. 2019 Mar 11;20(5)
6. Pinault L, Chabrière E, Raoult D, Fenollar F. Direct Identification of Pathogens in Urine by Use of a Specific Matrix-Assisted Laser Desorption Ionization-Time of Flight Spectrum Database. J Clin Microbiol. 2019 Apr;57(4)
7. Natsis NE, Cohen PR. Coagulase-Negative Staphylococcus Skin and Soft Tissue Infections. Am J Clin Dermatol. 2018 Oct;19(5):671-677.
8. Lala V, Leslie SW, Minter DA. StatPearls [Internet]. StatPearls Publishing; Treasure Island (FL): May 30, 2023. Acute Cystitis.
9. Ehlers, Sarah, and Stefan A. Merrill. "Staphylococcus saprophyticus." (2018).
10. Habibu, A. U. "Prevalence of Proteus mirabilis and Pseudomonas aeruginosa among female patients with suspected urinary tract infections attending Muhammad Abdullahi Wase specialist hospital, Kano, Nigeria." The International Journal of Engineering and Science (IJES) (2014): 2319-181.
11. 11. Ahmed, Dalia Azher. "Prevalence of Proteus spp. in some hospitals in Baghdad City." Iraqi Journal of Science (2015): 665-672.
12. Mittal, Rahul, et al. "Urinary tract infections caused by Pseudomonas aeruginosa: a minireview." Journal of infection and public health 2.3 (2009): 101-111.
13. Magliano, Enrico, et al. "Gender and age-dependent etiology of community-acquired urinary tract infections." The scientific world journal 2012 (2012).
14. Khan, Jamshaid Ali, et al. "PREVALENCE AND RESISTANCE PATTERN OF PSEUDOMONAS AERUGINOSA AGAINST VARIOUS ANTIBIOTICS." Pakistan journal of pharmaceutical sciences 21.3 (2008).
15. Mohammed, Mahmoud A., et al. "Prevalence and antimicrobial resistance pattern of bacterial strains isolated from patients with urinary tract infection in Messalata Central Hospital, Libya." Asian Pacific journal of tropical medicine 9.8 (2016): 771-776.
16. Seifu, Wubalem Desta, and Alemayehu Desalegn Gebissa. "Prevalence and antibiotic susceptibility of Uropathogens from cases of urinary tract infections (UTI) in Shashemene referral hospital, Ethiopia." BMC infectious diseases 18 (2018): 1-9.
17. Pardeshi, Pritam. "Prevalence of urinary tract infections and current scenario of antibiotic susceptibility pattern of bacteria causing UTI." Indian J Microbiol Res 5.3 (2018): 334-338.
18. Koeijers, J. J., et al. "Urinary tract infection in male general practice patients: uropathogens and antibiotic susceptibility." Urology 76.2 (2010): 336-340.